2011-11-11T08:45:03-06:00 2010-12-31 DIXON HUGHES GOODMAN LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2010-01-01 571026207 INTERIM HEALTHCARE HOSPICE INTE 8646271200 PO BOX 12243 GREENVILLE SC 296122243 RAYMOND SCHROEDER 8646271200 2011-11-11 1 AMY BIBBY 8282542254 2010 2016-03-07 17:11:31Z RAYMOND SCHROEDER PO BOX 12243 GREENVILLE SC 296122243 7565495 0 X N/A X 1986 SC CARE FOR TERMINALLY ILL 7 4 96 108 0 0 56951 66351 6732848 7481860 0 0 14412 10361 6804211 7558572 26534 15680 0 0 3475575 3704696 0 0 1417 3100688 3522063 6602797 7242439 201414 316133 1806266 2044755 225438 147794 1580828 1896961 WE IMPROVE PEOPLE'S LIVES IS FIRMLY ROOTED IN ITS LONG TRADITION OF HELPING PEOPLE MAINTAIN THEIR SAFETY, INDEPENDENCE AND DIGNITY IN AN ENVIRONMENT OF MUTUAL RESPECT AND COMPASSION. 0 0 4883113 15680 7464576 THE ORGANIZATION PROVIDED HOSPICE CARE TO 676 TERMINALLY ILL PATIENTS OVER 51,491 DAYS OF PATIENT CARE DURING 2010. THE ORGANIZATION HAD XXX PATIENT VISITS AND XXX PATIENT HOURS. OUR VOLUNTEERS PROVIDED 3,000 HOURS OF SERVICE OVER XXX INDIVIDUAL VISITS. THE ORGANIZATION ALSO PROVIDED XXX OF INDIGENT CARE, COMMUNITY EDUCATION PROGRAMS, AND GRIEF SUPPORT GROUPS IN THE COMMUNITY. 4883113 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 27 0 1 96 1 0 0 0 0 0 0 0 0 0 0 X 7 4 1 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 0 0 0 SC X X CONNIE DEAN 8646271200 16 HYLAND ROAD GREENVILLE SC 29615 CAROL SATTERFIELD 4.00 X X 5858 0 3323 CONNIE DEAN 8.00 X X 10188 0 2988 NANCY DERENG 40.00 X X 120977 0 12380 KEN MCCOLL 2.00 X 0 0 0 JANET CRAIG 2.00 X 0 0 0 ANNA TEASLEY 2.00 X 0 0 0 JANE DICKERSON 2.00 X 0 0 0 RAYMOND R SCHROEDER 2.00 X 10188 0 0 CHARYL M SCHROEDER 2.00 X 0 0 0 DAVID M MOORE 12.00 X 14168 0 0 161379 0 18691 1 0 0 0 ENCLARA HEALTH LLC PO BOX 105328 ATLANTA GA 30348 PATIENT PHARMACEUTICALS 364408 BLUE CROSS BLUE SHIELD PO BOX 6000 COLUMBIA SC 29260 EMPLOYEE HEALTH INSURANCE PREMIUMS 340301 INTERIM HEALTHCARE 16 HYLAND ROAD GREENVILLE SC 29615 FRANCHISE FEES 262227 CAROLINA HOMECARE MEDICAL EQUIPMENT 1136 GROVE ROAD GREENVILLE SC 29605 PATIENT DME 180575 GROVE MEDICAL 1089 PARK WEST BLVD GREENVILLE SC 29611 PATIENT MEDICAL SUPPLIES 138182 6 66351 66351 FEES FOR HOSPICE CARE 623990 7481860 7481860 7481860 17284 6923 10361 10361 7558572 7481860 0 10361 11485 11485 4195 4195 40402 9838 29147 1417 3321589 2526781 794808 64924 45831 19093 20116 20116 257665 194544 63121 612964 612964 137861 105333 32528 105078 105078 1459302 1158324 300978 75364 75364 150701 150701 52816 52816 29253 29253 68 68 95454 95454 416283 310765 105518 TRANSPORTATION 304833 304833 MISCELLANEOUS 77643 56040 21603 BAD DEBT EXPENSE 4443 4443 7242439 4883113 2357909 1417 765022 993018 64654 67675 859056 852546 16495 23094 349956 241534 77694 108422 23345 0 1806266 2044755 225438 147794 225438 147794 X 1561865 1884598 18963 12363 1580828 1896961 1806266 2044755 316133 0 X 0 1 1 X 0 X 124564 52399 48412 56951 83635 365961 4710988 5590859 6045954 6732848 7464576 30545225 4835552 5643258 6094366 6789799 