FOUR SEASONS COMPASSION FOR LIFE FOUNDATION: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
FOUR SEASONS COMPASSION FOR LIFE FOUNDATION (EIN 47-5508988)
Tax period
2020-10-01 to 2021-09-30
Filed
2022-08-12
IRS object ID
202242249349301249
Schema version
2020v4.2
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)
Return2022-08-12T10:35:57-05:00ReturnTs
Tax Period End2021-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN440160260PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1FORVIS LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1500 RIDGEFIELD COURTAddressLine1Txt
CityASHEVILLECityNm
State AbbreviationNCStateAbbreviationCd
ZIP28806ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN475508988EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1FOUR SEASONS COMPASSION FOR LIFEBusinessNameLine1Txt
Business Name Line2FOUNDATIONBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlFOURBusinessNameControlTxt
Phone8285132440PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1211 N MAIN STREETAddressLine1Txt
CityHENDERSONVILLECityNm
State AbbreviationNCStateAbbreviationCd
ZIP28792ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonPAIGE WHEELERPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone8285132440PhoneNum
Signature2022-08-12SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstPAIGEPersonFirstNm
Person LastWHEELERPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAMY BIBBYPreparerPersonNm
PTINP00445891PTIN
Phone8282542254PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer0TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1FOUR SEASONS FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerPAIGE WHEELERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1211 N MAIN STREETAddressLine1Txt
CityHENDERSONVILLECityNm
State AbbreviationNCStateAbbreviationCd
ZIP28792ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$5,148,013GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressHTTPS://FOURSEASONSFDN.TELEIOSCN.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2015FormationYr
Legal Domicile StateNCLegalDomicileStateCd
Activity Or MissionTHE MISSION OF FOUR SEASONS COMPASSION FOR LIFE FOUNDATION IS TO SOLICIT CONTRIBUTIONS ON BEHALF OF FOUR SEASONS COMPASSION FOR LIFE, A RELATED ORGANIZATION.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee22TotalEmployeeCnt
Total Volunteers96TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,026,183PYContributionsGrantsAmt
CY Contributions Grants$1,126,027CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$35,733PYInvestmentIncomeAmt
CY Investment Income$124,966CYInvestmentIncomeAmt
PY Other Revenue-$14,761PYOtherRevenueAmt
CY Other Revenue$317,884CYOtherRevenueAmt
PY Total Revenue$2,047,155PYTotalRevenueAmt
CY Total Revenue$1,568,877CYTotalRevenueAmt
PY Grants And Similar Paid$1,123,593PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$741,990CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$405,941PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$422,973CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$67,066CYTotalFundraisingExpenseAmt
PY Other Expenses$253,466PYOtherExpensesAmt
CY Other Expenses$219,154CYOtherExpensesAmt
PY Total Expenses$1,783,000PYTotalExpensesAmt
CY Total Expenses$1,384,117CYTotalExpensesAmt
PY Revenues Less Expenses$264,155PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$184,760CYRevenuesLessExpensesAmt
Total Assets BOY$4,843,694TotalAssetsBOYAmt
Total Assets EOY$5,509,207TotalAssetsEOYAmt
Total Liabilities BOY$733,699TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,087,734TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$4,109,995NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$4,421,473NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE MISSION OF FOUR SEASONS COMPASSION FOR LIFE FOUNDATION IS TO FOSTER, PROMOTE, SUPPORT, DEVELOP, AND ENCOURAGE THE FUNCTION OF FOUR SEASONS COMPASSION FOR LIFE BY SOLICITING, RECEIVING AND ACCEPTING FUNDS, GIFTS AND CONTRIBUTIONS BY PRUDENT INVESTMENT AND/OR EXPENDITURE OF SUCH FUNDS TO MEET THE NEEDS OF FOUR SEASONS COMPASSION FOR LIFE PATIENTS AND THEIR FAMILIES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$1,286,796ExpenseAmt
Grant$741,990GrantAmt
DescTHE ORGANIZATION OPERATES A RESALE STORE AND SOLICITS CONTRIBUTIONS ON BEHALF OF FOUR SEASONS COMPASSION FOR LIFE, A RELATED ORGANIZATION.Desc
Total Program Service Expenses$1,286,796TotalProgramServiceExpensesAmt
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 EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
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 ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
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 Document16IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee22EmployeeCnt
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 Members13GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
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 Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldNCStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PAIGE WHEELERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8285132440PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1211 N MAIN STREETAddressLine1Txt
CityHENDERSONVILLECityNm
State AbbreviationNCStateAbbreviationCd
ZIP28792ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt
NANCY BOUVET
VICE-CHAIR3.00Yes (X)Yes (X)$0$0$0
DICK BURNS
DIRECTOR3.00Yes (X)$0$0$0
MARY COFFEY
SECRETARY3.00Yes (X)Yes (X)$0$0$0
STEVE DOZIER
DIRECTOR3.00Yes (X)$0$0$02.00
CAROLINE GUNTHER
DIRECTOR3.00Yes (X)$0$0$0
SUE KERSBERGEN
TREASURER3.00Yes (X)Yes (X)$0$0$0
JOHN KNAPP
DIRECTOR3.00Yes (X)$0$0$0
BILL MCKIBBIN
DIRECTOR3.00Yes (X)$0$0$02.00
JUDD RICHARDSON
CHAIR3.00Yes (X)Yes (X)$0$0$02.00
HEATHER STEPP
DIRECTOR3.00Yes (X)$0$0$0
ANNE VALENTINE
DIRECTOR3.00Yes (X)$0$0$0
BONNIE VAN CLEVEN
DIRECTOR3.00Yes (X)$0$0$0
SANDY WILLIAMS
DIRECTOR3.00Yes (X)$0$0$0
DR MILLICENT BURKE-SINCLAIR
CEO1.00Yes (X)$0$259,917$13,26441.00
PAIGE WHEELER
EXECUTIVE DIRECTOR40.00Yes (X)$104,975$0$9,907
SHANNON ADAMS
VP OF FINANCE2.00Yes (X)$0$112,924$16,75940.00
FieldValueIRS element (for citing)
Total Reportable Comp From Org$104,975TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$372,841TotReportableCompRltdOrgAmt
Total Other Compensation$39,930TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Federated Campaigns$47,566FederatedCampaignsAmt
Fundraising$48,771FundraisingAmt
All Other Contributions$1,029,690AllOtherContributionsAmt
Total Contributions$1,126,027TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,674TotalRevenueColumnAmt
Exclusion$2,674ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$2,642,434SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$2,518,958SecuritiesAmt
Other$1,184OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$123,476SecuritiesAmt
Other-$1,184OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$122,292TotalRevenueColumnAmt
Exclusion$122,292ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$48,771ContriRptFundraisingEventAmt
Fundraising Direct Expenses$26,973FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$26,973TotalRevenueColumnAmt
Exclusion-$26,973ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$1,288,315GrossSalesOfInventoryAmt
Cost Of Goods Sold$1,032,021CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$256,294TotalRevenueColumnAmt
Exclusion$256,294ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUS INCOMEDesc
Business900099BusinessCd
Total Revenue Column$88,563TotalRevenueColumnAmt
Exclusion$88,563ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$88,563OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,568,877TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$442,850ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$741,990TotalAmt
Program Services$741,990ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$104,875TotalAmt
Program Services$78,656ProgramServicesAmt
