EXECUTIVE DIRECTOR

2011-05-16T08:20:16-05:00 2010-12-31 BOYCE FURR & COMPANY LLP 4900 FALLS OF THE NEUSE ROAD SUITE RALEIGH NC 27609 990 2010-01-01 561228779 HOSPICE OF WAKE COUNTY INC HOSP 9198280890 250 HOSPICE CIRCLE RALEIGH NC 27607 JOHN THOMA EXECUTIVE DIRECTOR 9198280890 2011-05-12 SAMUEL A BOYCE 9198620004 2011-05-12 2010 2016-02-24 21:20:13Z JOHN THOMA 250 HOSPICE CIRCLE RALEIGH NC 27607 29085787 0 X N/A X 1979 NC EMPOWERING INDIVIDUALS, FAMILIES AND COMMUNITIES TO EMBRACE MEANING AT END OF LIFE. 14 14 338 200 0 0 706410 12089101 16259597 16984800 17133 11886 0 0 16983140 29085787 0 0 0 0 10406035 12980107 0 0 0 6028843 6353414 16434878 19333521 548262 9752266 4540640 19832024 1056450 6595568 3484190 13236456 EMPOWERING INDIVIDUALS, FAMILIES AND COMMUNITIES TO EMBRACE MEANING AT END OF LIFE. 0 0 16545667 16984800 HOSPICE PROVIDED AT HOME MEDICAL CARE FOR THE TERMINALLY ILL AND COUNSELING FOR OTHER FAMILY MEMBERS. 16545667 1 1 0 0 0 0 0 0 1 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 6 0 1 338 1 0 0 0 0 0 0 0 0 X 14 14 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X ANTOINETTE MESSLER 9198280890 250 HOSPICE CIRCLE RALEIGH NC 27607 ERICK HAWKINS PRESIDENT 1.00 X 0 0 0 GEOFF ADAMS VICE PRESIDENT 1.00 X 0 0 0 JOHN BASON SECRETARY 1.00 X 0 0 0 RICK PRO TREASURER 1.00 X 0 0 0 CHIP ANDERSON BOARD MEMBER 1.00 X 0 0 0 BETH BLACK BOARD MEMBER 1.00 X 0 0 0 MARK BLAKE BOARD MEMBER 1.00 X 0 0 0 JAMES CARROLL BOARD MEMBER 1.00 X 0 0 0 WENDY COULTER BOARD MEMBER 1.00 X 0 0 0 DAVID CRABTREE BOARD MEMBER 1.00 X 0 0 0 JENNIFER DIRIENZO BOARD MEMBER 1.00 X 0 0 0 BILLY DUNLAP BOARD MEMBER 1.00 X 0 0 0 DAVID FINCH BOARD MEMBER 1.00 X 0 0 0 FRANKLIN FREEMAN BOARD MEMBER 1.00 X 0 0 0 ROBERT HATLEY BOARD MEMBER 1.00 X 0 0 0 MONICA LALIBERTE BOARD MEMBER 1.00 X 0 0 0 WES LAWSON BOARD MEMBER 1.00 X 0 0 0 MINA LEVIN BOARD MEMBER 1.00 X 0 0 0 JOHN MEDINGER BOARD MEMBER 1.00 X 0 0 0 SUSAN ROUSE BOARD MEMBER 1.00 X 0 0 0 BOBBY SIMPSON BOARD MEMBER 1.00 X 0 0 0 STEPHEN TREMONT BOARD MEMBER 1.00 X 0 0 0 CASSANDRA WHITE BOARD MEMBER 1.00 X 0 0 0 JOHN THOMA CHIEF EXECUTIVE OFFICER & BOARD MEMBER 40.00 X 120384 0 12838 ANTOINETTE MESSLER VICE PRESIDENT FINANCE & OPERATIONS 40.00 X 107195 0 12204 MARK PHILBRICK VICE PRESIDENT CLINICAL OP 40.00 X 102338 0 9696 COOPER LINTON VICE PRESIDENT MARKETING & 40.00 X 98312 0 12010 DEB BLUE MEDICAL DIRECTOR 40.00 X 185048 0 15752 MARK NICHOLS HOSPICE PHYSICIAN 40.00 X 156212 0 6244 DELANI MANN-JOHNSON HOSPICE PHYSICIAN 40.00 X 140659 0 4178 LESLIE SUTTON HOSPICE PHYSICIAN 40.00 X 148178 0 11400 1058326 0 84322 7 0 1 0 0 11513754 575347 10954860 12089101 PATIENT SERVICE REIMB 900099 16984800 16984800 16984800 