HOSPICE & PALLIATIVE CARE CHARLOTTE REGION: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- HOSPICE & PALLIATIVE CARE CHARLOTTE REGION (EIN 56-1219017)
- Tax period
- 2020-01-01 to 2020-12-31
- Filed
- 2021-08-30
- IRS object ID
- 202102429349300420
- 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 G
- Schedule J
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-08-30T15:40:41-05:00 | ReturnTs |
| Tax Period End | 2020-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 560574444 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHERRY BEKAERT LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1111 METROPOLITAN AVE STE 900 | AddressLine1Txt |
| City | CHARLOTTE | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28204 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 561219017 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOSPICE & PALLIATIVE CARE CHARLOTTE | BusinessNameLine1Txt |
| Business Name Line2 | REGION | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HOSP | BusinessNameControlTxt |
| Phone | 7043750100 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 470408 | AddressLine1Txt |
| City | CHARLOTTE | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28247 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | PETER A BRUNNICK | PersonNm |
| Person Title | PRESIDENT & CEO | PersonTitleTxt |
| Phone | 7043750100 | PhoneNum |
| Signature | 2021-08-26 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | PETER | PersonFirstNm |
| Person Last | BRUNNICK | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | AMANDA ADAMS | PreparerPersonNm |
| PTIN | P00748038 | PTIN |
| Phone | 7043771678 | PhoneNum |
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 |
| 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) |
|---|---|---|
| Principal Officer | PETER A BRUNNICK | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 470408 | AddressLine1Txt |
| City | CHARLOTTE | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28247 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $71,210,325 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | HPCCR.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1978 | FormationYr |
| Legal Domicile State | NC | LegalDomicileStateCd |
| Activity Or Mission | OPERATING SINCE 1978, HOSPICE & PALLIATIVE CARE CHARLOTTE REGION ("HPCCR") PROVIDES EXPERT END OF LIFE CARE, INCLUDING HOSPICE, PALLIATIVE MEDICINE, GRIEF SUPPORT, AND COMMUNITY EDUCATION. HPCCR IS COMMITTED TO OFFERING QUALITY OF LIFE TO PATIENTS AND FAMILIES IN OUR COMMUNITY WHO ARE COPING WITH TERMINAL ILLNESS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 18 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 18 | VotingMembersIndependentCnt |
| Total Employee | 644 | TotalEmployeeCnt |
| Total Volunteers | 396 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,685,871 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,339,164 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $61,965,163 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $66,942,845 | CYProgramServiceRevenueAmt |
| PY Investment Income | $543,066 | PYInvestmentIncomeAmt |
| CY Investment Income | $827,997 | CYInvestmentIncomeAmt |
| PY Other Revenue | $32,624 | PYOtherRevenueAmt |
| CY Other Revenue | $33,390 | CYOtherRevenueAmt |
| PY Total Revenue | $65,226,724 | PYTotalRevenueAmt |
| CY Total Revenue | $71,143,396 | 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 | $36,649,368 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $40,588,392 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $670,363 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $23,063,475 | PYOtherExpensesAmt |
| CY Other Expenses | $25,706,127 | CYOtherExpensesAmt |
| PY Total Expenses | $59,712,843 | PYTotalExpensesAmt |
| CY Total Expenses | $66,294,519 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $5,513,881 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $4,848,877 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $59,486,433 | TotalAssetsBOYAmt |
| Total Assets EOY | $72,726,417 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $7,320,893 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $14,145,800 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $52,165,540 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $58,580,617 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | OUR MISSION IS TO RELIEVE SUFFERING AND IMPROVE THE QUALITY AND DIGNITY OF LIFE THROUGH COMPASSIONATE HOSPICE CARE AT THE END OF LIFE, PALLIATIVE CARE FOR THOSE WITH ADVANCED ILLNESS, AND THROUGH COMMUNITY EDUCATION. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $58,147,681 | ExpenseAmt |