Fundraising$26,219FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$261,666TotalAmt
Program Services$232,904ProgramServicesAmt
Fundraising$28,762FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$28,012TotalAmt
Program Services$23,810ProgramServicesAmt
Fundraising$4,202FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$28,420TotalAmt
Program Services$24,157ProgramServicesAmt
Fundraising$4,263FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$30,255TotalAmt
Management And General$30,255ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$28,242TotalAmt
Program Services$28,242ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$43,400TotalAmt
Program Services$43,400ProgramServicesAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$41,508TotalAmt
Program Services$41,508ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$21,779TotalAmt
Program Services$21,779ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$868TotalAmt
Program Services$868ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$6,371TotalAmt
Program Services$6,371ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$8,995TotalAmt
Program Services$8,995ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$22,674TotalAmt
Program Services$22,674ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtFundraisingFundraisingAmt
BAD DEBT EXPENSE$7,807$7,807
DONOR RECOGNITION$3,620$3,620
DUES, LICENSES AND SUBS$1,912$1,912
REPAIRS AND MAINTENANCE$1,709$1,709

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$14TotalAmt
Program Services$14ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,384,117TotalAmt
Program Services$1,286,796ProgramServicesAmt
Management And General$30,255ManagementAndGeneralAmt
Fundraising$67,066FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$995,779BOYAmt
EOY$1,143,237EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$338,218BOYAmt
EOY$805,528EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$439,264BOYAmt
EOY$271,670EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$4,536BOYAmt
EOY$5,283EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$19,981BOYAmt
EOY$17,066EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$989,673LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$211,660LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$686,878BOYAmt
EOY$778,013EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$2,332,498BOYAmt
EOY$2,456,978EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$26,540BOYAmt
EOY$31,432EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$4,843,694BOYAmt
EOY$5,509,207EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$92,169BOYAmt
EOY$162,820EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$356,329BOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$285,201BOYAmt
EOY$924,914EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$733,699BOYAmt
EOY$1,087,734EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,745,164BOYAmt
EOY$2,543,007EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,364,831BOYAmt
EOY$1,878,466EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,109,995BOYAmt
EOY$4,421,473EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,843,694BOYAmt
EOY$5,509,207EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$184,760ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$126,718NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
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)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type2Yes (X)SupportingOrgType2Ind
IRS Written DeterminationYes (X)IRSWrittenDeterminationInd
Supported Organizations1SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp

Supported Organization Name SupportedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1HOSPICE OF HENDERSON COUNTY INC DBA FOUR SEASONS COMPASSION FOR LIFEBusinessNameLine1Txt
FieldValueIRS element (for citing)
EIN561252665EIN
Organization Type9OrganizationTypeCd
Governing Document ListedYes (1)GoverningDocumentListedInd
