HOSPICE CARE PLUS INC
208 Kidd Dr
Berea KY 40403
Contact Information
Nonprofit HOSPICE CARE PLUS INC
Address 208 Kidd Dr
Berea, KY 40403
Phone (859) 986-1500
Fax 859 986-2546
Contact Name Nikki Stuart
At A Glance
Former Names
Hospice of Madison County; Hospice of the Kentucky River
Other ways to donate, support, or volunteer Donors may submit by phone, e-mail, check, in-kind and may designate for a program, county or special need.  We do have many volunteer opportunities and welcome new volunteers to serve in patient care, administrative support, inpatient facility support, fund raising or many other ways.
Financial Summary
Revenue vs Expenses - All Years
Expense Breakdown - Recent Year
Statements
Mission Statement Hospice Care Plus empowers individuals with a life-limiting illness to live the highest quality of life, respecting their values, beliefs,  and needs while providing education, grief support and resources to the families and communities we serve.
Background Statement
Hospice Care Plus, Inc. (HCP), a non-profit organization located in Berea, Kentucky, has provided end-of-life care to residents in our community since 1981. Hospice was originally staffed by volunteers who founded the organization and offered services in Madison County. The demand for services eventually required the addition of a small paid staff and expansion into surrounding counties. The first ten years of Hospice’s existence featured basic hospice services with a small staff that served approximately 40 patients each day. The continuing demand for services over the past ten to twelve years has led to a period of sustained growth.  We serve six counties in the Appalachian region of southeastern Kentucky: Estill, Jackson, Lee, Madison, Owsley and Rockcastle.
End-of-life care provided by Hospice Care Plus is given primarily in the home of the patient and family. In April of 2008, HCP opened a hospice inpatient facility, the Compassionate Care Center which provides inpatient services. HCP also has contracts with nursing facilities, which allows the organization to provide hospice care for nursing home residents who desire it. 
 
Hospice Care Plus offers bereavement services and support to family members of hospice patients. Palliative Care Plus was added in 2001 in order to offer home-based support services to those with a chronic, life-limiting condition who need pain and symptom management or assistance with resources.  
 
To achieve our mission, Hospice Care Plus provides team-based services to patients and families that include 24-hour nursing care, social work support, chaplain support, personal care, homemaker and volunteer services, bereavement support, an in-house pharmacy that provides medications and delivery services, medical supplies, and home medical equipment. Additionally, HCP provides physical, occupational, and speech therapies, as well as access to inpatient care, continuous care and respite care. 
 
Hospice Care Plus is a Medicare-certified, state-licensed health care provider. Hospice has been accredited by the Joint Commission of Accreditation of Healthcare Organizations (JCAHO) since 1997 and is a member of the National Hospice and Palliative Care Organization and the Kentucky Association of Hospice and Palliative Care.
Impact Statement
Hospice Care Plus is the sole provider of Hospice care in Estill, Jackson, Lee, Madison, Owsley, and Rockcastle counties.  During 2016 HCP served more than 700 patients with an average daily census of 90+.  We provided care to patients regardless of a patient or family's ability to pay, with a patient satisfaction rate of 98%, providing more than $250,000 in complimentary care.  We also had a staff retntention rate of 94%.  We were one of the first Hospices to initiate MOST, a pilot program for new advanced directives in Kentucky.  We also increased our volunteer pool by 17, for a total of 145 volunteers.  We are very conscientious of being good stewards of funds we receive, and had an audit report with an unqualified opinion with no management recommendations.

The majority of traditional hospice care is provided
in the home of the patient. The requests for our Hospice services have risen dramatically over the last decade. For example, in 2000 we were providing end-of-life medical care for an average of 60 patients per day. Last year our average was 90 patients per day. 

In 2011, 78% of the patients we provided end-of-life care for were over the age of 65. We anticipate our yearly census numbers to increase even more over the next 10-15 years as the front end of the baby-boomers reach the age when life-limiting illnesses tend to arise.