| Revenue | $66,028,641 | RevenueAmt |
| Desc | ADULT HOSPICE CARE SERVICES - HOSPICE CARE IS PROVIDED TO PATIENTS WHO ARE FACING ILLNESSES THAT NO LONGER RESPOND TO CURE-ORIENTED TREATMENT AND WHO HAVE A LIFE EXPECTANCY OF SIX MONTHS OR LESS. CARE IS PROVIDED IN ANY SETTING, INCLUDING THE PATIENT'S PRIVATE RESIDENCE, NURSING FACILITY, HOSPITAL, OR OUR OWN LEVINE & DICKSON HOSPICE HOUSES. AS A NOT-FOR-PROFIT ORGANIZATION, HOSPICE & PALLIATIVE CARE CHARLOTTE REGION PROVIDES SERVICES WITHOUT REGARD TO A PATIENT'S INSURANCE STATUS OR ABILITY TO PAY. THESE SERVICES INCLUDE NURSING CARE, PHYSICIAN VISITS, SOCIAL WORK, AND CHAPLAIN SERVICES. IN ADDITION, ANCILLARY SERVICES AND BEREAVEMENT SUPPORT ARE PROVIDED AFTER THE PATIENT'S DEATH. THE PRIMARY FOCUS OF HOSPICE & PALLIATIVE CARE CHARLOTTE REGION'S CARE IS TO IMPROVE THE QUALITY AND DIGNITY OF LIFE FOR THOSE WHO ARE FACING A LIFE THREATENING ILLNESS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,044,065 | ExpenseAmt |
| Revenue | $615,673 | RevenueAmt |
| Desc | PALLIATIVE MEDICINE CONSULTATION SERVICES - PALLIATIVE MEDICINE CONSULTATION SERVICES ENABLE PATIENTS WHO MAY NOT YET BE ELIGIBLE FOR COMPREHENSIVE HOSPICE SERVICES TO HAVE ACCESS TO PALLIATIVE MEDICINE CONSULTATIONS. HOSPICE & PALLIATIVE CARE CHARLOTTE REGION'S PRACTITIONERS OFFER EXPERTISE IN SYMPTOM MANAGEMENT AND OPTIONS FOR COUNSELING FOR THOSE WITH SERIOUS AND PROGRESSIVE ILLNESSES AND CONDITIONS - THESE SERVICES ARE OFFERED IN VARIOUS LOCATIONS INCLUDING HOSPITALS, NURSING HOMES, CLINICS, AND IN PATIENTS' PRIVATE RESIDENCES IN AN EFFORT TO ENHANCE QUALITY OF LIFE AND MAXIMIZE THE LIKELIHOOD OF GOOD RESPONSE TO DISEASE-SPECIFIC AND RESTORATIVE THERAPIES FOR CHRONICALLY ILL AND MEDICALLY FRAGILE PATIENTS.IN 2020, HOSPICE & PALLIATIVE CARE CHARLOTTE REGION'S PALLIATIVE MEDICINE CONSULTATION SERVICES SERVED 2,508 PATIENTS. ALTHOUGH INADEQUATELY REIMBURSED, HPCCR HAS DEVELOPED THESE SERVICES IN FULFILLMENT OF ITS MISSION OF RELIEF OF SUFFERING AND IMPROVING QUALITY AND DIGNITY OF LIFE. THE COST IN 2020 FOR THESE UNREIMBURSED SERVICES WAS $1,428,392. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $327,367 | ExpenseAmt |
| Revenue | $298,531 | RevenueAmt |
| Desc | PEDIATRIC CARE (KIDS PATH) - KIDS PATH IS A UNIQUE PROGRAM FOR CHILDREN, RANGING FROM INFANTS TO EIGHTEEN YEARS OF AGE, AND THEIR FAMILIES FACING THE CHALLENGES OF COPING WITH A SERIOUS PROGRESSIVE CONDITION. OUR PEDIATRIC TEAM OFFERS PHYSICAL, EMOTIONAL, AND SPIRITUAL CARE WITH A GOAL OF ENHANCING THE QUALITY OF LIFE FOR TERMINALLY ILL CHILDREN AND TEENS, AND THOSE WHO SHARE THEIR LIVES. HOSPICE & PALLIATIVE CARE CHARLOTTE REGION'S PEDIATRIC SERVICES ALSO INCLUDE GRIEF SERVICES FOR CHILDREN AND THEIR FAMILIES THROUGH CHAMELEON'S JOURNEY OVERNIGHT AND DAY CAMPS AND IN-SCHOOL GRIEF PROGRAMS. HOSPICE & PALLIATIVE CARE CHARLOTTE REGION HAS THE HONOR OF TOUCHING THE LIVES OF HUNDREDS OF GRIEVING YOUTH AND THEIR PARENT-GUARDIANS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $60,519,113 | 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 | Yes (1) | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | 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 | Yes (1) | 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 | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 217 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 644 | 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 | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Form1098 C Filed | 0 | Form1098CFiledInd |
| 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 | 18 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 18 | 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 |
| States Where Copy Of Return Is Fld | NC | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | SC | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PETER A BRUNNICK | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7043750100 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 470408 | AddressLine1Txt |
| City | CHARLOTTE | CityNm |
| State Abbreviation | NC | StateAbbreviationCd |
