HOSPICE OF YANCEY COUNTY INC DBA COMPASSIONATE CARE WESTERN NC: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- HOSPICE OF YANCEY COUNTY INC DBA COMPASSIONATE CARE WESTERN NC (EIN 56-1388030)
- Tax period
- 2020-10-01 to 2021-09-30
- Filed
- 2022-03-30
- IRS object ID
- 202220899349300517
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-03-30T07:32:52-07:00 | ReturnTs |
| Tax Period End | 2021-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CORLISS & SOLOMON PLLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 242 CHARLOTTE ST SUITE 1 | AddressLine1Txt |
| City | ASHEVILLE | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28801 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 561388030 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Hospice of Yancey County Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HOSP | BusinessNameControlTxt |
| Phone | 8286829675 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 856 Georges Fork Road | AddressLine1Txt |
| City | Burnsville | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28714 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Ronnie Gregory | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 8286829675 | PhoneNum |
| Signature | 2022-03-30 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | Ronnie | PersonFirstNm |
| Person Last | Gregory | PersonLastNm |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Stephen C Corliss | PreparerPersonNm |
| PTIN | P01333317 | PTIN |
| Phone | 8282360206 | PhoneNum |
| Preparation | 2022-03-30 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Federated Assurance Level | FAL1 | FederatedAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Compassionate Care Western North Carolina | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Ronald Gregory | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 856 Georges Fork Road | AddressLine1Txt |
| City | Burnsville | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28714 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $4,706,065 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | compassionatecarewnc.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1983 | FormationYr |
| Legal Domicile State | NC | LegalDomicileStateCd |
| Activity Or Mission | We aspire to a Higher Standard of Care. We are dedicated to being recognized as the hospice of choice in our community and for being the most respected and trusted experts in palliative and hospice care. | ActivityOrMissionDesc |
| Voting Members Governing Body | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 35 | TotalEmployeeCnt |
| Total Volunteers | 15 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $495,938 | PYContributionsGrantsAmt |
| CY Contributions Grants | $310,008 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $3,151,202 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $4,361,450 | CYProgramServiceRevenueAmt |
| PY Investment Income | $12,071 | PYInvestmentIncomeAmt |
| CY Investment Income | $22,693 | CYInvestmentIncomeAmt |
| PY Other Revenue | $4,491 | PYOtherRevenueAmt |
| CY Other Revenue | -$5,810 | CYOtherRevenueAmt |
| PY Total Revenue | $3,663,702 | PYTotalRevenueAmt |
| CY Total Revenue | $4,688,341 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $1,462,282 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,817,947 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $23,922 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,896,480 | PYOtherExpensesAmt |
| CY Other Expenses | $2,172,479 | CYOtherExpensesAmt |
| PY Total Expenses | $3,358,762 | PYTotalExpensesAmt |
| CY Total Expenses | $3,990,426 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $304,940 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $697,915 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $3,342,163 | TotalAssetsBOYAmt |
| Total Assets EOY | $4,137,595 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $445,817 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $334,214 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $2,896,346 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $3,803,381 | NetAssetsOrFundBalancesEOYAmt |
| Mission | Our Mission - We aspire to a Higher Standard of Care. We are dedicated to being recognized as the hospice of choice in our community and for being the most respected and trusted experts in palliative and hospice care. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $3,629,421 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $4,361,450 | RevenueAmt |
| Desc | Hospice of Yancey County, Inc., d/b/a Compassionate Care Western North Carolina provided a total of 22,020 hospice care days during the year and served a total of 222 patients in a service area of Yancey, Mitchell, Madison and Northern Buncombe Counties. Hospice care was provided wherever the patient calls home; private residence, nursing home and/or assisted living environments in Routine Home Care, Continuous Care, Respite and General Inpatient levels of care. Patients are eligible for hospice care when deemed to be in the last six months of life. Hospice certified Physicians Nurses, CNAs, MSWs, Chaplains and Volunteers compromise the hospice team. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Hospice of Yancey County, Inc., d/b/a Compassionate Care Western North Carolina provided a total of 27,068 palliative care days during the year and served a total of 165 patients in a service area of Yancey, Mitchell, Madison and Northern Buncombe Counties. Palliative care is a consultative service in collaboration with the patient and patient's primary physician addressing pain and symptom management. Patients living with chronic and/or life limiting illnesses are eligible for palliative care even while receiving aggressive medical treatment.Palliative certified Physicians, NP's and MSW Care Navigators and Volunteers comprise the palliative team. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Hospice of Yancey County, Inc., d/b/a Compassionate Care Western North Carolina provides bereavement support to hospice patient families for up to 13 months following the passing of a patient and community support to anyone desiring grief support. Bereavement services were provided to a total of 280 clients. This support is in the form of bereavement calls, visits, mailings and/or support groups. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $3,629,421 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | false | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 13 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 35 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| DAF Excess Business Holdings | false | DAFExcessBusinessHoldingsInd |
| Taxable Distributions | false | TaxableDistributionsInd |
| Distribution To Donor | false | DistributionToDonorInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 7 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NC | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Ronnie Gregory CEO | PersonNm |
| Phone | 8286829675 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 856 Georges Fork Road | AddressLine1Txt |
| City | Burnsville | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28714 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (8 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|
