2020-12-01T13:48:49-06:00 2020-06-30 821819999 C RANDOLPH CPA PLLC 219A BEAVER CREEK SCHOOL RD WEST JEFFERSON NC 28694 990 2019-07-01 561338470 CALDWELL HOSPICE AND PALLIATIVE CARE INC CALD 8287540101 902 KIRKWOOD STREET NW LENOIR NC 28645 CATHY SWANSON CEO 8287540101 2020-11-20 1 CYNTHIA D RANDOLPH P00441502 3368463211 2020-11-20 X 2019 2022-09-23 18:48:47Z CATHY SWANSON 902 KIRKWOOD STREET NW LENOIR NC 28645 14659692 0 X WWW.CALDWELLHOSPICE.ORG X 1981 NC PROVIDE END OF LIFE CARE THROUGH THE HOSPICE PHILOSOPHY 17 17 225 225 0 0 278861 225505 12440859 14360036 120563 149357 135681 -75206 12975964 14659692 0 0 0 0 8173580 9300107 0 0 0 3613602 4018410 11787182 13318517 1188782 1341175 20224390 23690712 1808362 3933508 18416028 19757204 PROVIDE END OF LIFE CARE THROUGH THE HOSPICE PHILOSOPHY 0 0 9508989 14853217 HOSPICE CARE - TO PROVIDE CARE AND SUPPORT TO TERMINALLY ILL PERSONS AND THEIR FAMILIES, BY AN INTERDISCIPLINARY TEAM OF PHYSICIANS, NURSES, SOCIAL WORKERS, AND VOLUNTEERS. 9508989 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 12 0 225 1 0 0 0 0 0 0 0 0 0 0 0 0 X 17 17 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X X TERRY JOHNSON 8287540101 902 KIRKWOOD STREET NW LENOIR NC 28645 ROBERT BELK MD BOARD MEMBER 0.00 X 0 0 0 PEG BROYHILL BOARD MEMBER 0.00 X 0 0 0 MARC CARPENTER CHAIRMAN 0.00 X X 0 0 0 LAURA EASTON BOARD MEMBER 0.00 X 0 0 0 DAVID GRAY BOARD MEMBER 0.00 X 0 0 0 MARION HALL TREASURER 0.00 X X 0 0 0 ROB HINMAN BOARD MEMBER 0.00 X 0 0 0 MACK JARVIS BOARD MEMBER 0.00 X 0 0 0 BARBARA JONES BOARD MEMBER 0.00 X 0 0 0 DAVID LACKEY VICE CHAIRMAN 0.00 X X 0 0 0 DOTTIE METZGER BOARD MEMBER 0.00 X 0 0 0 CHARLES SHELL BOARD MEMBER 0.00 X 0 0 0 JAMES SPONENBERG III BOARD MEMBER 0.00 X 0 0 0 TAMRA STARNES BOARD MEMBER 0.00 X 0 0 0 LINDA STORY BOARD MEMBER 0.00 X 0 0 0 WONGALEE THOMAS BOARD MEMBER 0.00 X 0 0 0 JANET WINKLER SECRETARY 0.00 X X 0 0 0 PARKER WILLIAMSON EMERITUS 0.00 X 0 0 0 THOMAS RAY PHYSICIAN 40.00 X 212673 0 24650 CATHY SWANSON CEO 40.00 X 198760 0 26880 411433 0 51530 2 0 1 0 0 225505 225505 MEDICARE/MEDICAID PAYMENTS 623990 13068433 13068433 INSURANCE REIMBURSEMENT 623990 650418 650418 PRIVATE REIMBURSEMENT 623990 428658 428658 CARES ACT FUNDING 623990 212527 212527 14360036 149357 149357 9281 0 9281 9281 MISCELLANEOUS REVENUE 623990 -84487 -84487 -84487 14659692 14275549 0 158638 7879724 5828568 2051156 1420383 1420383 29884 29884 366594 366594 86930 86930 22957 8493 14464 12000 12000 330894 254620 76274 5699 5699 318833 318833 92221 92221 MEDICATION EXPENSE 627774 627774 DME 443786 443786 FACILITY RELATED EXPENS 221590 221590 COMPUTER EXPENSE 215850 215850 1243398 925365 318033 13318517 9508989 3809528 0 5206731 6795474 1782626 2302863 199573 200033 