CAROLINA EAST HOME CARE & HOSPICE INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
CAROLINA EAST HOME CARE & HOSPICE INC (EIN 58-1551375)
Tax period
2011-10-01 to 2012-09-30
Filed
2013-01-11
IRS object ID
201330119349300823
Schema version
2011v1.2
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)
Timestamp2013-01-11T07:34:07-08:00Timestamp
Tax Period End Date2012-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1RANDY L ALBERTSON CPA PABusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1200AddressLine1
CityBEULAVILLECity
StateNCState
ZIP Code285181200ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN581551375EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CAROLINA EAST HOME CARE & HOSPICE INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCARONameControl
Phone9102960819Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 887AddressLine1
CityKENANSVILLECity
StateNCState
ZIP Code28349ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameLYNN HARDYName
TitleEXECUTIVE DIRECTORTitle
Phone9102960819Phone
Date Signed2013-01-11DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameRANDY L ALBERTSON CPAName
Phone9102984856Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonLYNN HARDYNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO BOX 887AddressLine1
CityKENANSVILLECity
StateNCState
ZIP Code28349ZIPCode
FieldValueIRS element (for citing)
Gross Receipts5393082GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.carolinaeast.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1984YearFormation
State Legal DomicileNCStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE QUALITY HOME CARE, HOSPICE, AND CAP SERVICES IN A SEVEN COUNTY AREA IN EASTERN NORTH CAROLINA.ActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees81TotalNbrEmployees
Total Nbr Volunteers25TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year89182ContributionsGrantsPriorYear
Contributions Grants Current Year68206ContributionsGrantsCurrentYear
Program Service Revenue Prior Year5932510ProgramServiceRevenuePriorYear
Program Service Revenue CY5289128ProgramServiceRevenueCY
Investment Income Prior Year3610InvestmentIncomePriorYear
Investment Income Current Year22905InvestmentIncomeCurrentYear
Other Revenue Prior Year3311OtherRevenuePriorYear
Other Revenue Current Year12843OtherRevenueCurrentYear
Total Revenue Prior Year6028613TotalRevenuePriorYear
Total Revenue Current Year5393082TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year3331899SalariesEtcPriorYear
Salaries Etc Current Year3321614SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year2784266OtherExpensePriorYear
Other Expenses Current Year2527848OtherExpensesCurrentYear
Total Expenses Prior Year6116165TotalExpensesPriorYear
Total Expenses Current Year5849462TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-87552RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-456380RevenuesLessExpensesCY
Total Assets BOY4326151TotalAssetsBOY
Total Assets EOY5003592TotalAssetsEOY
Total Liabilities BOY1788421TotalLiabilitiesBOY
Total Liabilities EOY2922242TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY2537730NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY2081350NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE AGENCY'S MISSION IS TO SERVE AS A CONTINUING PROVIDER OF QUALITYMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense1320609Expense
Revenue2389107Revenue
DescriptionTHE ORGANIZATION PROVIDES HOME HEALTH SERVICES. DURING THE YEAR THERE WERE 16,854 HOME HEALTH VISITS TO 890 PATIENTS.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense1746265Expense
Revenue2337435Revenue
DescriptionTHE ORGANIZATION PROVIDES HOSPICE SERVICES. DURING THE YEAR THERE WERE 14,858 HOSPICE DAYS PROVIDED FOR 236 PATIENTS.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense435431Expense
Revenue316533Revenue
DescriptionTHE ORGANIZATION PROVIDES CAP/HIV SERVICES. DURING THE YEAR THERE WERE 4,860 CAP SERVICES/HIV HOURS PROVIDED FOR 194 PATIENTS.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense513269Expense
Revenue246053Revenue
DescriptionTHE ORGANIZATION PROVIDES ADULT DAY SERVICES AND OTHER CONTRACT SERVICESDescription
FieldValueIRS element (for citing)
Total Of Other Program Service Exp513269TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev246053TotalOfOtherProgramServiceRev
Total Program Service Expense4015574TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109611NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees81NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidtruePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonLYNN HARDY EXECUTIVE DIRECTORNamePerson
Telephone Number9102960819TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1750 SOUTH KENANSVILLE BYPASSAddressLine1
CityKENANSVILLECity
StateNCState
ZIP Code28349ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (14 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
BARBARA BELL
TREASURER1.00X000
TOMMIE BOSTIC JR
DIRECTOR1.00X000
PRICILLA BRYANT
VICE CHAIRPERSON1.00X000
PANSY CHASE
DIRECTOR1.00X000
RALPH COTTLE
DIRECTOR1.00X000
WILLIE GILLESPIE
DIRECTOR1.00X000
DEBORAH KORNEGAY
DIRECTOR1.00X000
JAMESZETTA LEACH
DIRECTOR1.00X000
SHARON OLSEN
CHAIRPERSON2.00X000
CYNTHIA SLAUGHTER
DIRECTOR1.00X000
JESSE SMITH
DIRECTOR1.00X000
BILL TABER
DIRECTOR1.00X000
LYNN HARDY
EXECUTIVE DIRECTOR40.0012735800X
GARY SOLOMON
PHYSICAL THERAPIST40.0010868000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org236038TotalReportableCompFromOrg
Number Individuals GT100 K2NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
GOOD HEALTH SERVICES
7901 STRICKLAND ROAD SUITE 112RALEIGHNC27615CONTRACT NURSING338268
CLIFTON LARSON ALLEN
101 NORTH TRYON STREET SUITE 1000CHARLOTTENC28246ACCOUNTING/CONSULTING SERVICES119208
PIGFORD'S PHYSICAL THERAPY ASSOCIATES
PO BOX 70WALLACENC28466PHYSICAL THERAPY219573
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
Government Grants1057GovernmentGrants
All Other Contributions67149AllOtherContributions
Total Contributions68206TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumn
NET PATIENT SERVICE REVENUE6216105044688
CONTRACTUAL SERVICES INCOME621610244440
FieldValueIRS element (for citing)
Total Program Service Revenue5289128TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column3180TotalRevenueColumn
Exclusion$3,180ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real5155Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real5155Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column5155TotalRevenueColumn
Exclusion$5,155ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other19725Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other19725Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column19725TotalRevenueColumn
Exclusion$19,725ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUS REVENUEDescription
Business Code999999BusinessCode
Total Revenue Column7688TotalRevenueColumn
Related Or Exempt Function Income7688RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue7688TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column5393082TotalRevenueColumn
Related Or Exempt Function Income5296816RelatedOrExemptFunctionIncome
Exclusion$28,060ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total127358Total
Program Services0ProgramServices
Management And General127358ManagementAndGeneral
Fundraising0Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total2416489Total
Program Services1599658ProgramServices
Management And General816831ManagementAndGeneral
Fundraising0Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total584340Total
Program Services395827ProgramServices
Management And General188513ManagementAndGeneral
Fundraising0Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total193427Total
Program Services121003ProgramServices
Management And General72424ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total53101Total
Program Services53101ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1936Total
Program Services0ProgramServices
Management And General1936ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total200645Total
Program Services0ProgramServices
Management And General200645ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total725941Total
Program Services725941ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total50898Total
Program Services16582ProgramServices
Management And General34316ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total62870Total
Program Services0ProgramServices
Management And General62870ManagementAndGeneral
Fundraising0Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total104727Total
Program Services61792ProgramServices
Management And General42935ManagementAndGeneral
Fundraising0Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total205252Total
Program Services158273ProgramServices
Management And General46979ManagementAndGeneral
Fundraising0Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total21189Total
Program Services0ProgramServices
Management And General21189ManagementAndGeneral
Fundraising0Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total75034Total
Program Services75034ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total205366Total
Program Services128970ProgramServices
Management And General76396ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total44974Total
Program Services20968ProgramServices
Management And General24006ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
SUPPLIES57054956271078390
DUES AND SUBSCRIPTIONS441960441960
COMMUNICATIONS14148684892565940
EQUIPMENT RENTAL180381082372150

