2024-11-05T15:45:58-06:00 2023-12-31 561031342 WILLIAMS OVERMAN PIERCE LLP 2501 ATRIUM DRIVE SUITE 500 RALEIGH NC 27607 990 2023-01-01 581453827 HOSPICE OF THE PIEDMONT INC HOSP 3368787428 1801 WESTCHESTER DRIVE HIGH POINT NC 27262 WILLIAM T COCKERHAM PRESIDENT & CEO 3368787428 2024-10-28 1 1 BRIAN SCHEPPERLEY CPA P01332750 9197823444 2024-10-28 X 2023 2024-10-15 13:58:12Z WILLIAM T COCKERHAM 1801 WESTCHESTER DRIVE HIGH POINT NC 27262 30426549 0 X WWW.HOSPICEOFTHEPIEDMONT.ORG X 1981 NC TO PROVIDE HOSPICE AND PALLIATIVE CARE TO PATIENTS WITH A PROGNOSIS OF SIX MONTHS OR LESS. 15 15 248 152 0 0 5400123 1542886 22980454 21989748 473358 1714494 36437 143242 28890372 25390370 0 0 0 0 15604170 16574755 0 0 534475 10574839 9258174 26179009 25832929 2711363 -442559 40427930 41618006 2893918 2903020 37534012 38714986 X TO PROVIDE COMPASSIONATE INTERDISCIPLINARY HOSPICE AND PALLIATIVE CARE TO PATIENTS WITH A PROGNOSIS OF SIX MONTHS OR LESS. THIS CARE IS PROVIDED IN THE PATIENT'S HOME, NURSING AND ASSISTED LIVING FACILITIES IN THE PIEDMONT TRIAD OF NORTH CAROLINA, IN THE ORGANIZATION'S 18-BED HOSPICE FACILITY IN HIGH POINT, OR IN THE ORGANIZATION'S 16-BED FACILITY IN ASHEBORO. 0 0 6925311 16486810 HOSPICE HOMECARE: AN INTERDISCIPLINARY TEAM APPROACH TO END-OF-LIFE CARE THAT ADDRESSES THE PHYSICAL, EMOTIONAL, AND SPIRITUAL NEEDS OF INDIVIDUALS FACING A LIFE-LIMITING ILLNESS AND PROGNOSIS OF SIX MONTHS OR LESS. CARE IS PALLIATIVE IN NATURE, SEEKING COMFORT RATHER THAN CURE. 13139689 5475642 HOSPICE FACILITY CARE: HOSPICE HOME AT HIGH POINT AND THE RANDOLPH HOSPICE HOUSE PROVIDE CARE IN A HOME-LIKE SETTING FOR THOSE WHO NEED MORE SKILLED CARE FOR SYMPTOM MANAGEMENT, WHO MAY NOT HAVE A CAREGIVER AT HOME, OR WHOSE PRIMARY CAREGIVER NEEDS A BRIEF RESPITE. 914610 27296 PIEDMONT PALLIATIVE CARE SERVICES (PPCS): PHYSICIANS AND NURSE PRACTITIONERS CERTIFIED IN PALLIATIVE MEDICINE PROVIDE SYMPTOM MANAGEMENT CONSULTATIONS TO PATIENTS. PPCS ALSO DEVELOPS A HOME-BASED INTERDISCIPLINARY PALLIATIVE CARE VISITING PROGRAM (CARE CONNECTION). 267306 GRIEF COUNSELING CENTER: PROVIDES SPIRITUAL CARE, COUNSELING AND SPECIALIZED GRIEF SUPPORT TO PATIENTS, FAMILY MEMBERS AND CAREGIVERS. THIS SERVICE IS PROVIDED THROUGH MAILINGS, PHONE CALLS, INDIVIDUAL SESSIONS AND SUPPORT GROUPS FOR 13 MONTHS FOLLOWING THE DEATH OF A HOSPICE PATIENT. THE GRIEF COUNSELING CENTER IS ALSO AVAILABLE TO MEMBERS OF THE COMMUNITY WHO HAVE EXPERIENCED A LOSS BY DEATH. 153705 KIDSPATH: THIS IS A SPECIALIZED PEDIATRIC PROGRAM OFFERING HOSPICE CARE AND COUNSELING SERVICES TO CHILDREN AND TEENS FACING A LIFE LIMITING ILLNESS WHICH WILL MOST LIKELY PREVENT THEM FROM REACHING THE AGE OF 18. KIDSPATH COUNSELING SERVICES ARE ALSO AVAILABLE TO CHILDREN AND TEENS WHO ARE DEALING WITH THE LOSS OF A LOVED ONE THROUGH DEATH. 