| Ronnie Gregory | ||||||
| CEO | 40.00 | Yes (X) | $69,897 | $0 | $11,605 | |
| Jamie McMahan | ||||||
| Chair | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| Dee Bobbe | ||||||
| Vice Chair | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| Brandi Burleson | ||||||
| Secretary/Treasurer | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| Karen Bodford | ||||||
| Board Member | 1.00 | $0 | $0 | $0 | Yes (X) | |
| Erica Deaton | ||||||
| Board Member | 1.00 | $0 | $0 | $0 | Yes (X) | |
| Mark Grindstaff | ||||||
| Board Member | 1.00 | $0 | $0 | $0 | Yes (X) | |
| Janice McKinney | ||||||
| Board Member | 1.00 | $0 | $0 | $0 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $69,897 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $11,605 | TotalOtherCompensationAmt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Teleios Collaborative Network | PersonNm |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 571 S Allen Rd | AddressLine1Txt |
| City | Flat Rock | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28731 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | Hospice Support services | ServicesDesc |
| Compensation | $186,023 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $259,000 | GovernmentGrantsAmt |
| All Other Contributions | $51,008 | AllOtherContributionsAmt |
| Noncash Contributions | $2,365 | NoncashContributionsAmt |
| Total Contributions | $310,008 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| Routine Home Care | 621610 | $3,219,290 | $0 | $0 |
| Nursing Home | 621610 | $817,590 | $0 | $0 |
| Palliative Care | 621610 | $159,051 | $0 | $0 |
| Inpatient Care | 621610 | $148,896 | $0 | $0 |
| Respite | 621610 | $16,534 | $0 | $0 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $89 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $4,361,450 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $29,783 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $29,783 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $0 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $7,090 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$7,090 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$7,090 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$7,090 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $4,824 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $10,634 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$5,810 | TotalRevenueColumnAmt |
| Exclusion | -$5,810 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,688,341 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $4,361,450 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $16,883 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $74,480 | TotalAmt |
| Program Services | $14,712 | ProgramServicesAmt |
| Management And General | $53,148 | ManagementAndGeneralAmt |
| Fundraising | $6,620 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,479,262 | TotalAmt |
| Program Services | $1,391,086 | ProgramServicesAmt |
| Management And General | $81,622 | ManagementAndGeneralAmt |
| Fundraising | $6,554 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $150,397 | TotalAmt |
| Program Services | $132,752 | ProgramServicesAmt |
| Management And General | $16,074 | ManagementAndGeneralAmt |
| Fundraising | $1,571 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $113,808 | TotalAmt |
| Program Services | $104,019 | ProgramServicesAmt |
| Management And General | $8,920 | ManagementAndGeneralAmt |
| Fundraising | $869 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,625 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $11,625 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,650 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $12,650 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $255,544 | TotalAmt |
| Program Services | $174,653 | ProgramServicesAmt |
| Management And General | $80,891 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $77,185 | TotalAmt |
| Program Services | $70,033 | ProgramServicesAmt |
| Management And General | $6,069 | ManagementAndGeneralAmt |
| Fundraising | $1,083 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $90,460 | TotalAmt |
| Program Services | $83,023 | ProgramServicesAmt |
| Management And General | $7,166 | ManagementAndGeneralAmt |
| Fundraising | $271 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,901 | TotalAmt |
| Program Services | $37,111 | ProgramServicesAmt |
| Management And General | $3,216 | ManagementAndGeneralAmt |
| Fundraising | $574 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,710 | TotalAmt |
| Program Services | $17,217 | ProgramServicesAmt |
| Management And General | $9,439 | ManagementAndGeneralAmt |
| Fundraising | $54 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $105,928 | TotalAmt |
| Program Services | $105,928 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $69,726 | TotalAmt |
| Program Services | $63,264 | ProgramServicesAmt |
| Management And General | $5,483 | ManagementAndGeneralAmt |
| Fundraising | $979 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,523 | TotalAmt |
| Program Services | $34,219 | ProgramServicesAmt |
| Management And General | $2,098 | ManagementAndGeneralAmt |
| Fundraising | $206 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Nursing Home | $870,736 | $870,736 | $0 | $0 |
| Durable Medical Equipment | $121,010 | $121,010 | $0 | $0 |
| Palliative Care | $15,265 | $15,265 | $0 | $0 |
| Pharmacy | $149,932 | $149,932 | $0 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $288,284 | TotalAmt |
| Program Services | $244,461 | ProgramServicesAmt |
| Management And General | $38,682 | ManagementAndGeneralAmt |
| Fundraising | $5,141 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,990,426 | TotalAmt |
| Program Services | $3,629,421 | ProgramServicesAmt |
| Management And General | $337,083 | ManagementAndGeneralAmt |
| Fundraising | $23,922 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $417,276 | BOYAmt |
| EOY | $544,294 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $955,828 | BOYAmt |
| EOY | $301,734 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $398,869 | BOYAmt |
| EOY | $391,250 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,479 | BOYAmt |
| EOY | $10,912 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $61,605 | BOYAmt |
| EOY | $64,796 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,584,248 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $922,543 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $695,128 | BOYAmt |
| EOY | $661,705 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $723,978 | BOYAmt |
| EOY | $2,087,904 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $75,000 | BOYAmt |
| EOY | $75,000 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,342,163 | BOYAmt |
| EOY | $4,137,595 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $198,217 | BOYAmt |
| EOY | $334,214 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $247,600 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $445,817 | BOYAmt |
| EOY | $334,214 | 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 | $2,823,952 | BOYAmt |
| EOY | $3,803,381 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $72,394 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,896,346 | BOYAmt |
