2016-02-01T08:11:01-06:00 2015-06-30 561607661 LOWDERMILK CHURCH & CO LLP 121 N STERLING STREET MORGANTON NC 28655 990 2014-07-01 561338470 CALDWELL HOSPICE AND PALLIATIVE CARE INC CALD 8287540101 902 KIRKWOOD STREET NW LENOIR NC 28645 CATHY SWANSON EXECUTIVE DIRECTOR 8287540101 2016-01-27 1 CYNTHIA RANDOLPH P00441502 8284331226 2014 2016-04-25 22:37:26Z CATHY SWANSON 902 KIRKWOOD STREET NW LENOIR NC 28645 9150286 0 X WWW.CALDWELLHOSPICE.ORG X 1981 NC TO PROVIDE CARE FOR THE TERMINALLY ILL AND THEIR FAMILIES 15 15 162 425 0 0 200921 233926 8049201 8860182 2914 1196 11546 54619 8264582 9149923 0 0 0 0 5787410 6054047 0 0 0 2704521 2867989 8491931 8922036 -227349 227887 16455224 16555706 1274655 1147249 15180569 15408457 PROVIDE END OF LIFE CARE THROUGH THE HOSPICE PHILOSOPHY 0 0 7757804 8914438 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. 7757804 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 14 0 162 1 0 0 0 0 0 0 0 0 0 0 X 15 15 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 DAVID LACKEY 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 JAMES E SPONENBERG III VICE-CHAIR 0.00 X 0 0 0 JANET WINKLER SECRETARY 0.00 X 0 0 0 THOMAS RAY PHYSICIAN 40.00 X 193507 0 23538 CATHY SWANSON CEO 40.00 X 147436 0 4163 JEFFREY BROWN MEDICAL DOCTOR 40.00 X 125573 0 7935 466516 0 35636 3 0 1 0 0 233926 233926 MEDICARE/MEDICAID PAYM 623990 8041096 8041096 INSURANCE REIMBURSEMEN 623990 441382 441382 PRIVATE REIMBURSEMENT 623990 377300 377300 OTHER HOSPICE ORGANIZA 623990 404 404 8860182 1559 1559 363 -363 -363 -363 OTHER REVENUE 623990 54619 54619 54619 9149923 8914438 0 1559 4677154 4022352 654802 179632 154484 25148 864977 743880 121097 332284 285764 46520 23907 23907 70451 70451 17273 15546 1727 8400 7224 1176 190467 180944 9523 1668 1668 419299 360597 58702 153497 134318 19179 THERAPIES 496294 496294 MEDICATION EXPENSE 465770 465770 AMBULANCE 364244 364244 MAINTENANCE 114592 103133 11459 542127 423254 118873 8922036 7757804 1164232 0 -2 5673317 4312908 1655703 1538505 114561 95812 11978649 3347615 9011643 8631034 1977449 16455224 16555706 223661 242048 1050994 905201 1274655 1147249 X 15169310 15402585 11259 5872 15180569 15408457 16455224 16555706 X 227887 1 X 0 1 X 1 0 X 494180 217809 230717 200921 233926 1377553 7770852 8548159 8641215 8049201 8860182 41869609 8265032 8765968 8871932 8250122 9094108 43247162 0 0 0 43247162 144 6700 4368 2914 1559 15685 144 6700 4368 2914 1559 15685 18326 4440 31777 11546 54619 120708 8283502 8777108 8908077 8264582 9150286 43383555 0.99690 0.99630 0.00040 0.00040 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 716887 716887 9430574 1896338 7534236 373172 241830 131342 583035 542321 40714 874981 667126 207855 8631034 VARIOUS INVESTMENTS 1977449 F 1977449 DUE TO PHYSICIANS AND NURSING HOMES 250505 ACCRUED PAYROLL AND PAYROLL TAXES 644777 DEFERRED REVENUE 9919 905201 X 9149924 0 9149924 -1 -1 9149923 8922036 0 8922036 0 8922036 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, 2015 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 193507 0 0 0 0 0 23538 0 0 0 217045 0 0 0 CATHY SWANSON CEO 147436 0 0 0 0 0 4163 0 0 0 151599 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. FORM 990, PART XI, LINE 9: ROUNDING 1.