| ZIP | 28247 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| JANE B NEESE | |||||||||
| CHAIR | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| LAURA ENGEL | |||||||||
| CHAIR ELECT | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JOHN A MORRICE | |||||||||
| SECRETARY | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| MICHAEL A MCNAMARA | |||||||||
| TREASURER | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| GEORGE MACBAIN IV | |||||||||
| VICE CHAIR | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JEFFREY G GORE | |||||||||
| VICE CHAIR | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| GREGORY R KILPATRICK | |||||||||
| VICE CHAIR | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| LARRY BREHMER | |||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| HEATHER G CARSON | |||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| PATRICK FLETCHER | |||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| DAVID H JONES | |||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| COLLIE LEHN | |||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| BRYAN R MIDURA | |||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ZVONIMIR MILAS | |||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MEREDITH PINSON | |||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| KENNETH W POE | |||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ALAN R THALINGER | |||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| CHRISTOPHER G ULLRICH | |||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| PETER BRUNNICK | |||||||||
| PRESIDENT & CEO | 40.00 | 1.00 | Yes (X) | $573,312 | $0 | $18,444 | |||
| TODD FONTENOT | |||||||||
| CHIEF FINANCIAL OFFICER | 40.00 | 1.00 | Yes (X) | $242,444 | $0 | $29,952 | |||
| JESSICA FOX | |||||||||
| CHIEF MEDICAL OFFICER | 40.00 | 0.00 | $260,591 | $0 | $18,579 | Yes (X) | |||
| MICHAEL BOLEWITZ | |||||||||
| CHIEF OPERATING OFFICER | 40.00 | 1.00 | $321,224 | $0 | $0 | Yes (X) | |||
| ROBERT SMITH | |||||||||
| MEDICAL DIRECTOR | 40.00 | 0.00 | $311,424 | $0 | $1,083 | Yes (X) | |||
| PETE DAVIES | |||||||||
| CIO | 40.00 | 0.00 | $170,276 | $0 | $39,453 | Yes (X) | |||
| DEIDRA GATLIN | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $209,603 | $0 | $37,819 | Yes (X) | |||
| PRASHANTH KAMATH | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $252,936 | $0 | $44,692 | Yes (X) | |||
| RONAK JASWANT SHAH | |||||||||
| PHYSICIAN | 40.00 | 0.00 | $222,608 | $0 | $3,293 | Yes (X) | |||
| CYNTHIA TILLEY | |||||||||
| VP HUMAN RESOURCES | 40.00 | 0.00 | $176,158 | $0 | $44,234 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,740,576 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $237,549 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 46 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| PAYCOM | |||||
| 7501 W MEMORIAL ROAD | OKLAHOMA CITY | OK | 73142 | PAYROLL PROCESSING | $148,233 |
| MCGUIREWOODS LLP | |||||
| 201 N TRYON STREET 3000 | CHARLOTTE | NC | 28202 | LEGAL SERVICES | $113,623 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $188,703 | FundraisingAmt |
| Government Grants | $1,175,208 | GovernmentGrantsAmt |
| All Other Contributions | $1,975,253 | AllOtherContributionsAmt |
| Noncash Contributions | $67,752 | NoncashContributionsAmt |
| Total Contributions | $3,339,164 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT SERVICE REVENUE, NET | Desc |
| Business | 623000 | BusinessCd |
| Total Revenue Column | $66,942,845 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $66,942,845 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $66,942,845 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $504,524 | TotalRevenueColumnAmt |
| Exclusion | $504,524 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $6,000 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $6,000 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,000 | TotalRevenueColumnAmt |
| Exclusion | $6,000 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $323,473 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $323,473 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $323,473 | TotalRevenueColumnAmt |
| Exclusion | $323,473 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $79,490 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $188,703 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $66,929 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $12,561 | TotalRevenueColumnAmt |
