2024-01-29T08:12:36-06:00 2023-09-30 561706742 DAVIDSON HOLLAND WHITESELL & CO PLLC 209 13TH AVE PLACE NW SUITE 200 HICKORY NC 28601 990 2022-10-01 561376577 HOSPICE OF IREDELL COUNTY INC HOSP 7048734719 2347 SIMONTON ROAD STATESVILLE NC 286258246 MICHAEL SMITH PRESIDENT/CEO 7048734719 2024-01-22 MICHAEL SMITH 999009999 1 MATTHEW MCKINNEY P01707028 8283222070 2024-01-22 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z MICHAEL SMITH 2347 SIMONTON ROAD STATESVILLE NC 28625 23095390 0 X WWW.HOIC.ORG X 1982 NC TO HONOR LIFE BY PROVIDING EXTRAORDINARY CARE WITH COMPASSION, COMFORT AND DIGNITY TO OUR PATIENTS, FAMILIES AND COMMUNITY. 14 14 206 207 0 0 1160919 860051 17653531 17846466 265532 68521 -10493 -42273 19069489 18732765 0 0 0 0 13203218 14025316 0 0 175408 4568333 4876644 17771551 18901960 1297938 -169195 28149266 29394486 2061814 2456404 26087452 26938082 TO HONOR LIFE BY PROVIDING EXTRAORDINARY CARE WITH COMPASSION, COMFORT AND DIGNITY TO OUR PATIENTS, FAMILIES AND COMMUNITY. 0 0 13286022 17846466 IN FY 2021-2022, HOSPICE OF IREDELL COUNTY SERVED 1,196 HOSPICE PATIENTS AND 975 PALLIATIVE CARE PATIENTS. ONCE DIAGNOSED AND ADMITTED TO HOSPICE CARE, A PATIENT IS SEEN REGULARLY BY HOSPICE-TRAINED NURSES, NURSE AIDS, SOCIAL WORKERS AND VOLUNTEERS. BEREAVEMENT AND CHAPLAIN SERVICES ARE ALSO AVAILABLE TO PATIENTS AND THEIR FAMILIES AND CAREGIVERS. 13286022 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 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 21 0 1 206 1 0 0 0 0 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 1 1 0 NC X X MICHAEL SMITH 7048734719 2347 SIMONTON ROAD STATESVILLE NC 28625 RALPH L BENTLEY MD DIRECTOR 1.00 X 0 0 0 BEN FAULKENBERRY DIRECTOR 1.00 X 0 0 0 TAWANA A CASS DIRECTOR 1.00 X 0 0 0 WENDY G PAKE DIRECTOR 1.00 X 0 0 0 WILLIAM H COFFEY DIRECTOR 1.00 X 0 0 0 PETER F SHOLLER DIRECTOR 1.00 X 0 0 0 SARA HAIRE-TICE DIRECTOR 1.00 X 0 0 0 EDWIN HUNTER DIRECTOR 1.00 X 0 0 0 BRENDA A BURK DIRECTOR 1.00 X 0 0 0 RICHARD JIMBO SHAVER DIRECTOR 1.00 X 0 0 0 WALTER JONES JR DIRECTOR 1.00 X 0 0 0 ORIAN HOLLAND DIRECTOR 1.00 X 0 0 0 DOROTHY WOODARD SECRETARY 1.00 X X 0 0 0 DAVID GREEN TREASURER 1.00 X X 0 0 0 MARK CHILDERS BOARD CHAIR 1.00 X X 0 0 0 JOSHUA SELF VICE CHAIR 1.00 X X 0 0 0 CARL ROBBINS PAST CHAIR 1.00 X X 0 0 0 CATHERINE CARNES CHIEF MEDICAL OFFICER 40.00 X 284839 0 0 CHARLES ASHE CHIEF OPERATIONS OFFICER 40.00 X 153678 0 0 DANA BELL CHIEF CLINICAL OFFICER 40.00 X 145261 0 0 MICHAEL SMITH PRESIDENT/CEO 40.00 X 194562 0 0 KIERSTEN HART-SCHNEIDER PHYSICIAN 40.00 X 106887 0 0 BARBARA LETENDRE PHYSICIAN 40.00 X 103122 0 0 SUSAN