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1646Total
Program Services0ProgramServices
Management And General1646ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total5849462Total
Program Services4015574ProgramServices
Management And General1833888ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY50BOY
EOY50EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1221001BOY
EOY973555EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY812851BOY
EOY828859EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY18976BOY
EOY17728EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY121334BOY
EOY126169EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis4146957LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1110100LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY2136565BOY
EOY3036857EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY15374BOY
EOY20374EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY4326151BOY
EOY5003592EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY377405BOY
EOY345900EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY144940BOY
EOY188064EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY1184474BOY
EOY2257089EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY81602BOY
EOY131189EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1788421BOY
EOY2922242EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY2537730BOY
EOY2081350EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2537730BOY
EOY2081350EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4326151BOY
EOY5003592EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-456380ReconcilationRevenueExpenses
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2
Public Support Total1700PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Pertcentage1700PublicSupportPertcentage170

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years390000CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years249371CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years63701CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year89182CurrentTaxYearMinus1Year
Current Tax Year68206CurrentTaxYear
Total860460Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5294697CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5719737CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7035418CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5932510CurrentTaxYearMinus1Year
Current Tax Year5289128CurrentTaxYear
Total29271490Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5684697CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5969108CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7099119CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6021692CurrentTaxYearMinus1Year
Current Tax Year5357334CurrentTaxYear
Total30131950Total
FieldValueIRS element (for citing)
Public Support Total50930131950PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10940CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3567CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3683CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5524CurrentTaxYearMinus1Year
Current Tax Year8335CurrentTaxYear
Total32049Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10940CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3567CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3683CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5524CurrentTaxYearMinus1Year
Current Tax Year8335CurrentTaxYear
Total32049Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years18274CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3241CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years326CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1511CurrentTaxYearMinus1Year
Current Tax Year7688CurrentTaxYear
Total31040Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Total30195039Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99790PublicSupportPercentage509
Prior Year Support Percentage0.99650PriorYearSupportPercentage
Investment Income Percentage0.00110InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00170PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
Facts And Circumstances TestOTHER INCOME PART III, LINE 12; DESCRIPTION: MISCELLANEOUS INCOME; 2007: 18274.; 2008: 3241.; 2009: 326.; 2010: 1511.; 2011: 7688.;FactsAndCircumstancesTest