421011 21400621 1 1 0 0 0 0 0 0 0 0 1 1 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 73 0 1 248 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 15 15 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 NC X BARRY LEONARD CFO 3368898446 1801 WESTCHESTER DRIVE HIGH POINT NC 27262 VICKIE GALLIMORE BOARD MEMBER 1.00 X 0 0 0 STEVE HEADLEE SECRETARY 1.00 X X 0 0 0 STEPHANIE JOHNSON VICE CHAIRMAN 1.00 X X 0 0 0 CONNIE LINEBERRY BOARD MEMBER 1.00 X 0 0 0 DEAN SEXTON TREASURER 1.00 X X 0 0 0 JEFF MILLER CHAIRMAN 1.00 X X 0 0 0 JOEY MILLIKAN BOARD MEMBER 1.00 X 0 0 0 SUSAN MORRIS WOOD BOARD MEMBER 1.00 X 0 0 0 COURTNEY BEST BOARD MEMBER 1.00 X 0 0 0 JENNIFER CONRAD BOARD MEMBER 1.00 X 0 0 0 PAULA CORREA BOARD MEMBER 1.00 X 0 0 0 MARY POWELL DELILLE BOARD MEMBER 1.00 X 0 0 0 BRAD CRUMPLER BOARD MEMBER 1.00 X 0 0 0 KERR RAMSAY BOARD MEMBER 1.00 X 0 0 0 ROBIN THOMPSON BOARD MEMBER 1.00 X 0 0 0 SUSAN COX SR. VP, CLINICAL SERVICES 40.00 X 155836 0 10537 BARRY LEONARD CFO 40.00 X 166429 0 9219 TRENT COCKERHAM CEO 40.00 X 236444 0 10537 AMY BARUCH PHYSICIAN 40.00 X 263108 0 13948 HOMA MAGSI MEDICAL DIRECTOR 40.00 X 271323 0 10537 PATRICIA SHELVIN PHYSICIAN 40.00 X 223023 0 10537 KAREN CROSS PHYSICIAN 40.00 X 195553 0 8024 GENE FREEMAN PHYSICIAN 40.00 X 126518 0 20533 MAIKE COPELAND PHYSICIAN 40.00 X 143130 0 0 1781364 0 93872 9 0 1 0 WESLEYAN ARMS INC 1795 WESTCHESTER DR HIGH POINT NC 27262 NURSING FACILITY SERVICES 937982 OPTUM HOSPICE PHARMACY SERVICE 28454 NETWORK PLACE CHICAGO IL 606731284 PHARMACY SERVICES 555887 PALMETTO OXYGEN LLC PO BOX 749055 LOS ANGELES NC 900749055 OXYGEN SERVICES 503729 GREATEST GENERATION INC 2005 SHANNON GRAY COURT JAMESTOWN NC 272829183 NURSING FACILITY SERVICES 487473 GRAYBRIER NURSING & RETIREMENT CENTER 116 LANE DR TRINITY NC 27370 NURSING FACILITY SERVICES 347754 5 77789 131340 159895 1173862 1542886 OTHER THIRD PARTY PROVIDER PAYMEN 900099 21989748 21989748 21989748 1069811 1069811 5658747 5014064 644683 644683 644683 107525 131340 22115 85410 85410 MISCELLANEOUS INCOME 900099 57832 57832 57832 25390370 21989748 0 1857736 1875237 1584103 250053 41081 11369570 9601183 1518078 250309 2386395 2028813 310232 47350 943553 802020 122662 18871 679 679 76335 76335 42460 42460 163854 163854 228914 227524 1390 123987 15234 103054 5699 424074 212332 209981 1761 418330 342672 75658 9940 9940 686044 160407 363858 161779 142886 89079 53084 723 PARTICIPANT SERVICES & 5415962 5415962 CLEANING & MAINTENANCE 854769 606835 242978 4956 UNCOLLECTIBLE ACCOUNTS 324611 324611 CONTRACTED STAFF 162479 162479 182850 54891 127403 556 25832929 21400621 3897833 534475 6651709 8786212 5230567 5934023 24966 6663663 2597119 85918 177620 18808878 9663030 9217196 9145848 12121299 14615033 432612 362151 40427930 41618006 2625007 2587121 268911 315899 2893918 2903020 X 37166820 38312217 367192 402769 37534012 38714986 40427930 41618006 X -442559 1611572 11961 X X 0 1 X 1 1 1 X 2820360 3757521 2095887 5400123 1542886 15616777 15250311 24542842 22301421 22980454 21989748 107064776 18070671 28300363 24397308 28380577 23532634 122681553 2095674 11355 30922 16065 2900 2156916 0 2095674 11355 30922 16065 2900 2156916 120524637 259419 