GILBERT PHYSICIAN 40.00 X 113186 0 0 SARAH KIVETT DIRECTOR OF PALLIATIVE CAR 40.00 X 118512 0 0 CHARLENE KNIGHT PHYSICIAN 40.00 X 220520 0 0 SUSAN STURGESS PHYSICIAN 40.00 X 165778 0 0 STEVEN WILLIAMSON PHYSICIAN 40.00 X 103251 0 0 BRANDI RUSSO PHYSICIAN 40.00 X 102493 0 0 MORIAH SPECHT PHYSICIAN 40.00 X 110077 0 0 CHAD BURGIN PHYSICIAN 40.00 X 109413 0 0 2031579 0 0 14 0 1 0 0 185857 674194 860051 MEDICARE/MEDICAID 621610 17134831 17134831 PRIVATE INSURANCE 621610 440165 440165 SELF PAY 621610 271470 271470 17846466 324015 324015 4041799 2367 4242213 57447 -200414 -55080 -255494 -255494 20692 185857 62965 -42273 -42273 18732765 17846466 0 26248 778340 778340 10364081 8333926 1902244 127911 2882895 2151753 691944 39198 139433 139433 58160 58160 22033 22033 103104 38 103066 16517 16517 360676 333476 26486 714 184741 8141 169015 7585 494117 494117 97959 97959 PHARMACY 717556 717556 MEDICAL EQUIPMENT 452481 452481 MEDICAL SUPPLIES 322051 322051 COMPUTER MAINTENANCE 255525 5926 249599 1652291 960674 691617 18901960 13286022 5440530 175408 4146304 1225057 9425286 13513096 51352 30000 1440985 1941088 292215 377601 14238088 3572954 11148701 10665134 1562151 1584305 82272 58205 28149266 29394486 2008300 2409363 53514 47041 2061814 2456404 X 26087452 26938082 26087452 26938082 28149266 29394486 -169195 1019825 0 X X 0 1 X 1 0 X 1064197 1063278 4136047 1160919 860051 8284492 13973220 15154887 16389410 17653531 17846464 81017512 15037417 16218165 20525457 18814450 18706515 89302004 0 0 0 89302004 248697 282921 595769 271869 324016 1723272 248697 282921 595769 271869 324016 1723272 15286114 16501086 21121226 19086319 19030531 91025276 0.98110 0.98060 0.01890 0.01940 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1705334 177944 13006 1870272 1895346 84409 -261177 13244 1705334 1550482 4160 353162 12458 1895346 1301598 176054 83164 10334 1550482 1102716 174050 33988 9156 1301598 0 0 1138250 1138250 11355405 2418616 8936789 1671612 1113302 558310 72821 41036 31785 10665134 X 19523840 1019825 62965 1082790 18441050 58160 233555 291715 18732765 18673210 62965 62965 18610245 58160 233555 291715 18901960 PART V, LINE 4: THE INTENDED USE OF THE ENDOWMENT FUNDS IS TO ACCUMLATE A POOL OF ASSETS SUFFICIENT TO BUILD CAPITAL FOR FUTURE USE AS WELL AS TO MEET IMMEDIATE AND NEAR-TERM OBLIGATIONS AND COMMITMENTS THAT ARE IN LINE WITH THE ORGANIZATION'S MISSION. PART X, LINE 2: THE ORGANIZATION HAS IMPLEMENTED THE ACCOUNTING REQUIREMENTS ASSOCIATED WITH UNCERTAINTY IN INCOME TAXES USING THE PROVISIONS OF FINANCIAL ACCOUNTING STANDARDS BOARD ("FASB") ASC 740, INCOME TAXES. USING THAT GUIDANCE, TAX