FOUR SEASONS COMPASSION FOR LIFE FOUNDATION: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
FOUR SEASONS COMPASSION FOR LIFE FOUNDATION (EIN 47-5508988)
Tax period
2016-10-23 to 2017-09-30
Filed
2018-07-23
IRS object ID
201842049349300894
Schema version
2016v3.0
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)
Return2018-07-23T18:00:40-05:00ReturnTs
Tax Period End2017-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN350921680PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CROWE LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1401 East Las Olas Blvd Suite 1100AddressLine1Txt
CityFort LauderdaleCityNm
State AbbreviationFLStateAbbreviationCd
ZIP333014230ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-10-23TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN475508988EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Four Seasons Compassion for Life FoundationBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlFOURBusinessNameControlTxt
Phone8282330305PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1571 South Allen RoadAddressLine1Txt
CityFlat RockCityNm
State AbbreviationNCStateAbbreviationCd
ZIP287319447ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDr Millicent Burke-SinclairPersonNm
Person TitleCEOPersonTitleTxt
Signature2018-07-23SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBRITTNEY KOCAJPreparerPersonNm
PTINP01320603PTIN
Phone9542028600PhoneNum
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1Dr Millicent Burke-SinclairBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1571 South Allen RoadAddressLine1Txt
CityFlat RockCityNm
State AbbreviationNCStateAbbreviationCd
ZIP287319447ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$2,517,357GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresshttps://www.fourseasonscfl.org/how-you-can-help/foundation/WebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2015FormationYr
Legal Domicile StateNCLegalDomicileStateCd
Activity Or MissionTHE MISSION OF FOUR SEASONS COMPASSION FOR LIFE FOUNDATION IS TO SOLICIT CONTRIBUTIONS ON BEHALF OF Four Seasons Compassion for Life, A RELATED ORGANIZATION.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers19TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$931,388CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$72,837CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$312,081CYOtherRevenueAmt
PY Total Revenue$0PYTotalRevenueAmt
CY Total Revenue$1,316,306CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$546,664CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$0PYOtherExpensesAmt
CY Other Expenses$594,297CYOtherExpensesAmt
PY Total Expenses$0PYTotalExpensesAmt
CY Total Expenses$1,140,961CYTotalExpensesAmt
PY Revenues Less Expenses$0PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$175,345CYRevenuesLessExpensesAmt
Total Assets BOY$0TotalAssetsBOYAmt
Total Assets EOY$2,029,840TotalAssetsEOYAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$497,638TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$0NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,532,202NetAssetsOrFundBalancesEOYAmt
MissionTHE MISSION OF FOUR SEASONS COMPASSION FOR LIFE FOUNDATION IS TO FOSTER, PROMOTE, SUPPORT, DEVELOP, AND ENCOURAGE THE FUNCTION OF Four Seasons Compassion for Life BY SOLICITING, RECEIVING AND ACCEPTING FUNDS, GIFTS AND CONTRIBUTIONS AND BY PRUDENT INVESTMENT AND/OR EXPENDITURE OF SUCH FUNDS TO MEET THE NEEDS OF Four Seasons Compassion for Life PATIENTS AND THEIR FAMILIES.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$1,026,865ExpenseAmt
Grant$546,664GrantAmt
Revenue$0RevenueAmt
DescTHE ORGANIZATION SOLICITS CONTRIBUTIONS ON BEHALF OF Four Seasons Compassion for Life, A RELATED ORGANIZATION.Desc
Total Program Service Expenses$1,026,865TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form1098 C FiledYes (true)Form1098CFiledInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyfalseWhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldNCStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Michael SmithBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8286926178PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1571 South Allen RoadAddressLine1Txt
CityFlat RockCityNm
State AbbreviationNCStateAbbreviationCd
ZIP28731ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
David Reeves
CHAIRMAN/DIRECTOR4.00.0Yes (X)Yes (X)$0$0$0
Henry Johnson
VICE CHAIR/DIRECTOR4.00.0Yes (X)Yes (X)$0$0$0
Mary Coffey
SECRETARY/Director4.00.0Yes (X)Yes (X)$0$0$0
Dick BURNS
Treasurer/Director4.02.0Yes (X)Yes (X)$0$0$0
Caroline Gunther
Director3.00.0Yes (X)$0$0$0
LYNN PENNY
DIRECTOR (THROUGH JANUARY 2017)3.00.0Yes (X)$0$0$0
David Rhew
Director3.00.0Yes (X)$0$0$0
Robert Seiler
Director3.02.0Yes (X)$0$0$0
Sandy Williams
Director3.00.0Yes (X)$0$0$0
NANCY BOUVET
Director3.02.0Yes (X)$0$0$0
CINDY SCHIRMER
Director3.02.0Yes (X)$0$0$0
CHRISTOPHER COMEAUX
President/CEO1.040.0Yes (X)$0$275,567$47,802
MICHAEL SMITH
CFO1.040.0Yes (X)$0$104,808$45,481
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$380,375TotReportableCompRltdOrgAmt
Total Other Compensation$93,283TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Federated Campaigns$29,773FederatedCampaignsAmt
Fundraising$110,048FundraisingAmt
All Other Contributions$791,567AllOtherContributionsAmt
Noncash Contributions$34,424NoncashContributionsAmt
Total Contributions$931,388TotalContributionsAmt

