CALDWELL HOSPICE AND PALLIATIVE CARE INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
CALDWELL HOSPICE AND PALLIATIVE CARE INC (EIN 56-1338470)
Tax period
2021-07-01 to 2022-06-30
Filed
2023-01-23
IRS object ID
202300239349300900
Schema version
2021v4.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2023-01-23T07:15:33-06:00ReturnTs
Tax Period End2022-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN821819999PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1C RANDOLPH CPA PLLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1560 BEAVER CREEK SCHOOL RDAddressLine1Txt
CityWEST JEFFERSONCityNm
State AbbreviationNCStateAbbreviationCd
ZIP28694ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN561338470EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CALDWELL HOSPICE AND PALLIATIVEBusinessNameLine1Txt
Business Name Line2CARE INC DBA AMOREMBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlCALDBusinessNameControlTxt
Phone8287540101PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1902 KIRKWOOD STREET NWAddressLine1Txt
CityLENOIRCityNm
State AbbreviationNCStateAbbreviationCd
ZIP28645ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCATHY SWANSONPersonNm
Person TitleCEOPersonTitleTxt
Phone8287540101PhoneNum
Signature2023-01-23SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstCATHYPersonFirstNm
Person LastSWANSONPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCYNTHIA D RANDOLPHPreparerPersonNm
PTINP00441502PTIN
Phone3368463211PhoneNum
Preparation2023-01-23PreparationDt
Self EmployedYes (X)SelfEmployedInd

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2023-03-07 01:45:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerCATHY SWANSONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1902 KIRKWOOD STREET NWAddressLine1Txt
CityLENOIRCityNm
State AbbreviationNCStateAbbreviationCd
ZIP28645ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$23,585,817GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.AMOREMSUPPORT.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1981FormationYr
Legal Domicile StateNCLegalDomicileStateCd
Activity Or MissionPROVIDE END OF LIFE CARE THROUGH THE HOSPICE PHILOSOPHYActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent15VotingMembersIndependentCnt
Total Employee402TotalEmployeeCnt
Total Volunteers232TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$391,752PYContributionsGrantsAmt
CY Contributions Grants$2,328,206CYContributionsGrantsAmt
PY Program Service Revenue$16,345,776PYProgramServiceRevenueAmt
CY Program Service Revenue$21,077,368CYProgramServiceRevenueAmt
PY Investment Income$151,681PYInvestmentIncomeAmt
CY Investment Income$146,048CYInvestmentIncomeAmt
PY Other Revenue$1,035,139PYOtherRevenueAmt
CY Other Revenue$34,195CYOtherRevenueAmt
PY Total Revenue$17,924,348PYTotalRevenueAmt
CY Total Revenue$23,585,817CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$11,099,044PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$13,763,599CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$693,728CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$4,784,841PYOtherExpensesAmt
CY Other Expenses$6,092,024CYOtherExpensesAmt
PY Total Expenses$15,883,885PYTotalExpensesAmt
CY Total Expenses$20,549,351CYTotalExpensesAmt
PY Revenues Less Expenses$2,040,463PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$3,036,466CYRevenuesLessExpensesAmt
Total Assets BOY$29,200,261TotalAssetsBOYAmt
Total Assets EOY$31,058,260TotalAssetsEOYAmt
Total Liabilities BOY$4,137,655TotalLiabilitiesBOYAmt
Total Liabilities EOY$3,763,674TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$25,062,606NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$27,294,586NetAssetsOrFundBalancesEOYAmt
MissionPROVIDE END OF LIFE CARE THROUGH THE HOSPICE PHILOSOPHYMissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$14,373,883ExpenseAmt
Revenue$20,860,700RevenueAmt
DescHOSPICE CARE - TO PROVIDE CARE AND SUPPORT TO TERMINALLY ILL PERSONS AND THEIR FAMILIES, BY AN INTERDISCIPLINARY TEAM OF PHYSICIANS, NURSES, SOCIAL WORKERS, AND VOLUNTEERS.Desc
Total Program Service Expenses$14,373,883TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document11IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee402EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member15IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1TERRY JOHNSONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8287540101PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1902 KIRKWOOD STREET NWAddressLine1Txt
CityLENOIRCityNm
State AbbreviationNCStateAbbreviationCd
ZIP28645ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
GREGORY JONES MD
VICE CHAIR0.00Yes (X)Yes (X)$0$0$0
PEG BROYHILL
SECRETARY0.00Yes (X)Yes (X)$0$0$0
MARC CARPENTER
BOARD MEMBER0.00Yes (X)Yes (X)$0$0$0
DAVID BURNETTE II DO
BOARD MEMBER0.00Yes (X)$0$0$0
DAVID GRAY
BOARD MEMBER0.00Yes (X)$0$0$0
RICH DEAUGUSTINIS
BOARD MEMBER0.00Yes (X)$0$0$0
ROB HINMAN
TREASURER0.00Yes (X)$0$0$0
MACK JARVIS
BOARD MEMBER0.00Yes (X)$0$0$0
JORDAN GREENE
CHAIR0.00Yes (X)Yes (X)$0$0$0
DAVID LACKEY
BOARD MEMBER0.00Yes (X)$0$0$0
JARED HUFFMAN
BOARD MEMBER0.00Yes (X)$0$0$0
RHONDA LEE
BOARD MEMBER0.00Yes (X)$0$0$0
TAMRA STARNES
BOARD MEMBER0.00Yes (X)$0$0$0
WONGALEE THOMAS
BOARD MEMBER0.00Yes (X)$0$0$0
JANET WINKLER
BOARD MEMBER0.00Yes (X)$0$0$0
CATHY SWANSON
CEO40.00$224,352$0$10,050Yes (X)
LEONIDAS GOUDAS
PRN PHYSICIAN40.00$123,713$0$0Yes (X)
JULIA SHERRILL
CHIEF MEDICAL OFFICER40.00$219,624$0$1,594Yes (X)
FREDA COWAN
