HOSPICE OF RANDOLPH COUNTY INC: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- HOSPICE OF RANDOLPH COUNTY INC (EIN 56-1376378)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-11-15
- IRS object ID
- 201133199349302448
- Schema version
- 2010v3.4
- 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 | 2011-11-15T09:51:49-06:00 | Timestamp |
| Tax Period End Date | 2010-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DAVENPORT MARVIN JOYCE & CO LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 703 GREEN VALLEY ROAD SUITE 201 | AddressLine1 |
| City | GREENSBORO | City |
| State | NC | State |
| ZIP Code | 27408 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 561376378 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOSPICE OF RANDOLPH COUNTY INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | HOSP | NameControl |
| Phone | 3366729300 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 416 VISION DRIVE | AddressLine1 |
| City | ASHEBORO | City |
| State | NC | State |
| ZIP Code | 27203 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | RHONDA BURCH MOFFITT | Name |
| Title | CEO/PRESIDENT | Title |
| Phone | 3366729300 | Phone |
| Date Signed | 2011-11-15 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | SHIRLEY WEIGEL | Name |
| Phone | 3362759886 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | RHONDA BURCH MOFFITT | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 416 VISION DRIVE | AddressLine1 |
| City | ASHEBORO | City |
| State | NC | State |
| ZIP Code | 27203 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 5312815 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.HOSPICEOFRANDOLPH.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1981 | YearFormation |
| State Legal Domicile | NC | StateLegalDomicile |
| Activity Or Mission Description | MISSION: HOSPICE OF RANDOLPH COUNTY SERVES AS AN EDUCATION LEADER WHILE PROMOTING QUALITY OF LIFE AND SUPPORTING PATIENTS AND THEIR FAMILIES IN PREPARING FOR COMPLETION OF LIFE. ACTIVITIES: TO PROVIDE SYMPTOM CONTROL, REHABILITATION DURING EMOTIONAL CRISIS. SPECIAL THERAPIES, ACUTE CARE, CONTINOUS CARE, RESPITE AND ROUTINE HOME CARE ARE REIMBURSED BY REVENUE RESOURCES ALONG WITH SOME SUPPLIES, DURABLE MEDICAL EQUIPMENT, AND DRUGS. SERVICES ARE DELIVERED UNDER A HOLISTIC PLAN OF CARE. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 14 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 13 | NbrIndependentVotingMembers |
| Total Nbr Employees | 100 | TotalNbrEmployees |
| Total Nbr Volunteers | 80 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 299520 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 299770 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 5063680 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 4910735 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 48575 | InvestmentIncomePriorYear |
| Investment Income Current Year | 23975 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 70122 | OtherRevenuePriorYear |
| Other Revenue Current Year | 67914 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 5481897 | TotalRevenuePriorYear |
| Total Revenue Current Year | 5302394 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 337916 | 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 | 3069224 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 3150743 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 54794 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 1305013 | OtherExpensePriorYear |
| Other Expenses Current Year | 1550582 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 4712153 | TotalExpensesPriorYear |
| Total Expenses Current Year | 4701325 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 769744 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 601069 | RevenuesLessExpensesCY |
| Total Assets BOY | 6633570 | TotalAssetsBOY |
| Total Assets EOY | 8063691 | TotalAssetsEOY |
| Total Liabilities BOY | 413362 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 1241320 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 6220208 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 6822371 | NetAssetsOrFundBalancesEOY |
| Mission Description | HOSPICE OF RANDOLPH COUNTY SERVES AS AN EDUCATIONAL LEADER WHILE PROMOTING QUALITY OF LIFE AND SUPPORTING PATIENTS AND THEIR FAMILIES IN PREPARING FOR COMPLETION OF LIFE. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 2939435 | Expense |
| Grants | 0 | Grants |
| Revenue | 4911138 | Revenue |
