CALDWELL HOSPICE AND PALLIATIVE CARE INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: CALDWELL HOSPICE AND PALLIATIVE CARE INC (EIN 56-1338470)
Tax period: 2020-07-01 to 2021-06-30
Filed: 2022-01-14
IRS object ID: 202200149349300310
Schema version: 2020v4.1
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2022-01-14T13:21:43-06:00	ReturnTs
Tax Period End	2021-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	821819999	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	C RANDOLPH CPA PLLC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	560 BEAVER CREEK SCHOOL RD	AddressLine1Txt
City	WEST JEFFERSON	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	28694	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2020-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	561338470	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CALDWELL HOSPICE AND PALLIATIVE	BusinessNameLine1Txt
Business Name Line2	CARE INC DBA AMOREM	BusinessNameLine2Txt

Field	Value	IRS element (for citing)
Business Name Control	CALD	BusinessNameControlTxt
Phone	8287540101	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	902 KIRKWOOD STREET NW	AddressLine1Txt
City	LENOIR	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	28645	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	CATHY SWANSON	PersonNm
Person Title	CEO	PersonTitleTxt
Phone	8287540101	PhoneNum
Signature	2022-01-13	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	CATHY	PersonFirstNm
Person Last	SWANSON	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	CYNTHIA D RANDOLPH	PreparerPersonNm
PTIN	P00441502	PTIN
Phone	3368463211	PhoneNum
Preparation	2022-01-13	PreparationDt
Self Employed	Yes (X)	SelfEmployedInd

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2020	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Change	Yes (X)	NameChangeInd
Principal Officer	CATHY SWANSON	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	902 KIRKWOOD STREET NW	AddressLine1Txt
City	LENOIR	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	28645	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$17,924,348	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.AMOREMSUPPORT.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1981	FormationYr
Legal Domicile State	NC	LegalDomicileStateCd
Activity Or Mission	PROVIDE END OF LIFE CARE THROUGH THE HOSPICE PHILOSOPHY	ActivityOrMissionDesc
Voting Members Governing Body	15	VotingMembersGoverningBodyCnt
Voting Members Independent	15	VotingMembersIndependentCnt
Total Employee	332	TotalEmployeeCnt
Total Volunteers	272	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$225,505	PYContributionsGrantsAmt
CY Contributions Grants	$391,752	CYContributionsGrantsAmt
PY Program Service Revenue	$14,360,036	PYProgramServiceRevenueAmt
CY Program Service Revenue	$16,345,776	CYProgramServiceRevenueAmt
PY Investment Income	$149,357	PYInvestmentIncomeAmt
CY Investment Income	$151,681	CYInvestmentIncomeAmt
PY Other Revenue	-$75,206	PYOtherRevenueAmt
CY Other Revenue	$1,035,139	CYOtherRevenueAmt
PY Total Revenue	$14,659,692	PYTotalRevenueAmt
CY Total Revenue	$17,924,348	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$9,300,107	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$11,099,044	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$4,018,410	PYOtherExpensesAmt
CY Other Expenses	$4,784,841	CYOtherExpensesAmt
PY Total Expenses	$13,318,517	PYTotalExpensesAmt
CY Total Expenses	$15,883,885	CYTotalExpensesAmt
PY Revenues Less Expenses	$1,341,175	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$2,040,463	CYRevenuesLessExpensesAmt
Total Assets BOY	$23,690,712	TotalAssetsBOYAmt
Total Assets EOY	$29,200,261	TotalAssetsEOYAmt
Total Liabilities BOY	$3,933,508	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$4,137,655	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$19,757,204	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$25,062,606	NetAssetsOrFundBalancesEOYAmt
Mission	PROVIDE END OF LIFE CARE THROUGH THE HOSPICE PHILOSOPHY	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$11,198,152	ExpenseAmt
Revenue	$17,532,096	RevenueAmt
Desc	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.	Desc
Total Program Service Expenses	$11,198,152	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	0	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (1)	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (1)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	0	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	0	OperateHospitalInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	21	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	332	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	15	GoverningBodyVotingMembersCnt
Independent Voting Member	15	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
Other Website	Yes (X)	OtherWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	TERRY JOHNSON	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	8287540101	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	902 KIRKWOOD STREET NW	AddressLine1Txt
City	LENOIR	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	28645	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd
GREGORY JONES MD
BOARD MEMBER	0.00	Yes (X)	Yes (X)	$0	$0	$0
PEG BROYHILL
BOARD MEMBER	0.00	Yes (X)	Yes (X)	$0	$0	$0
MARC CARPENTER
BOARD MEMBER	0.00	Yes (X)	Yes (X)	$0	$0	$0
DAVID BURNETTE II DO
BOARD MEMBER	0.00	Yes (X)		$0	$0	$0
DAVID GRAY
BOARD MEMBER	0.00	Yes (X)		$0	$0	$0
RICH DEAUGUSTINIS
BOARD MEMBER	0.00	Yes (X)		$0	$0	$0
ROB HINMAN
BOARD MEMBER	0.00	Yes (X)		$0	$0	$0
MACK JARVIS
BOARD MEMBER	0.00	Yes (X)		$0	$0	$0
JORDAN GREENE
BOARD MEMBER	0.00	Yes (X)	Yes (X)	$0	$0	$0
DAVID LACKEY
BOARD MEMBER	0.00	Yes (X)		$0	$0	$0
JARED HUFFMAN
BOARD MEMBER	0.00	Yes (X)		$0	$0	$0
RHONDA LEE
BOARD MEMBER	0.00	Yes (X)		$0	$0	$0
TAMRA STARNES
BOARD MEMBER	0.00	Yes (X)		$0	$0	$0
WONGALEE THOMAS
BOARD MEMBER	0.00	Yes (X)		$0	$0	$0
JANET WINKLER
BOARD MEMBER	0.00	Yes (X)		$0	$0	$0
CATHY SWANSON
CEO	40.00			$207,334	$0	$10,050	Yes (X)
THOMAS RAY
MEDICAL DOCTOR	40.00			$204,537	$0	$10,748	Yes (X)
JULIA SHERRILL
CHIEF MEDICAL OFFICER	40.00			$202,250	$0	$1,594	Yes (X)
FREDA COWAN
LEAD NURSE PRACTITIONER	40.00			$128,878	$0	$6,299	Yes (X)
DONNA TATE
NURSE PRACTITIONER	40.00			$113,087	$0	$2,595	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$856,086	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$31,286	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	5	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K	0	CntrctRcvdGreaterThan100KCnt
All Other Contributions	$391,752	AllOtherContributionsAmt
Total Contributions	$391,752	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICARE/MEDICAID PAYMENTS	623990	$13,854,307	$13,854,307
PAYCHECK PROTECTION PROGRAM	623990	$1,461,100	$1,461,100
INSURANCE REIMBURSEMENT	623990	$659,545	$659,545
PRIVATE REIMBURSEMENT	623990	$364,357	$364,357
CARES ACT FUNDING	623990	$6,467	$6,467