| Exclusion | $12,561 | ExclusionAmt |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $14,829 | TotalRevenueColumnAmt |
| Exclusion | $14,829 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $14,829 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $71,143,396 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $66,942,845 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $861,387 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,986,782 | TotalAmt |
| Program Services | $591,677 | ProgramServicesAmt |
| Management And General | $1,395,105 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,954,826 | TotalAmt |
| Program Services | $30,208,401 | ProgramServicesAmt |
| Management And General | $1,336,582 | ManagementAndGeneralAmt |
| Fundraising | $409,843 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $360,870 | TotalAmt |
| Program Services | $328,562 | ProgramServicesAmt |
| Management And General | $27,470 | ManagementAndGeneralAmt |
| Fundraising | $4,838 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,941,998 | TotalAmt |
| Program Services | $3,649,131 | ProgramServicesAmt |
| Management And General | $263,188 | ManagementAndGeneralAmt |
| Fundraising | $29,679 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,343,916 | TotalAmt |
| Program Services | $2,125,713 | ProgramServicesAmt |
| Management And General | $189,219 | ManagementAndGeneralAmt |
| Fundraising | $28,984 | FundraisingAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $88,939 | TotalAmt |
| Management And General | $88,939 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $881,778 | TotalAmt |
| Program Services | $194,316 | ProgramServicesAmt |
| Management And General | $650,151 | ManagementAndGeneralAmt |
| Fundraising | $37,311 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $96,351 | TotalAmt |
| Management And General | $96,351 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $947,329 | TotalAmt |
| Program Services | $865,689 | ProgramServicesAmt |
| Management And General | $60,134 | ManagementAndGeneralAmt |
| Fundraising | $21,506 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $899,628 | TotalAmt |
| Program Services | $374,504 | ProgramServicesAmt |
| Management And General | $460,534 | ManagementAndGeneralAmt |
| Fundraising | $64,590 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $989,784 | TotalAmt |
| Program Services | $828,092 | ProgramServicesAmt |
| Management And General | $140,378 | ManagementAndGeneralAmt |
| Fundraising | $21,314 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $772,666 | TotalAmt |
| Program Services | $743,066 | ProgramServicesAmt |
| Management And General | $28,849 | ManagementAndGeneralAmt |
| Fundraising | $751 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,642 | TotalAmt |
| Management And General | $14,642 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,037,966 | TotalAmt |
| Program Services | $783,190 | ProgramServicesAmt |
| Management And General | $221,192 | ManagementAndGeneralAmt |
| Fundraising | $33,584 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $151,326 | TotalAmt |
| Program Services | $97,676 | ProgramServicesAmt |
| Management And General | $46,578 | ManagementAndGeneralAmt |
| Fundraising | $7,072 | FundraisingAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| PATIENT ANCILLARY EXPEN | $19,254,981 | $19,254,981 | ||
| EVENT EXPENSES | $17,220 | $14,586 | $1,027 | $1,607 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $553,517 | TotalAmt |
| Program Services | $459,529 | ProgramServicesAmt |
| Management And General | $84,704 | ManagementAndGeneralAmt |
| Fundraising | $9,284 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $66,294,519 | TotalAmt |
| Program Services | $60,519,113 | ProgramServicesAmt |
| Management And General | $5,105,043 | ManagementAndGeneralAmt |
| Fundraising | $670,363 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,170,819 | BOYAmt |
| EOY | $2,839,606 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,963,404 | BOYAmt |
| EOY | $8,682,823 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $505,325 | BOYAmt |
| EOY | $489,827 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,560,614 | BOYAmt |
| EOY | $8,722,806 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $570,301 | BOYAmt |