LEAD NURSE PRACTITIONER40.00$136,961$0$6,229Yes (X)
SUZAN CABRAL
NURSE PRACTITIONER40.00$111,040$0$3,220Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$815,690TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$21,093TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K5IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Fundraising$112,868FundraisingAmt
Government Grants$496,610GovernmentGrantsAmt
All Other Contributions$1,718,728AllOtherContributionsAmt
Total Contributions$2,328,206TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICARE/MEDICAID PAYMENTS624200$19,923,763$19,923,763
INSURANCE REIMBURSEMENT623990$704,464$704,464
PRIVATE REIMBURSEMENT623990$449,141$449,141
FieldValueIRS element (for citing)
Total Program Service Revenue$21,077,368TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$141,777TotalRevenueColumnAmt
Exclusion$141,777ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$4,271SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$4,271SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,271TotalRevenueColumnAmt
Related Or Exempt Func Income$4,271RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUS REVENUEDesc
Business623990BusinessCd
Total Revenue Column$34,195TotalRevenueColumnAmt
Related Or Exempt Func Income$34,195RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$34,195OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$23,585,817TotalRevenueColumnAmt
Related Or Exempt Func Income$21,115,834RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$141,777ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$12,215,687TotalAmt
Program Services$9,197,892ProgramServicesAmt
Management And General$3,017,795ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$2,241,640TotalAmt
Program Services$2,241,640ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$108,938TotalAmt
Management And General$108,938ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$693,728TotalAmt
Management And General$693,728ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$180,011TotalAmt
Management And General$180,011ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$33,864TotalAmt
Program Services$12,049ProgramServicesAmt
Management And General$21,815ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$8,000TotalAmt
Management And General$8,000ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$485,140TotalAmt
Program Services$423,683ProgramServicesAmt
Management And General$61,457ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$2,921TotalAmt
Management And General$2,921ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$592,614TotalAmt
Management And General$592,614ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$165,492TotalAmt
Management And General$165,492ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICATION EXPENSE$830,867$830,867
DME$557,769$557,769
COMPUTER EXPENSE$473,427$473,427
FACILITY RELATED EXPENS$407,420$407,420

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,551,833TotalAmt
Program Services$1,109,983ProgramServicesAmt
Management And General$441,850ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$20,549,351TotalAmt
Program Services$14,373,883ProgramServicesAmt
Management And General$6,175,468ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$5,726,729BOYAmt
EOY$8,327,963EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$5,613,056BOYAmt
EOY$3,948,753EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$316,267BOYAmt
EOY$341,753EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$21,579,043LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$10,158,844LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$9,879,883BOYAmt
EOY$11,420,199EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$7,664,326BOYAmt
EOY$7,019,592EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$29,200,261BOYAmt
EOY$31,058,260EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,012,928BOYAmt
EOY$648,650EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,124,727BOYAmt
EOY$3,115,024EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,137,655BOYAmt
EOY$3,763,674EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$25,062,606BOYAmt
EOY$27,294,586EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$25,062,606BOYAmt
EOY$27,294,586EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$29,200,261BOYAmt
EOY$31,058,260EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$3,036,466ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$747,454NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$57,032OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$218,420CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$278,861CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$225,505CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$391,752CurrentTaxYearMinus1YearAmt
Current Tax Year$2,328,206CurrentTaxYearAmt
Total$3,442,744TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$10,807,384CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$12,440,859CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$14,937,704CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$16,345,776CurrentTaxYearMinus1YearAmt
Current Tax Year$21,077,368CurrentTaxYearAmt
Total$75,609,091TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$11,025,804CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$12,719,720CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$15,163,209CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$16,737,528CurrentTaxYearMinus1YearAmt
