CALDWELL HOSPICE AND PALLIATIVE CARE INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
CALDWELL HOSPICE AND PALLIATIVE CARE INC (EIN 56-1338470)
Tax period
2019-07-01 to 2020-06-30
Filed
2020-12-01
IRS object ID
202003369349301400
Schema version
2019v5.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2020-12-01T13:48:49-06:00ReturnTs
Tax Period End2020-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN821819999PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1C RANDOLPH CPA PLLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1219A BEAVER CREEK SCHOOL RDAddressLine1Txt
CityWEST JEFFERSONCityNm
State AbbreviationNCStateAbbreviationCd
ZIP28694ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN561338470EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CALDWELL HOSPICE AND PALLIATIVEBusinessNameLine1Txt
Business Name Line2CARE INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlCALDBusinessNameControlTxt
Phone8287540101PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1902 KIRKWOOD STREET NWAddressLine1Txt
CityLENOIRCityNm
State AbbreviationNCStateAbbreviationCd
ZIP28645ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCATHY SWANSONPersonNm
Person TitleCEOPersonTitleTxt
Phone8287540101PhoneNum
Signature2020-11-20SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCYNTHIA D RANDOLPHPreparerPersonNm
PTINP00441502PTIN
Phone3368463211PhoneNum
Preparation2020-11-20PreparationDt
Self EmployedYes (X)SelfEmployedInd
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerCATHY SWANSONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1902 KIRKWOOD STREET NWAddressLine1Txt
CityLENOIRCityNm
State AbbreviationNCStateAbbreviationCd
ZIP28645ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$14,659,692GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CALDWELLHOSPICE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1981FormationYr
Legal Domicile StateNCLegalDomicileStateCd
Activity Or MissionPROVIDE END OF LIFE CARE THROUGH THE HOSPICE PHILOSOPHYActivityOrMissionDesc
Voting Members Governing Body17VotingMembersGoverningBodyCnt
Voting Members Independent17VotingMembersIndependentCnt
Total Employee225TotalEmployeeCnt
Total Volunteers225TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$278,861PYContributionsGrantsAmt
CY Contributions Grants$225,505CYContributionsGrantsAmt
PY Program Service Revenue$12,440,859PYProgramServiceRevenueAmt
CY Program Service Revenue$14,360,036CYProgramServiceRevenueAmt
PY Investment Income$120,563PYInvestmentIncomeAmt
CY Investment Income$149,357CYInvestmentIncomeAmt
PY Other Revenue$135,681PYOtherRevenueAmt
CY Other Revenue-$75,206CYOtherRevenueAmt
PY Total Revenue$12,975,964PYTotalRevenueAmt
CY Total Revenue$14,659,692CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$8,173,580PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$9,300,107CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$3,613,602PYOtherExpensesAmt
CY Other Expenses$4,018,410CYOtherExpensesAmt
PY Total Expenses$11,787,182PYTotalExpensesAmt
CY Total Expenses$13,318,517CYTotalExpensesAmt
PY Revenues Less Expenses$1,188,782PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,341,175CYRevenuesLessExpensesAmt
Total Assets BOY$20,224,390TotalAssetsBOYAmt
Total Assets EOY$23,690,712TotalAssetsEOYAmt
Total Liabilities BOY$1,808,362TotalLiabilitiesBOYAmt
Total Liabilities EOY$3,933,508TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$18,416,028NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$19,757,204NetAssetsOrFundBalancesEOYAmt
MissionPROVIDE END OF LIFE CARE THROUGH THE HOSPICE PHILOSOPHYMissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$9,508,989ExpenseAmt
Revenue$14,853,217RevenueAmt
DescHOSPICE CARE - TO PROVIDE CARE AND SUPPORT TO TERMINALLY ILL PERSONS AND THEIR FAMILIES, BY AN INTERDISCIPLINARY TEAM OF PHYSICIANS, NURSES, SOCIAL WORKERS, AND VOLUNTEERS.Desc
Total Program Service Expenses$9,508,989TotalProgramServiceExpensesAmt
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 Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
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 Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
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 Document12IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee225EmployeeCnt
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 Members17GoverningBodyVotingMembersCnt
Independent Voting Member17IndependentVotingMemberCnt
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 PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1TERRY JOHNSONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8287540101PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1902 KIRKWOOD STREET NWAddressLine1Txt
CityLENOIRCityNm
State AbbreviationNCStateAbbreviationCd
ZIP28645ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
ROBERT BELK MD
BOARD MEMBER0.00Yes (X)$0$0$0
PEG BROYHILL
BOARD MEMBER0.00Yes (X)$0$0$0
MARC CARPENTER
CHAIRMAN0.00Yes (X)$0$0$0Yes (X)
LAURA EASTON
BOARD MEMBER0.00Yes (X)$0$0$0
DAVID GRAY
BOARD MEMBER0.00Yes (X)$0$0$0
MARION HALL
TREASURER0.00Yes (X)$0$0$0Yes (X)
ROB HINMAN
BOARD MEMBER0.00Yes (X)$0$0$0
MACK JARVIS
BOARD MEMBER0.00Yes (X)$0$0$0
BARBARA JONES
BOARD MEMBER0.00Yes (X)$0$0$0
DAVID LACKEY
VICE CHAIRMAN0.00Yes (X)$0$0$0Yes (X)
DOTTIE METZGER
BOARD MEMBER0.00Yes (X)$0$0$0
CHARLES SHELL
BOARD MEMBER0.00Yes (X)$0$0$0
JAMES SPONENBERG III
BOARD MEMBER0.00Yes (X)$0$0$0
TAMRA STARNES
BOARD MEMBER0.00Yes (X)$0$0$0
LINDA STORY
BOARD MEMBER0.00Yes (X)$0$0$0
WONGALEE THOMAS
BOARD MEMBER0.00Yes (X)$0$0$0
