CALDWELL HOSPICE AND PALLIATIVE CARE INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- CALDWELL HOSPICE AND PALLIATIVE CARE INC (EIN 56-1338470)
- Tax period
- 2012-07-01 to 2013-06-30
- Filed
- 2013-11-14
- IRS object ID
- 201313189349300946
- Schema version
- 2012v2.1
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-11-14T07:59:01-06:00 | Timestamp |
| Tax Period End Date | 2013-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 561607661 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LOWDERMILK CHURCH & CO LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 121 N STERLING STREET | AddressLine1 |
| City | MORGANTON | City |
| State | NC | State |
| ZIP Code | 28655 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 561338470 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CALDWELL HOSPICE AND PALLIATIVE CARE INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | CALD | NameControl |
| Phone | 8287540101 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 902 KIRKWOOD STREET NW | AddressLine1 |
| City | LENOIR | City |
| State | NC | State |
| ZIP Code | 28645 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | CATHY SWANSON | Name |
| Title | EXECUTIVE DIRECTOR | Title |
| Phone | 8287540101 | Phone |
| Date Signed | 2013-11-13 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | CYNTHIA RANDOLPH | Name |
| PTIN | P00441502 | PTIN |
| Phone | 8284331226 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | CATHY SWANSON | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 902 KIRKWOOD STREET NW | AddressLine1 |
| City | LENOIR | City |
| State | NC | State |
| ZIP Code | 28645 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 8908077 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.CALDWELLHOSPICE.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1981 | YearFormation |
| State Legal Domicile | NC | StateLegalDomicile |
| Activity Or Mission Description | TO PROVIDE CARE FOR THE TERMINALLY ILL AND THEIR FAMILIES | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 17 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 17 | NbrIndependentVotingMembers |
| Total Nbr Employees | 148 | TotalNbrEmployees |
| Total Nbr Volunteers | 402 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 217809 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 230717 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 8548159 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 8641215 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 6700 | InvestmentIncomePriorYear |
| Investment Income Current Year | 4368 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 4440 | OtherRevenuePriorYear |
| Other Revenue Current Year | 31777 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 8777108 | TotalRevenuePriorYear |
| Total Revenue Current Year | 8908077 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 750000 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 5861282 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 5865119 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 2572989 | OtherExpensePriorYear |
| Other Expenses Current Year | 2814738 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 9184271 | TotalExpensesPriorYear |
| Total Expenses Current Year | 8679857 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -407163 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 228220 | RevenuesLessExpensesCY |
| Total Assets BOY | 16069519 | TotalAssetsBOY |
| Total Assets EOY | 16488184 | TotalAssetsEOY |
| Total Liabilities BOY | 889824 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 1080268 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 15179695 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 15407916 | NetAssetsOrFundBalancesEOY |
| Mission Description | PROVIDE END OF LIFE CARE THROUGH THE HOSPICE PHILOSOPHY | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 7615112 | Expense |
| Revenue | 8672992 | Revenue |
| Description | 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. | Description |
| Total Program Service Expense | 7615112 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 15 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 148 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 17 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 17 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TERRY JOHNSON | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 8287540101 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 902 KIRKWOOD STREET NW | AddressLine1 |
| City | LENOIR | City |
| State | NC | State |
| ZIP Code | 28645 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (21 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| ROBERT BELK MD | |||||||
| BOARD MEMBER/MEDICAL DIREC | 0.00 | X | 0 | 0 | 0 | ||
| PEG BROYHILL | |||||||
| BOARD MEMBER | 0.00 | X | 0 | 0 | 0 | ||
| MARC CARPENTER | |||||||
| 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 | ||
| CLAUDIA BUJOLD | |||||||
| BOARD MEMBER | 0.00 | 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 E SPONENBERG III | |||||||
| 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 | ||
| PARKER WILLIAMSON | |||||||
| CHAIR EMERITUS | 0.00 | 0 | 0 | 0 | X | ||
| HOUSTON GROOME | |||||||
| CHAIR | 0.00 | 0 | 0 | 0 | X | ||
| JAMES C HARPER JR | |||||||
| TREASURER | 0.00 | 0 | 0 | 0 | X | ||
| DEBORAH MURRAY | |||||||
| VICE-CHAIR | 0.00 | 0 | 0 | 0 | X | ||
| JANET WINKLER | |||||||
| SECRETARY | 0.00 | 0 | 0 | 0 | X | ||
| CATHY SWANSON | |||||||
| CEO | 40.00 | 137029 | 0 | 4111 | X | ||
| THOMAS RAY | |||||||
| PHYSICIAN | 40.00 | 190944 | 0 | 18385 | X | ||
| DENNICE HERMAN | |||||||
| MEDICAL DOCTOR | 40.00 | 183603 | 0 | 9180 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 511576 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 31676 | TotalOtherCompensation |
| Number Individuals GT100 K | 3 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| All Other Contributions | 230717 | AllOtherContributions |
| Total Contributions | 230717 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| MEDICARE/MEDICAID PAYM | 623990 | 7911255 | 7911255 |
| PRIVATE REIMBURSEMENT | 623990 | 416118 | 416118 |
| INSURANCE REIMBURSEMEN | 623990 | 310808 | 310808 |
| OTHER HOSPICE ORGANIZA | 623990 | 3034 | 3034 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 8641215 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4368 | TotalRevenueColumn |
| Exclusion | $4,368 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | OTHER REVENUE | Description |
| Business Code | 623990 | BusinessCode |
| Total Revenue Column | 31777 | TotalRevenueColumn |
| Related Or Exempt Function Income | 31777 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 31777 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 8908077 | TotalRevenueColumn |
| Related Or Exempt Function Income | 8672992 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $4,368 | ExclusionAmount |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4738711 | Total |
| Program Services | 4075292 | ProgramServices |
| Management And General | 663419 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 192500 | Total |
| Program Services | 165550 | ProgramServices |
| Management And General | 26950 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 599827 | Total |
| Program Services | 515851 | ProgramServices |
| Management And General | 83976 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 334081 | Total |
| Program Services | 287310 | ProgramServices |
| Management And General | 46771 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 23742 | Total |