Current Tax Year$23,405,574CurrentTaxYearAmt
Total$79,051,835TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$79,051,835PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$48,980CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$120,563CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$149,357CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$151,681CurrentTaxYearMinus1YearAmt
Current Tax Year$146,048CurrentTaxYearAmt
Total$616,629TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$48,980CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$120,563CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$149,357CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$151,681CurrentTaxYearMinus1YearAmt
Current Tax Year$146,048CurrentTaxYearAmt
Total$616,629TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$76,893CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$135,681CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years-$75,206CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,035,137CurrentTaxYearMinus1YearAmt
Current Tax Year$34,195CurrentTaxYearAmt
Total$1,206,700TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$11,151,677CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$12,975,964CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$15,237,360CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$17,924,346CurrentTaxYearMinus1YearAmt
Current Tax Year$23,585,817CurrentTaxYearAmt
Total$80,875,164TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.97750PublicSupportCY509Pct
Public Support PY5090.97290PublicSupportPY509Pct
Investment Income CY0.00760InvestmentIncomeCYPct
Investment Income PY0.00760InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$941,481OtherCostOrOtherBasisAmt
Book Value$941,481BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$17,139,710OtherCostOrOtherBasisAmt
Depreciation$7,123,243DepreciationAmt
Book Value$10,016,467BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,497,852OtherCostOrOtherBasisAmt
Depreciation$3,035,601DepreciationAmt
Book Value$462,251BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$11,420,199TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescVARIOUS INVESTMENTSDesc
Book Value$7,019,592BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$7,019,592TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
DUE TO PHYSICIANS AND NURSING HOMES$554,878
ACCRUED PAYROLL AND PAYROLL TAXES$1,901,145
DEFERRED REVENUE$659,001
FieldValueIRS element (for citing)
Total Liability$3,115,024TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$23,585,817TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$23,585,817RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$23,585,817TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$20,549,350TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$20,549,350ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$20,549,350TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationFASB ASC 740-10, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAX POSITIONS. BASED ON AN EVALUATION OF UNCERTAIN TAX POSITIONS, MANAGEMENT IS REQUIRED TO MEASURE POTENTIAL TAX LIABILITIES THAT COULD HAVE A RISK OF GREATER THAN A 50% LIKELIHOOD OF BEING REALIZED UPON SETTLEMENT. AS OF JUNE 30, 2022, MANAGEMENT HAS DETERMINED THAT THE ORGANIZATION HAS NO SUCH RISK AND THEREFORE NO LIABILITIES HAVE BEEN RECORDED FOR UNCERTAIN TAX POSITIONS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
CATHY SWANSON
CEO$224,352$0$0$0$0$0$10,050$0$0$0$234,402$0$0$0
JULIA SHERRILL
CHIEF MEDICAL OFFICER$219,624$0$0$0$0$0$1,594$0$0$0$221,218$0$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BFORM 990 IS PROVIDED TO THE ORGANIZATION'S MANAGMEMENT BEFORE IT IS FILED AND IT IS REVIEWED BY THE MANAGEMENT AND IS MADE AVAILABLE TO THE BOARD OF DIRECTORS AT A BOARD MEETING.
FORM 990, PART VI, SECTION B, LINE 12CALL BOARD MEMBERS, EMPLOYEES, AND VOLUNTEERS MUST SIGN AN ACKNOWLEDGEMENT ON OUR POLICY FOR AN INDIVIDUAL STATEMENT OF CONFLICT OF INTEREST.
FORM 990, PART VI, SECTION B, LINE 15THE ORGANIZATION DETERMINES THE SALARY OF THE EXECUTIVE DIRECTOR BY PERFORMANCE REVIEWS AND SALARY SURVEYS OF SIMILAR POSITIONS. THESE ITEMS ARE REVIEWED BY BOARD PERSONNEL COMMITTEE AND APPROVED BY THE BOARD OF DIRECTORS. THE SALARIES OF OTHER KEY EMPLOYEES ARE DONE BY PERFORMANCE REVIEWS, SALARY SURVEYS OF SIMILAR POSITIONS AND APPROVAL BY THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION C, LINE 18THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVALIABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVALIABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 9:TRANSFER OF ASSETS FROM BURKE HOSPICE AND PALLIATIVE CARE, INC. -57,032.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1CALDWELL HOSPICE FOUNDATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11265 MOUNTAIN CIRCLE DRAddressLine1Txt
CityLENOIRCityNm
State AbbreviationNCStateAbbreviationCd
ZIP28645ZIPCd
FieldValueIRS element (for citing)
EIN566469396EIN
Primary ActivitiesSUPPORT CALDWELL HOSPICE AND PALLIATIVE CARE, INC.PrimaryActivitiesTxt
Legal Domicile StateNCLegalDomicileStateCd
Exempt Code Section501(C)(3)ExemptCodeSectionTxt
Public Charity StatusLINE 7PublicCharityStatusTxt
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1CALDWELL HOSPICE FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeCTransactionTypeTxt
Involved$1,300,000InvolvedAmt

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