2019-09-24T11:18:29-05:00 2018-12-31 420714325 RSM US LLP 230 N ELM ST STE 1100 GREENSBORO NC 27401 990 2018-01-01 581343313 HOSPICE & PALLIATIVE CARECENTER HOSP 3367683972 101 HOSPICE LANE WINSTONSALEM NC 27103 DAVE SHELTON CFO 3367683972 2019-09-24 1 ANNA CHASE P01374907 3362724551 66.98.98.130 2019-09-24 11:07:48 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 95D9F8C6807AAA28B8A12EE353A55F0B99C1E374 2018 2019-02-21 02:37:17Z TRELLIS SUPPORTIVE CARE LINDA W DARDEN 101 HOSPICE LANE WINSTONSALEM NC 27103 29781548 0 X WWW.TRELLISSUPPORT.ORG X 1978 NC HOSPICE & PALLIATIVE CARECENTER PROVIDES IN-HOME AND INPATIENT MEDICAL CARE FOR THE TERMINALLY ILL, TRAINS VOLUNTEERS TO ASSIST WITH FAMILIES OF PATIENTS, AND CONDUCTS EDUCATIONAL GRIEF SEMINARS FOR THE COMMUNITY. IN 2018, HOSPICE & PALLIATIVE CARECENTER CARED FOR 2,813 PATIENTS. 24 24 450 347 0 0 2413317 4850884 22637680 24832283 5338 3477 -144024 -120044 24912311 29566600 0 0 0 0 18377947 18941141 0 0 750121 7551964 8514164 25929911 27455305 -1017600 2111295 28963599 31261728 2718181 2943444 26245418 28318284 X HOSPICE & PALLIATIVE CARECENTER PROVIDES COMPASSIONATE CARE FOR THOSE INDIVIDUALS LIVING WITH A LIFE-LIMITING ILLNESS AND THEIR FAMILIES, THROUGH QUALITY MEDICAL, EMOTIONAL, SPIRITUAL, AND SOCIAL SUPPORT. 0 0 14801076 18391922 HOSPICE HOMECARE - PROVIDES MEDICAL CARE FOR TERMINALLY ILL PATIENTS, FOCUSING ON IMPROVING QUALITY OF LIFE, PHYSICAL AND EMOTIONAL COMFORT, DIGNITY AND PEACE OF MIND FOR PATIENTS AND THEIR FAMILIES. SKILLED PROFESSIONALS PROVIDE IN-HOME PATIENT SERVICES, INCLUDING NURSING HOMES, ASSISTED LIVING HOMES, GROUP HOMES, REST HOMES, AND RETIREMENT COMMUNITIES, REGARDLESS OF ABILITY TO PAY.IN 2018, HOSPICE & PALLIATIVE CARECENTER PROVIDED 111,222 DAYS OF CARE TO 1,871 PATIENTS IN THIS CAPACITY. 4703054 4023528 KATE B. REYNOLDS (KBR) HOSPICE HOME - 40-BED INPATIENT FACILITY THAT PROVIDES HOSPICE PATIENTS STATE OF THE ART CARE IN A BEAUTIFUL, HOME-LIKE SETTING. HOSPICE PATIENTS RECEIVING CARE AT HOME MAY BE ADMITTED TO THE KBR HOSPICE HOME WHEN NECESSARY MEDICAL CARE IS NOT EASILY MANAGED AT HOME, OR WHEN A CAREGIVER IS IN NEED OF RESPITE.IN 2018, KATE B. REYNOLDS HOSPICE HOME PROVIDED 7,936 DAYS OF CARE TO 942 PATIENTS. 2031985 2342204 ROWAN HOSPICE AND PALLIATIVE CARE-HOSPICE AND PALLIATIVE CARECENTER INVESTS IN AND MANAGES ROWAN HOSPICE. REVENUE INCLUDES REIMBURSMENTS FOR OPERATING AND MANAGEMENT EXPENSES. 