| EOY | $3,803,381 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,342,163 | BOYAmt |
| EOY | $4,137,595 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $697,915 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $209,120 | NetUnrlzdGainsLossesInvstAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | 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 (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
| Other Support Sum | $0 | OtherSupportSumAmt |
| Public Support CY170 | 0 | PublicSupportCY170Pct |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $536,262 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $554,671 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $226,754 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $495,938 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $310,008 | CurrentTaxYearAmt |
| Total | $2,123,633 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,080,950 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,458,709 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,667,736 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,151,202 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,361,450 | CurrentTaxYearAmt |
| Total | $14,720,047 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,617,212 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,013,380 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,894,490 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,647,140 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,671,458 | CurrentTaxYearAmt |
| Total | $16,843,680 | 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) |
|---|---|---|
| Current Tax Year Minus4 Years | $500,000 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $500,732 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $150,000 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $114,388 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $1,265,120 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $500,000 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $500,732 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $150,000 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $114,388 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $0 | CurrentTaxYearAmt |
| Total | $1,265,120 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $15,578,560 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,049 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $13,318 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $15,058 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $12,071 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $29,783 | CurrentTaxYearAmt |
| Total | $71,279 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,049 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $13,318 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $15,058 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $12,071 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $29,783 | CurrentTaxYearAmt |
| Total | $71,279 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,000 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $0 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,166 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Total | $9,166 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,924,125 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.92050 | PublicSupportCY509Pct |
| Public Support PY509 | 0.90680 | PublicSupportPY509Pct |
| Investment Income CY | 0.00420 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00290 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Pt III Ln 12 | FormAndLineReferenceDesc |
| Explanation | Other Income Part III, Line 12 Description: Miscellaneous 2016: 1000. 2017: 0. 2018: 8166. 2019: 0. | ExplanationTxt |
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) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $110,257 | OtherCostOrOtherBasisAmt |
| Book Value | $110,257 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $879,498 | OtherCostOrOtherBasisAmt |
| Depreciation | $435,861 | DepreciationAmt |
| Book Value | $443,637 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $420,741 | OtherCostOrOtherBasisAmt |
| Depreciation | $321,804 | DepreciationAmt |
| Book Value | $98,937 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $173,752 | OtherCostOrOtherBasisAmt |
| Depreciation | $164,878 | DepreciationAmt |
| Book Value | $8,874 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $661,705 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $4,902,535 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $209,120 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $17,724 | OtherRevenueAmt |
| Revenue Not Reported | $226,844 | RevenueNotReportedAmt |
| Revenue Subtotal | $4,675,691 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $12,650 | InvestmentExpensesNotIncldAmt |
| Revenue Not Reported Fincl Stmt | $12,650 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $4,688,341 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $3,995,500 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $17,724 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $17,724 | ExpensesNotReportedAmt |
| Expenses Subtotal | $3,977,776 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $12,650 | InvestmentExpensesNotIncld2Amt |
| Expenses Not Rpt Fincl Stmt | $12,650 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $3,990,426 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Pt X, Line 2 | Hospice is exempt from federal income taxes under 501(c)(3) of the Internal Revenue Code. Under the Code, however, income from certain activities not related to the organization's tax-exempt purpose may be subject to taxation as unrelated business income. The organization had no income from unrelated business activities in the year ended September 30, 2020, and was, therefore, not required to file Federal Form 990-T (Exempt Organization Business Income Tax Return). The organization believes that it has appropriate support for all tax positions taken, and as such, does not have any uncertain tax positions that are material to the financial statements. |
| Pt XI, Line 2d | Asset Disposals $7090 Cost of Goods Sold $10634 |
| Pt XII, Line 2d | Asset Disposals $7090 Cost of Goods Sold $10634 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Pt VI, Line 11b | The 990 is prepared by independent accountants, reviewed by management, and presented to the entire Board for review and final approval or proposed revision. |
| Pt VI, Line 12c | Conflict of interest statements and policy are reviewed and signed by each board member annually. |
| Pt VI, Line 15a | In the annual budgeting process, the Board approves a budget line for aggregate salary expense. There after, individual salaries and salary increases for employees are determined by the CEO. The Board of Directors sets the CEO's salary after a performance review and a check of comparable salary information for nonprofit organizations with similar budgets. |
| Pt VI, Line 18 | Forms 1023 & 990 are available upon request and the Form 990 is also available on GuideStar's website. |
| Pt VI, Line 19 | Governing documents, conflict of interest policy and financial statements are available upon request. |
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