Support$737,906SupportAmt
Other Support$0OtherSupportAmt
FieldValueIRS element (for citing)
Supported Organizations Total1SupportedOrganizationsTotalCnt
Support Sum$737,906SupportSumAmt
Other Support Sum$0OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocYes (1)ListedByNameGoverningDocInd
Suprt Org No IRS Determination0SuprtOrgNoIRSDeterminationInd
Supported Org Section C4560SupportedOrgSectionC456Ind
Supported Org Not Organized US0SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org0OrganizationChangeSuprtOrgInd
Support Non Supported Org0SupportNonSupportedOrgInd
Payment Substantial Contribtr0PaymentSubstantialContribtrInd
Loan Disqualified Person0LoanDisqualifiedPersonInd
Controlled Disqualified Prsn0ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int0DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int0DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules0ExcessBusinessHoldingsRulesInd
Contribution Controller0ContributionControllerInd
Contribution Family0ContributionFamilyInd
Contribution35 Controlled0Contribution35ControlledInd
FieldValueIRS element (for citing)
Majority Dir Trst Supported Org0MajorityDirTrstSupportedOrgInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART IV, SECTION C, LINE 1 MAJORITY DIRECTOR DETFormAndLineReferenceDesc
ExplanationTHE ARTICLES OF INCORPORATION OF FOUR SEASONS COMPASSION FOR LIFE FOUNDATION ("THE FOUNDATION") IDENTIFY THAT THE EXCLUSIVE PURPOSE OF THE FOUNDATION IS TO FOSTER, PROMOTE, SUPPORT, DEVELOP AND ENCOURAGE THE FUNCTION OF THE SUPPORTED ORGANIZATION (HOSPICE OF HENDERSON COUNTY, INC. D/B/A FOUR SEASONS COMPASSION FOR LIFE). AS A SUPPORTING ORGANIZATION, FOUR SEASONS COMPASSION FOR LIFE FOUNDATION IS SUPERVISED IN CONNECTION WITH THE SUPPORTED ORGANIZATION, AND THEREFORE IS DESIGNATED AS A TYPE II SUPPORTING ORGANIZATION. FOUR SEASONS COMPASSION FOR LIFE FOUNDATION MEETS THIS CLASSIFICATION BECAUSE THE MANAGEMENT OF THE FOUNDATION IS VESTED IN THE SAME PERSONS THAT CONTROL AND MANAGE THE SUPPORTED ORGANIZATION. THE BYLAWS OF THE FOUNDATION REQUIRE THAT THE BOARD OF DIRECTORS OF THE FOUNDATION INCLUDE THREE AT LARGE MEMBERS OF THE SUPPORTED ORGANIZATION'S BOARD OF DIRECTORS. THE BYLAWS OF THE FOUNDATION FURTHER REQUIRE THAT THE MANAGEMENT TEAM OF THE FOUNDATION INCLUDE THE SUPPORTED ORGANIZATION'S CHIEF EXECUTIVE OFFICER, WHO SHALL BE AN EX-OFFICIO NON-VOTING MEMBER OF THE FOUNDATION BOARD OF DIRECTORS AND SHALL BE THE PERSON PRIMARILY RESPONSIBLE FOR THE DAY-TO-DAY OPERATION OF THE FOUNDATION AND MANAGEMENT OF ITS STAFF. THE FACT THAT THE MANAGEMENT OF THE FOUNDATION IS VESTED IN THE SAME PERSONS THAT CONTROL AND MANAGE THE SUPPORTED ORGANIZATION ALLOWS THE FOUNDATION AND ITS SUPPORTED ORGANIZATION TO FUNCTION COLLECTIVELY AS A SYSTEM. THE FOUNDATION PROVIDES SUPPORT TO THE SUPPORTED ORGANIZATION THAT FURTHERS THE SUPPORTED ORGANIZATION'S TAX-EXEMPT PURPOSE OF PROVIDING HOSPICE AND PALLIATIVE CARE SERVICES TO TERMINALLY ILL INDIVIDUALS AND THEIR FAMILIES. THE FACT THAT THE FOUNDATION AND ITS SUPPORTED ORGANIZATION HAVE MANAGEMENT AND GOVERNING BODY OVERLAP ASSURES THAT THE FOUNDATION IS RESPONSIVE TO THE NEEDS AND DEMANDS OF THE SUPPORTED ORGANIZATION AND THAT THE FOUNDATION CONSTITUTES AN INTEGRAL PART OF AND MAINTAINS A SIGNIFICANT INVOLVEMENT IN THE OPERATIONS OF THE SUPPORTED ORGANIZATION.ExplanationTxt

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

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,336,498BeginningYearBalanceAmt
Contributions$66,769ContributionsAmt
Investment Earnings Or Losses$246,845InvestmentEarningsOrLossesAmt
Other Expenditures$184,034OtherExpendituresAmt
End Year Balance$2,466,078EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,171,459BeginningYearBalanceAmt
Contributions$79,799ContributionsAmt
Investment Earnings Or Losses$85,240InvestmentEarningsOrLossesAmt
End Year Balance$2,336,498EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,032,968BeginningYearBalanceAmt
