Capital Hospice

“There shall be an executive committee composed of the officers of the board. The executive committee shall be empowered to act on behalf of the board unless dealing with matters the board has reserved to itself. The executive committee shall serve in an advisory capacity to the board of trustees on matters relating to compensation of officers and key employees (including but not limited to the president/ceo) and to management succession.”

“Capital hospice, inc. Reorganization capital hospice, inc., a virginia nonstock corporation exempt from federal income tax under code section 501(a)(1) as an organization described in code section 501(c)(3), provides hospice services in the greater washington d.c. Metropolitan area. Annually, capital hospice, inc. Has served over 7,000 hospice patients and provided more than $3 million in charity care for those who are uninsured and have nowhere else to turn. In order to better serve the needs of individuals in its service area, capital hospice, inc. Has determined to pursue two new lines of services, (i) the stay at home services of capital caring stay at home services, inc. And (ii) the advanced illness services of capital caring advanced illness services, inc. To accommodate the new lines of business, capital hospice, inc. Has determined to reorganize its operating structure. Principal considerations in the corporate reorganization included the following: governance, compliance with regulatory and corporate practice of medicine rules where applicable, maintaining and securing tax exemption, maintaining capital hospice, inc.'s ein, business development advantages and facilitation of future fundraising efforts. To effect the reorganization, capital hospice, inc. Amended its articles of incorporation to become a member organization and caused to be formed three additional virginia nonstock corporations. The new corporations are; (i) capital caring health, (ii) capital caring advanced illness services, inc. And (iii) capital caring stay at home services, inc. Capital caring health is the sole member of each of capital hospice, inc., capital caring advanced illness services, inc. And capital caring stay at services, inc. It is intended that capital caring health will be a type iii functionally integrated supporting organization. Each new corporation is applying for a determination letter to the effect that it is exempt from tax under code section 501(a)(1) as an organization described in code section 501(c)(3).”

“The organization's sole corporate member is capital caring health, a related tax-exempt organization.”

“The organization's sole corporate member shall appoint directors to the board.”

“The member, through its chair or ceo, or through any other officer of the member who is authorized by the board of directors of the member (the "member board"), shall exercise all authority at meetings of the corporation as members are authorized to exercise.”

“The 990 for capital hospice is reviewed by the controller . Next, the 990 is sent to all of the members of the board of trustees including the president of capital hospice for their review and to solicit any comments or questions. The finance audit investment committee (faic) of the board meets to review and discuss the form 990 in detail. This meeting is open to all board members including the compensation and other committee chairs. After the form 990 has been reviewed by the board and any comments or questions from board members have been responded to, the form 990 will be finalized, signed by the president/ceo and subsequently filed with the internal revenue service.”

“All board members, officers and key managers are required to report any real or potential or perceived conflict of interest involving them or another person by promptly filing a written disclosure statement with the president or chair of the board of trustees. The president will review all such statements and the annual disclosure statements and discuss with the chair of the board any potential conflicts of interest. If the president and the chair of the board determine that a potential conflict exists, then the board shall inform the person of the basis for such belief and allow the person to explain and disclose. For any transaction/arrangement discussed during a board meeting for which a conflict of interest is deemed to exist, the affected board member shall not be counted in determining the quorom for the meeting but shall be permitted to briefly state his position on the matter and answer pertinent questions of other board members before vacating the governing board. The board member shall leave the governing board and a majority of the remaining board members shall determine whether to undertake such transaction/arrangement. If the board decides that a person has failed to disclose a conflict of interest, the board shall take corrective action.”

“The executive committee of the board of capital hospice has engaged quatt and associates, an independent consulting group, to prepare a report to assist with establishing compensation for the top management official and other key personnel. The report was reviewed and approved by the executive committee after thorough discussion of the data, its sources and the findings. Capital hospice, as subject to intermediate sanctions under internal revenue code (irc) section 4958, considers that the intermediate sanctions market benchmarking methodology for disqualified individuals, conducted by quatt and associates, has provided a valid and robust means of determining market based compensation competitiveness.”

“The organization makes its governing documents, conflict of interest policy and financial statements available to the public upon request.”

“MISCELLANEOUS REVENUE - Total Revenue: 88914, Related or Exempt Function Revenue: 88914, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;”

“PHYSICIAN SERVICES - Total Expense: 290348, Program Service Expense: 290348, Management and General Expenses: , Fundraising Expenses: ; CONTRACT SERVICES NURSING HOME - Total Expense: 4454199, Program Service Expense: 4454199, Management and General Expenses: , Fundraising Expenses: ; CONTRACT SERVICES LABOR - Total Expense: 1509337, Program Service Expense: 1505708, Management and General Expenses: 3629, Fundraising Expenses: 0; CONTRACT SERVICES CONSULTANTS - Total Expense: 2117356, Program Service Expense: 85322, Management and General Expenses: 1514856, Fundraising Expenses: 517178; CONTRACT SERVICES INPATIENT - Total Expense: 3744288, Program Service Expense: 3744288, Management and General Expenses: , Fundraising Expenses: ; CONTRACT SERVICES OTHER PATIENT RELATED - Total Expense: 1532615, Program Service Expense: 1532615, Management and General Expenses: , Fundraising Expenses: ; CONTRACT SERVICES OTHER - Total Expense: 413501, Program Service Expense: 165578, Management and General Expenses: 247923, Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ; - Total Expense: , Program Service Expense: , Management and General Expenses: , Fundraising Expenses: ;”

“The halquist memorial inpatient center was licensed in 1981 as one of the first hospice inpatient centers in the united states and the first in the state of virginia. As such, the state of virginia had no category for licensure that would fit the facility and therefore licensed the unit as a general hospital. As a hospice inpatient center, the facility has no emergency room, outpatient center, labs, or other diagnostic services as would a general hospital. It serves only capital hospice patients requiring acute symptom management or patients in their final days of a terminal illness who can no longer be served at home. The unit has 15 beds and represents on average only 13 of the more than 1300 patients that are treated by capital hospice on a daily basis. As a result, the community health needs assessment is not applicable to hospice inpatient beds. In states other than virginia, units like halquist are licensed as hospice centers and are not subject to either the community health needs assessment or form 990, schedule h. It is for this reason that capital caring is filing form 990 as a public charity described under section 170(b)(1)(a)(vi) of the internal revenue code. Similarly, medicare has recognized that our unit is not actually a hospital and has not required us to comply with many of the reporting requirements applicable to hospitals. Services at the halquist memorial inpatient center have always been billed to medicare under the capital hospice medicare provider number so effective february 2020 - capital hospice surrendered its halquist memorial inpatient center medicare identification number back to the center for medicare services (cms) and surrendered its halquist "hospital" license back to the state of virginia.”

“THE 2020 FORM 990 IS BEING AMENDED TO REPORT CHANGEs IN PATIENT REVENUE AND CONTRIBUTION REVENUE IN PART VIII (Statement of Revenue); RELATED EXPENSES IN PART IX (Statement of Functional Expenses); and certain balance sheet line items on PART X (Balance Sheet) TO AGREE TO THE most current audited FINANCIAL STATEMENTS. In addition, the organization amended Schedule A to report the change from public charity classification under section 170(b)(1)(A)(vi) to section 509(a)(2).”