87703 COMMUNITY PARTNERSHIP/COMMUNITY EDUCATION 229178 GRIEF COUNSELING SERVICES 139458 COMPLEMENTARY THERAPIES 74629 PALLIATIVE CARE SERVICES 456339 74629 21992454 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 83 0 1 450 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 24 24 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 NC X SUSAN BRANNOCK 3367683972 101 HOSPICE LANE WINSTONSALEM NC 27103 X AARON SINGLETON CHAIR 1.00 1.00 X X 0 0 0 TIM SECHREST VICE CHAIR 1.00 1.00 X X 0 0 0 PETER JURAN SECRETARY 1.00 X X 0 0 0 TRACEY MARTIN TREASURER 1.00 X X 0 0 0 CATHY J PACE HOSPICE FOUNDATION, CHAIR 1.00 1.00 X 0 0 0 MIKE GWYN AT LARGE 1.00 X 0 0 0 STEVE LINEBERGER AT LARGE 1.00 X 0 0 0 SARA WALPOLE AT LARGE 1.00 X 0 0 0 DR STEVEN BLOCK MEMBER 1.00 X 0 0 0 BEVERLY BRADSTOCK MEMBER 1.00 X 0 0 0 CANDICE WOOTEN BROWN MEMBER 1.00 X 0 0 0 DR KATHRYN CALLAHAN MEMBER 1.00 X 0 0 0 REV R CRAIG FORD MEMBER 1.00 X 0 0 0 SHARON GENTRY MEMBER 1.00 X 0 0 0 RICHARD GOTTLIEB MEMBER 1.00 X 0 0 0 DR GARY GREEN MEMBER 1.00 X 0 0 0 MARLON HUNTER MEMBER 1.00 X 0 0 0 DAVID MATTHEWS MEMBER 1.00 X 0 0 0 KIMBERLY MOORE MEMBER 1.00 X 0 0 0 MELISSA PERRELL MEMBER 1.00 X 0 0 0 HERNANDO RAMIREZ-SANTOS MEMBER 1.00 X 0 0 0 TANNER ROBINSON MEMBER 1.00 X 0 0 0 SCOTT TEMPLETON MEMBER 1.00 X 0 0 0 JOHN VOGLER MEMBER 1.00 X 0 0 0 LINDA DARDEN CEO 35.00 5.00 X 202767 0 21732 DAVE SHELTON CFO 39.00 1.00 X 139463 0 22952 MICHAEL LALOR CHIEF MEDICAL OFFICER 35.00 5.00 X 253024 0 11280 BRENT SHARPE PHARMACIST 40.00 X 166064 0 8907 TIMOTHY CORBETT PHYSICIAN 40.00 X 216187 0 38551 CATHY SHORE PHYSICIAN 23.00 X 155517 0 21148 SUSAN SCOTT PHARMACIST 40.00 X 115886 0 15789 VIRGINIA WHITE SR. VICE PRESIDENT 40.00 X 130787 0 18904 1379695 0 159263 11 0 1 0 FORSYTH MEMORIAL HOSPITAL 3905 CLEMMONS ROAD WINSTONSALEM NC 27103 HOSPITAL 261410 OAK FOREST HEALTH & REHAB 5680 WINDY HILL DRIVE WINSTONSALEM NC 27105 NURSING HOME 223186 NC BAPTIST HOSPITAL MEDICAL CENTER BLVD WINSTONSALEM NC 27157 HOSPITAL 189908 NETSMART TECHNOLOGIES INC 3333 SILAS CREEK PKWY WINSTONSALEM NC 27103 SOFTWARE 188169 LUTERHAN HOME - TRINITY GLEN DBA TRINITY 849 WATERWORKS ROAD WINSTONSALEM NC 27101 NURSING HOME 181493 13 194976 401792 2002973 2251143 13485 4850884 PATIENT SERVICE REVENU 621610 22490263 22490263 MANAGEMENT REVENUE 621610 2342020 2342020 24832283 3477 3477 51470 401792 214948 -163478 -163478 OTHER INCOME 621610 43434 43434 43434 29566600 24832283 0 -116567 X 651217 264304 386913 12489495 10670521 1440424 378550 238390 187595 44610 6185 4412954 3505424 791582 115948 1149085 947542 169700 31843 77448 11348 66100 43315 43315 3347527 2689248 556904 