| EOY | $526,582 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $34,272,269 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $10,290,252 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,949,901 | BOYAmt |
| EOY | $23,982,017 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,513,542 | BOYAmt |
| EOY | $20,641,986 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,889,931 | BOYAmt |
| EOY | $2,630,134 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,500 | BOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $249,846 | BOYAmt |
| EOY | $249,846 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,105,250 | BOYAmt |
| EOY | $3,960,790 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $59,486,433 | BOYAmt |
| EOY | $72,726,417 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,630,027 | BOYAmt |
| EOY | $6,743,885 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $2,103,956 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,290,866 | BOYAmt |
| EOY | $2,305,876 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $1,632,936 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $400,000 | BOYAmt |
| EOY | $1,359,147 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,320,893 | BOYAmt |
| EOY | $14,145,800 | 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 | $51,521,976 | BOYAmt |
| EOY | $57,857,918 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $643,564 | BOYAmt |
| EOY | $722,699 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $52,165,540 | BOYAmt |
| EOY | $58,580,617 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $59,486,433 | BOYAmt |
| EOY | $72,726,417 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $4,848,877 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $1,566,200 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | 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) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| 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) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,581,252 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,503,255 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,653,217 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,685,871 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,339,164 | CurrentTaxYearAmt |
| Total | $14,762,759 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,581,252 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,503,255 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,653,217 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,685,871 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,339,164 | CurrentTaxYearAmt |
| Total | $14,762,759 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $2,330,065 | SubstantialContributorsTotAmt |
| Public Support Total170 | $12,432,694 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $211,336 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $204,879 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $274,442 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $481,528 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $510,524 | CurrentTaxYearAmt |
| Total | $1,682,709 | TotalAmt |
Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $148,565 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus2 Years | $55,178 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $12,685 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $12,561 | CurrentTaxYearAmt |
| Total | $228,989 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $45,983 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $350,116 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $11,022 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $13,939 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $14,829 | CurrentTaxYearAmt |
| Total | $435,889 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $17,110,346 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $286,042,578 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.72660 | PublicSupportCY170Pct |
| Public Support PY170 | 0.71660 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | OTHER INCOME - 2016 AMOUNT: $ 45,983. 2017 AMOUNT: $ 350,116. 2018 AMOUNT: $ 11,022. 2019 AMOUNT: $ 13,939. 2020 AMOUNT: $ 14,829. | 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 0 | AgentTrusteeEtcInd |