| Description | PROVIDE SUPPORT AND EMOTIONAL ASSISTANCE TO PATIENTS AND THEIR FAMILIES WITH PAIN MANAGEMENT, SYMPTOM CONTROL, REHABILITATION AND EMOTIONAL CRISIS. SPECIAL THERAPIES, ACUTE CARE, CONTINOUS CARE, RESPITE AND ROUTINE HOME CARE ARE REIMBURSED BY THE ABOVE REVENUE RESOURCES ALONG WITH SOME SUPPLIES, DURABLE MEDICAL EQUIPMENT, AND DRUGS. SERVICES ARE DELIVERED UNDER HOLISTIC PLAN OF CARE. DURING 2010, HOSPICE OF RANDOLPH COUNTY PROVIDED HOSPICE CARE AND HOME HEALTH CARE TO 658 PATIENTS AND PROVIDED 50,023 DAYS OF CARE. | Description |
| Total Program Service Expense | 2939435 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 1 | 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 | 0 | 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 | 1 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 0 | 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 | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 1 | 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 |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 4 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 100 | 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 | 14 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 13 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | 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 |
| States Where Copy Of Return Is Filed | NC | StatesWhereCopyOfReturnIsFiled |
| 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 | CAREY DURHAM | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 3366729300 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 416 VISION DRIVE | AddressLine1 |
| City | ASHEBORO | City |
| State | NC | State |
| ZIP Code | 27203 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (16 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer |
|---|---|---|---|---|---|---|
| W EDWARD BUNCH | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| ROBIN COCKERHAM | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| ROBERT MORRISON | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| PATRICIA SHEVLIN MD | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| DAVID TOWNSEND III PE | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| BILLIE S VUNCANNON | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| RICK CRAWFORD | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| NEAL GRIFFIN III | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| CRANFORD KNOTT | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| PAM HILL | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| CHRISTINE MCCARTY MD | ||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | |
| CAREY DURHAM | ||||||
| CFO | 40.00 | 75700 | 0 | 12673 | X | |
| CANDICE GARRETT | ||||||
| TREASURER | 1.00 | 0 | 0 | 0 | X | |
| ROBERT MASON | ||||||
| CHAIR | 3.00 | 0 | 0 | 0 | X | |
| RHONDA BURCH MOFFITT | ||||||
| PRESIDENT/CEO | 40.00 | 111937 | 0 | 11960 | X | |
| CINDY SCHRODER | ||||||
| SECRETARY | 1.00 | 0 | 0 | 0 | X | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 187637 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 24633 | TotalOtherCompensation |
| Number Individuals GT100 K | 1 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 0 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| ENGINEERED CONSTRUCTION CO | |||||
| 3227 WELLINGTON CT | RALEIGH | NC | 27615 | CONSTRUCTION | 2233891 |
| RANDOLPH HEALTH & REHAB CENTER | |||||
| 230 E PRESNELL ST | ASHEBORO | NC | 27204 | MEDICAL SERVICES | 558311 |
| RANDOLPH HOSPITAL | |||||
| 364 WHITE OAK ST | ASHEBORO | NC | 27204 | MEDICAL SERVICES | 444153 |
| HOSPICE PHARMACIA | |||||
| 1601 CHERRY ST SUITE 1700 | PHILADELPHIA | PA | 19102 | MEDICAL SERVICES | 334527 |
| SIGNATURE RESOURCE GROUP | |||||
| PO BOX 5501 | WINSTONSALEM | NC | 27113 | FURNITURE SALES | 201347 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 11 | NumberOfContractorsGT100K |
| Federated Campaigns | 10276 | FederatedCampaigns |
| All Other Contributions | 289494 | AllOtherContributions |
| Noncash Contributions | 26040 | NoncashContributions |
| Total Contributions | 299770 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| MEDICARE PAYMENTS | 621610 | 4560342 | 4560342 |
| MEDICAID PAYMENTS | 621610 | 227813 | 227813 |
| PRIVATE INSURANCE | 621610 | 122580 | 122580 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 4910735 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 23975 | TotalRevenueColumn |
| Exclusion | $23,975 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 77932 | GrossIncomeFundraisingEvents |
| Fundraising Direct Expenses | 10421 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 67511 | TotalRevenueColumn |