Field	Value	IRS element (for citing)
Total Program Service Revenue	$16,345,776	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$151,681	TotalRevenueColumnAmt
Related Or Exempt Func Income	$151,681	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$500	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$500	TotalRevenueColumnAmt
Exclusion	$500	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	MISCELLANEOUS REVENUE	Desc
Business	623990	BusinessCd
Total Revenue Column	$1,034,639	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,034,639	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$1,034,639	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$17,924,348	TotalRevenueColumnAmt
Related Or Exempt Func Income	$17,532,096	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$500	ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$9,395,727	TotalAmt
Program Services	$7,051,966	ProgramServicesAmt
Management And General	$2,343,761	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$1,703,317	TotalAmt
Program Services	$1,703,317	ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$158,893	TotalAmt
Management And General	$158,893	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$596,052	TotalAmt
Management And General	$596,052	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$109,378	TotalAmt
Management And General	$109,378	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$23,587	TotalAmt
Program Services	$8,200	ProgramServicesAmt
Management And General	$15,387	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$17,525	TotalAmt
Management And General	$17,525	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$380,648	TotalAmt
Program Services	$325,845	ProgramServicesAmt
Management And General	$54,803	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$2,416	TotalAmt
Management And General	$2,416	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$360,851	TotalAmt
Management And General	$360,851	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$123,079	TotalAmt
Management And General	$123,079	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICATION EXPENSE	$694,429	$694,429
DME	$413,924	$413,924
FACILITY RELATED EXPENS	$294,127		$294,127
COMPUTER EXPENSE	$292,843		$292,843

