Hospice of the Piedmont

What it reported doing in 2024

Hospice of the piedmont is a community-based, nonprofit hospice that has offered expert care and peaceful resolution to Virginia families for over 40 years. The hospice model is about much more than medical care. Patients and their loved ones find support for body, mind, and spirit by working with a dedicated interdisciplinary team. Our team provides care in private residences, nursing homes, assisted living facilities, and retirement communities. Additionally, we operate two inpatient facilities: the newton and wilma thomas hospice house serves as a home-away-from-home for patients who require around-the-clock support. The hospice house offers the full spectrum of hospice care in a peaceful, homelike setting. The costs of room and board are not covered by most insurance plans. Donations to the hospice house help ensure access to this service for all patients, regardless of income. The center for acute hospice care provides short-term care for patients with symptoms that are better managed in a hospital environment. The state-of-the-art, 10-bed unit located at northridge medical park combines the expert, loving care of our renowned hospice program with the advanced amenities of a hospital.during fiscal year 2025, hospice of the piedmont provided care to more than 1,800 patients across our 12-county service area. Performing these services were interdisciplinary teams of doctors, nurse practitioners, nurses, home health aides, social workers, chaplains, counselors, administrative staff, and trained volunteers. During the reporting period, hospice of the piedmont had approximately 215 employees and 190 volunteers. Volunteers provided 6,623 hours of service in support of hospice care in our community. Volunteers play an essential role in delivering personalized, peaceful hospice care. Our volunteers work closely with our nurses and staff to provide patients with the experience they deserve through services such as music therapy, massage & reiki therapy, art therapy, pet therapy, grief classes, 11th-hour vigils, death doulas, the "we honor veterans" program, and administrative support. Lastly, volunteers support caregivers by providing direct services to patients in need by preparing meals and spending time with patients.additional programs include:- our grief and healing program offers free, ongoing bereavement support for the entire community, whether their loved one used our hospice services or not. From support groups and counseling to memorial services and more, we help individuals, families, and communities move forward after loss. During the reporting period, the bereavement services team provided more than 8,000 counseling interactions.- our kids' grief and healing programs are available to young people (ages 4 to 18) throughout our service area, whether or not a loved one died in hospice care. The programs provide a variety of specifically designed support to young people as they cope with grief. Through creative expression and group interaction, we give them the space, support, and tools to work through their grief. Offered at no cost to families, the program includes: -- individual counseling by our caring and professional bereavement specialists, -- our long-running journeys bereavement camps, -- and multi-week support groups at our offices. We help young people forge connections with others, understand grief, and find that they are not alone.- our education programs help meet the area's growing need for information about end-of-life care. Death is complicated, and caring for a dying person requires deep knowledge and expertise. As leaders in this field, it's our duty to educate the entire community, so we offer free training sessions to healthcare providers and others who seek to learn.- palliative medicine offers an added layer of treatment to patients living with an advanced illness. The focus is on providing relief from the stress and symptoms (including pain, nausea, fatigue, shortness of breath, and more) of a ser

Financial Efficiency

• Mission deployment rate: 80.4%; rating input score 80
• Program expense ratio: 77.7%; rating input score 78
• Fundraising efficiency: $3.22 raised per $1 spent on fundraising; rating input score 12; 12th percentile among comparable filings

Transparency & Controls

• Consistency checks: 94.1%; rating input score 94; 20th percentile among comparable filings
• Pay-setting controls: 3 of 6 controls in place; rating input score 50
  • Compensation committee: Pass
  • Independent consultant: Missing
  • Other Form 990s reviewed: Missing
  • Written employment contract: Pass
  • Compensation survey or study: Missing
  • Board or committee approval: Pass
• Foreign activity oversight: Limited
• Grant itemization coverage: Limited
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Limited

Accountability

• Independent voting board: 100%; rating input score 100; 66th percentile among comparable filings
• Governance controls: 8 of 9 controls in place; rating input score 89
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Fail
  • Document-retention policy: Pass
  • CEO compensation review process: Pass
  • Other executive compensation review process: Pass
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: -5.9%; rating input score 15; 15th percentile among comparable filings
• Total-asset coverage ratio: 1.01; rating input score 36; 36th percentile among comparable filings
• Liabilities to assets ratio: 0.08; rating input score 77; 77th percentile among comparable filings
• Officer compensation ratio: 9.1%; rating input score 24; 24th percentile among comparable filings

Growth

• Program expense growth: 6.1% per year; rating input score 100; 50th percentile among comparable filings
• Revenue growth: 6.7% per year; rating input score 100; 57th percentile among comparable filings
• Asset growth: 8.3% per year; rating input score 100; 57th percentile among comparable filings