 
Needs Statement
Our greatest need is help with covering the balance remaining from the capital campaign to build a hospice inpatient facility, for a total of $1 million.  
CEO/Executive Director Statement

Hospice Care Plus is honored to serve patients and families
in Estill, Jackson, Lee, Madison, Owsley and Rockcastle Counties, six rural counties of Kentucky. Our staff and volunteers focus on the individual families and what is most important to them. Since 1981, Hospice Care Plus has added programs to better meet the needs of our service area including an in-house pharmacy, palliative care program, durable medical equipment in-house services, bereavement outreach program, high staff to patient  ratios, volunteer programs, crisis intervention care dedicated staff, and most recently our free-standing hospice inpatient facility. Support from the community has made a tremendous difference, allowing Hospice Care Plus the resources to meet patient’s needs and extend care to all regardless of their ability to pay.

Hospice Care Plus continually looks for ways to raise our
standards of care. We are currently certified by Medicare and Medicaid and have achieved the gold standard of care, Joint Commission Accreditation since 1997. We are also members of the National Hospice and Palliative Care Organization, Kentucky Association of Hospices and Palliative Care and the Kentucky Hospice Network. We are working
towards increasing the number of our staff that are certified in hospice and palliative care and related fields.   Hospice Care Plus provides ongoing education and training to our staff and volunteers and also opens up educational offerings to the community. 
 
Board Chair Statement
As the Board President I strongly support the mission and philosophy of Hospice Care Plus and have seen first hand the tremendous difference the care and services make for a patient and family.  My personal experience with a close friend that had hospice has helped me understand the impact that hospice care has on the quality of life for the patient and the much needed support for the family members and the caregivers.  Our biggest challenges are the decrease in federal reimbursement for hospice care and the additional requirements from Medicare over the past several years.  The hospice model has continued to evolve and work towards meeting these needs and standards but at times we are having to let go of programs that helped our community and were a critical part of our mission.  
 
Service Categories
Secondary Organization Category Human Services / Hospice
Tertiary Organization Category Diseases Disorders & Medical Disciplines /
Geographic Areas Served
Areas
Kentucky
Hospice Care Plus offers home care and services to Estill, Jackson, Lee, Madison, Owsley and Rockcastle Counties.  Our hospice inpatient facility in Richmond, the Compassionate Care Center, serves hospice patients from any area.
Impact Questions
GoalsHelpWhat is the organization aiming to accomplish? This is the organization's ultimate goal for intended impact.
1. Implement a volunteer vigil program to provide support to patients that might otherwise die alone, has been initiated in Madison County Nursing Facilities, plan to offer in our other counties over the next two years as we recruit and train the volunteers needed to support this vital care. 2. Implement the veterans partnership program for our community, which includes education for our staff and volunteers on the special needs of veterans and their families, working on building relationships with other veteran organizations to help our patients gain access to resources and support.  Obtain level 3 and 4 partnership with national hospice in two years. 3.  Provide bereavement outreach and hospice educations with local churches over the next 3 years, providing education on how to help their members at the end of life and how to support members that are grieving.  Many times church members and clergy are the first to know that a person is in need and maybe appropriate for hospice.  Church members can help make the referral and help the patient obtain hospice care earlier.  We have met with clergy and they have shared that they would appreciate education on how to help and support their members at the end of life.  We are in the process of providing this education and support to several local churches at a time and plan to offer this to all six counties.  4.  To develop a web based resources and education for our community on caregiving needs, hospice resources, grief and loss and advanced care planning.  The goal is to expand our social media presence over the next three years; year one is to have blogs and you tube videos and then over the next two years to expand this to include educational resources on the four topics listed above.
 
