HOSPICE & PALLIATIVE CARECENTER: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- HOSPICE & PALLIATIVE CARECENTER (EIN 58-1343313)
- Tax period
- 2017-01-01 to 2017-12-31
- Filed
- 2018-07-25
- IRS object ID
- 201812069349300416
- Schema version
- 2017v2.3
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule J
- Schedule L
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-07-25T09:11:27-05:00 | ReturnTs |
| Tax Period End | 2017-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 420714325 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RSM US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 230 N ELM ST STE 1100 | AddressLine1Txt |
| City | GREENSBORO | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27401 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 581343313 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOSPICE & PALLIATIVE CARECENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HOSP | BusinessNameControlTxt |
| Phone | 3367683972 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 HOSPICE LANE | AddressLine1Txt |
| City | WINSTONSALEM | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27103 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DAVE SHELTON | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 3367683972 | PhoneNum |
| Signature | 2018-07-25 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ANNA C CHASE | PreparerPersonNm |
| PTIN | P01374907 | PTIN |
| Phone | 3362724551 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | LINDA W DARDEN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 HOSPICE LANE | AddressLine1Txt |
| City | WINSTONSALEM | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27103 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $25,216,774 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.HOSPICECARECENTER.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1978 | FormationYr |
| Legal Domicile State | NC | LegalDomicileStateCd |
| Activity Or Mission | 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 2017, HOSPICE & PALLIATIVE CARECENTER CARED FOR 2,864 PATIENTS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 25 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 25 | VotingMembersIndependentCnt |
| Total Employee | 472 | TotalEmployeeCnt |
| Total Volunteers | 377 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $3,037,529 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,413,317 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $24,562,916 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $22,637,680 | CYProgramServiceRevenueAmt |
| PY Investment Income | $3,974 | PYInvestmentIncomeAmt |
| CY Investment Income | $5,338 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$99,897 | PYOtherRevenueAmt |
| CY Other Revenue | -$144,024 | CYOtherRevenueAmt |
| PY Total Revenue | $27,504,522 | PYTotalRevenueAmt |
| CY Total Revenue | $24,912,311 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $18,337,857 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $18,377,947 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $709,564 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $7,964,758 | PYOtherExpensesAmt |
| CY Other Expenses | $7,551,964 | CYOtherExpensesAmt |
| PY Total Expenses | $26,302,615 | PYTotalExpensesAmt |
| CY Total Expenses | $25,929,911 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,201,907 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$1,017,600 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $29,713,711 | TotalAssetsBOYAmt |
| Total Assets EOY | $28,963,599 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,427,267 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $2,718,181 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $27,286,444 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $26,245,418 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | 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. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $12,390,934 | ExpenseAmt |
| Revenue | $15,586,917 | RevenueAmt |
| Desc | 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 2017, HOSPICE & PALLIATIVE CARECENTER PROVIDED 97,967 DAYS OF CARE TO 1,873 PATIENTS IN THIS CAPACITY. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $4,603,387 | ExpenseAmt |
| Revenue | $4,222,778 | RevenueAmt |
| Desc | 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 2017, KATE B. REYNOLDS HOSPICE HOME PROVIDED 8,004 DAYS OF CARE TO 991 PATIENTS. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,330,336 | ExpenseAmt |
| Revenue | $2,687,638 | RevenueAmt |