| Exclusion | $67,511 | ExclusionAmount |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 403 | TotalRevenueColumn |
| Related Or Exempt Function Income | 403 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 403 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 5302394 | TotalRevenueColumn |
| Related Or Exempt Function Income | 4911138 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $91,486 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 212270 | Total |
| Management And General | 212270 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2404231 | Total |
| Program Services | 1593869 | ProgramServices |
| Management And General | 770430 | ManagementAndGeneral |
| Fundraising | 39932 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 28691 | Total |
| Program Services | 21388 | ProgramServices |
| Management And General | 6767 | ManagementAndGeneral |
| Fundraising | 536 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 316513 | Total |
| Program Services | 201041 | ProgramServices |
| Management And General | 110434 | ManagementAndGeneral |
| Fundraising | 5038 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 189038 | Total |
| Program Services | 116071 | ProgramServices |
| Management And General | 70059 | ManagementAndGeneral |
| Fundraising | 2908 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 24311 | Total |
| Management And General | 24311 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 59109 | Total |
| Management And General | 59109 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 156921 | Total |
| Program Services | 142052 | ProgramServices |
| Management And General | 14869 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 127737 | Total |
| Management And General | 127737 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18792 | Total |
| Management And General | 18792 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| MEDICINE AND DRUGS | 365591 | 365591 | |
| DURABLE MEDICAL EQUIPME | 179480 | 179480 | |
| MEDICAL AND OFFICE SUPP | 147380 | 127195 | 20185 |
| THERAPY | 64151 | 64151 | |
| LEASE/RENTAL | 41273 | 41273 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 365837 | Total |
| Program Services | 128597 | ProgramServices |
| Management And General | 230860 | ManagementAndGeneral |
| Fundraising | 6380 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4701325 | Total |
| Program Services | 2939435 | ProgramServices |
| Management And General | 1707096 | ManagementAndGeneral |
| Fundraising | 54794 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 720027 | BOY |
| EOY | 420477 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2960323 | BOY |
| EOY | 2120331 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 304507 | BOY |
| EOY | 200209 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 776280 | BOY |
| EOY | 886211 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 77922 | BOY |
| EOY | 137534 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 5581362 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 1318578 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1767901 | BOY |
| EOY | 4262784 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 26610 | BOY |
| EOY | 36145 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6633570 | BOY |
| EOY | 8063691 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 413362 | BOY |
| EOY | 555320 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 686000 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 413362 | BOY |
| EOY | 1241320 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4659368 | BOY |
| EOY | 6822371 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1560840 | BOY |
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6220208 | BOY |
| EOY | 6822371 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6633570 | BOY |
| EOY | 8063691 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 601069 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 1094 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 492524 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1072956 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 435153 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 299520 | CurrentTaxYearMinus1Year |
| Current Tax Year | 299770 | CurrentTaxYear |
| Total | 2599923 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 492524 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1072956 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 435153 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 299520 | CurrentTaxYearMinus1Year |