POSITIONS INITIALLY NEED TO BE RECOGNIZED IN THE FINANCIAL STATEMENTS WHEN IT IS MORE-LIKELY-THAN-NOT THE POSITIONS WILL BE SUSTAINED UPON EXAMINATION BY THE TAX AUTHORITIES. IT ALSO PROVIDES GUIDANCE FOR DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, ACCOUNTING IN INTERIM PERIODS, DISCLOSURE AND TRANSITION. AS OF THE END OF THE CURRENT AND PRIOR YEARS, THE ORGANIZATION HAS NO UNCERTAIN TAX POSITIONS THAT QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS AND RECOGNIZED NO SUCH INTEREST OR PENALTIES. PART XI, LINE 2D - OTHER ADJUSTMENTS: DIRECT FUNDRAISING EXPENSES 62,965. PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 233,555. PART XII, LINE 2D - OTHER ADJUSTMENTS: DIRECT FUNDRAISING EXPENSES 62,965. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 233,555. MOORESVILLE GALA 169481 155569 13912 56479 RIDE AND RUN 37068 30288 6780 6487 206549 185857 20692 62966 62966 -42274 1 X X X X X X 0 0 0 0 0 0 0 0 0 CATHERINE CARNES CHIEF MEDICAL OFFICER 284839 0 0 0 0 0 0 0 0 0 284839 0 0 0 CHARLENE KNIGHT PHYSICIAN 220520 0 0 0 0 0 0 0 0 0 220520 0 0 0 MICHAEL SMITH PRESIDENT/CEO 194562 0 0 0 0 0 0 0 0 0 194562 0 0 0 SUSAN STURGESS PHYSICIAN 165778 0 0 0 0 0 0 0 0 0 165778 0 0 0 CHARLES ASHE CHIEF OPERATIONS OFFICER 153678 0 0 0 0 0 0 0 0 0 153678 0 0 0 FORM 990, PART VI, SECTION A, LINE 1A EDWIN HUNTER, SARA HAIRE-TICE, AND WALTER JONES JR. ARE ADVOCATE BOARD MEMBERS WHO ARE NOT ELIGIBLE TO VOTE. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED DIRECTLY FROM THE AUDITED FINANCIAL STATEMENTS OF THE ORGANIZATION WHICH WERE PRESENTED TO AND APPROVED BY THE FINANCE COMMITTEE OF THE ORGANIZATION AS THE DULY AUTHORIZED COMMITTEE DESIGNATED TO ACT ON BEHALF OF THE BOARD OF DIRECTORS IN FINANCIAL MATTERS. FORM 990, PART VI, SECTION B, LINE 12C EACH EMPLOYEE AND VOLUNTEER IS TRAINED ON CONFLICTS OF INTEREST UPON HIRE AND EACH SIGN A CONFLICT OF INTEREST STATEMENT. EMPLOYEES MUST DISCLOSE CONFLICTS OF INTEREST OR FACE POSSIBLE TERMINATION. SUPERVISORS MONITOR OUTSIDE EMPLOYMENT OF ALL EMPLOYEES FOR POTENTIAL CONFLICTS OF INTEREST. IN 2012, A CODE OF CONDUCT BOOKLET WAS DEVELOPED BY THE BOARD OF DIRECTORS AND DISTRIBUTED TO ALL EMPLOYEES. IT WAS UPDATED IN 2016. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION COMPARES COMPENSATION LEVELS WITH OTHER ORGANIZATIONS IN THE SAME FIELD, REGION, AND COMPARABLE SIZE. IN ADDITION, THE ORGANIZATION REVIEWS COMPENSATION LEVELS WITH OTHER ORGANIZATIONS WITHIN THE HEALTHCARE INDUSTRY AS A WHOLE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990 PART XII ITEM 2C PROCESS HAS NOT CHANGED SINCE THE PRIOR YEAR.