2020-10-19T15:51:54-05:00 2019-12-31 410746749 CLIFTONLARSONALLEN LLP 227 WEST TRADE STREET SUITE 800 CHARLOTTE NC 28202 990 2019-01-01 570761549 CAROLINA COMMUNITY CARE INC CARO 8033291500 PO BOX 993 ROCK HILL SC 29730 JANE M ARMSTRONG EXECUTIVE DIRECTOR 8033291500 2020-10-19 1 JOHN NORMAN P01506766 7049985200 2020-10-19 67.137.57.251 2020-10-19 15:49:00 ED P 7FA111DA1DF952C3932DE9B02872546115851591 5F949671DBFB7B1E3C7B14F3E7C4BADF6797D061 2019 2021-01-29 14:40:06Z HOSPICE & COMMUNITY CARE JANE M ARMSTRONG PO BOX 993 ROCK HILL SC 29730 7034947 0 X WWW.HOSPICECOMMUNITYCARE.ORG X 1984 SC TO PROVIDE END OF LIFE CARE. 13 13 128 200 0 0 690090 896508 5640981 5810498 18014 22623 492116 299366 6841201 7028995 0 0 0 0 3844436 4096220 0 0 16981 2834153 3037367 6678589 7133587 162612 -104592 10823675 10369476 8162538 8237508 2661137 2131968 X TO HELP TERMINALLY ILL PEOPLE LIVE THEIR FINAL MONTHS IN A COMFORTABLE, CARING ATMOSPHERE. 0 0 6175436 5810498 HOSPICE & COMMUNITY CARE PROVIDES COMPREHENSIVE MANAGEMENT OF PHYSICAL, EMOTIONAL, SOCIAL AND SPIRITUAL NEEDS OF PATIENTS. THE GOAL OF CARE IS TO ACHIEVE THE BEST POSSIBLE QUALITY OF LIFE THROUGH RELIEF OF SUFFERING, CONTROL OF SYMPTOMS AND RESTORATION OF FUNCTION CAPACITY. THROUGH AN INTERDISCIPLINARY, MEDICALLY DIRECTED TEAM OF PROFESSIONALS AND VOLUNTEERS, PHYSICAL, SOCIAL, EMOTIONAL AND SPIRITUAL SUPPORT IS PROVIDED TO PATIENTS AND THEIR FAMILIES. THE CARE IS EXPRESSLY TAILORED TO EACH PATIENT'S NEEDS AND WISHES AND IS FOCUSED ON TREATING THE PERSON, NOT THE DISEASE. TEAMS INCLUDE A PHYSICIAN, REGISTERED NURSES, SOCIAL WORKERS, CERTIFIED NURSING ASSISTANTS, GRIEF COUNSELORS, CLERGY AND VOLUNTEERS. HOSPICE & COMMUNITY CARE ALSO PROVIDES A BROAD RANGE OF (CONTINUED ON SCHEDULE O)PROGRAMS, EDUCATIONAL SEMINARS AND COUNSELING OPPORTUNITIES TO HELP HOSPICE FAMILIES AND THE COMMUNITY COPE WITH GRIEF AND LOSS. IN ADDITION TO HOME CARE SERVICES, HOSPICE & COMMUNITY CARE OPERATES A 16 BED HOSPICE HOUSE CALLED THE WAYNE T. PATRICK HOSPICE HOUSE. THE PATRICK HOUSE IS USED TO PROVIDE HOSPICE PATIENTS WITH EXPERT CARE FOR PAIN CONTROL AND SYMPTOM MANAGEMENT, TO OFFER CAREGIVERS A PLACE OF RESPITE, AND TO PROVIDE A PLACE FOR PATIENTS WHO MAY NEED THE SAFETY AND SECURITY OF SHORT TERM RESIDENCE.HOSPICE & COMMUNITY CARE PROVIDES ITS SERVICES TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY FOR THOSE SERVICES. THE ORGANIZATION ESTIMATES THAT IT PROVIDED SERVICES AND SUPPLIES UNDER ITS CHARITY CARE POLICY OF APPROXIMATELY $37,486 DURING 2019. 6175436 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 13 0 1 128 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 SC X X JANE ARMSTRONG 8033291500 2275 INDIA HOOD RD ROCK HILL SC 29732 KATHY WILSON PRESIDENT 1.00 X X 0 0 0 JUDY MOBLEY VICE PRESIDENT 1.00 X X 0 0 0 ANSON MERRICK SECRETARY 1.00 X X 0 0 0 HARVEY HEISE TREASURER 1.00 X X 0 0 0 ED BROCK MEMBER 1.00 X 0 0 0 ERNEST BROWN MEMBER 1.00 X 0 0 0 DOT KILLIAN MEMBER 1.00 X 0 0 0 MARSHA LEPHEW MEMBER 1.00 X 0 0 0 HAROLD PEEPLES MEMBER 1.00 X 0 0 0 BETSY RABON MEMBER 1.00 X 0 0 0 IRIS ROSE MEMBER 1.00 X 0 0 0 JANE TRIPLETT MEMBER 1.00 X 0 0 0 ANN WILLIAMSON MEMBER 1.00 X 0 0 0 JANE ARMSTRONG CEO 40.00 X 152585 0 0 FREYA MEEKS CFO 40.00 X 64827 0 0 RON SINCLAIR MEDICAL DIRECTOR 20.00 X 136571 0 0 353983 0 0 2 0 1 0 WHITE OAK MANOR 130 EAST MAIN STREET SPARTANBURG SC 29306 NURSING SERVICES 591917 HOSPICELINK 4425 GOLD ACRES DR BUILDING O CHARLOTTE NC 28208 CASE MANAGEMENT