| Current Tax Year | 299770 | CurrentTaxYear |
| Total | 2599923 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amounts Subst Contributors Total | 619286 | AmountsSubstContributorsTotal |
| Public Support Total170 | 1980637 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 55918 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 69722 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 34924 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 48575 | CurrentTaxYearMinus1Year |
| Current Tax Year | 23975 | CurrentTaxYear |
| Total | 233114 | Total |
Other Income170 OtherIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1010 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus2 Years | 38509 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 507 | CurrentTaxYearMinus1Year |
| Total | 40026 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 2873063 | TotalSupport |
| Gross Receipts From Admissions Etc | 21473720 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.68940 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.69260 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
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
Art Public Exhibition Amts ArtPublicExhibitionAmts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Assets In Part X | 31535 | AssetsInPartX |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Collect Used For Public Exhibition | X | CollectUsedForPublicExhibition |
| Solicited Assets For Sale | 0 | SolicitedAssetsForSale |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 490711 | OtherCostOrOtherBasis |
| Book Value | 490711 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4435441 | OtherCostOrOtherBasis |
| Depreciation | 782223 | Depreciation |
| Book Value | 3653218 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 655210 | OtherCostOrOtherBasis |
| Depreciation | 536355 | Depreciation |
| Book Value | 118855 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 4262784 | TotalOfBookValueLandBuildings |
| Total Revenue | 5302394 | TotalRevenue |
| Total Expenses | 4701325 | TotalExpenses |
| Excess Or Deficit For Year | 601069 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 1094 | NetUnrealizedGLOnInvestments |
| Total Adjustments | 1094 | TotalAdjustments |
| Excess Or Deficit Per FS | 602163 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 5313909 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 1094 | NetUnrealizedGainsInvestments |
| Other Revenues | 10421 | OtherRevenues |
| Revenue Not Rptd F990 | 11515 | RevenueNotRptdF990 |
| Revenue Subtotal | 5302394 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 5302394 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 4711746 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 10421 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 10421 | ExpensesNotRptdF990 |
| Expenses Subtotal | 4701325 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 4701325 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| PART III, LINE 4: | THE WORK OF ART CONSISTS OF PAINTINGS DONATED TO THE ORGANIZATION. THE WORKS OF ART ARE STATED AT THE ESTIMATED FAIR MARKET VALUE AT THE TIME OF DONATION. | |
| PART X: | THE ORGANIZATION IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND, THEREFORE, HAS NO PROVISION FOR INCOME TAXES. THE ORGANIZATION ACCOUNTS FOR UNCERTAIN INCOME TAX POSITIONS BY PRESCRIBING A MINIMUM PROBABILITY THRESHOLD A TAX POSITION MUST MEET BEFORE A FINANCIAL STATEMENT INCOME TAX BENEFIT IS RECOGNIZED. THE MINIMUM THRESHOLD IS DEFINED AS A TAX POSITION, BASED SOLELY ON ITS TECHNICAL MERITS, THAT WOULD MORE LIKELY THAN NOT BE SUSTAINED UPON EXAMINATION BY THE RELEVANT TAX AUTHORITY WITH KNOWLEDGE OF THE SAME FACTS. THE TAX BENEFIT TO BE RECOGNIZED IS MEASURED AS THE LARGEST AMOUNT OF BENEFIT THAT IS GREATER THAN 50% LIKELY OF BEING REALIZED UPON ULTIMATE RESOLUTION. BASED ON ALL KNOWN FACTS AND CIRCUMSTANCES AND CURRENT TAX LAW, THE ORGANIZATION BELIEVES THE TOTAL AMOUNT OF UNCERTAIN INCOME TAX POSITION LIABILITIES AND RELATED ACCRUED INTEREST ARE MATERIAL TO ITS FINANCIAL POSITION. | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: |
| PAGE 4, PART XII, LINE 2D DIRECT EXPENSES RELATED TO FUNDRAISING REVENUE IS NETTED AGAINST THE FUNDRAISING REVENUE ON PAGE 1, FORM 990. | ||
| PAGE 4, PART XIII, LINE 2D DIRECT EXPENSES RELATED TO FUNDRAISING REVENUE IS NETTED AGAINST THE FUNDRAISING REVENUE ON PAGE 1, FORM 990. |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | ANNUAL AUCTION BBQ | NameOfEvent1 |
| Gross Receipts Event1 | 31784 | GrossReceiptsEvent1 |