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis88764OtherCostOrOtherBasis
Book Value88764BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis3358565OtherCostOrOtherBasis
Depreciation549388Depreciation
Book Value2809177BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis699628OtherCostOrOtherBasis
Depreciation560712Depreciation
Book Value138916BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings3036857TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionOBLIGATIONS UNDER CAPITAL LEASEDescription
Amount$131,189Amount
FieldValueIRS element (for citing)
Total Of Amounts131189TotalOfAmounts
Total Revenue5393082TotalRevenue
Total Expenses5849462TotalExpenses
Excess Or Deficit For Year-456380ExcessOrDeficitForYear
Excess Or Deficit Per FS-456380ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt5393082TotRevenueEtcAuditedFinclStmt
Revenue Subtotal5393082RevenueSubtotal
Total Revenue Per Form9905393082TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt5849462TotExpensesEtcAuditedFinclStmt
Expenses Subtotal5849462ExpensesSubtotal
Total Expenses Per Form9905849462TotalExpensesPerForm990

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonMICHAEL DAWSONNamePerson
FieldValueIRS element (for citing)
RelationshipFIANCE OF THE EXECUTIVE DIRECTORRelationship
Amount Of Transaction3300AmountOfTransaction
Description Of TransactionRENTDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (16 entries)

IdentifierIdentifierExplanationExplanation
Pt VI, Line 11aTHE FORM 990 IS REVIEWED BY THE EXECUTIVE DIRECTOR.
THE 990 IS PRESENTED TO THE BOARD OF DIRECTORS BY THE OUTSIDE ACCOUNTANT.
Pt VI, Line 12cA CONFLICT OF INTEREST STATEMENT IS SIGNED BY ALL BOARD DIRECTORS AT THEIR TIME OF APPOINTMENT.
Pt VI, Line 15THE BUDGET PROCESS INCLUDES PROCEDURES TO ASSIST WITH REVIEW
OF SALARIES AND PROVIDES BENCHMARKS TO COMPARABLE ORGANIZATIONS.
Pt VI, Line 19ANNUAL REPORTS, GOVERNING DOCUMENTS, AND THE CONFLICT OF INTEREST
POLICY ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
MEDICARE AND MEDICAID COST REPORTS ARE FILED AND ARE ALSO
AVAILABLE FOR REVIEW UPON REQUEST.
Pt XII, Line 2cTHE AUDITOR PRESENTS THE AUDIT TO THE BOARD OF DIRECTORS FOR APPROVAL AND ACCEPTANCE.
Form 990EZ, Part I, Line 8MISCELLANEOUS INCOME
Form 990EZ, Part I, Line 16DUES AND SUBSCRIPTIONS DURABLE MEDICAL EQUIPMENT BAD DEBTS CONTRACT SERVICES VEHICLE INSURANCE RECRUITMENT GENERAL CONTENTS INSUR PROF LIAB INSURANCE MISCELLANEOUS EXPENSE
Form 990EZ, Part II, Line 24ACCOUNTS RECEIVABLE - NET INVENTORIES PREPAIDS INVESTMENTS
Form 990EZ, Part II, Line 26ACCOUNTS PAYABLE & ACCRUED EXPENSES
Form 990, Part III, Line 4dTHE ORGANIZATION PROVIDES ADULT DAY SERVICES AND OTHER CONTRACT 513269. 0. 246053.
Form 990, Part IX, Line 24fMISCELLANEOUS EXPENSE 1646. 0. 1646. 0.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1CAROLINA EAST HOME CARE & HOSPICE FOUNDATION INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO BOX 887AddressLine1
CityKENANSVILLECity
StateNCState
ZIP Code28349ZIPCode
FieldValueIRS element (for citing)
EIN561885911EIN
Primary ActivitiesFUND RAISINGPrimaryActivities
Legal Domicile StateNCLegalDomicileState
Exempt Code Section501(c)(3)ExemptCodeSection
Public Charity StatusYESPublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NOBusinessNameLine1
FieldValueIRS element (for citing)
Controlled OrgfalseControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1CAROLINA EAST HOME CARE & HOSPICE FOUNDATION INCBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypecTransactionType
Amount Involved98776AmountInvolved
Method Of Amt DeterminationFMVMethodOfAmtDetermination

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