| Desc | ROWAN HOSPICE AND PALLIATIVE CARE-HOSPICE AND PALLIATIVE CARECENTER INVESTS IN AND MANAGES ROWAN HOSPICE. REVENUE INCLUDES REIMBURSMENTS FOR OPERATING AND MANAGEMENT EXPENSES. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (4 entries)
| ExpenseExpenseAmt | DescDesc | RevenueRevenueAmt |
|---|---|---|
| $88,597 | COMMUNITY PARTNERSHIP/COMMUNITY EDUCATION | |
| $220,413 | GRIEF COUNSELING SERVICES | $1,750 |
| $124,421 | COMPLEMENTARY THERAPIES | |
| PALLIATIVE CARE SERVICES | $140,347 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $433,431 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $142,097 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $19,758,088 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (1) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 83 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 472 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | 0 | Form8899Filedind |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 25 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 25 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NC | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SUSAN BRANNOCK | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3367683972 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 HOSPICE LANE | AddressLine1Txt |
| City | WINSTONSALEM | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27103 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (33 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| TRACEY MARTIN | |||||||||
| CHAIR, HOSPICE FOUNDATION MEMBER | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| AARON SINGLETON | |||||||||
| VICE CHAIR, HOSPICE FOUNDATION MEMBER | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| MELISSA PHIPPS | |||||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| TIM SECHREST | |||||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| MARGARET ANN HOFLER | |||||||||
| PAST CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| JOHN HUNT | |||||||||
| MEMBER, HOSPICE FOUNDATION CHAIR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| PETER JURAN | |||||||||
| AT LARGE | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| STEVE LINEBERGER | |||||||||
| AT LARGE | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| SARA WALPOLE | |||||||||
| AT LARGE | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| CAMILLE BANKS-PAYNE | |||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| DR STEVEN BLOCK | |||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| BEVERLY BRADSTOCK | |||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| REV R CRAIG FORD | |||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| SHARON GENTRY | |||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| RICHARD GOTTLIEB | |||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| DR GARY GREEN | |||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| JENNIFER HOULIHAN | |||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| DR SIR WALTER MACK JR | |||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| DAVID MATTHEWS | |||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| KIMBERLY MOORE | |||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| HERNANDO RAMIREZ-SANTOS | |||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| TANNER ROBINSON | |||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| SCOTT TEMPLETON | |||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| JOHN VOGLER | |||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| CANDICE WOOTEN BROWN | |||||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| LINDA DARDEN | |||||||||
| CEO | 35.00 | 5.00 | Yes (X) | $202,176 | $0 | $20,374 | |||
| DAVE SHELTON | |||||||||
| CFO | 39.00 | 1.00 | Yes (X) | $132,021 | $0 | $25,111 | |||
| MICHAEL LALOR | |||||||||
| CHIEF MEDICAL OFFICER | 35.00 | 5.00 | $239,444 | $0 | $26,165 | Yes (X) | |||
| BRENT SHARPE | |||||||||
| PHARMACIST | 40.00 | $164,468 | $0 | $8,218 | Yes (X) | ||||
| TIMOTHY CORBETT | |||||||||
| PHYSICIAN | 40.00 | $207,534 | $0 | $35,515 | Yes (X) | ||||
| CATHY SHORE | |||||||||
| PHYSICIAN | 23.00 | $159,220 | $0 | $24,903 | Yes (X) | ||||
| VIRGINIA WHITE | |||||||||
| SR VICE PRESIDENT | 40.00 | $127,758 | $0 | $11,617 | Yes (X) | ||||
| SUSAN SCOTT | |||||||||
| PHARMACIST | 40.00 | $113,310 | $0 | $15,016 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,345,931 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $166,919 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 11 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| LUTHERAN HOME-FORSYTH COUNTY INC DBA T | |||||
| 7449 FAIR OAKS DRIVE | CLEMMONS | NC | 27012 | NURSING HOME | $239,367 |
