2016-05-16T12:36:41-05:00 2015-06-30 420714325 RSM US LLP 100 INTERNATIONAL DRIVE SUITE 1400 BALTIMORE MD 21202 990 2014-07-01 530196647 THE WASHINGTON HOME AND COMMUNITY HOSPICE WASH 2029663720 3720 UPTON STREET NW WASHINGTON DC 20016 TIMOTHY COX CEO 2029663720 2016-05-13 1 JULIA FLANNERY CPA P00928918 4102469300 2014 2016-08-17 19:52:53Z TIMOTHY COX 3720 UPTON STREET NW WASHINGTON DC 20016 38020191 0 X WWW.THEWASHINGTONHOME.ORG X 1888 DC THE WASHINGTON HOME AND COMMUNITY HOSPICES (THE WASHINGTON HOME), A NOT-FOR PROFIT 501 (C)(3) ORGANIZATION FOUNDED IN THE DISTRICT OF COLUMBIA IN 1888, PROVIDES HEALTHCARE TO PEOPLE WHO ARE AGING, CHRONICALLY ILL, OR LIVING WITH TERMINAL ILLNESSES. THE WASHINGTON HOME OPERATES TWO LINES OF BUSINESS; A 192 BED NURSING HOME FACILITY LOCATED IN THE DISTRICT OF COLUMBIA (THE DISTRICT) AND END OF LIFE HOSPICE CARE SERVICES IN THE DISTRICT OF COLUMBIA AND MARYLAND. 16 16 472 142 1311 0 685447 613270 34369505 29400067 3481336 2006799 3156070 3312196 41692358 35332332 0 0 0 0 22138785 22164610 0 0 537373 13261664 13257417 35400449 35422027 6291909 -89695 57685259 55674063 4134260 3684844 53550999 51989219 THE WASHINGTON HOME AND COMMUNITY HOSPICES (THE WASHINGTON HOME), A NOT-FOR PROFIT 501 (C)(3) ORGANIZATION FOUNDED IN THE DISTRICT OF COLUMBIA IN 1888, PROVIDES HEALTHCARE TO PEOPLE WHO ARE AGING, CHRONICALLY ILL, OR LIVING WITH TERMINAL ILLNESSES. 0 0 20614738 22010406 LONG-TERM CARE - PROVIDE HEALTHCARE SERVICES FOR PEOPLE WHO ARE AGING OR CHRONICALLY ILL. IN FY 2015, 273 PATIENTS WERE SERVICED AT THE 192 BED NURSING FACILITY ALZHEIMER'S, LONG TERM, AND REHABILITATION CARE. 10781434 7389661 END OF LIFE CARE - PROVIDE HOSPICE SERVICES FOR PEOPLE WHO ARE LIVING WITH TERMINAL ILLNESSES. IN FY 2015, COMMUNITY HOSPICES ASSISTED 971 TERMINALLY ILL PATIENTS WITH PAIN RELIEF, SYMPTOM MANAGEMENT, EMOTIONAL SUPPORT, AND SPIRITUAL GUIDANCE. 31396172 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 28 0 1 472 1 1 1 0 0 0 0 1 1 0 0 0 0 X 16 16 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 DC X PHYLLIS C DILLINGER 2028950105 3720 UPTON ST NW WASHINGTON DC 20016 SHARON COLLINS CASEY CHAIR 1.00 X X 0 0 0 JOAN LEWIS VICE CHAIR 1.00 X X 0 0 0 MARIJKE JURGENS-DUPREE SECRETARY 1.00 X X 0 0 0 OAK STRAWBRIDGE TREASURER 1.00 X X 0 0 0 KEITH EIG DIRECTOR 1.00 X 0 0 0 SUSAN M ASCHER MD DIRECTOR 1.00 X 0 0 0 JIM FIELD DIRECTOR 1.00 X 0 0 0 DAVID T CANHAM IV DIRECTOR 1.00 X 0 0 0 BURTON C GRAY JR DIRECTOR 1.00 X 0 0 0 ALAN S HEALFER DIRECTOR 1.00 X 0 0 0 LESLIE ZIMBERG MARTIN DIRECTOR 1.00 X 0 0 0 LARS G OKESON DIRECTOR 1.00 X 0 0 0 MARY MCLOUGHLIN DIRECTOR 1.00 X 0 0 0 NNEKA O MOKWUNYE PHD DIRECTOR 1.00 X 0 0 0 SUSAN WOJCIK DIRECTOR 1.00 X 0 0 0 ROBIN G MOORE DIRECTOR 1.00 X 0 0 0 AVA SHIVERS CFO 40.00 X 213469 0 12381 TIMOTHY COX CEO 40.00 X 276850 0 10239 DR MARY MCDONALD CHIEF MEDICAL OFFICER 40.00 X 272927 0 8002 BEVERLY PAUKSTIS DIR. OF HOSPICE OPS 40.00 X 162537 0 20712 JANINE FINCK-BOYLE NURSING HOME ADMINISTRATOR 40.00 X 183847 0 8911 SHARON ODUMODU DIRECTOR OF NURSING 40.00 X 125814 0 7016 KIMBERLY BROWN