2023-01-23T07:15:33-06:00 2022-06-30 821819999 C RANDOLPH CPA PLLC 560 BEAVER CREEK SCHOOL RD WEST JEFFERSON NC 28694 990 2021-07-01 561338470 CALDWELL HOSPICE AND PALLIATIVE CARE INC DBA AMOREM CALD 8287540101 902 KIRKWOOD STREET NW LENOIR NC 28645 CATHY SWANSON CEO 8287540101 2023-01-23 1 CATHY SWANSON 999009999 CYNTHIA D RANDOLPH P00441502 3368463211 2023-01-23 X 3 AAL1 IAL1 2021 2023-03-07 01:45:13Z CATHY SWANSON 902 KIRKWOOD STREET NW LENOIR NC 28645 23585817 0 X WWW.AMOREMSUPPORT.ORG X 1981 NC PROVIDE END OF LIFE CARE THROUGH THE HOSPICE PHILOSOPHY 15 15 402 232 0 0 391752 2328206 16345776 21077368 151681 146048 1035139 34195 17924348 23585817 0 0 0 0 11099044 13763599 0 693728 0 4784841 6092024 15883885 20549351 2040463 3036466 29200261 31058260 4137655 3763674 25062606 27294586 PROVIDE END OF LIFE CARE THROUGH THE HOSPICE PHILOSOPHY 0 0 14373883 20860700 HOSPICE CARE - TO PROVIDE CARE AND SUPPORT TO TERMINALLY ILL PERSONS AND THEIR FAMILIES, BY AN INTERDISCIPLINARY TEAM OF PHYSICIANS, NURSES, SOCIAL WORKERS, AND VOLUNTEERS. 14373883 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 11 0 402 1 0 0 0 0 0 0 0 0 0 0 0 0 X 15 15 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X X TERRY JOHNSON 8287540101 902 KIRKWOOD STREET NW LENOIR NC 28645 GREGORY JONES MD VICE CHAIR 0.00 X X 0 0 0 PEG BROYHILL SECRETARY 0.00 X X 0 0 0 MARC CARPENTER BOARD MEMBER 0.00 X X 0 0 0 DAVID BURNETTE II DO BOARD MEMBER 0.00 X 0 0 0 DAVID GRAY BOARD MEMBER 0.00 X 0 0 0 RICH DEAUGUSTINIS BOARD MEMBER 0.00 X 0 0 0 ROB HINMAN TREASURER 0.00 X 0 0 0 MACK JARVIS BOARD MEMBER 0.00 X 0 0 0 JORDAN GREENE CHAIR 0.00 X X 0 0 0 DAVID LACKEY BOARD MEMBER 0.00 X 0 0 0 JARED HUFFMAN BOARD MEMBER 0.00 X 0 0 0 RHONDA LEE BOARD MEMBER 0.00 X 0 0 0 TAMRA STARNES BOARD MEMBER 0.00 X 0 0 0 WONGALEE THOMAS BOARD MEMBER 0.00 X 0 0 0 JANET WINKLER BOARD MEMBER 0.00 X 0 0 0 CATHY SWANSON CEO 40.00 X 224352 0 10050 LEONIDAS GOUDAS PRN PHYSICIAN 40.00 X 123713 0 0 JULIA SHERRILL CHIEF MEDICAL OFFICER 40.00 X 219624 0 1594 FREDA COWAN LEAD NURSE PRACTITIONER 40.00 X 136961 0 6229 SUZAN CABRAL NURSE PRACTITIONER 40.00 X 111040 0 3220 815690 0 21093 5 0 1 0 0 112868 496610 1718728 2328206 MEDICARE/MEDICAID PAYMENTS 624200 19923763 19923763 INSURANCE REIMBURSEMENT 623990 704464 704464 PRIVATE REIMBURSEMENT 623990 449141 449141 21077368 141777 141777 4271 0 4271 4271 4271 MISCELLANEOUS REVENUE 623990 34195 34195 34195 23585817 21115834 0 141777 12215687 9197892 3017795 2241640 2241640 108938 108938 693728 693728 180011 180011 33864 12049 21815 8000 8000 485140 423683 61457 2921 2921 592614 592614 165492 165492 MEDICATION EXPENSE 830867 830867 DME 557769 557769 COMPUTER EXPENSE 473427 473427 FACILITY RELATED EXPENS 407420 407420 1551833 1109983 441850 20549351 14373883 6175468 0 5726729 8327963 5613056 3948753 316267 341753 21579043 10158844 9879883 11420199 7664326 7019592 29200261 31058260 1012928 648650 3124727 3115024 4137655 3763674 X 25062606 27294586 25062606 27294586 29200261 31058260 X 3036466 -747454 -57032 X 0 1 X 1 0 X 218420 278861 225505 391752 2328206 3442744 10807384 12440859 14937704 16345776 21077368 75609091 11025804 12719720 15163209 16737528 23405574 79051835 0 0 0 79051835 48980 120563 149357 151681 146048 616629 48980 120563 149357 151681 146048 616629 76893 135681 -75206 1035137 34195 1206700 11151677 12975964 15237360 17924346 23585817 80875164 0.97750 0.97290 0.00760 0.00760 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 941481 941481 17139710 7123243 10016467 3497852 3035601 462251 11420199 VARIOUS INVESTMENTS 7019592 F 7019592 DUE TO PHYSICIANS AND NURSING HOMES 554878 ACCRUED PAYROLL AND PAYROLL TAXES 1901145 DEFERRED REVENUE 659001 3115024 X 23585817 0 23585817 0 23585817 20549350 0 20549350 0 20549350 PART X, LINE 2: FASB 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. X X 0 0 0 0 0 0 0 0 0 CATHY SWANSON CEO 224352 0 0 0 0 0 10050 0 0 0 234402 0 0 0 JULIA SHERRILL CHIEF MEDICAL OFFICER 219624 0 0 0 0 0 1594 0 0 0 221218 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B FORM 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 12C ALL 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 15 THE 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 18 THE 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 19 THE 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. CALDWELL HOSPICE FOUNDATION 1265 MOUNTAIN CIRCLE DR LENOIR NC 28645 566469396 SUPPORT CALDWELL HOSPICE AND PALLIATIVE CARE, INC. NC 501(C)(3) LINE 7 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 CALDWELL HOSPICE FOUNDATION C 1300000