Contributions$1,122,859ContributionsAmt
Investment Earnings Or Losses$15,632InvestmentEarningsOrLossesAmt
End Year Balance$2,171,459EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,142,219BeginningYearBalanceAmt
Contributions$39,350ContributionsAmt
Investment Earnings Or Losses$38,512InvestmentEarningsOrLossesAmt
Other Expenditures$187,113OtherExpendituresAmt
End Year Balance$1,032,968EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$0BeginningYearBalanceAmt
Contributions$1,063,846ContributionsAmt
Investment Earnings Or Losses$78,373InvestmentEarningsOrLossesAmt
End Year Balance$1,142,219EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.64500BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.23500PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.12000TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$531,059OtherCostOrOtherBasisAmt
Depreciation$119,228DepreciationAmt
Book Value$411,831BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$162,312OtherCostOrOtherBasisAmt
Depreciation$36,441DepreciationAmt
Book Value$125,871BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$217,751OtherCostOrOtherBasisAmt
Depreciation$48,887DepreciationAmt
Book Value$168,864BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$78,551OtherCostOrOtherBasisAmt
Depreciation$7,104DepreciationAmt
Book Value$71,447BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$778,013TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDUE TO FOUR SEASONSDesc
Amt$924,914Amt
FieldValueIRS element (for citing)
Total Liability$924,914TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$2,755,773TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$126,718NetUnrealizedGainsInvstAmt
Other Revenue$1,060,178OtherRevenueAmt
Revenue Not Reported$1,186,896RevenueNotReportedAmt
Revenue Subtotal$1,568,877RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$1,568,877TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$2,444,295TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$1,060,178OtherExpensesIncludedAmt
Expenses Not Reported$1,060,178ExpensesNotReportedAmt
Expenses Subtotal$1,384,117ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$1,384,117TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:THE FOUNDATION HAS TWO KINDS OF ENDOWMENTS. THE FIRST ARE TRUE ENDOWMENTS THAT DONORS ESTABLISH TO SUPPORT IN PERPETUITY EITHER A DESIGNATED PROGRAM OR AN UNDESIGNATED GENERAL ENDOWMENT FUND. TRUE ENDOWMENTS ARE CLASSIFIED AS NET ASSETS WITH DONOR RESTRICTIONS AND ARE PERPETUALLY RESTRICTED. THE SECOND KIND ARE FUNDS THAT ARE DESIGNATED AS QUASI ENDOWMENTS BY THE FOUNDATION BOARD. THE FUNDS ARE TREATED AS ENDOWMENTS SO LONG AS THEIR DESIGNATION AS SUCH REMAINS UNCHANGED. BEING SUBJECT TO BOARD DESIGNATION, QUASI ENDOWMENT FUNDS ARE CLASSIFIED AS NET ASSETS WITHOUT DONOR RESTRICTIONS.
PART X, LINE 2:THE FOUNDATION IS EXEMPT FROM INCOME TAXES ON INCOME FROM RELATED ACTIVITIES UNDER SECTION 501(C)(3) OF THE U.S. INTERNAL REVENUE CODE AND CORRESPONDING STATE TAX LAW. ACCORDINGLY, NO PROVISION HAS BEEN MADE FOR FEDERAL OR STATE INCOME TAXES. U.S. GAAP REQUIRES THAT A TAX POSITION IS RECOGNIZED AS A BENEFIT ONLY IF IT IS "MORE LIKELY THAN NOT" THAT THE TAX POSITION WOULD BE SUSTAINED IN A TAX EXAMINATION, WITH A TAX EXAMINATION BEING PRESUMED TO OCCUR. THE AMOUNT RECOGNIZED IS THE LARGEST AMOUNT OF TAX BENEFIT THAT IS GREATER THAN 50% LIKELY OF BEING REALIZED ON EXAMINATION. FOR TAX POSITIONS NOT MEETING THE "MORE LIKELY THAN NOT" TEST, NO TAX BENEFIT IS RECORDED. THE FOUNDATION'S FORM 990 HAS NOT BEEN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE OR THE STATE OF NORTH CAROLINA SINCE INCEPTION. THE FOUNDATION DOES NOT EXPECT THE TOTAL AMOUNT OF UNRECOGNIZED TAX BENEFITS TO SIGNIFICANTLY CHANGE IN THE NEXT 12 MONTHS. THE FOUNDATION RECOGNIZES INTEREST AND/OR PENALTIES RELATED TO INCOME TAX MATTERS IN INCOME TAX EXPENSE. THE FOUNDATION DID NOT HAVE ANY AMOUNTS ACCRUED FOR INTEREST AND PENALTIES AT SEPTEMBER 30, 2021 AND 2020.