StrategiesHelpWhat are the organization's strategies for its stated long-term goals? 1.  Vigil Program:  research was completed and policies, training materials and forms were developed.  We completed our pilot with two nursing facilities in Madison County and have started to expand it to two other facilities and the assisted living facilities.  We are working on recruiting and training volunteers for one other county at a time.  We have also offered this at the Compassionate Care Center.  2.  We have completed phase 1 and 2 of the veterans partnership with the national hospice organization and have started on phase 3.  Multiple departments at hospice participate in this goal, including education, patient care, volunteers, development and outreach.  We have provided veteran education to our staff, offered recognition ceremonies to all patients that have been veterans and worked with the local nursing facilities to offer veteran recognition at their sites.  We want to continue to improve on our care to veterans by completing the process with the national hospice, it has continued to improve our understanding and care.  3.  Outreach has been being provided for over 5 years with the bereavement program and we started this year with providing support and education to the clergy with a dedicated chaplain assigned to support this program.  She has attended asssociation meetings for clergy and also met one on one with interested clergy.  She is scheduling education for the clergy and also for their women's group so they feel better prepared to support patients that have life limiting illnesses and support grieving family members.  This has been positive in making more people aware of the benefits of hospice care earlier on and has also helped the clergy feel they know what to do when patients are facing these difficult times.  4.  Many decision makers go to the web to research options, learn about resources and obtain feedback from other people that have been through a similar experience.  We are working on increasing our presence through social media to help decision makers know more about hospice and what it offers, offer education and links to other resources and also provide testimonials on the impact of end of life care.
CapabilitiesHelpWhat are the organization’s capabilities for doing this? What resources, capacities, and connections support its progress towards long-term goals? Hospice Care Plus has 35 years of experience in providing end-of-life care and we have dedicated, competent staff who are committed to expanding end-of-life care and resources to the community.  1.  We have over 120 volunteers that we could recruit from to initiate the vigil program and the majority of the volunteers that were interested in this program have been providing care at the bedside for 4 years or longer.  We did use other hospices programs as our template and then tailored it to the needs of our community and the input we obtained from the nursing facilities.  We are working on expanding this program to other less populated counties, it has been very well received in the nursing facilities where it is in place.  2.  The veterans program has been a new area of interest for our staff and volunteers.  Several volunteers have shared their personal experience as veterans and several staff have had previous experience working with veterans.  We have used the excellent resources available through the national hospice organization (NHPCO) and have support from the veteran's clinic in Berea, the VAMC in Lexington and several other community organizations that focus on services for veterans.
Board Chair
Board Chair Ms. Kathy Samples
Company Affiliation President, Citizens Guaranty Bank
Term Jan 2013 to Dec 2014
Board Members
NameAffiliationStatus
Ms. Donna Angel Mgr. Community Trust BankVoting
Ms. Linda Congleton RetiredVoting
Ms. Linda Congleton VolunteerVoting
Ms. Tamara Cox Daniel Boone Comm. Action AgencyVoting
Mr. Justin Dixon Citizens Guaranty BankVoting
Ms. Lisa Foley Baldwin CPAsExofficio
Ms. Cheri Murrey Lee Retired School TeacherVoting
Mrs. Gail McGillis RN,MSNCEO-Hospice Care PlusExofficio
Mr. Alfred Tom Scott VP Operations Sherwin WIlliams CoVoting
Mr. Richard Snowden Insurance AgencyVoting
Ms. Jean Spurlock Jackson County Board of EducationVoting
Ms. Kay Vickers Peoples Rural Telephone CooperativeVoting
Ms. Mary Lou Whitt Nursing ADministrator MEPCO Health
Ms. Angela Woods Farmers State BankVoting
Ms. Linda Wray Nursing Professor - Eastern Kentucky UnivVoting
Board Demographics - Ethnicity
African American/Black 0
Asian American/Pacific Islander 0
Caucasian 12
Hispanic/Latino 0
Native American/American Indian 0
Other 0 0
Board Demographics - Gender
Male 4
Female 9
Unspecified 0
Governance
Board Term Lengths 3
Board Term Limits 2
Board Meeting Attendance % 63%
Written Board Selection Criteria? Yes
Written Conflict of Interest Policy? Yes
Percentage Making Monetary Contributions 93%
Number of Full Board Meetings Annually 6
Board Co-Chair
Board CoChair Ms. Lisa Foley
Company Affiliation Baldwin CPAs
Term Jan 2012 to Dec 2014
Standing Committees
Advisory Board / Advisory Council
Strategic Planning / Strategic Direction
Special Events (Golf Tournament, Walk / Run, Silent Auction, Dinner / Gala)
CEO/Executive Director
Executive Director Gail McGillis CEO
Term Start Aug 1994
Email gail.mcgillis@hospicecp.org
Experience
Gail McGillis, Hospice’s CEO, came to the organization after
a 15-year career as a nurse administrator in various settings, including the University of Kentucky, Washington D.C.’s Capitol Hill Hospital, and the University of California, San Francisco.
 
