2023-11-13T16:16:29-06:00 2022-12-31 410746749 CLIFTONLARSONALLEN LLP 227 WEST TRADE STREET SUITE 800 CHARLOTTE NC 28202 990 2022-01-01 271560334 PACE OF GUILFORD AND ROCKINGHAM COUNTIES INC PACE 3365504040 1471 E CONE BLVD GREENSBORO NC 27405 STEVE FLEMMING CHAIRMAN OF THE BOARD 3365504040 2023-11-10 1 STEVE FLEMMING 999009999 0 JOHN NORMAN P01506766 7049985200 2023-11-10 3 AAL1 IAL1 2022 2023-04-26 12:10:37Z PACE OF THE TRIAD URSULA ROBINSON 1471 E CONE BLVD GREENSBORO NC 27405 24276168 0 X WWW.PACETRIAD.ORG X 2010 NC PACE OF THE TRIAD'S MISSION IS TO BE A LEADING NONPROFIT PROVIDER AND EMPLOYER OF CHOICE OFFERING COMPREHENSIVE CARE AND SERVICE TO ENHANCE THE LIFE AND AUTONOMY OF OLDER ADULTS. 8 8 111 8 0 0 725926 800 20420411 24275368 0 0 0 0 21146337 24276168 0 0 0 0 3985714 4281687 0 0 0 16750265 15190455 20735979 19472142 410358 4804026 13322257 17964747 5352094 5190558 7970163 12774189 X THE MISSION OF PACE OF THE TRIAD IS TO BE A LEADING NONPROFIT PROVIDER AND EMPLOYER OF CHOICE OFFERING COMPREHENSIVE CARE AND SERVICES TO ENHANCE THE LIFE AND AUTONOMY OF OLDER ADULTS. 0 0 18088155 24275368 THE ABILITY TO COORDINATE THE CARE OF EACH PARTICIPANT ENROLLED IN PACE IS KEY TO THE MODEL. PACE COORDINATE AND PROVIDES ALL NEEDED PREVENTIVE, PRIMARY, ACUTE AND LONG-TERM CARE SERVICES TO ENABLE PARTICIPANTS TO CONTINUE LIVING IN THE COMMUNITY. THE COMPONENTS OF THE PACE PROGRAM RESPOND TO THE UNIQUE NEEDS OF EACH PARTICIPANT ENROLLED IN THE PROGRAM. THE INTERDISCIPLINARY TEAMS ARE COMPRISED OF PHYSICIANS, NURSE PRACTITIONERS, NURSES, SOCIAL WORKERS, THERAPISTS, VAN DRIVERS, AIDES AND OTHERS MEET REGULARLY TO EXCHANGE INFORMATION AND SOLVE PROBLEMS AS THE CONDITIONS AND NEEDS OF THE PACE PARTICIPANTS CHANGE. THROUGH INTERDISCIPLINARY TEAMS, THE VIEWPOINTS OF DIFFERENT DISCIPLINES ARE BROUGHT TOGETHER, AND THE INFORMATION GAINED THROUGH INTERACTION WITH THE PACE PARTICIPANTS OVER TIME AND IN DIFFERENT SETTINGS IS SHARED. THIS APPROACH EMPOWERS THOSE INVOLVED AND ALLOWS MORE INFORMATION TO BE AVAILABLE AT THE CRITICAL POINTS WHEN DECISIONS ARE BEING MADE. CAPITATED PAYMENT ARRANGEMENTS: PACE RECEIVES A MONTHLY CAPITATED PAYMENT (I.E., A LUMP SUM FROM MEDICARE COMBINED WITH MEDICAID OR A PARTICIPANT'S PRIVATE PAY RESOURCES THAT IS USED TO PAY FOR A VARIETY OF COMPREHENSIVE SERVICES) AND IS RESPONSIBLE FOR ALL THE CARE NEEDS APPROVED BY THE TEAM. AS SUCH, THE FINANCIAL INTERESTS OF THE PACE PROGRAM AND THE CARE NEEDS OF THE PERSONS THEY SERVE ARE ALIGNED IN A UNIQUE WAY. REGARDLESS OF WHETHER NEEDED SERVICES WOULD BE REIMBURSED UNDER TRADITIONAL FEE-FOR-SERVICE MEDICARE AND MEDICAID, PACE PROVIDES A COMPREHENSIVE SET OF PREVENTATIVE, PRIMARY, ACUTE AND LONG-TERM CARE SERVICES THAT ARE TAILORED SPECIFICALLY TO THE NEEDS OF INDIVIDUAL PACE PARTICIPANTS TO HELP THEM AVOID HOSPITAL OR NURSING HOME PLACEMENT TO THE GREATEST EXTENT POSSIBLE. THE PROGRAM IS DESIGNED TO MONITOR PARTICIPANTS CLOSELY FOR EVEN SUBTLE CHANGES IN NEEDS, WHICH IF LEFT UNATTENDED COULD LEAD TO COSTLY ACUTE CARE EPISODES. PACE FLEXIBILITY CAN PRODUCE MORE COST-EFFECTIVE SOLUTIONS AND A HIGHER QUALITY OF LIFE THAN PRESCRIBING COSTLY MEDICATIONS AND CONTINUALLY PROVIDING HOSPITAL SERVICES. PACE CENTERS: PACE PARTICIPANTS