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$0TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$34,079TotalRevenueColumnAmt
Exclusion$34,079ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$1,008,165SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$969,407SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$38,758SecuritiesAmt
Other$0OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$38,758TotalRevenueColumnAmt
Exclusion$38,758ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$110,048ContriRptFundraisingEventAmt
Fundraising Direct Expenses$21,079FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$21,079TotalRevenueColumnAmt
Exclusion-$21,079ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$543,725GrossSalesOfInventoryAmt
Cost Of Goods Sold$210,565CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$333,160TotalRevenueColumnAmt
Exclusion$333,160ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,316,306TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$384,918ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$546,664TotalAmt
Program Services$546,664ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$200TotalAmt
Management And General$200ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$6,000TotalAmt
Management And General$6,000ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$455,313TotalAmt
Program Services$426,748ProgramServicesAmt
Management And General$28,565ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$15,066TotalAmt
Program Services$15,066ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$58,119TotalAmt
Management And General$58,119ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$19,860TotalAmt
Program Services$14,895ProgramServicesAmt
Management And General$4,965ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$6,608TotalAmt
Program Services$4,592ProgramServicesAmt
Management And General$2,016ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$4,538TotalAmt
Program Services$3,177ProgramServicesAmt
Management And General$1,361ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$19,400TotalAmt
Program Services$14,550ProgramServicesAmt
Management And General$4,850ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
REPAIRS & MAINTENANCE$1,565$1,173$392
Continuing Education$3,062$3,062
Dues, Licenses, & Subscriptions$4,566$4,566

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,140,961TotalAmt
Program Services$1,026,865ProgramServicesAmt
Management And General$114,096ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$39,226EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$754,529EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$395,013EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$3,104EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$26,278EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$121,900LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$23,572LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
EOY$98,328EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$691,714EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$21,648EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$2,029,840EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$20,712EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$476,926EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$497,638EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$710,304EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$410,619EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$411,279EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$1,532,202EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$2,029,840EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$175,345ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$13,922NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$1,342,935OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type2Yes (X)SupportingOrgType2Ind
IRS Written DeterminationYes (X)IRSWrittenDeterminationInd
Supported Organizations1SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp

Supported Organization Name SupportedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Hospice of Henderson County Inc dba Four Seasons Compassion for LifeBusinessNameLine1Txt
FieldValueIRS element (for citing)
EIN561252665EIN
Organization Type9OrganizationTypeCd
Governing Document ListedYes (true)GoverningDocumentListedInd
Support$546,664SupportAmt
Other Support$0OtherSupportAmt
FieldValueIRS element (for citing)
Supported Organizations Total1SupportedOrganizationsTotalCnt
Support Sum$546,664SupportSumAmt
Other Support Sum$0OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocYes (true)ListedByNameGoverningDocInd
Suprt Org No IRS DeterminationfalseSuprtOrgNoIRSDeterminationInd
Supported Org Section C456falseSupportedOrgSectionC456Ind
Supported Org Not Organized USfalseSupportedOrgNotOrganizedUSInd
Organization Change Suprt OrgfalseOrganizationChangeSuprtOrgInd
Support Non Supported OrgfalseSupportNonSupportedOrgInd
Payment Substantial ContribtrfalsePaymentSubstantialContribtrInd
Loan Disqualified PersonfalseLoanDisqualifiedPersonInd
Controlled Disqualified PrsnfalseControlledDisqualifiedPrsnInd
Disqualified Prsn Controll IntfalseDisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr IntfalseDisqualifiedPrsnOwnrIntInd
Excess Business Holdings RulesfalseExcessBusinessHoldingsRulesInd
Contribution ControllerfalseContributionControllerInd
Contribution FamilyfalseContributionFamilyInd
Contribution35 ControlledfalseContribution35ControlledInd
FieldValueIRS element (for citing)
Majority Dir Trst Supported OrgfalseMajorityDirTrstSupportedOrgInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule A, Part IV, Section C, Line 1 Majority director detailFormAndLineReferenceDesc
ExplanationThe Articles of Incorporation of Four Seasons Compassion for Life Foundation ("the Foundation") identify that the exclusive purpose of the Foundation is to foster, promote, support, develop and encourage the function of the supported organization (Hospice of Henderson County, Inc. D/B/A Four Seasons Compassion for Life). As a supporting organization, Four Seasons Compassion for Life Foundation is supervised in connection with the supported organization, and therefore is designated as a Type II supporting organization. Four Seasons Compassion for Life Foundation meets this classification because the management of the Foundation is vested in the same persons that control and manage the supported organization. The Bylaws of the Foundation require that the Board of Directors of the Foundation include two at large members of the supported organization's Executive Committee and three additional at large members of the supported organization's Board of Directors. The Bylaws of the Foundation further require that the management team of the Foundation include the supported organization's Chief Executive Officer, who shall be an ex-officio non-voting member of the Foundation Board of Directors and shall be the person primarily responsible for the day to day operation of the Foundation and management of its staff. The fact that the management of the Foundation is vested in the same persons that control and manage the supported organization allows the Foundation and its supported organization to function collectively as a system. The Foundation provides support to the supported organization that furthers the supported organization's tax-exempt purpose of providing hospice and palliative care services to terminally ill individuals and their families. The fact that the Foundation and its supported organization have management and governing body overlap assures that the Foundation is responsive to the needs and demands of the supported organization and that the Foundation constitutes an integral part of and maintains a significant involvement in the operations of the supported organization.ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$0BeginningYearBalanceAmt
Contributions$1,063,846ContributionsAmt
Investment Earnings Or Losses$78,373InvestmentEarningsOrLossesAmt
End Year Balance$1,142,219EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$0BeginningYearBalanceAmt
End Year Balance$0EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$0BeginningYearBalanceAmt
End Year Balance$0EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$0BeginningYearBalanceAmt
End Year Balance$0EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
End Year Balance$0EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.6399BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.3601PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.0TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$70,075OtherCostOrOtherBasisAmt
Depreciation$17,519DepreciationAmt
Book Value$52,556BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,255OtherCostOrOtherBasisAmt
Depreciation$1,881DepreciationAmt
Book Value$4,374BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$45,570OtherCostOrOtherBasisAmt
Depreciation$4,172DepreciationAmt
Book Value$41,398BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$98,328TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDUE TO Four Seasons Compassion for LifeDesc
Amt$476,926Amt
FieldValueIRS element (for citing)
Total Liability$476,926TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$2,898,807TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$13,922NetUnrealizedGainsInvstAmt
Other Revenue$1,574,579OtherRevenueAmt
Revenue Not Reported$1,588,501RevenueNotReportedAmt
Revenue Subtotal$1,310,306RevenueSubtotalAmt
Investment Expenses Not Incld$6,000InvestmentExpensesNotIncldAmt
Other Revenues Not Included$0OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$6,000RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$1,316,306TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,366,605TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$231,644OtherExpensesIncludedAmt
Expenses Not Reported$231,644ExpensesNotReportedAmt
Expenses Subtotal$1,134,961ExpensesSubtotalAmt
Investment Expenses Not Incld2$6,000InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$0OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$6,000ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$1,140,961TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule D, Part V, Line 4 Intended uses of endowment fundsFOUR SEASONS COMPASSION FOR LIFE FOUNDATION HOLDS TWO ENDOWMENTS FOR THE BENEFIT OF Four Seasons Compassion for Life. THE FIRST ENDOWMENT IS INTENDED TO PROVIDE FINANCIAL ASSISTANCE FOR PALLIATIVE CARE, AND THE SECOND ENDOWMENT IS AVAILABLE TO BE USED AT THE DISCRETION OF THE BOARD OF DIRECTORS.
Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnoteThe Foundation is exempt from income taxes on income from related activities under Section 501(c)(3) of the U.S. Internal Revenue Code and corresponding state tax law. Accordingly, no provision has been made for federal or state income taxes. U.S. GAAP requires that a tax position is recognized as a benefit only if it is "more likely than not" that the tax position would be sustained in a tax examination, with a tax examination being presumed to occur. The amount recognized is the largest amount of tax benefit that is greater than 50% likely of being realized on examination. For tax positions not meeting the "more likely than not" test, no tax benefit is recorded. The Foundation's Form 990 has not been subject to examination by the Internal Revenue Service or the state of North Carolina since inception. The Foundation does not expect the total amount of unrecognized tax benefits to significantly change in the next 12 months. The Foundation recognizes interest and/or penalties related to income tax matters in income tax expense. The Foundation did not have any amounts accrued for interest and penalties at September 30, 2017.
Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990ASSET TRANSFER FROM Four Seasons Compassion for Life - 1342935 FUNDRAISING EVENT EXPENSES - 21079 RETAIL STORE EXPENSE - 210565
Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990FUNDRAISING EVENT EXPENSES - 21079 RETAIL STORE EXPENSE - 210565