| Incl Escrow Custodial Acct Liab | Yes (1) | InclEscrowCustodialAcctLiabInd |
| Explanation Provided | Yes (X) | ExplanationProvidedInd |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $430,077 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $41,226 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $18,286 | OtherExpendituresAmt |
| End Year Balance | $453,017 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $379,769 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $68,260 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $17,952 | OtherExpendituresAmt |
| End Year Balance | $430,077 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $427,804 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$29,175 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $18,860 | OtherExpendituresAmt |
| End Year Balance | $379,769 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $391,402 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $56,586 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $20,184 | OtherExpendituresAmt |
| End Year Balance | $427,804 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $391,922 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $19,929 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $20,449 | OtherExpendituresAmt |
| End Year Balance | $391,402 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $155,000 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $6,546,591 | OtherCostOrOtherBasisAmt |
| Book Value | $6,701,591 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $20,352,931 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,337,406 | DepreciationAmt |
| Book Value | $15,015,525 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,496,773 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,942,004 | DepreciationAmt |
| Book Value | $554,769 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,720,974 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,010,842 | DepreciationAmt |
| Book Value | $1,710,132 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $23,982,017 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DUE FROM AFFILIATE | $3,929,764 |
| SPLIT-INTEREST AGREEMENT | $31,026 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $3,960,790 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | LONG-TERM LEASE INCENTIVE OBLIGATION | Desc |
| Amt | $1,359,147 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,359,147 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART IV, LINE 2B: | HPCCR PROVIDES CERTAIN EMPLOYEES THE OPPORTUNITY TO DEFER CURRENT COMPENSATION UNDER A 457(B) PLAN AND HOLDS THE DEFERRED AMOUNTS, PLUS ANY EARNINGS, FOR THEIR BENEFIT. DEFERRALS ARE ELECTIVE, AND PARTICIPANTS ARE REQUIRED TO COMMENCE BENEFIT PAYMENTS NO EARLIER THAN 61 DAYS FOLLOWING SEPARATION FROM SERVICE OR NO LATER THAN AGE 70.5. HPCCR'S POLICY IS TO RECOGNIZE THE FAIR VALUE OF INVESTMENTS HELD BY THE PLAN AND AN OFFSETTING LIABILITY UNTIL BENEFITS ARE DISTRIBUTED, AT WHICH TIME THE ASSET AND LIABILITY ARE REMOVED FROM HPCCR'S BOOKS. |
| PART V, LINE 4: | THE ORGANIZATION'S ENDOWMENT CONSISTS OF FOUR INDIVIDUAL DONOR-RESTRICTED FUNDS ESTABLISHED FOR A VARIETY OF PURPOSES. THE ORGANIZATION HAS A POLICY OF APPROPRIATING FOR DISTRIBUTION (TO FUND CURRENT PROGRAMS) EACH YEAR 4.5% OF THE ENDOWMENT FUNDS' AVERAGE FAIR VALUE USING THE PRIOR THREE YEARS' VALUE AT THE CALENDAR YEAR-END PRECEDING THE FISCAL YEAR IN WHICH THE DISTRIBUTION IS PLANNED. THE PERCENTAGE REPORTED FOR PERMANENT ENDOWMENTS INCLUDES AMOUNTS THAT MUST BE MAINTAINED IN PERPETUITY AS WELL AS ACCUMULATED EARNINGS ON SUCH AMOUNTS THAT HAVE NOT YET BEEN APPROPRIATED FOR EXPENDITURE. |
| PART X, LINE 2: | HPCCR AND HOLC ARE ORGANIZED UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AS NONPROFIT, TAX-EXEMPT ORGANIZATIONS. MANAGEMENT BELIEVES THAT HPCCR AND HOLC CONTINUE TO SATISFY THE REQUIREMENTS OF THE TAX-EXEMPT ORGANIZATION AND IS NOT SUBJECT TO TAX. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN REFLECTED IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. MANAGEMENT HAS EVALUATED THE EFFECT OF FASB GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES IN AN ENTITY'S CONSOLIDATED FINANCIAL STATEMENTS BY PRESCRIBING A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE ORGANIZATION'S POLICY IS TO RECORD A LIABILITY FOR ANY TAX POSITION TAKEN THAT IS BENEFICIAL TO THE ORGANIZATION, INCLUDING ANY RELATED INTEREST AND PENALTIES, WHEN IT IS MORE LIKELY THAN NOT THE POSITION TAKEN BY MANAGEMENT WITH RESPECT TO A TRANSACTION OR CLASS OF TRANSACTIONS WILL BE OVERTURNED BY A TAXING AUTHORITY UPON EXAMINATION. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | LKN REGATTA & PARTY | Event1Nm |