DIR. OF HUMAN RESOURCES 40.00 X 126273 0 14416 LANCE SEVERANCE DIR. OF PLANT OPS. 40.00 X 118844 0 11481 MOLLIE HAINES DIR. OF DEVELOPMENT 40.00 X 124555 0 2622 SIHAM ANDRAOS DIR. OF REIMBURSEMENT 40.00 X 117720 0 13252 1722836 0 109032 21 0 1 0 MORRISON MANAGEMENT SPECIALIST 5801 PEACHTREE DUNWOODY ROAD ATLANTA GA 30342 FOOD PREPARATION/CAFETERIA 1845059 AEGIS THERAPIES INC PO BOX 8103 FORT SMITH AR 72902 PATIENT REHABILITATION 1660487 PRESTIGE HEALTHCARE RESOURCES INC 6011 EMERSON STREET 209 BLADENSBURG MD 20710 NURSE STAFFING 642496 CAPITAL CITY NURSES 4915 ST ELMO AVENUE SUITE 301 BETHESDA MD 20814 NURSE STAFFING 321571 TRANSCEND HOSPICE MARKETING 1500 TIMBERWOLF DRIVE HOLLAN OH 43528 MARKETING 315618 9 77365 535905 558 613270 PATIENT SERVICE REVENU 621610 29400067 29400067 29400067 1760708 1760708 3400000 0 3400000 3400000 3400000 2779811 2531966 1754 247845 -1754 246091 246091 16640 77365 154139 -137499 -137499 OTHER INCOME 900099 27287 27287 INVESTMENT IN WASHINGT 531390 22408 1311 21097 49695 35332332 29400067 1311 5317684 1223978 1100902 118153 4923 17656624 15881173 1704434 71017 77207 69443 7453 311 1807143 1625426 174448 7269 1399658 1258916 135112 5630 375943 88386 287557 89035 20933 68102 295578 69492 226086 2360578 2072616 280868 7094 401967 369795 30885 1287 577271 531069 44354 1848 120014 110409 9221 384 1277650 1202161 72469 3020 127555 117346 9801 408 1238883 1238883 358083 329424 27513 1146 MEDICAL SUPPLIES AND DR 1456319 1456319 PROVIDER TAX 1085724 998827 83421 3476 FUNDRAISING EXPENSES 420868 420868 BAD DEBT 356993 356993 2714956 2497659 208605 8692 35422027 31396172 3488482 537373 3600 3600 5958198 7052198 3476297 2521887 37864 30762 147037 173329 39296552 28567469 11540206 10729083 33712523 32306449 2205170 2334556 604364 522199 57685259 55674063 3565168 3150762 569092 534082 4134260 3684844 X 38539456 37537521 11682110 11122266 3329433 3329432 53550999 51989219 57685259 55674063 X -89695 -1449677 -22408 X 0 1 X 1 0 X 725543 956767 758239 685447 613270 3739266 38314547 32555307 30041437 34369505 29400067 164680863 39040090 33512074 30799676 35054952 30013337 168420129 0 0 0 168420129 3221606 3170959 3268930 4304163 5160708 19126366 3221606 3170959 3268930 4304163 5160708 19126366 42261696 36683033 34068606 39359115 35174045 187546495 0.89800 0.91230 0.10200 0.08770 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 13997207 26534 525042 13498699 12706364 1356513 65670 13997207 12162746 966117 422499 12706364 12575716 -101378 311592 12162746 11472234 1547642 444160 12575716 0.18520 0.24660 0.56820 0 0 57109 57109 31716984 22142854 9574130 1297754 915168 382586 6224705 5509447 715258 10729083 CASH HELD FOR RESIDENTS 94991 AMOUNT HELD FOR OTHERS 439091 534082 X 34014386 -1449677 154139 -1295538 35309924 22408 22408 35332332 35576166 154139 154139 35422027 0 35422027 PART V, LINE 4: THE ENDOWMENT FUNDS ARE USED FOR INDIGENT PATIENT CARE, CLINICAL TRAINING TO IMPROVE CARE FOR RESIDENTS AND HOSPICE PATIENTS, CANCER PATIENTS UNDER HOSPICE CARE AND SUPPLEMENTS TO GENERAL NEEDS (HEALTH AND ECONOMIC) OF OUR PATIENTS. PART