In her 23-year tenure with Hospice, and in collaboration
with the staff and Board, the organization has experienced significant growth and success. The staff has more than quadrupled. The number of patients served each day is up by 130%. Programs and services have been added to meet patient and family needs, and to make Hospice more efficient: an in-house pharmacy, a palliative care program, the Compassionate Care Center inpatient facility, grief counseling, the We Honor Veterans program, and much more.   

Her leadership in the hospice industry has been recognized
at both state and national levels. Gail is a past president of both the
Kentucky Hospice Network and the Kentucky Association of Hospice and Palliative Care. She is also a past recipient of the Distinguished Leader award, presented by the Kentucky Association of Hospice and Palliative Care, and was asked by the National Association of Hospice and Palliative Care to serve on its education committee.




.
 
Staff
Full Time Staff 110
Part Time Staff 9
Volunteers 120
Contractors 5
Retention Rate 94%
Management Reports to Board? Yes
Staff Demographics - Ethnicity
African American/Black 2
Asian American/Pacific Islander 0
Caucasian 104
Hispanic/Latino 1
Native American/American Indian 2
Other 0 0
Staff Demographics - Gender
Male 11
Female 99
Unspecified 0
Formal Evaluations
CEO Formal Evaluation Yes
CEO/Executive Formal Evaluation Frequency Annually
Senior Management Formal Evaluation Yes
Senior Management Formal Evaluation Frequency Annually
NonManagement Formal Evaluation Yes
Non Management Formal Evaluation Frequency Annually
Description
End-of-life care in the home is the basis of hospice and has been for centuries. Hospice care is a patient-centered approach to looking after people with a life-limiting disease. The care includes physical, emotional and spiritual support for the patient and their loved ones. Our hospice has recently seen an increase in demand for services. After 35 years of service, the communities we serve understand that we can:
 * Provide care that allows patients to live with dignity and comfort
 * Provide support and guidance to caregivers
 *Offer medications and medical supplies to be delivered to the home

Patients and families are never billed for hospice services. Medicare, Medicaid and many private insurance companies reimburse for hospice care, but no one is ever turned away because of not having insurance coverage of any kind.


 

Category Health Care, General/Other Home Health Care
Population Served Elderly and/or Disabled, Adults, Children and Youth (0 - 19 years)
Description
Hospice is, and will remain, primarily a home-based program whose goal is to provide care and support to patients and their family members in order to enhance their quality of life. However, home-based hospice care alone simply cannot meet all the needs of those we serve. At times, patients need to access care beyond that which hospice is capable of providing in the home. Many of those with a life-limiting illness have needs that exceed their loved one’s ability to manage at home. Some patients live alone and have no caregiver. Additionally, pain and symptom management issues arise that require 24-hour nursing and medical oversight to effectively manage.    
 
Since its inception in 2008, the Compassionate Care Center has provided care for more than 3,400 patients.  It is one of only five such units in the Commonwealth of Kentucky and has become a model of quality end-of-life care for other hospices in the eastern United States.
 
 
 
 
 
 
Category Health Care, General/Other Patient & Family Housing
Population Served Elderly and/or Disabled, Adults, Children and Youth (0 - 19 years)
Description
Experiencing the death of a loved one is, of course, a process of intense emotions, stress and change. Because of this, Hospice Care Plus offers professional services to help provide comfort and facilitate growth as one adjusts to life after a loss. Our Bereavement Program’s first phase is multifaceted. We help the individual:
*  Understand normal reactions to grief
*  Identify and express feelings associated with the loss of a loved one
*  Assist one’s ability to live without the deceased
*  Transform the pain of loss into a renewed hope for living

A critical need is to assist children to understand and manage the grieving process. Our aim is to provide a safe place for children who are grieving the death of a loved one by offering comfort. Children with unattended grief issues have a higher incidence of academic, social and behavioral problems in their later teen years. This awareness drives our mission to help head off serious issues before they arise.