ATTEND THE PACE CENTER IF DESIRED. THE CENTER INCLUDES A HEALTH CLINIC WITH AN ON-SITE PHYSICIAN AND NURSE PRACTITIONER, PHYSICAL AND OCCUPATIONAL THERAPY FACILITIES, AND AT LEAST ONE COMMON ROOM FOR SOCIAL AND RECREATIONAL ACTIVITIES. TRANSPORTATION: ANOTHER COVERED BENEFIT FOR PACE PARTICIPANTS, IS CRITICAL TO THE IMPLEMENTATION OF THE CARE PLAN. IT IS A KEYWAY THAT PACE SUPPORTS FAMILIES WHO ARE PROVIDING CARE FOR THEIR LOVED ONES. TRANSPORTATION IS PROVIDED NOT ONLY TO AND FROM THE DAY CENTER BUT ALSO TO OTHER APPOINTMENTS. PROVIDING TRANSPORTATION ALSO PLACES A DRIVER, WHO HAS BEEN TRAINED TO OBSERVE CUES, IN THE HOME OF THE PACE PARTICIPANT. DRIVERS THEN CAN REPORT THESE CUES THAT MAY SIGNAL A CHANGE IN HEALTH STATUS OR OTHER CHANGES THAT SHOULD BE MONITORED. 18088155 1 0 0 1 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 29 0 111 1 0 0 0 0 0 0 0 0 0 0 0 0 X 8 8 0 0 0 0 1 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X KIRBY NICKERSON 7047548228 1416 S MARTIN LUTHER KING JR AVE SALISBURY NC 28144 STEPHEN FLEMING CHAIRMAN 2.00 X X 0 0 0 ANNE MACNER VICE CHAIR 1.00 X X 0 0 0 KRISTEN YNTEMA SECRETARY/TREASURER 2.00 X X 0 0 0 JAY SMITH ASST SECRETARY/TREASURER 1.00 X X 0 0 0 TIM CLONTZ BOARD MEMBER 0.30 X 0 0 0 TED GOINS BOARD MEMBER 0.30 X 0 0 0 KIRBY NICKERSON BOARD MEMBER 0.30 X 0 0 0 DEVIN GRIFFITH BOARD MEMBER 0.30 X 0 0 0 URSULA ROBINSON PRESIDENT/CEO 66.00 X X 181208 0 2665 LUCILLIA MARROW SITE DIRECTOR 45.00 X 100234 0 2187 BRITTANY MILLER NURSE PRACTIONER PROVIDER 40.00 X 116465 0 2366 397907 0 7218 1 0 1 0 0 800 800 PATIENT SERVICE REVENUE 621400 24275368 24275368 24275368 24276168 24275368 0 0 X 3613232 3143512 469720 398371 358534 39837 270084 243075 27009 629980 68376 561604 25893 25893 31716 31716 8986178 8986178 55342 49808 5534 137878 124090 13788 214833 107417 107416 76496 68846 7650 441730 397557 44173 214380 192942 21438 DRUG & MEDICAL SUPPLIES 3664122 3664122 FOOD EXPENSE 190983 171885 19098 REPAIRS & MAINTENANCE 170884 170884 DUES AND SUBSCRIPTIONS 50492 45443 5049 299548 269593 29955 19472142 18088155 1383987 0 7914605 11354161 3479417 3305531 127661 125849 32085 22838 7301478 4145110 1643879 3156368 124610 0 13322257 17964747 5352094 3541353 0 1649205 5352094 5190558 X 7895163 12774189 75000 0 7970163 12774189 13322257 17964747 4804026 0 X 0 1 X 1 0 X 19935 16017 71840 725926 800 834518 16918404 20199044 22718501 20420411 24275368 104531728 16938339 20215061 22790341 21146337 24276168 105366246 0 0 0 105366246 16938339 20215061 22790341 21146337 24276168 105366246 1.00000 1.00000 0.00000 X 0 0 0 0 0 0 0 0 1 3430 3430 0 PART II-B, LINE 1: THE ORGANIZATION PAID DUES TO NC PACE ASSOCIATION. OF THE DUES PAID, APPROXIMATELY $3,430 OF THE DUES ARE ATTRIBUTABLE TO LOBBYING ACTIVITIES. 