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1Tree of LightsEvent1Nm
Gross Receipts Event1$51,938GrossReceiptsEvent1Amt
Charitable Contri Event1$51,938CharitableContriEvent1Amt
Gross Revenue Event1$0GrossRevenueEvent1Amt
Food And Beverage Event1$205FoodAndBeverageEvent1Amt
Other Direct Expenses Event1$3,363OtherDirectExpensesEvent1Amt
Event2Garden GalaEvent2Nm
Gross Receipts Event2$58,110GrossReceiptsEvent2Amt
Charitable Contri Event2$58,110CharitableContriEvent2Amt
Gross Revenue Event2$0GrossRevenueEvent2Amt
Food And Beverage Event2$5,108FoodAndBeverageEvent2Amt
Entertainment Event2$151EntertainmentEvent2Amt
Other Direct Expenses Event2$12,252OtherDirectExpensesEvent2Amt
Gross Revenue Other Events$0GrossRevenueOtherEventsAmt
Gross Receipts Total$110,048GrossReceiptsTotalAmt
Charitable Contributions Tot$110,048CharitableContributionsTotAmt
Gross Revenue Total Events$0GrossRevenueTotalEventsAmt
Food And Beverage Total Events$5,313FoodAndBeverageTotalEventsAmt
Entertainment Total Events$151EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$15,615OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$21,079DirectExpenseSummaryEventsAmt
Net Income Summary-$21,079NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedfalseGrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

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

US Address USAddress

FieldValueIRS element (for citing)
Address Line1571 SOUTH ALLEN ROADAddressLine1Txt
CityFLAT ROCKCityNm
State AbbreviationNCStateAbbreviationCd
ZIP28731ZIPCd
FieldValueIRS element (for citing)
Recipient EIN561252665RecipientEIN
IRC Section501(C)(3)IRCSectionDesc
Cash Grant$546,664CashGrantAmt
Non Cash Assistance$0NonCashAssistanceAmt
Valuation Method UsedN/AValuationMethodUsedDesc
Non Cash AssistanceN/ANonCashAssistanceDesc
Purpose Of GrantGENERAL SUPPORTPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule I, Part I, Line 2 Procedures for monitoring use of grant funds.FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION ONLY PROVIDED GRANTS TO HOSPICE OF HENDERSON COUNTY, Inc. d/b/a Four Seasons Compassion for Life, A RELATED ORGANIZATION. The organization monitors use of grant funds through overlap in governing body members and management between the filing organization and the recipient organization.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

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
CHRISTOPHER COMEAUX
President/CEO$0$199,588$0$69,524$0$6,455$0$0$0$47,802$0$323,369$0$0
MICHAEL SMITH
CFO$0$95,435$0$8,892$0$481$0$0$0$45,481$0$150,289$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule J, Part I, Line 3 Arrangement used to establish the top management official's compensationFormAndLineReferenceDesc
ExplanationTHE ORGANIZATION'S TOP MANAGEMENT OFFICIAL IS COMPENSATED BY Four Seasons Compassion for Life, A RELATED ORGANIZATION. Four Seasons Compassion for Life UTILIZES THE FOLLOWING METHODS TO ESTABLISH COMPENSATION OF THE CEO: -COMPENSATION COMMITTEE -FORM 990 OF OTHER ORGANIZATIONS -COMPENSATION SURVEY OR STUDY -APPROVAL BY THE BOARD OR COMPENSATION COMMITTEEExplanationTxt

Schedule M IRS990ScheduleM

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Noncash Contributions Rpt F990$543,725NoncashContributionsRptF990Amt
Method Of Determining RevenuesSelling costMethodOfDeterminingRevenuesTxt

Cars And Other Vehicles CarsAndOtherVehiclesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$2,850NoncashContributionsRptF990Amt
Method Of Determining RevenuesMarket valueMethodOfDeterminingRevenuesTxt