PART XI, LINE 2D - OTHER ADJUSTMENTS:SPECIAL EVENT EXPENSE 26,973. LOSS ON SALE 1,184. COGS 1,032,021.
PART XII, LINE 2D - OTHER ADJUSTMENTS:SPECIAL EVENT EXPENSE 26,973. LOSS ON SALE 1,184. COGS 1,032,021.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1TREE OF LIGHTSEvent1Nm
Gross Receipts Event1$34,526GrossReceiptsEvent1Amt
Charitable Contri Event1$34,526CharitableContriEvent1Amt
Food And Beverage Event1$379FoodAndBeverageEvent1Amt
Other Direct Expenses Event1$20,383OtherDirectExpensesEvent1Amt
Event2COMPASS HIKE TO HEALEvent2Nm
Gross Receipts Event2$14,245GrossReceiptsEvent2Amt
Charitable Contri Event2$14,245CharitableContriEvent2Amt
Other Direct Expenses Event2$6,211OtherDirectExpensesEvent2Amt
Gross Receipts Total$48,771GrossReceiptsTotalAmt
Charitable Contributions Tot$48,771CharitableContributionsTotAmt
Food And Beverage Total Events$379FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events$26,594OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$26,973DirectExpenseSummaryEventsAmt
Net Income Summary-$26,973NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records Maintained0GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1HOSPICE OF HENDERSON COUNTY INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1571 SOUTH ALLEN ROADAddressLine1Txt
CityFLAT ROCKCityNm
State AbbreviationNCStateAbbreviationCd
ZIP28731ZIPCd
FieldValueIRS element (for citing)
Recipient EIN561252665RecipientEIN
IRC Section501(C)(3)IRCSectionDesc
Cash Grant$737,906CashGrantAmt
Purpose Of GrantOPERATIONAL SUPPORTPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION ONLY PROVIDED GRANTS TO HOSPICE OF HENDERSON COUNTY, INC. D/B/A FOUR SEASONS COMPASSION FOR LIFE, A RELATED ORGANIZATION. THE ORGANIZATION MONITORS USE OF GRANT FUNDS THROUGH OVERLAP IN GOVERNING BODY MEMBERS AND MANAGEMENT BETWEEN THE FILING ORGANIZATION AND THE RECIPIENT ORGANIZATION.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
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

FieldValueIRS element (for citing)
PersonDR MILLICENT BURKE-SINCLAIRPersonNm
TitleCEOTitleTxt
Base Compensation Filing Org$0BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$213,108CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$0BonusFilingOrganizationAmount
Bonus Related Organizations$40,330BonusRelatedOrganizationsAmt
Other Compensation Filing Org$0OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$6,479OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$0DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$0DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$0NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$13,264NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$0TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$273,181TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE J, PART I, LINE 3FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION'S TOP MANAGEMENT OFFICIAL IS COMPENSATED BY FOUR SEASONS COMPASSION FOR LIFE, A RELATED ORGANIZATION. FOUR SEASONS COMPASSION FOR LIFE UTILIZES THE FOLLOWING METHODS TO ESTABLISH COMPENSATION OF THE CEO: COMPENSATION COMMITTEE FORM 990 OF OTHER ORGANIZATIONS COMPENSATION SURVEY OR STUDY APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 1THE EXECUTIVE COMMITTEE IS COMPOSED OF THE ORGANIZATION'S BOARD CHAIR, VICE-CHAIR, SECRETARY, TREASURER, IMMEDIATE PAST CHAIR, AND TWO AT-LARGE FOUNDATION BOARD MEMBERS TO BE CHOSEN BY THE FOUNDATION CHAIR. THE EXECUTIVE COMMITTEE SHALL HAVE AND MAY EXERCISE ALL THE POWER OF THE BOARD THAT MAY BE LAWFULLY DELEGATED.
FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTANT WITH ASSISTANCE AND OVERSIGHT BY MANAGEMENT. A COPY OF THE FORM 990 IS MADE AVAILABLE TO ALL MEMBERS OF THE BOARD OF DIRECTORS SUBSEQUENT TO SUBMISSION TO THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CALL BOARD MEMBERS AND OFFICERS ARE REQUIRED ANNUALLY TO DISCLOSE ANY CONFLICTS OF INTEREST THAT MAY EXIST BETWEEN THEMSELVES AND THE ORGANIZATION. ANY CONFLICTS NOTED ARE REPORTED AND DISCUSSED, AND ANY ACTION DETERMINED NECESSARY IS TAKEN BY THE EXECUTIVE COMMITTEE OF THE BOARD. INDIVIDUALS WITH A CONFLICT ON INTEREST ARE PROHIBITED FROM VOTING ON ANY MATTER WHERE THAT CONFLICT EXISTS. EACH BOARD MEMBER IS REQUIRED TO SIGN THE "CONFLICT OF INTEREST AGREEMENT."
FORM 990, PART VI, SECTION B, LINE 15THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL IS COMPENSATED BY FOUR SEASONS COMPASSION FOR LIFE, A RELATED ORGANIZATION. THEREFORE, THIS QUESTION IS ANSWERED "NO" IN ACCORDANCE WITH FORM 990 INSTRUCTIONS. TO DETERMINE COMPENSATION FOR THE ORGANIZATION'S CEO, THE EXECUTIVE COMMITTEE AND CHAIRMAN OF THE BOARD OF DIRECTORS REVIEW AND DISCUSS THE CEO'S PERFORMANCE ON AN ANNUAL BASIS. COMPARABILITY DATA IS ALSO CONSIDERED WHEN EVALUATING CEO COMPENSATION. THESE DISCUSSIONS ARE DOCUMENTED IN EMAIL COMMUNICATIONS BETWEEN APPLICABLE PARTIES. THIS PROCESS WAS LAST UNDERTAKEN DURING FYE 9/30/2021.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION'S GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST TO THE PUBLIC AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE.
FORM 990 PART VI LINES 13 AND 14THE ORGANIZATION HAS DRAFTED A WRITTEN DOCUMENT RETENTION AND DESTRUCTION POLICY AND IS IN THE PROCESS OF OBTAINING BOARD APPROVAL FOR THIS POLICY. BECAUSE THIS POLICY HAD NOT BEEN APPROVED BY THE BOARD AT THE CLOSE OF THE TAX PERIOD, THESE QUESTIONS HAVE BEEN ANSWERED 'NO'.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1HOSPICE OF HENDERSON COUNTY INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1571 SOUTH ALLEN ROADAddressLine1Txt
CityFLAT ROCKCityNm
State AbbreviationNCStateAbbreviationCd
ZIP28731ZIPCd
FieldValueIRS element (for citing)
EIN561252665EIN
Primary ActivitiesHOSPICE & PALLIATIVE CAREPrimaryActivitiesTxt
Legal Domicile StateNCLegalDomicileStateCd
Exempt Code Section501(C)(3)ExemptCodeSectionTxt
Public Charity StatusLINE 10PublicCharityStatusTxt
Direct Controlling NAN/ADirectControllingNACd
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
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 OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

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