2024-06-14T13:30:53-05:00 2023-12-31 540504608 BROWN EDWARDS & COMPANY LLP 3906 ELECTRIC ROAD ROANOKE VA 24018 990 2023-01-01 541608259 GOOD SAMARITAN HOSPICE INC GOOD 5407760198 4751 COVE ROAD NW ROANOKE VA 24017 AARON HOUSH CEO 5407760198 2024-06-13 1 AARON HOUSH 999009999 0 PATRICK PITTMAN P00587461 5403450936 2024-05-21 2 AAL1 IAL1 2023 2023-04-26 12:10:37Z X AARON HOUSH 4751 COVE ROAD NW ROANOKE VA 24017 16258119 0 X HTTPS://GOODSAM.CARE X 1991 VA PROVIDE COMPASSIONATE CARE AND SERVICE TO PATIENTS WITH ADVANCED/TERMINAL ILLNESS. 16 16 177 62 0 0 1148207 1444741 14744712 14484115 134197 228585 36078 85745 16063194 16243186 0 0 0 0 8967741 10262636 0 0 26018 4379373 5102853 13347114 15365489 2716080 877697 16385618 18529427 1213497 2400064 15172121 16129363 X IT IS THE MISSION OF GOOD SAMARITAN HOSPICE TO AFFIRM LIFE IN THE MIDST OF ILLNESS AND GRIEF. WE ACCOMPLISH THIS OBJECTIVE BY PROVIDING QUALITY PATIENT CARE, FAMILY SUPPORT, COMMUNITY EDUCATION AND COUNSELING SERVICES THROUGH AN INTERDISCIPLINARY TEAM OF CAREGIVERS. IN 2023 GOOD SAMARITAN PROVIDED COMPASSIONATE HOSPICE CARE TO 1,288 PATIENTS IN THE ROANOKE AND NEW RIVER VALLEYS, FOR A TOTAL OF 90,979 PATIENT CARE DAYS. GOOD SAMARITAN PROVIDED PALLIATIVE CARE TO 535 PATIENTS. 0 0 11487852 14484916 TO PROVIDE PHYSICAL, PSYCHOSOCIAL AND SPIRITUAL CARE TO ADVANCED ILLNESS PATIENTS, THEIR FAMILIES AND FRIENDS. GOOD SAMARITAN LAUNCHED A COMMUNITY-BASED PALLIATIVE CARE PROGRAM IN LATE 2020 THAT CONTINUED THROUGH 2023. 11487852 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 65 0 1 177 1 0 0 0 0 0 0 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 X AARON HOUSH 5407760198 2408 ELECTRIC ROAD SW ROANOKE VA 24018 JANET CRAWFORD SECRETARY/TREASURER 1.00 X X 0 0 0 SAMUEL WORTHINGTON MEMBER 1.00 X 0 0 0 SANDRA DAVIS MEMBER 1.00 X 0 0 0 ANDREW FINTEL DO MEMBER 1.00 X 0 0 0 LINDA MANNS CHAIR 1.00 X X 0 0 0 CHARLENE VIERS RN MSN ARNP FNP-C MEMBER 1.00 X 0 0 0 BLACKFORD NOLAND MD MEMBER 1.00 X 0 0 0 LEWIS J SINGER MD MEMBER 1.00 X 0 0 0 PAULA PRINCE PHD QI CHAIR 1.00 X X 0 0 0 SANDRA B WHISNANT MEMBER 1.00 X 0 0 0 SCOTT BERGLUND MEMBER 1.00 X 0 0 0 NELSON HARRIS MEMBER 1.00 X 0 0 0 SUE RANSON VICE CHAIR 1.00 X X 0 0 0 GWEN GLASBY MEMBER 1.00 X 0 0 0 DONNA ANGLE RN BSN MEMBER 1.00 X 0 0 0 CHRISTINE LOCKHART-POARCH MEMBER 1.00 X 0 0 0 AARON HOUSH EX OFFICIO CEO 40.00 X 196961 0 6974 KAREN MILLER COO 40.00 X 138219 0 4854 HEATHER GEARHART VP OF REGIONAL OPERATIONS 40.00 X 126693 0 4446 JENNIFER EASTERDAY MEDICAL DIRECTOR 40.00 X 220327 0 3997 ASHLEE BERBERT NURSE PRACTITIONER 40.00 X 116817 0 3567 KAREN FULLER NURSE PRACTITIONER 40.00 X 109755 0 3381 BROOKE MCDANIEL NURSE PRACTITIONER 40.00 