101375 103887 56905 46982 511764 86053 413161 12550 264958 264958 404071 231739 172332 529130 487390 40872 868 10 10 557213 253240 303973 95372 95372 PATIENT MEDICAL SUPPLIE 2240934 2240934 EQUIPMENT & MAINTENANCE 94769 48041 46728 HOSPITALITY 60895 22343 24283 14269 CONTINUING EDUCATION 43335 18682 13046 11607 139536 63082 46510 29944 27455305 21992454 4712730 750121 2141715 2023657 13018262 15490845 1744917 2167207 82782 93997 120133 111215 19746008 8949437 11221953 10796571 484896 457452 148941 120784 28963599 31261728 2718181 2943444 2718181 2943444 X 26011701 27191053 233717 1127231 26245418 28318284 28963599 31261728 2111295 -38429 0 X X 0 1 X 1 0 X 2826979 2584936 3037529 2413317 4499971 15362732 2826979 2584936 3037529 2413317 4499971 15362732 1109669 14253063 10187 4035 4295 5687 3477 27681 161663 118135 158303 131998 94904 665003 16055416 99274353 0.88770 0.90960 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME - 2014 AMOUNT: $ 62,308. 2015 AMOUNT: $ 48,485. 2016 AMOUNT: $ 48,593. 2017 AMOUNT: $ 42,581. 2018 AMOUNT: $ 43,434. SPECIAL EVENTS INCOME - 2014 AMOUNT: $ 99,355. 2015 AMOUNT: $ 69,650. 2016 AMOUNT: $ 109,710. 2017 AMOUNT: $ 89,417. 2018 AMOUNT: $ 51,470. 770919 770919 12020415 4215787 7804628 4443837 3655913 787924 2510837 1077737 1433100 10796571 X PART X, LINE 2: MANAGEMENT HAS EVALUATED THE HOSPICE'S TAX POSITION AND CONCLUDED THAT HOSPICE HAS TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE CONSOLIDATED FINANCIAL STATEMENTS. X X 0 0 0 0 0 0 0 0 0 LINDA DARDEN CEO 201477 0 0 0 1290 0 5119 0 16613 0 224499 0 0 0 DAVE SHELTON CFO 137483 0 0 0 1980 0 7135 0 15817 0 162415 0 0 0 MICHAEL LALOR CHIEF MEDICAL OFFICER 252574 0 0 0 450 0 9110 0 2170 0 264304 0 0 0 BRENT SHARPE PHARMACIST 166064 0 0 0 0 0 8322 0 585 0 174971 0 0 0 TIMOTHY CORBETT PHYSICIAN 216187 0 0 0 0 0 9250 0 29301 0 254738 0 0 0 CATHY SHORE PHYSICIAN 155517 0 0 0 0 0 0 0 21148 0 176665 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B FORM 990 REVIEW PROCESS: WHEN THE FORM IS RECEIVED FROM THE PREPARING ACCOUNTING FIRM, THE ENTIRE FORM IS REVIEWED BY THE CFO OF HOSPICE & PALLIATIVE CARECENTER. THIS REVIEW CONSISTS OF CHECKS FOR REASONABLENESS AND DIFFERENCES IN INFORMATION REPORTED TO PREPARING ACCOUNTING FIRM AND FINAL DOCUMENT. FORM 990, PART VI, SECTION B, LINE 12C ALL MEMBERS OF THE BOARD OF DIRECTORS AND KEY EMPLOYEES ARE REQUIRED TO ANNUALLY SIGN A STATEMENT DISCLOSING WHETHER THEY ARE ENGAGED IN ANY ACTIVITIES THAT COULD BE CONSTRUED AS A CONFLICT OF INTEREST TO THE MISSION AND ACTIVITIES