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,317,089	TotalAmt
Program Services	$1,000,471	ProgramServicesAmt
Management And General	$316,618	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$15,883,885	TotalAmt
Program Services	$11,198,152	ProgramServicesAmt
Management And General	$4,685,733	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$6,795,474	BOYAmt
EOY	$5,726,729	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$2,302,863	BOYAmt
EOY	$5,613,056	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$200,033	BOYAmt
EOY	$316,267	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$19,389,080	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$9,509,197	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$7,880,220	BOYAmt
EOY	$9,879,883	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$6,512,122	BOYAmt
EOY	$7,664,326	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$23,690,712	BOYAmt
EOY	$29,200,261	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$337,396	BOYAmt
EOY	$1,012,928	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$3,596,112	BOYAmt
EOY	$3,124,727	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$3,933,508	BOYAmt
EOY	$4,137,655	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$19,757,204	BOYAmt
EOY	$25,062,606	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$19,757,204	BOYAmt
EOY	$25,062,606	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$23,690,712	BOYAmt
EOY	$29,200,261	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$2,040,463	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$3,264,939	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Separate Basis Fincl Stmt	Yes (X)	SeparateBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	Yes (X)	PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$173,517	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$218,420	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$278,861	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$225,505	CurrentTaxYearMinus1YearAmt
Current Tax Year	$391,752	CurrentTaxYearAmt
Total	$1,288,055	TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$9,968,786	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$10,807,384	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$12,440,859	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$14,937,704	CurrentTaxYearMinus1YearAmt
Current Tax Year	$16,345,776	CurrentTaxYearAmt
Total	$64,500,509	TotalAmt

Total509 Total509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$10,142,303	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$11,025,804	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$12,719,720	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$15,163,209	CurrentTaxYearMinus1YearAmt
Current Tax Year	$16,737,528	CurrentTaxYearAmt
Total	$65,788,564	TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total509	$65,788,564	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$42,274	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$48,980	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$120,563	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$149,357	CurrentTaxYearMinus1YearAmt
Current Tax Year	$151,681	CurrentTaxYearAmt
Total	$512,855	TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$42,274	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$48,980	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$120,563	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$149,357	CurrentTaxYearMinus1YearAmt
Current Tax Year	$151,681	CurrentTaxYearAmt
Total	$512,855	TotalAmt

Other Income509 OtherIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$147,823	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$76,893	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$135,681	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	-$75,206	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,035,137	CurrentTaxYearAmt
Total	$1,320,328	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$10,332,400	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$11,151,677	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$12,975,964	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$15,237,360	CurrentTaxYearMinus1YearAmt
Current Tax Year	$17,924,346	CurrentTaxYearAmt
Total	$67,621,747	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0.97290	PublicSupportCY509Pct
Public Support PY509	0.98900	PublicSupportPY509Pct
Investment Income CY	0.00760	InvestmentIncomeCYPct
Investment Income PY	0.00620	InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509	Yes (X)	ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

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

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$18,447,599	OtherCostOrOtherBasisAmt
Depreciation	$9,509,197	DepreciationAmt
Book Value	$8,938,402	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$9,879,883	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

Field	Value	IRS element (for citing)
Desc	VARIOUS INVESTMENTS	Desc
Book Value	$7,664,326	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$7,664,326	TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
DUE TO PHYSICIANS AND NURSING HOMES	$817,649
ACCRUED PAYROLL AND PAYROLL TAXES	$1,424,119
DEFERRED REVENUE	$882,959

Field	Value	IRS element (for citing)
Total Liability	$3,124,727	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$17,924,348	TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported	$0	RevenueNotReportedAmt
Revenue Subtotal	$17,924,348	RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$17,924,348	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$15,883,885	TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$15,883,885	ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$15,883,885	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART X, LINE 2:	FormAndLineReferenceDesc
Explanation	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, 2021, 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

Field	Value	IRS element (for citing)
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	0	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
CATHY SWANSON
CEO	$207,334	$0	$0	$0	$0	$0	$10,050	$0	$0	$0	$217,384	$0	$0	$0
THOMAS RAY
MEDICAL DOCTOR	$204,537	$0	$0	$0	$0	$0	$10,748	$0	$0	$0	$215,285	$0	$0	$0
JULIA SHERRILL
CHIEF MEDICAL OFFICER	$202,250	$0	$0	$0	$0	$0	$1,594	$0	$0	$0	$203,844	$0	$0	$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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. 3,264,939.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	CALDWELL HOSPICE FOUNDATION	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1265 MOUNTAIN CIRCLE DR	AddressLine1Txt
City	LENOIR	CityNm
State Abbreviation	NC	StateAbbreviationCd
ZIP	28645	ZIPCd

Field	Value	IRS element (for citing)
EIN	566469396	EIN
Primary Activities	SUPPORT CALDWELL HOSPICE AND PALLIATIVE CARE, INC.	PrimaryActivitiesTxt
Legal Domicile State	NC	LegalDomicileStateCd
Exempt Code Section	501(C)(3)	ExemptCodeSectionTxt
Public Charity Status	LINE 7	PublicCharityStatusTxt
Controlled Organization	0	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	0	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd