2016-11-15T11:00:43-06:00 2016-06-30 561607661 LOWDERMILK CHURCH & CO LLP 121 N STERLING STREET MORGANTON NC 28655 990 2015-07-01 561338470 CALDWELL HOSPICE AND PALLIATIVE CARE INC CALD 8287540101 902 KIRKWOOD STREET NW LENOIR NC 28645 CATHY SWANSON EXECUTIVE DIRECTOR 8287540101 2016-11-14 1 CYNTHIA RANDOLPH P00441502 8284331226 2015 2017-02-10 21:41:12Z CATHY SWANSON 902 KIRKWOOD STREET NW LENOIR NC 28645 8874507 0 X WWW.CALDWELLHOSPICE.ORG X 1981 NC TO PROVIDE CARE FOR THE TERMINALLY ILL AND THEIR FAMILIES 18 18 164 390 0 0 233926 180035 8860182 8730806 1196 84 54619 -36418 9149923 8874507 0 0 0 0 6054047 6104677 0 0 0 2867989 2901520 8922036 9006197 227887 -131690 16555706 16391342 1147249 1114575 15408457 15276767 PROVIDE END OF LIFE CARE THROUGH THE HOSPICE PHILOSOPHY 0 0 7909051 8694388 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. 7909051 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 0 0 0 0 1 15 0 164 1 0 0 0 0 0 0 0 0 0 0 X 18 18 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/MEDICAL DIREC 0.00 X 0 0 0 PEG BROYHILL BOARD MEMBER 0.00 X 0 0 0 JOSEPH DELK III BOARD MEMBER 0.00 X 0 0 0 DAVID GRAY BOARD MEMBER 0.00 X 0 0 0 TAMRA STARNES BOARD MEMBER 0.00 X 0 0 0 ROB HINMAN BOARD MEMBER 0.00 X 0 0 0 DOTTIE METZGER BOARD MEMBER 0.00 X 0 0 0 LINDA STORY BOARD MEMBER 0.00 X 0 0 0 LAURA EASTON BOARD MEMBER 0.00 X 0 0 0 SCOTT BROWN BOARD MEMBER 0.00 X 0 0 0 MARION HALL BOARD MEMBER 0.00 X 0 0 0 MACK JARVIS BOARD MEMBER 0.00 X 0 0 0 WONGALEE THOMAS BOARD MEMBER 0.00 X 0 0 0 PARKER WILLIAMSON CHAIR EMERITUS 0.00 X 0 0 0 MARC CARPENTER CHAIR 0.00 X 0 0 0 CHARLES SHELL TREASURER 0.00 X 0 0 0 JANET WINKLER SECRETARY 0.00 X 0 0 0 DAVID LACKEY VICE CHAIR 0.00 X 0 0 0 THOMAS RAY PHYSICIAN 40.00 X 195240 0 24000 CATHY SWANSON CEO 40.00 X 149497 0 4401 344737 0 28401 2 0 1 0 0 180035 180035 MEDICARE/MEDICAID PAYM 623990 7814650 7814650 INSURANCE REIMBURSEMEN 623990 448696 448696 PRIVATE REIMBURSEMENT 623990 365691 365691 OTHER HOSPICE ORGANIZA 623990 101769 101769 8730806 84 84 OTHER REVENUE 623990 -36418 -36418 -36418 8874507 8694388 0 84 4969153 4273472 695681 160289 137849 22440 628846 540808 88038 346389 297894 48495 28428 28428 55380 55380 63200 61201 1999 97811 88030 9781 88710 79531 9179 220879 209835 11044 3066 3066 372716 320536 52180 166213 166213 MEDICATION EXPENSE 630316 630316 THERAPIES 289629 289629 DME 261217 261217 MEDICAL SUPPLIES 145876 145876 478079 406644 71435 9006197 7909051 1097146 0 -2 4312908 3769166 1538505 2048225 95812 170481 12187144 3720331 8631034 8466813 1977449 1936657 16555706 16391342 242048 122959 905201 991616 1147249 1114575 X 15402585 15276283 5872 484 15408457 15276767 16555706 16391342 -131690 0 X 0 1 X 1 0 X 217809 230717 200921 233926 180035 1063408 8548159 8641215 8049201 8860182 8730806 42829563 8765968 8871932 8250122 9094108 8910841 43892971 0 0 0 43892971 6700 4368 2914 1559 84 15625 6700 4368 2914 1559 84 15625 4440 31777 11546 54619 -36418 65964 8777108 8908077 8264582 9150286 8874507 43974560 0.99810 0.99690 0.00040 0.00040 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 716887 716887 9613972 2142456 7471516 373172 260561 112611 602537 560128 42409 880576 757186 123390 8466813 VARIOUS INVESTMENTS 1936657 F 1936657 DUE TO PHYSICIANS AND NURSING HOMES 245096 ACCRUED PAYROLL AND PAYROLL TAXES 736601 DEFERRED REVENUE 9919 991616 X 8874507 0 8874507 0 8874507 9006197 0 9006197 0 9006197 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 LIABILTIES THAT COULD HAVE A RISK OF GREATER THAN A 50% LIKELIHOOD OF BEING REALIZED UPON SETTLEMENT. AS OF JUNE 30, 2016 MANAGEMENT HAS DETERMINED THAT THE ORGANIZATION HAS NO SUCH RISK AND THEREFORE NO LIABILITIES HAVE BEEN RECORDED FOR UNCERTAIN TAX POSITIONS. PART XI, LINE 4B - OTHER ADJUSTMENTS: ROUNDING X X 0 0 0 0 0 0 0 0 0 THOMAS RAY PHYSICIAN 195240 0 0 0 0 0 24000 0 0 0 219240 0 0 0 CATHY SWANSON CEO 149497 0 0 0 0 0 4401 0 0 0 153898 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 FORM 990 IS PROVIDED TO THE ORGANIZATION'S GOVERNING BODY BEFORE IT IS FILED AND IT IS REVIEWED BY THE BOARD OF DIRECTORS AND MANAGEMENT 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 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.