JANET WINKLER
SECRETARY0.00Yes (X)$0$0$0Yes (X)
PARKER WILLIAMSON
EMERITUS0.00Yes (X)$0$0$0
THOMAS RAY
PHYSICIAN40.00$212,673$0$24,650Yes (X)
CATHY SWANSON
CEO40.00$198,760$0$26,880Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$411,433TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$51,530TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K2IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
All Other Contributions$225,505AllOtherContributionsAmt
Total Contributions$225,505TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICARE/MEDICAID PAYMENTS623990$13,068,433$13,068,433
INSURANCE REIMBURSEMENT623990$650,418$650,418
PRIVATE REIMBURSEMENT623990$428,658$428,658
CARES ACT FUNDING623990$212,527$212,527
FieldValueIRS element (for citing)
Total Program Service Revenue$14,360,036TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$149,357TotalRevenueColumnAmt
Exclusion$149,357ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$9,281FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,281TotalRevenueColumnAmt
Exclusion$9,281ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUS REVENUEDesc
Business623990BusinessCd
Total Revenue Column-$84,487TotalRevenueColumnAmt
Related Or Exempt Func Income-$84,487RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total-$84,487OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$14,659,692TotalRevenueColumnAmt
Related Or Exempt Func Income$14,275,549RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$158,638ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$7,879,724TotalAmt
Program Services$5,828,568ProgramServicesAmt
Management And General$2,051,156ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,420,383TotalAmt
Program Services$1,420,383ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$29,884TotalAmt
Management And General$29,884ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$366,594TotalAmt
Management And General$366,594ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$86,930TotalAmt
Management And General$86,930ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$22,957TotalAmt
Program Services$8,493ProgramServicesAmt
Management And General$14,464ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$12,000TotalAmt
Management And General$12,000ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$330,894TotalAmt
Program Services$254,620ProgramServicesAmt
Management And General$76,274ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$5,699TotalAmt
Management And General$5,699ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$318,833TotalAmt
Management And General$318,833ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$92,221TotalAmt
Management And General$92,221ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICATION EXPENSE$627,774$627,774
DME$443,786$443,786
FACILITY RELATED EXPENS$221,590$221,590
COMPUTER EXPENSE$215,850$215,850

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,243,398TotalAmt
Program Services$925,365ProgramServicesAmt
Management And General$318,033ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$13,318,517TotalAmt
Program Services$9,508,989ProgramServicesAmt
Management And General$3,809,528ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$5,206,731BOYAmt
EOY$6,795,474EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,782,626BOYAmt
EOY$2,302,863EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$199,573BOYAmt
EOY$200,033EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$12,872,164LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$4,991,944LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$7,559,084BOYAmt
EOY$7,880,220EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$5,476,376BOYAmt
EOY$6,512,122EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$20,224,390BOYAmt
EOY$23,690,712EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$199,863BOYAmt
EOY$337,396EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,608,499BOYAmt
EOY$3,596,112EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,808,362BOYAmt
EOY$3,933,508EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$18,416,028BOYAmt
EOY$19,757,204EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$18,416,028BOYAmt
EOY$19,757,204EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$20,224,390BOYAmt
EOY$23,690,712EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$1,341,175ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$1OtherChangesInNetAssetsAmt
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)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$180,035CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$173,517CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$218,420CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$278,861CurrentTaxYearMinus1YearAmt
Current Tax Year$225,505CurrentTaxYearAmt
Total$1,076,338TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,730,806CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,968,786CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,807,384CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$12,440,859CurrentTaxYearMinus1YearAmt
Current Tax Year$14,937,704CurrentTaxYearAmt
Total$56,885,539TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,910,841CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,142,303CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$11,025,804CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$12,719,720CurrentTaxYearMinus1YearAmt
Current Tax Year$15,163,209CurrentTaxYearAmt