| NETSMART TECHNOLOGIES INC | |||||
| 3333 SILAS CREEK PKWY | WINSTONSALEM | NC | 27103 | SOFTWARE | $181,991 |
| NC BAPTIST HOSPITAL | |||||
| MEDICAL CENTER BLVD | WINSTONSALEM | NC | 27157 | HOSPITAL | $179,550 |
| NEXT MEDICAL STAFFING LLC | |||||
| 3905 CLEMMONS ROAD | CLEMMONS | NC | 27012 | CONTRACT LABOR NURSES | $175,888 |
| SILAS CREEK REHABILITATION | |||||
| 3350 SILAS CREEK PARKWAY | WINSTONSALEM | NC | 27103 | NURSING HOME | $170,312 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 12 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $200,720 | FederatedCampaignsAmt |
| Fundraising | $525,140 | FundraisingAmt |
| Related Organizations | $731,127 | RelatedOrganizationsAmt |
| All Other Contributions | $956,330 | AllOtherContributionsAmt |
| Noncash Contributions | $58,303 | NoncashContributionsAmt |
| Total Contributions | $2,413,317 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICE REVENUE | 621610 | $19,950,042 | $19,950,042 |
| MANAGEMENT REVENUE | 621610 | $2,687,638 | $2,687,638 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $22,637,680 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,687 | TotalRevenueColumnAmt |
| Exclusion | $5,687 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $28,092 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $28,441 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$349 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$349 | TotalRevenueColumnAmt |
| Exclusion | -$349 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $89,417 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $525,140 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $276,022 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$186,605 | TotalRevenueColumnAmt |
| Exclusion | -$186,605 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER INCOME | Desc |
| Business | 621610 | BusinessCd |
| Total Revenue Column | $42,581 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,750 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $40,831 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $42,581 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $24,912,311 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $22,639,430 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$140,436 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $645,293 | TotalAmt |
| Program Services | $265,610 | ProgramServicesAmt |
| Management And General | $379,683 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,427,680 | TotalAmt |
| Program Services | $10,576,434 | ProgramServicesAmt |
| Management And General | $2,454,053 | ManagementAndGeneralAmt |
| Fundraising | $397,193 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $252,182 | TotalAmt |
| Program Services | $206,801 | ProgramServicesAmt |
| Management And General | $38,123 | ManagementAndGeneralAmt |
| Fundraising | $7,258 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,962,646 | TotalAmt |
| Program Services | $2,346,726 | ProgramServicesAmt |
| Management And General | $533,621 | ManagementAndGeneralAmt |
| Fundraising | $82,299 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,090,146 | TotalAmt |
| Program Services | $855,701 | ProgramServicesAmt |
| Management And General | $204,739 | ManagementAndGeneralAmt |
| Fundraising | $29,706 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $67,419 | TotalAmt |
| Program Services | $14,827 | ProgramServicesAmt |
| Management And General | $52,592 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,100 | TotalAmt |
| Management And General | $37,100 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,627,806 | TotalAmt |
| Program Services | $2,202,423 | ProgramServicesAmt |
| Management And General | $344,992 | ManagementAndGeneralAmt |
| Fundraising | $80,391 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $138,102 | TotalAmt |
| Management And General | $87,005 | ManagementAndGeneralAmt |
| Fundraising | $51,097 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $485,635 | TotalAmt |
| Program Services | $86,145 | ProgramServicesAmt |
| Management And General | $374,355 | ManagementAndGeneralAmt |
| Fundraising | $25,135 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $260,434 | TotalAmt |
| Management And General | $260,434 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $372,754 | TotalAmt |
| Program Services | $214,793 | ProgramServicesAmt |
| Management And General | $157,961 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $545,543 | TotalAmt |
| Program Services | $512,329 | ProgramServicesAmt |
| Management And General | $31,418 | ManagementAndGeneralAmt |