3607311 2855581 751730 1862617 1289529 573088 1831550 1831550 3156368 CURRENT PORTION OF RIGHT-OF-USE OPERATING LEASE LIABILITY 1649205 1649205 X 24286050 9882 9882 24276168 0 24276168 19472142 0 19472142 0 19472142 PART X, LINE 2: THE AGENCY HAS BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS EXEMPT FROM INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(C)(3). THE AGENCY FILES AS A TAX-EXEMPT ORGANIZATION. THE AGENCY IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE ITS TAX-EXEMPT STATUS. THE AGENCY IS NOT AWARE OF ANY ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OR OTHER TAXES. THE AGENCY FOLLOWS GUIDANCE IN THE INCOME TAX STANDARD REGARDING RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. THE GUIDANCE HAS HAD NO IMPACT ON THE AGENCY'S FINANCIAL STATEMENTS. PART XI, LINE 2D - OTHER ADJUSTMENTS: NET ASSETS RELEASED 9,882. X X X 0 0 0 0 0 0 0 0 0 URSULA ROBINSON PRESIDENT/CEO 180458 0 750 0 0 0 2665 0 0 0 183873 0 0 0 PART I, LINE 3 THE BOARD OF DIRECTORS HAS A STANDING COMPENSATION COMMITTEE THAT IS CHARGED WITH SETTING THE ANNUAL COMPENSATION OF THE EXECUTIVE DIRECTOR. THE COMMITTEE MEETS AT LEAST ANNUALLY, AND MORE OFTEN AS NEEDED, TO REVIEW THIRD PARTY INDEPENDENT COMPENSATION DATA FROM PACE PROGRAMS THROUGHOUT THE US. THE COMMITTEE, COMPOSED SOLELY OF INDEPENDENT DIRECTORS, COMPARES ITS EXECUTIVE DIRECTOR'S COMPENSATION TO THAT OF OTHER SIMILAR SIZED PACE PROGRAMS TAKING INTO ACCOUNT GEOGRAPHICAL VARIANCES. THE COMMITTEE DELIBERATES OPTIONS AND TAKES ACTION BY SETTING THE ANNUAL COMPENSATION, WHICH IS RECORDED INT HE MINUTES KEPT BY THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS THREE CORPORATE MEMBERS: WELL-SPRING SERVICES, INC, CONE HEALTH, AND LSA MANAGEMENT, INC. (DBA LUTHERAN SERICES CAROLINAS). FORM 990, PART VI, SECTION B, LINE 11B THE BOARD'S FINANCE COMMITTEE WILL CONDUCT A THOROUGH REVIEW ONCE THE 990 HAS BEEN PREPARED, THEN OFFER AN ELECTRONIC VERSION TO THE FULL BOARD FOR ANY FURTHER COMMENTS. FORM 990, PART VI, SECTION B, LINE 12C ENTIRE BOARD OF DIRECTORS IS COVERED BY THE CONFLICTS OF INTEREST POLICY. A DETERMINATION IS MADE AT THE BEGINNING OF EACH BOARD MEETING AS TO WHETHER A CONFLICT OF INTEREST EXISTS. IF THE BOARD DETERMINES THAT A MEMBER OF THE BOARD HAS A CONFLICT OF INTEREST, THAT BOARD MEMBER IS ASKED TO RECUSE HIMSELF OR HERSELF FROM FROM VOITING ON THE MATTER. DOCUMENTATION OF DISCUSSIONS ON THE TRANSACTION GIVING RISE TO THE CONFLICT, AS WELL AS THE APPROVAL PROCESS, IS REFLECTED IN THE BOARD MINUTES. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS HAS A STANDING COMPENSATION COMMITTEE THAT IS CHARGED WITH SETTING THE ANNUAL COMPENSATION OF THE EXECUTIVE DIRECTOR. THE COMMITTEE MEETS AT LEAST ANNUALLY, AND MORE OFTEN AS NEEDED, TO REVIEW THIRD-PARTY, INDEPENDENT COMPENSATION DATA FROM PACE PROGRAMS THROUGHOUT THE US. THE COMMITTEE, COMPOSED SOLELY OF INDEPENDENT DIRECTORS, COMPARES ITS EXECUTIVE DIRECTOR'S COMPENSATION TO THAT OF OTHER SIMILAR SIZED PACE PROGRAMS TAKING INTO ACCOUNT GEOGRAPHICAL VARIANCES. THE COMMITTEE DELIBERATES OPTIONS AND TAKES ACTION BY SETTING THE ANNUAL COMPENSATION, WHICH IS RECORDED IN MINUTES KEPT BY THE ORGANIZATION. THE PROCESS DESCRIBED HERE WAS LAST COMPLETED IN 2022 FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 8,530,778. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,530,778. MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 455,400. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 455,400. WELL-SPRING SERVICES 4100 WELLSPRING DRIVE GREENSBORO NC 27410 900085759 MEALS AND MAINTENACE NC 501(C)(3) LINE 12A, I 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 WELL-SPRING SERVICES Q 422644