| Gross Receipts Event1 | $96,012 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $95,312 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $700 | GrossRevenueEvent1Amt |
| Other Direct Expenses Event1 | $13,887 | OtherDirectExpensesEvent1Amt |
| Event2 | SOUP ON SUNDAY | Event2Nm |
| Gross Receipts Event2 | $70,281 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $47,556 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $22,725 | GrossRevenueEvent2Amt |
| Other Direct Expenses Event2 | $34,630 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 5 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $95,595 | GrossReceiptsOtherEventsAmt |
| Charitable Contri Other Events | $39,530 | CharitableContriOtherEventsAmt |
| Gross Revenue Other Events | $56,065 | GrossRevenueOtherEventsAmt |
| Oth Direct Expnss Other Events | $18,412 | OthDirectExpnssOtherEventsAmt |
| Gross Receipts Total | $261,888 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $182,398 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $79,490 | GrossRevenueTotalEventsAmt |
| Oth Direct Expnss Total Events | $66,929 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $66,929 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $12,561 | NetIncomeSummaryAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| 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 | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PETER BRUNNICK | ||||||||||||||
| PRESIDENT & CEO | $431,019 | $0 | $140,685 | $0 | $1,608 | $0 | $0 | $0 | $18,444 | $0 | $591,756 | $0 | $0 | $0 |
| MICHAEL BOLEWITZ | ||||||||||||||
| CHIEF OPERATING OFFICER | $256,385 | $0 | $63,501 | $0 | $1,338 | $0 | $0 | $0 | $0 | $0 | $321,224 | $0 | $0 | $0 |
| ROBERT SMITH | ||||||||||||||
| MEDICAL DIRECTOR | $271,055 | $0 | $38,917 | $0 | $1,452 | $0 | $0 | $0 | $1,083 | $0 | $312,507 | $0 | $0 | $0 |
| PRASHANTH KAMATH | ||||||||||||||
| PHYSICIAN | $247,806 | $0 | $5,130 | $0 | $0 | $0 | $0 | $0 | $44,692 | $0 | $297,628 | $0 | $0 | $0 |
| JESSICA FOX | ||||||||||||||
| CHIEF MEDICAL OFFICER | $232,866 | $0 | $27,500 | $0 | $225 | $0 | $0 | $0 | $18,579 | $0 | $279,170 | $0 | $0 | $0 |
| TODD FONTENOT | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $188,983 | $0 | $52,483 | $0 | $978 | $0 | $0 | $0 | $29,952 | $0 | $272,396 | $0 | $0 | $0 |
| DEIDRA GATLIN | ||||||||||||||
| PHYSICIAN | $202,644 | $0 | $6,130 | $0 | $829 | $0 | $0 | $0 | $37,819 | $0 | $247,422 | $0 | $0 | $0 |
| RONAK JASWANT SHAH | ||||||||||||||
| PHYSICIAN | $221,608 | $0 | $1,000 | $0 | $0 | $0 | $0 | $0 | $3,293 | $0 | $225,901 | $0 | $0 | $0 |
| CYNTHIA TILLEY | ||||||||||||||
| VP HUMAN RESOURCES | $144,311 | $0 | $31,040 | $0 | $807 | $0 | $0 | $0 | $44,234 | $0 | $220,392 | $0 | $0 | $0 |
| PETE DAVIES | ||||||||||||||
| CIO | $140,186 | $0 | $29,322 | $0 | $768 | $0 | $0 | $0 | $39,453 | $0 | $209,729 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 7 | FormAndLineReferenceDesc |
| Explanation | BONUS PAYMENTS ARE BASED ON THE EVALUATION OF THE YEAR'S ACCOMPLISHMENTS AND DEGREE OF COMPLETION OF A COMMONLY AGREED UPON SET OF GOALS. THE EVALUATION OF THE PRESIDENT & CEO'S PERFORMANCE AND DETERMINATION OF BONUS PAYMENT IS MADE BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. THE EVALUATION OF OTHER EXECUTIVES' PERFORMANCE AND DETERMINATION OF BONUS PAYMENT IS MADE BY THE PRESIDENT & CEO AND VP OF HR. | ExplanationTxt |
Schedule M IRS990ScheduleM
Cars And Other Vehicles CarsAndOtherVehiclesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 2 | ContributionCnt |
| Noncash Contributions Rpt F990 | $2,200 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
Securities Publicly Traded SecuritiesPubliclyTradedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 2 | ContributionCnt |
| Noncash Contributions Rpt F990 | $8,844 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)
| Non Cash CheckboxNonCashCheckboxInd | DescDesc | ContributionContributionCnt | Noncash Contributions Rpt F990NoncashContributionsRptF990Amt | Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt |
|---|---|---|---|---|
| Yes (X) | AUCTION ITEMS | 51 | $32,603 | FMV |
| Yes (X) | SUPPLIES | 79 | $24,105 | FMV |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8283 Received | 0 | Form8283ReceivedCnt |
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (1) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | BEFORE SUBMITTING THE FORM 990 TO THE IRS, HOSPICE & PALLIATIVE CARE CHARLOTTE REGION EMAILS THE FINAL COPY OF THE FORM 990, INCLUDING ALL REQUIRED SCHEDULES, TO ALL VOTING MEMBERS OF THE GOVERNING BODY. THE FINANCE COMMITTEE MAKES A FULL REVIEW OF THE PREPARED RETURN. ANY COMMENTS OR QUESTIONS REGARDING THE RETURN ARE DISCUSSED AT THE NEXT SCHEDULED MEETING OF THE FULL BOARD. THE BOARD CHAIR, OR DESIGNEE, IS RESPONSIBLE FOR FACILITATING THE REVIEW. |
| FORM 990, PART VI, SECTION B, LINE 12C | WHEN A POTENTIAL CONFLICT OF INTEREST IS IDENTIFIED, THE CONFLICT WILL BE RESOLVED BY EITHER THE BOARD OF DIRECTOR'S EXECUTIVE COMMITTEE, WHEN A BOARD MEMBER IS INVOLVED, OR BY THE CEO AND THE VICE PRESIDENT OF HUMAN RESOURCES WHEN THE CONFLICT INVOLVES AN EMPLOYEE. IN EACH CASE, A MEETING WILL BE CALLED WITH THE INDIVIDUAL WITH THE POTENTIAL CONFLICT AND THE PARTIES WILL REACH A MUTUALLY AGREED UPON RESOLUTION. IF A CONFLICT OF INTEREST CANNOT BE RESOLVED TO THE SATISFACTION OF BOTH PARTIES, OR IF THERE IS A FAILURE TO COMPLY WITH THE CONFLICT OF INTEREST POLICY, THEN ACTIONS NECESSARY TO ELIMINATE THE CONFLICT OF INTEREST WILL BE TAKEN, UP TO AND INCLUDING THE RESIGNATION OF EITHER THE BOARD MEMBER OR EMPLOYEE. NO BOARD MEMBER OR COMMITTEE MEMBER WILL BE PERMITTED TO BE PRESENT FOR DISCUSSION OF OR BE PERMITTED TO VOTE ON ANY SPECIFIC ISSUE IN WHICH HE OR SHE HAS A CONFLICT OF INTEREST. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE REVIEW OF THE CEO AND OTHER EXECUTIVES ARE CONDUCTED ANNUALLY BY THE VP OF HR AND REVIEWED WITH THE CEO. REVIEW INCLUDES ANALYSIS OF SALARY DATA FROM FORM 990S OF COMPARABLE HOSPICE ORGANIZATIONS NATIONALLY AS WELL AS LOCAL LARGE NOT-FOR-PROFIT ENTITIES. DATA IS AGED TO CURRENT DATE. THE CEO SALARY COMPARISON INFORMATION IS SHARED BY VP OF HR TO THE EXECUTIVE COMMITTEE ANNUALLY AT THE TIME OF THE CEO'S PERFORMANCE EVALUATION. OTHER TOP SALARY REVIEWS ARE HANDLED ANNUALLY OR AS THE NEED ARISES BY THE CEO AND VP OF HR. THE DATA RELIED UPON AND THE COMPENSATION DECISION IS DOCUMENTED IN THE MINUTES TO THE EXECUTIVE COMMITTEE MEETING. |
| FORM 990, PART VI, SECTION C, LINE 19 | HOSPICE & PALLIATIVE CARE CHARLOTTE REGION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND AUDITED FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC ON A REQUEST BASIS. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|
| CAROLINAS HOSPICE & PALLIATIVE CARE LLC | ||||||||
| 7845 LITTLE AVENUE | CHARLOTTE | NC | 28226 | DORMANT | NC | $0 | $0 | HOSPICE & PALLIATIVE CARE CHARLOTTE REGION |
| CAROLINAS HOSPICE LLC | ||||||||
| 7845 LITTLE AVENUE | CHARLOTTE | NC | 28226 | DORMANT | NC | $0 | $0 | HOSPICE & PALLIATIVE CARE CHARLOTTE REGION |
| HOSPICE & PALLIATIVE CARE GASTON COUNTY LLC | ||||||||
| 7845 LITTLE AVENUE | CHARLOTTE | NC | 28226 | DORMANT | NC | $0 | $0 | HOSPICE & PALLIATIVE CARE CHARLOTTE REGION |
| HOSPICE & PALLIATIVE CARE UNION COUNTY LLC | ||||||||
| 7845 LITTLE AVENUE | CHARLOTTE | NC | 28226 | DORMANT | NC | $0 | $0 | HOSPICE & PALLIATIVE CARE CHARLOTTE REGION |
| PALLIATIVE MEDICINE CONSULTANTS LLC | ||||||||
| 7845 LITTLE AVENUE | CHARLOTTE | NC | 28226 | DORMANT | NC | $0 | $0 | HOSPICE & PALLIATIVE CARE CHARLOTTE REGION |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| HOSPICE OF LAURENS COUNTY | ||||||||||
| PO BOX 470408 | CHARLOTTE | NC | 28247 | 570843527 | HOSPICE CARE | SC | 501(C)(3) | LINE 7 | HOSPICE AND PALLIATIVE CARE CARE CHARLOTTE REGION | Yes (1) |
| HOSPICE OF CLEVELAND COUNTY | ||||||||||
| 951 WENDOVER HEIGHTS DRIVE | SHELBY | NC | 28150 | 561452373 | HOSPICE CARE | NC | 501(C)(3) | LINE 7 | HOSPICE AND PALLIATIVE CARE CARE CHARLOTTE REGION | Yes (1) |
| 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 | Yes (1) | 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 | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOSPICE OF LAURENS COUNTY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | D | TransactionTypeTxt |
| Involved | $3,929,764 | InvolvedAmt |
| Method Of Amount Determination | BOOK | MethodOfAmountDeterminationTxt |
Comments