| Management And General | 23742 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 34177 | Total |
| Management And General | 34177 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17747 | Total |
| Program Services | 15972 | ProgramServices |
| Management And General | 1775 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 63217 | Total |
| Program Services | 56895 | ProgramServices |
| Management And General | 6322 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 158331 | Total |
| Program Services | 150415 | ProgramServices |
| Management And General | 7916 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2041 | Total |
| Management And General | 2041 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 428367 | Total |
| Program Services | 368396 | ProgramServices |
| Management And General | 59971 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 156917 | Total |
| Program Services | 137307 | ProgramServices |
| Management And General | 19610 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| THERAPIES | 585782 | 585782 |
| PHARMACY | 405201 | 405201 |
| AMBULANCE | 337554 | 337554 |
| MEDICAL SUPPLIES | 126689 | 126689 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 474973 | Total |
| Program Services | 386898 | ProgramServices |
| Management And General | 88075 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8679857 | Total |
| Program Services | 7615112 | ProgramServices |
| Management And General | 1064745 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -2 | BOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4535203 | BOY |
| EOY | 5568856 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 345930 | BOY |
| EOY | 177460 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1376195 | BOY |
| EOY | 1157565 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 102271 | BOY |
| EOY | 197113 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 11936194 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 2549004 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9709922 | BOY |
| EOY | 9387190 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16069519 | BOY |
| EOY | 16488184 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 55348 | BOY |
| EOY | 190262 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 834476 | BOY |
| EOY | 890006 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 889824 | BOY |
| EOY | 1080268 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14822232 | BOY |
| EOY | 15213809 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 357463 | BOY |
| EOY | 194107 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15179695 | BOY |
| EOY | 15407916 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16069519 | BOY |
| EOY | 16488184 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 228220 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 1 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Separate | X | FinancialStatementSeparate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 4879394 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 2744031 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 494180 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 217809 | CurrentTaxYearMinus1Year |
| Current Tax Year | 230717 | CurrentTaxYear |
| Total | 8566131 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 5981470 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 6994744 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 7770852 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 8548159 | CurrentTaxYearMinus1Year |
| Current Tax Year | 8641215 | CurrentTaxYear |
| Total | 37936440 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 10860864 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 9738775 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 8265032 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 8765968 | CurrentTaxYearMinus1Year |
| Current Tax Year | 8871932 | CurrentTaxYear |
| Total | 46502571 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 46502571 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 94194 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 2990 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 144 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 6700 | CurrentTaxYearMinus1Year |
| Current Tax Year | 4368 | CurrentTaxYear |
| Total | 108396 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 94194 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 2990 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 144 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 6700 | CurrentTaxYearMinus1Year |
| Current Tax Year | 4368 | CurrentTaxYear |
| Total | 108396 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 128395 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 78753 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 18326 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 4440 | CurrentTaxYearMinus1Year |
| Current Tax Year | 31777 | CurrentTaxYear |
| Total | 261691 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 11083453 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 9820518 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 8283502 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 8777108 | CurrentTaxYearMinus1Year |
| Current Tax Year | 8908077 | CurrentTaxYear |
| Total | 46872658 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.99210 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.98600 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00230 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.00600 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 716887 | OtherCostOrOtherBasis |
| Book Value | 716887 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 9430531 | OtherCostOrOtherBasis |
| Depreciation | 1420421 | Depreciation |
| Book Value | 8010110 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 570964 | OtherCostOrOtherBasis |
| Depreciation | 412691 | Depreciation |
| Book Value | 158273 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1217812 | OtherCostOrOtherBasis |
| Depreciation | 715892 | Depreciation |
| Book Value | 501920 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 9387190 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| DUE TO PHYSICIANS AND NURSING HOMES | $234,574 |
| ACCRUED PAYROLL AND PAYROLL TAXES | $648,473 |
| DEFERRED REVENUE | $6,959 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 890006 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 8908076 | TotRevenueEtcAuditedFinclStmt |
| Revenue Not Rptd F990 | 0 | RevenueNotRptdF990 |
| Revenue Subtotal | 8908076 | RevenueSubtotal |
| Other Revenues Not Included | 1 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 1 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 8908077 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 8679857 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 8679857 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 8679857 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | 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, 2013 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 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| THOMAS RAY | ||||||||||||||
| PHYSICIAN | 190944 | 0 | 0 | 0 | 0 | 0 | 18385 | 0 | 0 | 0 | 209329 | 0 | 0 | 0 |
| DENNICE HERMAN | ||||||||||||||
| MEDICAL DOCTOR | 183603 | 0 | 0 | 0 | 0 | 0 | 9180 | 0 | 0 | 0 | 192783 | 0 | 0 | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| 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. | CHANGES IN NET ASSETS OR FUND BALANCES: |
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