| Fundraising | $1,796 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,060 | TotalAmt |
| Management And General | $1,060 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $274 | TotalAmt |
| Program Services | $274 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $530,176 | TotalAmt |
| Program Services | $258,259 | ProgramServicesAmt |
| Management And General | $271,917 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $92,716 | TotalAmt |
| Management And General | $92,716 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| PATIENT MEDICAL SUPPLIE | $1,983,124 | $1,983,124 | ||
| EQUIPMENT & MAINTENANCE | $107,653 | $71,219 | $36,434 | |
| HOSPITALITY | $64,492 | $18,576 | $25,292 | $20,624 |
| CONTINUING EDUCATION | $50,045 | $20,484 | $16,489 | $13,072 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $187,631 | TotalAmt |
| Program Services | $124,363 | ProgramServicesAmt |
| Management And General | $62,275 | ManagementAndGeneralAmt |
| Fundraising | $993 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,929,911 | TotalAmt |
| Program Services | $19,758,088 | ProgramServicesAmt |
| Management And General | $5,462,259 | ManagementAndGeneralAmt |
| Fundraising | $709,564 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,089,071 | BOYAmt |
| EOY | $2,141,715 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,501,598 | BOYAmt |
| EOY | $13,018,262 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,668,154 | BOYAmt |
| EOY | $1,744,917 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $87,660 | BOYAmt |
| EOY | $82,782 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $170,926 | BOYAmt |
| EOY | $120,133 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $19,614,178 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $8,392,225 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,510,967 | BOYAmt |
| EOY | $11,221,953 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $502,823 | BOYAmt |
| EOY | $484,896 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $182,512 | BOYAmt |
| EOY | $148,941 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,713,711 | BOYAmt |
| EOY | $28,963,599 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,362,351 | BOYAmt |
| EOY | $2,718,181 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $64,916 | BOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,427,267 | BOYAmt |
| EOY | $2,718,181 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,060,762 | BOYAmt |
| EOY | $26,011,701 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $225,682 | BOYAmt |
| EOY | $233,717 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,286,444 | BOYAmt |
| EOY | $26,245,418 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,713,711 | BOYAmt |
| EOY | $28,963,599 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$1,017,600 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$23,426 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,193,593 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,826,979 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,584,936 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,037,529 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,413,317 | CurrentTaxYearAmt |
| Total | $13,056,354 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,193,593 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,826,979 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,584,936 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,037,529 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,413,317 | CurrentTaxYearAmt |
| Total | $13,056,354 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $510,228 | SubstantialContributorsTotAmt |
| Public Support Total170 | $12,546,126 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $13,331 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $10,187 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,035 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,295 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,687 | CurrentTaxYearAmt |
| Total | $37,535 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $128,851 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $161,663 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $118,135 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $158,303 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $131,998 | CurrentTaxYearAmt |
| Total | $698,950 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $13,792,839 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $123,066,271 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.90960 | PublicSupportCY170Pct |