292417 466166 610686 1069811 2698499 259419 292417 466166 610686 1069811 2698499 968 57832 58800 18331058 28592780 24863474 28991263 24660277 125438852 0.96080 0.96470 0.02150 0.01620 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME/MISCELLANEOUS RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 931199 931199 12256299 5446707 6809592 4422926 3263722 1159204 1198454 952601 245853 9145848 INVESTMENTS 14615033 F 14615033 OPERATING LEASE LIABILITIES 92302 FINANCING LEASE LIABILITIES 143727 NOTE PAYABLE 79870 315899 X 26971443 1611572 11961 1623533 25347910 42460 42460 25390370 25790469 0 25790469 42460 42460 25832929 PART X, LINE 2: MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE ORGANIZATION, AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2023 AND 2022, THERE WERE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE ORGANIZATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. MANAGEMENT BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR TAX YEARS PRIOR TO 2020. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN VALUE OF BENEFICIAL INTEREST IN PERPETUAL TRUST 11,961. TASTE OF THE TOWN 142910 131340 11570 7919 RANDOLPH AUCTION & BARBEQUE 95955 95955 14196 1 238865 131340 107525 22115 22115 85410 X X X 0 0 0 0 0 0 0 0 0 HOMA MAGSI MEDICAL DIRECTOR 271323 0 0 0 0 0 0 0 0 10537 271323 10537 0 0 AMY BARUCH PHYSICIAN 263108 0 0 0 0 0 0 0 0 13948 263108 13948 0 0 TRENT COCKERHAM CEO 236444 0 0 0 0 0 0 0 0 10537 236444 10537 0 0 PATRICIA SHELVIN PHYSICIAN 223023 0 0 0 0 0 0 0 0 10537 223023 10537 0 0 KAREN CROSS PHYSICIAN 195553 0 0 0 0 0 0 0 0 8024 195553 8024 0 0 BARRY LEONARD CFO 166429 0 0 0 0 0 0 0 0 9219 166429 9219 0 0 SUSAN COX SR. VP, CLINICAL SERVICES 155836 0 0 0 0 0 0 0 0 10537 155836 10537 0 0 FORM 990, PART VI, SECTION B, LINE 11B AT THE FIRST PRACTICAL OPPORTUNITY, THE ANNUAL FORM 990 IS PRESENTED TO AND REVIEWED BY THE FINANCE COMMITTEE OF THE BOARD. AN ANNUAL INSERVICE TRAINING IS OFFERED TO ALL BOARD MEMBERS WHICH EXPLAINS THE PURPOSE OF THE FORM 990 AND ALL DISCLOSURES INCLUDED. FORM 990, PART VI, SECTION B, LINE 12C THE AGENCY'S CONFLICT OF INTEREST POLICIES ARE REVIEWED AS A PART OF ANNUAL INSERVICES AND THE ORIENTATION OF THE NEW BOARD. ALL BOARD MEMBERS SIGN OFF ON THEIR UNDERSTANDING AND ACCEPTANCE OF THESE POLICIES. FORM 990, PART VI, SECTION B, LINE 15 THE PERSONNEL AND EXECUTIVE COMMITTEES OF THE BOARD UTILIZE A DOCUMENTED PROCESS IN DETERMINING THE COMPENSATION OF OFFICERS AND KEY EMPLOYEES. THIS PROCESS TAKES INTO ACCOUNT REASONABLENESS TESTS AND CONTEMPORANEOUSLY SURVEYS THE COMPENSATION OF EXECUTIVES IN SIMILAR INDUSTRIES. FORM 990, PART VI, SECTION C, LINE 19 ALL OR PART OF THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE THROUGH WWW.GUIDESTAR.ORG, WWW.SOSNC.COM, OR BY REQUEST AT 1801 WESTCHESTER DRIVE, HIGH POINT, NC 27262. FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF BENEFICIAL INTEREST 11,961. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM PRIOR YEAR.