CONTRACTOR 156783 TELEIOS COLLABORATIVE NETWORK 571 SOUTH ALLEN ROAD FLAT ROCK NC 28731 MANAGEMENT SERVICES 134358 ACTION MECHANICAL CONTRACTORS 3228 NEVADA BLVD CHARLOTTE NC 28273 AIR CONDITIONING CONTRACTOR 108000 4 440 19335 876733 896508 NET PATIENT REVENUE 621610 5810498 5810498 5810498 22623 22623 0 19335 0 0 295590 5952 289638 289638 9728 9728 9728 7028995 5810498 0 321989 152585 152585 3207801 2593545 614256 485968 485968 249866 249866 123479 123479 23011 23011 130319 130319 29969 13820 16149 184415 165284 19131 109222 98508 10714 287994 264560 23434 103474 85733 17741 6385 2183 4202 392850 392850 302641 302641 55602 55602 PATIENT RELATED EXPENSE 1180647 1180647 107359 15145 91382 832 7133587 6175436 941170 16981 2339833 1516122 34928 34928 562163 1153109 83680 106204 12476462 4917349 7649150 7559113 153921 0 10823675 10369476 533859 516194 28042 8594 7600637 7616009 0 96711 8162538 8237508 X 2387634 2006444 273503 125524 2661137 2131968 10823675 10369476 X -104592 -424577 X X 0 1 X 1 0 X 579786 539238 579602 690090 579656 2968372 6539376 6574506 6190257 5640981 5810498 30755618 7119162 7113744 6769859 6331071 6390154 33723990 4595 4595 124761 124949 56045 306500 132819 745074 124761 124949 60640 306500 132819 749669 32974321 9797 8796 8519 18014 22623 67749 9797 8796 8519 18014 22623 67749 394969 382517 419359 492116 305318 1994279 7523928 7505057 7197737 6841201 6718095 35786018 0.92140 0.92700 0.00190 0.00140 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 396648 396648 11159166 4078659 7080507 497889 442546 55343 418559 393388 25171 4200 2756 1444 7559113 INTEREST RATE SWAP 96711 96711 X 6980406 0 6980406 48589 48589 7028995 7133587 0 7133587 0 7133587 PART X, LINE 2: THE ORGANIZATION IS A NOT-FOR-PROFIT CORPORATION AS DEFINED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE "CODE") WITH EXEMPTION FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE ORGANIZATION FILES AS A TAX-EXEMPT ORGANIZATION. MANAGEMENT IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE TAX-EXEMPT STATUS OF THE ORGANIZATION. MANAGEMENT IS NOT AWARE OF ANY SIGNIFICANT ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OR OTHER TAXES FOR THE ORGANIZATION. THE ORGANIZATION FOLLOWS GUIDANCE IN THE INCOME TAX STANDARD REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. THE GUIDANCE HAS HAD NO IMPACT ON THE ORGANIZATION'S FINANCIAL STATEMENTS. PART XI, LINE 4B - OTHER ADJUSTMENTS: INTEREST INCOME 22,623. RESTRICTED CONTRIBUTIONS 25,966. PITCHING AND RIDING EVENT 17000 17000 17000 17000 0 0 0 0 0 0 0 0 0 JANE ARMSTRONG CEO 152585 0 0 0 0 0 0 0 0 0 152585 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE CEO AND CFO OF THE ORGANIZATION REVIEW THE FORM 990 FOR ACCURACY. AFTER THEIR REVIEW, THE ORGANIZATION PROVIDES A DRAFT OF FORM 990 TO EVERY MEMBER OF THE GOVERNING BODY BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS AN ANNUAL REVIEW OF ANY CONFLICT OF INTEREST ISSUES. FORM 990, PART VI, SECTION B, LINE 15 BOARD EVALUATES CEO ANNUALLY AND DETERMINES IF INCREASE IS AGREED ON. VOTED ON AT THAT TIME FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE GENERAL PUBLIC. THE ORGANIZATION DOES PROVIDE DIRECT DELIVERY OF ITS FINANCIAL STATEMENTS TO CERTAIN UNITED WAY ORGANIZATIONS. FORM 990, PART XI, LINE 9: CHANGE IN FAIR VALUE OF SWAP AGREEMENT -250,632. NET ASSETS RELEASED FROM RESTRICTIONS -173,945. FORM 990, PART XII, LINE 2C THE SELECTION AND OVERSIGHT PROCESS IS UNCHANGED FROM PRIOR YEAR.