X, LINE 2: THE WASHINGTON HOME HAS ADOPTED THE ACCOUNTING STANDARD ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, WHICH ADDRESSES THE DETERMINATION OF WHETHER TAX BENEFITS CLAIMED OR EXPECTED TO BE CLAIMED ON A TAX RETURN SHOULD BE RECORDED IN THE FINANCIAL STATEMENTS. UNDER THIS POLICY, THE WASHINGTON HOME MAY RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE-LIKELY-THAN-NOT THAT THE TAX POSITION WOULD BE SUSTAINED ON EXAMINATION BY TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. MANAGEMENT HAS EVALUATED THE WASHINGTON HOME'S TAX POSITIONS AND HAS CONCLUDED THAT THE WASHINGTON HOME HAS TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS TO COMPLY WITH PROVISIONS OF THIS GUIDANCE. THE WASHINGTON HOME IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR THE U.S. FEDERAL, STATE OR LOCAL TAX AUTHORITIES FOR YEARS BEFORE JUNE 30, 2012. PART XI, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES NETTED WITH REVENUE 154,139. PART XI, LINE 4B - OTHER ADJUSTMENTS: GAIN FROM K-1 WASHINGTON CENTURY FUND 22,408. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES NETTED WITH REVENUE 154,139. GALA 94005 77365 16640 5000 149139 94005 77365 16640 5000 149139 154139 -137499 X X X 0 0 0 0 0 0 0 0 0 AVA SHIVERS CFO 200469 0 13000 0 0 0 7731 0 4650 0 225850 0 0 0 TIMOTHY COX CEO 234850 0 42000 0 0 0 0 0 10239 0 287089 0 0 0 DR MARY MCDONALD CHIEF MEDICAL OFFICER 267927 0 5000 0 0 0 0 0 8002 0 280929 0 0 0 BEVERLY PAUKSTIS DIR. OF HOSPICE OPS 158237 0 4300 0 0 0 12621 0 8091 0 183249 0 0 0 JANINE FINCK-BOYLE NURSING HOME ADMINISTRATOR 171662 0 12185 0 0 0 2834 0 6077 0 192758 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 A COPY OF THE FORM 990 IS MADE AVAILABLE TO THE BOARD. THE 990 UNDERGOES SEVERAL LEVELS OF REVIEW FROM SENIOR MANAGEMENT PRIOR TO SUBMITTAL OF ALL INFORMATION. THE FINAL IS REVIEWED BY THE CEO AND CFO AND PRESENTED TO THE AUDIT COMMITTEE UPON REQUEST. QUESTIONS OR CONCERNS ARE ADDRESED WITH THE MANAGEMENT TEAM IN CONJUCTION WITH THE AUDITORS. FORM 990, PART VI, SECTION B, LINE 12C THE WASHINGTON HOME HAS AN ETHICS POINT HOTLINE FOR COMPLIANCE, ETHICS AND HIPPA AT WWW.THEWASHINTONHOME.ETHICSPOINT.COM. EMPLOYEES, VOLUNTEERS OR RESIDENTS CAN REPORT SUSPECTED ILLEGAL ACTIVITY OR POTENTIAL FRAUD WHICH TIES INTO OUR CONFLICT OF INTEREST. ALL NEW EMPLOYEES SIGN THE CONFLICT OF INTEREST STATEMENT UPON HIRE AS WELL AS NEW BOARD OF DIRECTORS OR ADVISORY BOARD MEMBERS. ALSO, THE CEO AND GOVERNANCE COMMITTEE REVIEW THE BOARD OF DIRECTORS AND SUBMIT ANY POTENTIAL CONFLICT TO THE EXECUTIVE COMMITTEE. EMPLOYEES ARE REVIEWED BY HR AND SENT TO THE ADMINISTRATOR FOR THE WASHINGTON HOME AND EXECUTIVE DIRECTOR FOR COMMUNITY HOSPICES. FORM 990, PART VI, SECTION B, LINE 15 SALARIES ARE BASED ON A SURVEY OF OTHER NON-PROFITS; ADDITIONAL COMPENSATION (I.E. BONUS) IS BOARD APPROVED. THE WASHINGTON HOME HAS AN INTERNAL SALARY SCALE (BASED ON POSITION AND JOB GRADE). FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN SECTION 6104(D). FORM 990, PART XI, LINE 9: GAIN FROM K-1 WASHINGTON CENTURY FUND -22,408.