11886 11886 29085787 16984800 0 11886 675776 423155 252621 9731905 8875015 856890 221352 193118 28234 1607077 1388225 218852 743997 649912 94085 33432 7261 26171 31750 31750 52851 41066 11785 87117 87117 614789 377506 237283 476067 476067 499642 494753 4889 153814 153814 498822 166157 332665 68916 12512 56404 PHARMACY 1211556 1211556 SKILLED NURSING-ROOM & 1144826 1144826 DURABLE MEDICAL EQUIPME 942074 942074 INPATIENT EXPENSE 257427 257427 OUTPATIENT TREATMENTS 247586 247586 32745 26401 6344 19333521 16545667 2787854 0 942944 472279 1464679 1783725 1891246 2363836 30156 39051 15851075 775758 98948 15075317 112667 97816 4540640 19832024 1046731 1594423 5000000 9719 1145 1056450 6595568 X 3484190 13236456 3484190 13236456 4540640 19832024 9752266 X 0 0 0 X 721190 619328 590727 706410 11513754 14151409 721190 619328 590727 706410 11513754 14151409 14151409 76220 63922 26669 17133 11886 195830 14347239 68696114 0.98640 0.93150 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1563613 81764 21707 1667084 308651 1254962 1563613 123200 185451 308651 1.00000 0 1 1 14572288 331324 14240964 1278787 444434 834353 15075317 DUE TO END OF LIFE COALITION 1145 1145 X X 0 0 0 0 0 0 0 0 0 DEB BLUE 185048 0 0 0 0 0 7395 0 8357 0 200800 0 0 0 MARK NICHOLS 156212 0 0 0 0 0 6244 0 0 0 162456 0 0 0 LESLIE SUTTON 148178 0 0 0 0 0 5122 0 6278 0 159578 0 0 0 X 1 10379513 COST TO DONOR LESS DEBT 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS REVIEWED BY THE EXECUTIVE AND FINANCE COMMITTEES PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST IS REVIEWED ANNUALLY IN BOARD MEETING AND EACH MEMBER IS REQUIRED TO SIGN THEIR UNDERSTANDING OF THE DOCUMENT. FORM 990, PART VI, SECTION B, LINE 15: PRESIDENT OF THE BOARD AND THE EXECUTIVE COMMITTEE REVIEW THE CEO'S PERFORMANCE AND REVIEW COMPARABLE SALARIES IN THE INDUSTRY USING SALARY INFORMATION OBTAINED BY THE HUMAN RESOURCES DEPARTMENT. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON DEMAND. THEY CAN BE EMAILED OR VIEWED HARDCOPY IN THE OFFICE. WE HAVE MAILED HARDCOPY REQUESTS AS WELL. ON DECEMBER 31, 2010, HOSPICE OF WAKE COUNTY, IN. ACQUIRED THROUGH MERGER THE ASSETS AND OPERATIONS OF HOSPICE OF HARNETT COUNTY. THE NET ASSETS ARE RECORDED ON THE ACQUISITION MEHTHOD AND ARE REPORTED AS AN OTHER CONTRIBUTION IN THIS RETURN. HOSPICE OF WAKE COUNTY FOUNDATION INC 250 HOSPICE CIRCLE RALEIGH NC 27607 561867838 RAISES AND INVESTS FUNDS TO BE USED IN THE FUTURE BY HOSPICE OF WAKE COUNTY NC 501 (C)(3) 509 (A)(3) 0 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 HOSPICE OF WAKE COUNTY FOUNDATION B 11513754 CASH AND NET COST OF PROPERTY HOSPICE OF WAKE COUNTY FOUNDATION L FUNDRAISING FOR HOSPICE