X 116715 0 3090 1025487 0 30309 8 0 1 0 G&H CONTRACTING INC 1383 SOUTHSIDE DRIVE SALEM VA 24153 CONTRACTOR FOR CENTER FOR CARING 4808901 AMERICAN HEALTHCARE STAFFING PO BOX 670529 DALLAS TX 752670529 TRAVEL RN'S 449632 5POINTS CREATIVE 24 WALNUT AVE SW ROANOKE VA 24016 MARKETING COMPANY 249220 WENTWORTH OFFICE PARTNERS LLC 5211 SOUTH CONCOURSE DR ROANOKE VA 24019 LANDLORD FOR 2408 ELECTRIC ROAD BUILDING 186299 BLACKMOR CPA PLLC 229 AIRPORT RD STE7 266 ARDEN NC 287046403 ACCOUNTING SUPPORT 105850 5 25524 1419217 1444741 PROGRAM SERVICE REVENUE - HOSPICE 621610 14484115 14484115 14484115 123160 123160 7351 98074 0 0 7351 98074 105425 105425 9655 25524 14933 -5278 -5278 PREMIUM/DISCOUNT AMORTIZATION 900099 90222 90222 MISCELLANEOUS 900099 801 801 91023 16243186 14484916 0 313529 196961 167417 29544 8219177 6318356 1889457 11364 245477 208655 36822 983836 836261 147575 617185 524607 92578 73174 73174 230674 230674 11912 11912 675169 643512 31657 327002 327002 486912 155550 331362 308806 7382 294616 6808 284890 126615 158275 373699 340397 33302 -6 -6 54542 27271 27271 26815 26815 MEDICAL SUPPLIES 2043891 2043891 ALL OTHER EXPENSES 99417 69260 22311 7846 DUES & SUBSCRIPTIONS 56331 6772 49559 EQUIPMENT RENTAL & MAIN 49625 49625 15365489 11487852 3851619 26018 1025092 1815559 107141 16732 565060 733648 4385005 2189443 36771 74384 8442647 454678 1183277 7987969 8815007 5690590 268265 21102 16385618 18529427 915718 2349679 29514 29283 268265 21102 1213497 2400064 X 13599878 13298960 1572243 2830403 15172121 16129363 16385618 18529427 877697 79545 0 X X 0 1 X 1 0 X 225384 1860361 1207348 1148207 1444741 5886041 10407049 10025850 12612797 14744712 14484115 62274523 10632433 11886211 13820145 15892919 15928856 68160564 0 0 0 68160564 107750 91481 92476 125328 123160 540195 107750 91481 92476 125328 123160 540195 10740183 11977692 13912621 16018247 16052016 68700759 0.99210 0.99230 0.00790 0.00770 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 244050 22033 3624 262459 297973 -50239 3684 244050 262665 38070 2762 297973 233514 31224 2073 262665 198936 550 35946 1918 233514 1 0 599199 599199 506200 454678 51522 7337248 7337248 7987969 OPERATING LEASE LIABILITY 21102 21102 X 16326204 79545 452 14933 94930 16231274 11912 11912 16243186 15368962 452 14933 15385 15353577 11912 11912 15365489 PART V, LINE 4: THE GOOD SAMARITAN HOSPICE ENDOWMENT FUND WAS ESTABLISHED IN 2001 AND IS MANAGED BY THE FOUNDATION FOR ROANOKE VALLEY, INC. THIS IS A QUASI-ENDOWMENT FUND ESTABLISHED FOR LONG TERM INVESTMENT OF GIFTS AND DONATIONS DESIGNATED AS SUCH. IT IS THE POLICY OF GOOD SAMARTIAN HOSPICE TO REINVEST RATHER THAN TAKE DISTRIBUTIONS AS EARNINGS ARE REPORTED. PART X, LINE 2: THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, ACCORDINGLY, THE ACCOMPANYING FINANCIAL STATEMENTS DO NOT REFLECT A PROVISION OR LIABILITY FOR FEDERAL AND STATE INCOME TAXES. THE ORGANIZATION HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNCERTAIN TAX POSITIONS AT DECEMBER 31, 2021. PART XI, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES NETTED ON 990 14,933. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES NETTED ON 990 14,933. LOVE LIGHT TREE 35179 25524 9655 14933 35179 25524 9655 14933 14933 -5278 0 0 0 0 0 0 0 0 0 JENNIFER EASTERDAY MEDICAL DIRECTOR 220327 0 0 0 0 0 3997 0 0 0 224324 0 0 0 AARON HOUSH EX OFFICIO CEO 196961 0 0 0 0 0 6974 0 0 0 203935 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B DRAFT COPIES OF THE FORM 990 ARE SUBMITTED TO BOARD MEMBERS FOR COMMENT AND APPROVAL VIA MAIL OR E-MAIL PRIOR TO ACCEPTANCE OF THE COMPLETED FORM TO BE FILED. FORM 990, PART VI, SECTION B, LINE 12C BOARD OF DIRECTORS: EACH BOARD MEMBER WILL COMPLETE A CONFLICT OF INTEREST STATEMENT AT THE BEGINNING OF SERVICE ON THE BOARD OF DIRECTORS. THE CHAIRMAN OR THE CEO WILL REVIEW CONFLICT OF INTEREST ISSUES WITH THE BOARD AT ANY TIME ISSUES ARISE. EACH BOARD MEMBER HAS THE RESPONSIBILITY TO DECLARE A CONFLICT OF INTEREST AND REFRAIN FROM VOTING IF A CONFLICTING SITUATION ARISES. MATTERS OF CONFLICT OF INTEREST WILL BE ADDRESSED BY THE BOARD. EMPLOYEES: EACH COMPENSATED STAFF MEMBER WILL COMPLETE A CONFLICT OF INTEREST STATEMENT AT THE BEGINNING OF EMPLOYMENT. THE CHIEF OPERATIONS OFFICER OR THE CEO WILL REVIEW CONFLICT OF INTEREST ISSUES WITH THE AND HIS /HER SUPERVISOR AT ANY TIME CONFLICT OF INTEREST ISSURES ARISE. EACH EMPLOYEE HAS THE RESPONSIBILITY TO DECLARE A CONFLICT OF INTEREST AND REFRAIN FROM MAKING DECISIONS INVOLVING THE CONFLICT WHEN A CONFLICT ARISES. MATTERS OF CONFLICT OF INTEREST WILL BE ADDRESSED BY THE EMPLOYEE'S SUPERVISOR AND/OR THE CHIEF OPERATIONS OFFICER, CEO, OR BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 15 COMPARISON OF SALARY RANGES IN COMPARABLE INDUSTRIES AT THE STATE AND NATIONAL LEVEL ARE MADE BY SENIOR MANAGEMENT STAFF FOR ALL EXEMPT AND NON-EXEMT EMPLOYEES TO ENSURE CONPENSATION IS IN LINE WITH MARKETPLACE STANDARDS. THIS PROCESS IS USED IN DETERMINING SALARY SCALES FOR ALL STAFF LEVELS, INCLUDING KEY EMPLOYEES AND THE CEO. IN ADDITION TO ADJUSTMENTS BASED ON MARKET CONDITIONS, SALARIES ARE ADJUSTED ANNUALLY BY COST OF LIVING PERCENTAGES APPROVED BY THE BOARD OF DIRECTORS. THIS PERCENTAGE IS GRANTED TO ALL EMPLOYEES ON THEIR ANNIVERSARY OF HIRE. FORM 990, PART VI, SECTION C, LINE 19 UPON REQUEST FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.