Category
Population Served , ,
Description

Palliative care focuses on reducing the severity of illness symptoms and enhancing quality of life. Many with life-limiting or other serious diseases have difficulty navigating health care options. As a result, patients and families may feel overwhelmed as they attempt to cope with the immense burden of a life-threatening illness. These complicated needs often lead to unnecessary medical office visits and hospitalizations. The goal of palliative care is to provide physical, emotional, and spiritual support to patients and their families. Palliative care can be offered alongside curative treatment and is commonly provided at home, at a hospital or at a nursing home. 

Palliative Care provides a Medical Director, Registered Nurse, social worker, and volunteer. The Physician and RN assist with the diagnosis and treatment of pain and other distressing symptoms. In short, the patient and family will have a network of support provided them in the comfort of their home.

 

Category
Population Served , ,
Plans & Policies
Organization has a Fundraising Plan? Yes
Organization has a Strategic Plan? Under Development
Years Strategic Plan Considers 2
Date Strategic Plan Adopted 2011
Management Succession Plan? Under Development
Organization Policy and Procedures Under Development
Nondiscrimination Policy Under Development
Whistleblower Policy No
Document Destruction Policy No
External Assessments and Accreditations
Assessment/AccreditationYear
Joint Commission on Accreditation of Healthcare Organizations (JCAHO) - Home Care Accreditation2012
Government Licenses
Is your organization licensed by the Government? Yes
Financials
Revenue vs Expenses - All Years
Expense Breakdown - Recent Year
Fiscal Year
Fiscal Year Start Jan 01, 2017
Fiscal Year End Dec 31, 2017
Projected Revenue $6,264,823.00
Projected Expenses $6,154,197.00
Endowment Value $0.00
Spending Policy N/A
Detailed Financials
Revenue and ExpensesHelpFinancial data for prior years is entered by foundation staff based on the documents submitted by nonprofit organizations.Foundation staff members enter this information to assure consistency in the presentation of financial data across all organizations.
Fiscal Year201620152014
Total Revenue$7,697,785$7,124,771$7,403,188
Total Expenses$7,548,430$7,121,756$7,865,568
Revenue Less Expenses$149,355$3,015($462,380)
Revenue SourcesHelpThe financial analysis involves a comparison of the IRS Form 990 and the audit report (when available). Revenue from foundations and corporations may be included in individual contributions when not itemized separately.
Fiscal Year201620152014
Foundation and
Corporation Contributions
------
Government Contributions$0$0$0
Federal------
State------
Local------
Unspecified--$0$0
Individual Contributions$228,899$268,457$280,921
--$1,784$9,046
$7,335,073$6,716,195$6,993,734
Investment Income, Net of Losses$837$1,672$1,211
Membership Dues--$0$0
Special Events$110,956$115,942$102,298
Revenue In-Kind--$0$0
Other$22,020$20,721$15,978
Expense Allocation
Fiscal Year201620152014
Program Expense$6,690,806$6,128,679$6,856,237
Administration Expense$684,661$809,479$805,670
Fundraising Expense$172,963$183,598$203,661
Payments to Affiliates------
Total Revenue/Total Expenses1.021.000.94
Program Expense/Total Expenses89%86%87%
Fundraising Expense/Contributed Revenue51%48%52%
Assets and Liabilities
Fiscal Year201620152014
Total Assets$6,768,917$6,782,406$6,905,173
Current Assets$2,018,424$1,790,585$1,668,209
Long-Term Liabilities$1,707,540$1,872,841$2,031,426
Current Liabilities$423,687$422,085$388,552
Total Net Assets$4,637,690$4,487,480$4,485,195
Form 990s
2016 HCP 990 2016
2015 Form 990
2014 Form 990
2013 990 2013
2012 Form 990
2011 Form 990
2010 990
2009 990
2008 990
Capital Campaign
Currently in a Capital Campaign? No
Capital Campaign Anticipated in Next 5 Years? Yes
State Registration Yes
Address 208 Kidd Dr
Berea, KY 40403
Primary Phone 859 986-1500
Contact Email hospice@hospicecp.org
CEO/Executive Director Gail McGillis CEO
Board Chair Ms. Kathy Samples
Board Chair Company Affiliation President, Citizens Guaranty Bank