| Public Support PY170 | 0.85090 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | MISCELLANEOUS INCOME - 2013 AMOUNT: $ 63,106. 2014 AMOUNT: $ 62,308. 2015 AMOUNT: $ 48,485. 2016 AMOUNT: $ 48,593. 2017 AMOUNT: $ 42,581. SPECIAL EVENTS INCOME - 2013 AMOUNT: $ 65,745. 2014 AMOUNT: $ 99,355. 2015 AMOUNT: $ 69,650. 2016 AMOUNT: $ 109,710. 2017 AMOUNT: $ 89,417. | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $756,977 | OtherCostOrOtherBasisAmt |
| Book Value | $756,977 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $12,013,380 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,908,182 | DepreciationAmt |
| Book Value | $8,105,198 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,338,980 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,489,211 | DepreciationAmt |
| Book Value | $849,769 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,504,841 | OtherCostOrOtherBasisAmt |
| Depreciation | $994,832 | DepreciationAmt |
| Book Value | $1,510,009 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $11,221,953 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $26,553,555 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$23,426 | NetUnrealizedGainsInvstAmt |
| Donated Services And Use Fclts | $1,000 | DonatedServicesAndUseFcltsAmt |
| Other Revenue | $1,664,730 | OtherRevenueAmt |
| Revenue Not Reported | $1,642,304 | RevenueNotReportedAmt |
| Revenue Subtotal | $24,911,251 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $1,060 | InvestmentExpensesNotIncldAmt |
| Revenue Not Reported Fincl Stmt | $1,060 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $24,912,311 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $26,011,041 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $1,000 | DonatedServicesUseFcltsAmt |
| Other Expenses Included | $81,190 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $82,190 | ExpensesNotReportedAmt |
| Expenses Subtotal | $25,928,851 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $1,060 | InvestmentExpensesNotIncld2Amt |
| Expenses Not Rpt Fincl Stmt | $1,060 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $25,929,911 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | THE HOSPICE FOUNDATION REVENUE 2,395,857. LESS CONSOLIDATION ELIMINATIONS -731,127. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | THE HOSPICE FOUNDATION EXPENSES 812,317. LESS CONSOLIDATION ELIMINATIONS -731,127. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | SPEAKER SERIES | Event1Nm |
| Gross Receipts Event1 | $266,683 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $237,966 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $28,717 | GrossRevenueEvent1Amt |
| Non Cash Prizes Event1 | $382 | NonCashPrizesEvent1Amt |
| Rent Facility Costs Event1 | $34,897 | RentFacilityCostsEvent1Amt |
| Entertainment Event1 | $75,155 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $18,576 | OtherDirectExpensesEvent1Amt |
| Event2 | HOSPICE HOPE RUN | Event2Nm |
| Gross Receipts Event2 | $163,170 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $133,170 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $30,000 | GrossRevenueEvent2Amt |
| Non Cash Prizes Event2 | $1,629 | NonCashPrizesEvent2Amt |
| Food And Beverage Event2 | $2,643 | FoodAndBeverageEvent2Amt |
| Entertainment Event2 | $2,000 | EntertainmentEvent2Amt |
| Other Direct Expenses Event2 | $31,184 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 8 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $184,704 | GrossReceiptsOtherEventsAmt |
| Charitable Contri Other Events | $154,004 | CharitableContriOtherEventsAmt |
| Gross Revenue Other Events | $30,700 | GrossRevenueOtherEventsAmt |
| Cash Prizes Other Events | $12,133 | CashPrizesOtherEventsAmt |
| Non Cash Prizes Other Events | $15,566 | NonCashPrizesOtherEventsAmt |
| Rent Fclty Costs Other Events | $15,399 | RentFcltyCostsOtherEventsAmt |
| Food And Beverage Other Events | $38,952 | FoodAndBeverageOtherEventsAmt |
| Entertainment Other Events | $2,200 | EntertainmentOtherEventsAmt |
| Oth Direct Expnss Other Events | $25,306 | OthDirectExpnssOtherEventsAmt |
| Gross Receipts Total | $614,557 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $525,140 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $89,417 | GrossRevenueTotalEventsAmt |
| Cash Prizes Total Events | $12,133 | CashPrizesTotalEventsAmt |
| Non Cash Prizes Total Events | $17,577 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $50,296 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $41,595 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $79,355 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $75,066 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $276,022 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$186,605 | NetIncomeSummaryAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LINDA DARDEN | ||||||||||||||