7548211 30911186 0 5526 5526 5526 5526 30905660 2692 2932 5624 2692 2932 5624 21815 21815 4838244 5646190 6094366 6811614 7548211 30938625 0.99890 0.99880 0.00020 0.00030 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 349956 241534 108422 108422 7558572 7242439 316133 0 316133 7565495 6923 6923 7558572 0 7558572 7249362 6923 6923 7242439 0 7242439 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE ORGANIZATION HAS BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SEC. 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL INCOME TAXES PURSUANT TO SEC. 509 (A)(2) OF THE INTERNAL REVENUE CODE. THE ORGANIZATION IS ALSO RECOGNIZED AS A TAX EXEMPT ORGANIZATION BY THE SOUTH CAROLINA DEPARTMENT OF REVENUE. THE ORGANIZATION HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF DECEMBER 31, 2010. FISCAL YEARS ENDING ON OR AFTER DECEMBER 31, 2007, REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES. PART XII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSES 6,923. PART XIII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSES 6,923. GOLF TOURNAMENT 17284 17284 1219 5704 17284 17284 1219 5704 6923 10361 INTERIM HEALTHCARE OF GREENVILLE INC ENTITY OWNED BY CURRENT DIRECTORS 139000 LEASE PAYMENTS FOR OFFICE SPACE, MONTH-TO-MONTH - AMOUNTS ARE BASED UPON THE FAIR MARKET VALUES OF THE APPLICABLE RATES. 0 INTERIM HEALTHCARE OF GREENVILLE INC ENTITY OWNED BY CURRENT DIRECTORS 613000 PAYMENTS FOR MANAGEMENT SERVICES TO PARENT ORGANIZATION - AMOUNTS ARE BASED UPON THE FAIR MARKET VALUES OF THE APPLICABLE RATES. 0 FORM 990, PART VI, SECTION A, LINE 2 PRESIDENT RAYMOND R. SCHROEDER AND VICE PRESIDENT CHARYL M. SCHROEDER HAVE A FAMILY RELATIONSHIP AND A BUSINESS RELATIONSHIP. FORM 990, PART VI, SECTION B, LINE 11 TAX RETURN DATA WAS PRESENTED TO THE CHIEF OPERATING OFFICER AND CHIEF FINANCIAL OFFICER BEFORE RETURN PREPARATION. THE COMPLETED RETURN WAS PRESENTED TO THE BOARD MEMBERS AT A SCHEDULED MEETING PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS A CONFLICT OF INTEREST POLICY WHICH IS REVIEWED, ACCEPTED, AND SIGNED BY EACH OFFICER AND VOTING BOARD MEMBER ON AN ANNUAL BASIS. PURSUANT TO THIS POLICY, EACH OFFICER AND BOARD MEMBER WILL RECUSE HIMSELF FROM ANY DISCUSSION AND VOTE FOR WHICH A CONFLICT FOR HIMSELF OR HIS FAMILY. DETERMINATIONS OF WHETHER A CONFLICT EXISTS ARE MADE AT A MANAGEMENT, BOARD MEMBER, OFFICER, AND INDIVIDUAL LEVEL. ACTUAL CONFLICTS ARE REVIEWED BY THE BOARD, WITHOUT THE PRESENSE OF THE INTERESTED PARTY. COMPENSATION OF THE TOP MANAGEMENT OFFICAL AND OTHER OFFICERS AND KEY EMPLOYEES IS BASED ON ACTUAL TIME SPENT PERFORMING SERVICES FOR THE ORGANIZATION AND COMPARIBILITY DATA FROM SIMILAR POSITIONS IN SIMILAR ORGANIZATIONS. THE RATE BY WHICH AN OFFICER IS COMPENSATED IS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 18 THE ORGANIZATION'S FORM 990 IS AVAILABLE UPON REQUEST AT THE HOME OFFICE. ADDITIONALLY, RECENT FILINGS OF THE FORM 990 ARE AVAILABLE AT GUIDESTAR.ORG. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST AT THE HOME OFFICE.