12872164 4991944 7559084 7880220 5476376 6512122 20224390 23690712 199863 337396 1608499 3596112 1808362 3933508 X 18416028 19757204 18416028 19757204 20224390 23690712 X 1341175 1 X 0 1 X 1 0 X 180035 173517 218420 278861 225505 1076338 8730806 9968786 10807384 12440859 14937704 56885539 8910841 10142303 11025804 12719720 15163209 57961877 0 0 0 57961877 84 42274 48980 120563 149357 361258 84 42274 48980 120563 149357 361258 147823 76893 135681 -75206 285191 8910925 10332400 11151677 12975964 15237360 58608326 0.98900 0.98910 0.00620 0.00410 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 869217 869217 9689808 3115144 6574664 1834787 1555874 278913 478352 320926 157426 7880220 VARIOUS INVESTMENTS 6512122 F 6512122 DUE TO PHYSICIANS AND NURSING HOMES 412517 ACCRUED PAYROLL AND PAYROLL TAXES 1106404 DEFERRED REVENUE 2077191 3596112 X 14659692 0 14659692 0 14659692 13318517 0 13318517 0 13318517 PART X, LINE 2: FASB ASC 740-10, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAX POSITIONS. BASED ON AN EVALUATION OF UNCERTAIN TAX POSITIONS, MANAGEMENT IS REQUIRED TO MEASURE POTENTIAL TAX LIABILITIES THAT COULD HAVE A RISK OF GREATER THAN A 50% LIKELIHOOD OF BEING REALIZED UPON SETTLEMENT. AS OF JUNE 30, 2020, MANAGEMENT HAS DETERMINED THAT THE ORGANIZATION HAS NO SUCH RISK AND THEREFORE NO LIABILITIES HAVE BEEN RECORDED FOR UNCERTAIN TAX POSITIONS. X X 0 0 0 0 0 0 0 0 0 THOMAS RAY PHYSICIAN 212673 0 0 0 0 0 24650 0 0 0 237323 0 0 0 CATHY SWANSON CEO 198760 0 0 0 0 0 26880 0 0 0 225640 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS PROVIDED TO THE ORGANIZATION'S MANAGMEMENT BEFORE IT IS FILED AND IT IS REVIEWED BY THE MANAGEMENT AND IS MADE AVAILABLE TO THE BOARD OF DIRECTORS AT A BOARD MEETING. FORM 990, PART VI, SECTION B, LINE 12C ALL BOARD MEMBERS, EMPLOYEES, AND VOLUNTEERS MUST SIGN AN ACKNOWLEDGEMENT ON OUR POLICY FOR AN INDIVIDUAL STATEMENT OF CONFLICT OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION DETERMINES THE SALARY OF THE EXECUTIVE DIRECTOR BY PERFORMANCE REVIEWS AND SALARY SURVEYS OF SIMILAR POSITIONS. THESE ITEMS ARE REVIEWED BY BOARD PERSONNEL COMMITTEE AND APPROVED BY THE BOARD OF DIRECTORS. THE SALARIES OF OTHER KEY EMPLOYEES ARE DONE BY PERFORMANCE REVIEWS, SALARY SURVEYS OF SIMILAR POSITIONS AND APPROVAL BY THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 18 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVALIABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVALIABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: ROUNDING 1. CALDWELL HOSPICE FOUNDATION 1265 MOUNTAIN CIRCLE DR LENOIR NC 28645 566469396 SUPPORT CALDWELL HOSPICE AND PALLIATIVE CARE, INC. NC 501(C)(3) LINE 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0