| CEO | $200,886 | $0 | $0 | $0 | $1,290 | $0 | $5,096 | $0 | $15,278 | $0 | $222,550 | $0 | $0 | $0 |
| DAVE SHELTON | ||||||||||||||
| CFO | $130,041 | $0 | $0 | $0 | $1,980 | $0 | $6,801 | $0 | $18,310 | $0 | $157,132 | $0 | $0 | $0 |
| MICHAEL LALOR | ||||||||||||||
| CHIEF MEDICAL OFFICER | $238,994 | $0 | $0 | $0 | $450 | $0 | $2,256 | $0 | $23,909 | $0 | $265,609 | $0 | $0 | $0 |
| BRENT SHARPE | ||||||||||||||
| PHARMACIST | $164,468 | $0 | $0 | $0 | $0 | $0 | $8,218 | $0 | $0 | $0 | $172,686 | $0 | $0 | $0 |
| TIMOTHY CORBETT | ||||||||||||||
| PHYSICIAN | $207,534 | $0 | $0 | $0 | $0 | $0 | $3,750 | $0 | $31,765 | $0 | $243,049 | $0 | $0 | $0 |
| CATHY SHORE | ||||||||||||||
| PHYSICIAN | $159,220 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $24,903 | $0 | $184,123 | $0 | $0 | $0 |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LINDA W DARDEN | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | CEO | RelationshipDescriptionTxt |
| Transaction | $2,688,000 | TransactionAmt |
| Transaction | SERVICES MANAGER ALSO OF ROWAN HOSPICE AND PALLIATIVE CARE LLC WHICH RECEIVES SERVICES FROM THIS ORGANIZATION. THIS ORGANIZATION HAS A 50% INTEREST IN ROWAN HOSPICE AND PALLIATIVE CARE LLC. THE TOTAL AMOUNT LISTED ABOVE INCLUDES $194,000 IN FEES AND $2,494,000 IN SERVICES. | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule M IRS990ScheduleM
Books And Publications BooksAndPublicationsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Noncash Contributions Rpt F990 | $300 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV AT DONATION DATE | MethodOfDeterminingRevenuesTxt |
Clothing And Household Goods ClothingAndHouseholdGoodsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Noncash Contributions Rpt F990 | $1,730 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV AT DONATION DATE | MethodOfDeterminingRevenuesTxt |
Securities Publicly Traded SecuritiesPubliclyTradedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 12 | ContributionCnt |
| Noncash Contributions Rpt F990 | $27,916 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV AT DONATION DATE | MethodOfDeterminingRevenuesTxt |
Food Inventory FoodInventoryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 68 | ContributionCnt |
| Noncash Contributions Rpt F990 | $16,260 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV AT DONATION DATE | MethodOfDeterminingRevenuesTxt |
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 15 | ContributionCnt |
| Noncash Contributions Rpt F990 | $713 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV AT DONATION DATE | MethodOfDeterminingRevenuesTxt |
Other Non Cash Contri Table OtherNonCashContriTableGrp (3 entries)
| Non Cash CheckboxNonCashCheckboxInd | DescDesc | ContributionContributionCnt | Noncash Contributions Rpt F990NoncashContributionsRptF990Amt | Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt |
|---|---|---|---|---|
| Yes (X) | RAFFLE PRIZES | 264 | $7,114 | FMV AT DONATION DATE |
| Yes (X) | FLOWERS | 30 | $2,720 | FMV AT DONATION DATE |
| Yes (X) | DECOR | 6 | $1,550 | FMV AT DONATION DATE |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (1) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, COLUMN (B): | FormAndLineReferenceDesc |
| Explanation | THE NUMBER OF CONTRIBUTIONS IN COLUMN B REFLECTS THE NUMBER OF ITEMS RECEIVED. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 2,202,423. MANAGEMENT AND GENERAL EXPENSES 344,992. FUNDRAISING EXPENSES 80,391. TOTAL EXPENSES 2,627,806. |
| FORM 990, PART XII, LINE 2C: FINANCE COMMITTEE | THE FINANCE COMMITTEE'S PROCESS OF EVALUATION HAS NOT CHANGED SINCE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE HOSPICE FOUNDATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 HOSPICE LANE | AddressLine1Txt |
| City | WINSTONSALEM | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 27103 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 561823562 | EIN |
| Primary Activities | SUPPORT OF HOSPICE & PALLIATIVE CARECENTER | PrimaryActivitiesTxt |
| Legal Domicile State | NC | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | LINE 12A, I | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOSPICE & PALLIATIVE CARECENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (3 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| THE HOSPICE FOUNDATION | ||
| C | $731,127 | CASH |
| THE HOSPICE FOUNDATION | ||
| R | $70,749 | CASH |
| THE HOSPICE FOUNDATION | ||
| S | $1,000,000 | CASH |