OF HOSPICE & PALLIATIVE CARECENTER. FORM 990, PART VI, SECTION B, LINE 15 DETERMINING COMPENSATION FOR THE ORGANIZATION CEO IS DONE BY THE GOVERNING BOARD OF DIRECTORS BY CONSULTING MARKET SURVEYS, PUBLISHED INDUSTRY STANDARDS, AND THE "HOSPICE & HOMECARE SALARY & BENEFITS REPORT". DETERMINING COMPENSATION FOR THE ORGANIZATION'S OTHER KEY EMPLOYEES IS DONE BY THE VP OF HUMAN RESOURCES BY CONSULTING MARKET SURVEYS, PUBLISHED INDUSTRY STANDARDS, AND THE "HOSPICE & HOMECARE SALARY & BENEFITS REPORT". FORM 990, PART VI, SECTION C, LINE 19 HOSPICE & PALLIATIVE CARECENTER DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR ITS FINANCIAL STATEMENTS AVAILABLE TO THE GENERAL PUBLIC. DOCUMENTS OPEN TO PUBLIC INSPECTION ARE AVAILABLE UPON REQUEST FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN SECTION 6104(D). FORM 990, PART VII, SECTION A, COLUMN F THE ORGANIZATION, IN A FULL TRANSPARENCY POSTURE TO REPORTING, IS REPORTING ALL BENEFITS IN FULL IN COLUMN F, PART VII AND IS NOT APPLYING THE $10,000 PER ITEM EXCEPTION FOR CERTAIN BENEFITS. FORM 990, PART VII, LINE 1A, COLUMN B: THE CHAIR AND VICE CHAIR OF HOSPICE & PALLIATIVE CARECENTER JOINTLY SERVE ON THE HOSPICE FOUNDATION AND HOSPICE & PALLIATE CARECENTER'S BOARD OF DIRECTORS. BOTH DIRECTORS DEVOTE APPROXIMATELY ONE HOUR PER WEEK TO EACH OF THE ORGANIZATIONS. THE CHAIR OF THE HOSPICE FOUNDATION JOINTLY SERVES ON THE FOUNDATION'S AND HOSPICE & PALLIATIVE CARECENTER'S BOARDS OF DIRECTORS, AND DEVOTES APPROXIMATELY ONE HOUR PER WEEK TO EACH OF THE ORGANIZATIONS. FORM 990, PART IX, LINE 11G MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 2,689,248. MANAGEMENT AND GENERAL EXPENSES 556,904. FUNDRAISING EXPENSES 101,375. TOTAL EXPENSES 3,347,527. FORM 990, PART XII, LINE 2C: FINANCE COMMITTEE THE FINANCE COMMITTEE'S PROCESS OF EVALUATION HAS NOT CHANGED SINCE PRIOR YEAR. THE HOSPICE FOUNDATION DBA TRELLIS SUPPORTIVE CARE FOUNDATION 101 HOSPICE LANE WINSTONSALEM NC 27103 561823562 SUPPORT OF HOSPICE & PALLIATIVE CARECENTER NC 501(C)(3) LINE 12A, I HOSPICE & PALLIATIVE CARECENTER 1 ROWAN HOSPICE AND PALLIATIVE CARE LLC DBA TRELLIS 101 HOSPICE LANE WINSTONSALEM NC 27103 453013461 MEDICAL CARE FOR THE TERMINALLY ILL NC 501(C)(3) LINE 3 HOSPICE & PALLIATIVE CARECENTER 1 0 0 1 0 0 0 0 0 0 0 0 1 0 1 1 0 0 1 1 THE HOSPICE FOUNDATION DBA TRELLIS SUPPORTIVE CARE FOUNDATION C 2002973 CASH THE HOSPICE FOUNDATION DBA TRELLIS SUPPORTIVE CARE FOUNDATION R 1485643 CASH ROWAN HOSPICE & PALLIATIVE CARE DBA TRELLIS SUPPORTIVE CARE ROWAN L 2342000 CASH