| Gross Revenue Event1 | 31784 | GrossRevenueEvent1 |
| Other Direct Expenses Event1 | 4953 | OtherDirectExpensesEvent1 |
| Name Of Event2 | GARDEN DELIGHT | NameOfEvent2 |
| Gross Receipts Event2 | 11700 | GrossReceiptsEvent2 |
| Gross Revenue Event2 | 11700 | GrossRevenueEvent2 |
| Other Direct Expenses Event2 | 2128 | OtherDirectExpensesEvent2 |
| Total Number Of Other Events | 2 | TotalNumberOfOtherEvents |
| Gross Receipts Other Events | 14538 | GrossReceiptsOtherEvents |
| Gross Revenue Other Events | 14538 | GrossRevenueOtherEvents |
| Other Direct Expenses Other Events | 316 | OtherDirectExpensesOtherEvents |
| Gross Receipts Total | 58022 | GrossReceiptsTotal |
| Gross Revenue Total Events | 58022 | GrossRevenueTotalEvents |
| Other Direct Expenses Total Events | 7397 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 7397 | DirectExpenseSummaryEvents |
| Net Income Summary | 50625 | NetIncomeSummary |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RANDOLPH HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | BOARD MEMBER ROBERT MORRISON IS THE CEO OF RANDOLPH HOSPITAL | Relationship |
| Amount Of Transaction | 444153 | AmountOfTransaction |
| Description Of Transaction | HOSPICE OF RANDOLPH COUNTY PAID RANDOLPH HOSPITAL FOR INPATIENT ACUTE AND RESPITE CARE FOR HOSPICE PATIENTS. | DescriptionOfTransaction |
| Sharing Of Revenues | 0 | SharingOfRevenues |
Schedule M IRS990ScheduleM
Other Non Cash Contributions Table OtherNonCashContributionsTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Description | COMMUNICATION SYSTEM | Description |
| Number Of Contributions | 1 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 26040 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | SELLING PRICE OF DONATED PROPERTY | MethodOfDeterminingRevenues |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGifts |
| Third Parties Used | 0 | ThirdPartiesUsed |
Form990 Schedule M Part II Form990ScheduleMPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | METHOD FOR DETERMINING NUMBER OF CONTRIBUTORS: | Identifier |
| Return Reference | PART I, COLUMN (B): | ReturnReference |
| Explanation | THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS NOT THE NUMBER OF ITEMS CONTRIBUTED. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | SEVERAL OF THE BOARD MEMBERS DO BUSINESS WITH HOSPICE OF RANDOLPH COUNTY AND WITH EACH OTHER. FOR EXAMPLE, THERE ARE SEVERAL DOCTORS ON THE BOARD WHO MAY REFER THEIR PATIENTS FOR HOSPICE CARE WHEN APPROPRIATE. BOARD MEMBERS ARE PROHIBITED FROM VOTING ON ANY ISSUES WHERE A POTENTIAL CONFLICT EXISTS. | |
| FORM 990, PART VI, SECTION B, LINE 11 | BOARD MEMBERS REVIEW A DRAFT FORM OF THE 990 PRIOR TO FILING. THE REVIEW EITHER OCCURS DURING A BOARD MEETING OR THE RETURN IS SENT TO THE BOARD MEMBERS INDIVIDUALLY. FILING DOES NOT OCCUR UNTIL ALL BOARD MEMBERS HAVE INDICATED THEIR APPROVAL. | |
| INDIVIDUALS IN CERTAIN SENSITIVE POSITIONS WHO MAKE SUBSTANTIAL AND FREQUENT DECISIONS AFFECTING THE INTERESTS OF HRC ARE REQUIRED TO COMPLETE AND SIGN AN ANNUAL CONFLICT OF INTEREST DISCLOSURE FORM. THE FORMS ARE DISTRIBUTED AND COLLECTED BY THE CORPORATE COMPLIANCE OFFICER (CCO). THE CCO REVIEWS WITH THE CEO/PRESIDENT ANY DISCLOSED CONFLICTS TO DETERMINE WHETHER DISQUALIFICATION FROM CERTAIN DECISIONS IS APPROPRIATE. | FORM 990, PART VI, SECTION B, LINE 12C | |
| CEO'S COMPENSATION IS REVIEWED AND APPROVED ANNUALLY BY THE ASSESSMENT COMMITTEE WHICH CONSISTS OF THREE BOARD MEMBERS APPOINTED BY THE BOARD CHAIR. FOR DETERMINATION OF THESE EMPLOYEES' COMPENSATION AMOUNTS, HRC REFERS TO THE HOSPICE & HOME HEALTH SALARY & BENEFITS REPORT THAT IS PUBLISHED EVERY TWO YEARS BY THE HOSPITAL & HEALTHCARE COMPENSATION SERVICE (IN COOPERATION WITH THE NATIONAL ASSOCIATION FOR HOME CARE & HOSPICE). IN ADDITION, A REVIEW IS MADE OF BENCHMARKING DATA FROM MULTI-VIEW INC.'S HOSPICE COMPENSATION SURVEY AS WELL AS COMPARABLE SALARIES ON PUBLICLY-ACCESSIBLE FORM 990S SUBMITTED BY HOSPICES OF OUR SIMILAR SIZE AND SCOPE. | FORM 990, PART VI, SECTION B, LINE 15 | |
| CFO HAS A COPY OF THE AGENCY'S 990 TAX RETURN, COPY OF AUDITED FINANCIAL STATEMENTS, COPY OF CONFLICT OF INTEREST POLICY AT THE AGENCY'S OFFICE FOR ANYONE TO REVIEW PLUS THE 990 TAX RETURN CAN BE ACCESSED VIA GUIDESTAR AND THE FEDERAL GOVERNMENT'S WEBSITE. | FORM 990, PART VI, SECTION C, LINE 19 | |
| CHANGES IN NET ASSETS OR FUND BALANCES: | NET UNREALIZED GAINS ON INVESTMENTS: 1,094. | FORM 990, PART XI, LINE 5: |
| THE PROCESS FOR REVIEWING THE AUDIT AND SELECTING AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED. |
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