Total$57,961,877TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$57,961,877PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$84CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$42,274CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$48,980CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$120,563CurrentTaxYearMinus1YearAmt
Current Tax Year$149,357CurrentTaxYearAmt
Total$361,258TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$84CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$42,274CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$48,980CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$120,563CurrentTaxYearMinus1YearAmt
Current Tax Year$149,357CurrentTaxYearAmt
Total$361,258TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$147,823CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$76,893CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$135,681CurrentTaxYearMinus1YearAmt
Current Tax Year-$75,206CurrentTaxYearAmt
Total$285,191TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,910,925CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,332,400CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$11,151,677CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$12,975,964CurrentTaxYearMinus1YearAmt
Current Tax Year$15,237,360CurrentTaxYearAmt
Total$58,608,326TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.98900PublicSupportCY509Pct
Public Support PY5090.98910PublicSupportPY509Pct
Investment Income CY0.00620InvestmentIncomeCYPct
Investment Income PY0.00410InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

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

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$869,217OtherCostOrOtherBasisAmt
Book Value$869,217BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$9,689,808OtherCostOrOtherBasisAmt
Depreciation$3,115,144DepreciationAmt
Book Value$6,574,664BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,834,787OtherCostOrOtherBasisAmt
Depreciation$1,555,874DepreciationAmt
Book Value$278,913BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$478,352OtherCostOrOtherBasisAmt
Depreciation$320,926DepreciationAmt
Book Value$157,426BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$7,880,220TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescVARIOUS INVESTMENTSDesc
Book Value$6,512,122BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$6,512,122TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
DUE TO PHYSICIANS AND NURSING HOMES$412,517
ACCRUED PAYROLL AND PAYROLL TAXES$1,106,404
DEFERRED REVENUE$2,077,191
FieldValueIRS element (for citing)
Total Liability$3,596,112TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$14,659,692TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$14,659,692RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$14,659,692TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$13,318,517TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$13,318,517ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$13,318,517TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationFASB ASC 740-10, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAX POSITIONS. BASED ON AN EVALUATION OF UNCERTAIN TAX POSITIONS, MANAGEMENT IS REQUIRED TO MEASURE POTENTIAL TAX LIABILITIES THAT COULD HAVE A RISK OF GREATER THAN A 50% LIKELIHOOD OF BEING REALIZED UPON SETTLEMENT. AS OF JUNE 30, 2020, MANAGEMENT HAS DETERMINED THAT THE ORGANIZATION HAS NO SUCH RISK AND THEREFORE NO LIABILITIES HAVE BEEN RECORDED FOR UNCERTAIN TAX POSITIONS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
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 (2 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
THOMAS RAY
PHYSICIAN$212,673$0$0$0$0$0$24,650$0$0$0$237,323$0$0$0
CATHY SWANSON
CEO$198,760$0$0$0$0$0$26,880$0$0$0$225,640$0$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BFORM 990 IS PROVIDED TO THE ORGANIZATION'S MANAGMEMENT BEFORE IT IS FILED AND IT IS REVIEWED BY THE MANAGEMENT AND IS MADE AVAILABLE TO THE BOARD OF DIRECTORS AT A BOARD MEETING.
FORM 990, PART VI, SECTION B, LINE 12CALL BOARD MEMBERS, EMPLOYEES, AND VOLUNTEERS MUST SIGN AN ACKNOWLEDGEMENT ON OUR POLICY FOR AN INDIVIDUAL STATEMENT OF CONFLICT OF INTEREST.
FORM 990, PART VI, SECTION B, LINE 15THE ORGANIZATION DETERMINES THE SALARY OF THE EXECUTIVE DIRECTOR BY PERFORMANCE REVIEWS AND SALARY SURVEYS OF SIMILAR POSITIONS. THESE ITEMS ARE REVIEWED BY BOARD PERSONNEL COMMITTEE AND APPROVED BY THE BOARD OF DIRECTORS. THE SALARIES OF OTHER KEY EMPLOYEES ARE DONE BY PERFORMANCE REVIEWS, SALARY SURVEYS OF SIMILAR POSITIONS AND APPROVAL BY THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION C, LINE 18THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVALIABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVALIABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 9:ROUNDING 1.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1CALDWELL HOSPICE FOUNDATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11265 MOUNTAIN CIRCLE DRAddressLine1Txt
CityLENOIRCityNm
State AbbreviationNCStateAbbreviationCd
ZIP28645ZIPCd
FieldValueIRS element (for citing)
EIN566469396EIN
Primary ActivitiesSUPPORT CALDWELL HOSPICE AND PALLIATIVE CARE, INC.PrimaryActivitiesTxt
Legal Domicile StateNCLegalDomicileStateCd
Exempt Code Section501(C)(3)ExemptCodeSectionTxt
Public Charity StatusLINE 7PublicCharityStatusTxt
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
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 Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

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