EXECUTIVE DIRECTOR

2011-11-15T09:07:19-06:00 2011-06-30 LOWDERMILK CHURCH & CO LLP 121 N STERLING STREET MORGANTON NC 28655 990 2010-07-01 561338470 CALDWELL HOSPICE AND PALLIATIVE CARE INC CALD 8287540101 902 KIRKWOOD STREET NW LENOIR NC 28645 CATHY SWANSON EXECUTIVE DIRECTOR 8287540101 2011-11-09 1 CYNTHIA RANDOLPH 8284331226 2010 2016-03-07 17:11:31Z CATHY SWANSON 902 KIRKWOOD STREET NW LENOIR NC 28645 8283502 0 X WWW.CALDWELLHOSPICE.ORG X 1981 NC TO PROVIDE CARE FOR THE TERMINALLY ILL AND THEIR FAMILIES 17 17 146 382 0 0 2744031 494180 6994744 7770852 2990 144 78753 18326 9820518 8283502 0 0 0 0 4321764 5257741 0 0 218 1807116 2528175 6128880 7785916 3691638 497586 16599966 16440040 1510694 853182 15089272 15586858 PROVIDE END OF LIFE CARE THROUGH THE HOSPICE PHILOSOPHY 0 0 6814740 7774495 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. 6814740 1 1 0 0 0 0 0 0 0 0 1 0 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 0 1 24 0 146 1 0 0 0 0 0 0 0 0 0 0 X 17 17 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 40.00 X 0 0 0 MARC CARPENTER BOARD MEMBER X 0 0 0 JANET WILSON BOARD MEMBER X 0 0 0 JOSEPH DELK III BOARD MEMBER X 0 0 0 DAVID GRAY BOARD MEMBER X 0 0 0 INEZ JONES BOARD MEMBER X 0 0 0 DEBORAH MURRAY BOARD MEMBER X 0 0 0 TAMRA STARNES BOARD MEMBER X 0 0 0 ROB HINMAN BOARD MEMBER X 0 0 0 CLAUDIA BUJOLD BOARD MEMBER X 0 0 0 LAURA EASTON BOARD MEMBER X 0 0 0 JANET WINKLER BOARD MEMBER X 0 0 0 PARKER WILLIAMSON PRESIDENT X 0 0 0 HOUSTON GROOME VICE PRESIDENT X 0 0 0 PEG BROYHILL SECRETARY X 0 0 0 JAMES C HARPER JR TREASURER X 0 0 0 GRACE BRADFORD DIRECTOR OF NURSING 40.00 X 0 0 0 THOMAS RAY PHYSICIAN 40.00 X X 167415 0 15500 MARTHA LIVINGSTON DIRECTOR OF SUPPORT SERVIC 40.00 X 0 0 0 APRIL MOORE DIRECTOR OF BUSINESS SERVI 40.00 X 0 0 0 CATHY SWANSON EXECUTIVE DIRECTOR 40.00 X 149685 0 0 317100 0 15500 2 0 1 0 0 494180 494180 MEDICARE/MEDICAID PAYM 623990 7111922 7111922 PRIVATE REIMBURSEMENT 623990 337530 337530 INSURANCE REIMBURSEMEN 623990 312658 312658 OTHER HOSPICES 623990 8742 8742 7770852 144 144 14685 0 14685 14685 OTHER REVENUE 623990 3641 3641 3641 8283502 7774493 0 14829 4255050 3659343 595707 160764 138257 22507 510623 439136 71487 331304 284921 46383 14348 14348 45405 45405 23533 21180 2353 152848 145206 7642 380998 327658 53340 176264 154676 21588 THERAPIES 596956 596956 PHARMACY 291766 291766 AMBULANCE 203836 203836 MEDICAL SUPPLIES 105329 105329 UTILITIES 88594 79734 8860 448298 366742 81338 218 7785916 6814740 970958 218 3588135 4202784 1475487 656999 1275021 1376813 107595 125991 11995769 1918316 1693994 10077453 8459734 0 16599966 16440040 573381 134058 937313 719124 1510694 853182 X 12757550 13172806 2331722 2414052 15089272 15586858 16599966 16440040 497586 0 X 0 1 1 X 0 X 250830 236016 4879394 2744031 494180 8604451 5638917 4903753 5981470 6994744 7770852 31289736 5889747 5139769 10860864 9738775 8265032 39894187 0 0 0 39894187 152120 156770 94194 2990 144 406218 152120 156770 94194 2990 144 406218 53320 118349 128395 78753 18326 397143 6095187 5414888 11083453 9820518 8283502 40697548 0.98030 0.97440 0.01000 0.01310 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 716887 716887 9386345 944379 8441966 521876 273704 248172 1370661 700233 670428 10077453 DUE TO PHYSICIANS AND NURSING HOMES 132245 ACCRUED PAYROLL AND PAYROLL TAXES 569579 DEFERRED REVENUE 17300 719124 8283502 7785916 497586 0 497586 8283502 0 8283502 0 8283502 7785916 0 7785916 0 7785916 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, MANAGERMENT IS REQUIRED TO MEASURE POTENTIAL TAX LIABILITIES THAT COULD HAVE A RISK OF GREATER THAN A 50% LIKELIHOOD OF BEING REALIZED UPON SETTLEMENT. AS OF JUNE 30, 2011 MANAGEMENT HAS DETERMINED THAT THE ORGANIZATION HAS NO SUCK RISK AND THEREFORE NO LIABILITIES HAVE BEEN RECORDED FOR UNCERTAIN TAX POSITIONS. X X 0 0 0 0 0 0 0 0 0 THOMAS RAY 167415 0 0 0 0 0 15500 0 0 0 182915 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 IS 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.