Securities Publicly Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution5ContributionCnt
Noncash Contributions Rpt F990$31,574NoncashContributionsRptF990Amt
Method Of Determining RevenuesMarket valueMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Form8283 Received0Form8283ReceivedCnt
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule M, Part I Explanations of reporting method for number of contributionsFormAndLineReferenceDesc
ExplanationSecurities - Publicly traded - Number of contributions Cars and other vehicles - Number of items receivedExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 15a PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIALTHE ORGANIZATION'S TOP MANAGEMENT OFFICIAL IS COMPENSATED BY Four Seasons Compassion for Life, A RELATED ORGANIZATION. Therefore, this question is answered "no" in accordance with Form 990 instructions. To determine compensation for the organization's CEO, the Executive Committee and Chairman of the Board of Directors of Four Seasons Compassion for Life review and discuss the CEO's performance on an annual basis. Comparability data is also considered when evaluating CEO compensation. These discussions are documented in the minutes of Executive Committee meetings. This process was last undertaken during FYE 9/30/2017.
Form 990, Part VI, Line 15b PROCESS TO ESTABLISH COMPENSATION OF OTHER EMPLOYEESALL OTHER OFFICERS OF THE ORGANIZATION ARE COMPENSATED BY Four Seasons Compassion for Life, A RELATED ORGANIZATION. Therefore, this question is answered "no" in accordance with Form 990 instructions. Compensation of other officers is determined and documented by the CEO. The CEO considers each employee's annual performance evaluations when determining compensation, as well as comparability information compiled to ensure the reasonableness of compensation. This process is documented in each employee's file and was last undertaken during FYE 9/30/2017.
Form 990, Part VI, Line 13 Written whistleblower policyTHE ORGANIZATION HAS DRAFTED A WRITTEN WHISTLEBLOWER POLICY, AND IS IN THE PROCESS OF OBTAINING BOARD APPROVAL OF THIS POLICY. Because this policy has not yet been approved by the Board, this question has been answered "no" in accordance with IRS guidance.
Form 990, Part VI, Line 14 Written document retention and destruction policyTHE ORGANIZATION HAS DRAFTED A WRITTEN DOCUMENT RETENTION AND DESTRUCTION POLICY, AND IS IN THE PROCESS OF OBTAINING BOARD APPROVAL OF THIS POLICY. Because this policy has not yet been approved by the Board, this question has been answered "no" in accordance with IRS guidance.
Form 990, Part VI, Line 1a Delegate broad authority to a committeeTHE EXECUTIVE COMMITTEE IS COMPOSED OF THE ORGANIZATION'S BOARD CHAIR, VICE-CHAIR, SECRETARY, TREASURER, IMMEDIATE PAST CHAIR, AND TWO AT-LARGE FOUNDATION BOARD MEMBERS TO BE CHOSEN BY THE FOUNDATION CHAIR. The Executive Committee shall have and may exercise all the power of the Board that may be lawfully delegated.
Form 990, Part VI, Line 11b Review of form 990 by governing bodyTHE Form 990 is PREPARED BY AN INDEPENDENT ACCOUNTANT WITH ASSISTANCE AND OVERSIGHT BY MANAGEMENT. The Form 990 is presented by the independent accountant to the finance committee of the filing organization. Subsequently, a copy of the Form 990 is made available to all members of the Board of Directors prior to submission to the IRS.
Form 990, Part VI, Line 12c Conflict of interest policyALL BOARD MEMBERS and officers ARE REQUIRED ANNUALLY TO DISCLOSE ANY CONFLICTS OF INTEREST THAT MAY EXIST BETWEEN THEMSELVES AND THE ORGANIZATION. ANY CONFLICTS NOTED ARE REPORTED AND DISCUSSED, AND ANY ACTION DETERMINED NECESSARY IS TAKEN BY THE EXECUTIVE COMMITTEE OF THE BOARD. Individuals with a conflict on interest are prohibited from voting on any matter where that conflict exists. EACH BOARD MEMBER IS REQUIRED TO SIGN THE "CONFLICT OF INTEREST AGREEMENT."
Form 990, Part VI, Line 19 Required documents available to the publicThe organization's governing documents, financial statements, and conflict of interest policy ARE AVAILABLE UPON REQUEST TO THE PUBLIC AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE.
Form 990, Part IX, Line 11g Other FeesSHARED SERVICES - Total Expense: 426748, Program Service Expense: 426748, Management and General Expenses: 0, Fundraising Expenses: 0; PRINTING & DESIGN SERVICES - Total Expense: 17781, Program Service Expense: , Management and General Expenses: 17781, Fundraising Expenses: ; STAFFING SERVICES - Total Expense: 7090, Program Service Expense: , Management and General Expenses: 7090, Fundraising Expenses: ; CLEANING SERVICES - Total Expense: 800, Program Service Expense: , Management and General Expenses: 800, Fundraising Expenses: ; Other professional fees - Total Expense: 2894, Program Service Expense: , Management and General Expenses: 2894, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balancesASSET TRANSFER FROM Four Seasons Compassion for Life - 1342935;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

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

US Address USAddress

FieldValueIRS element (for citing)
Address Line1571 SOUTH ALLEN ROADAddressLine1Txt
CityFLAT ROCKCityNm
State AbbreviationNCStateAbbreviationCd
ZIP28731ZIPCd
FieldValueIRS element (for citing)
EIN561252665EIN
Primary ActivitiesHOSPICE & PALLIATIVE CAREPrimaryActivitiesTxt
Legal Domicile StateNCLegalDomicileStateCd
Exempt Code Section501(c)(3)ExemptCodeSectionTxt
Public Charity Status10PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled OrganizationfalseControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

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