LOWER CAPE FEAR HOSPICE INCORPORATED: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
LOWER CAPE FEAR HOSPICE INCORPORATED (EIN 56-1216682)
Tax period
2010-10-01 to 2011-09-30
Filed
2011-12-05
IRS object ID
201143399349300319
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

FieldValueIRS element (for citing)
Timestamp2011-12-05T14:47:09-06:00Timestamp
Tax Period End Date2011-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1EARNEY & COMPANY LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1710 MILITARY CUTOFF RD STE 250AddressLine1
CityWILMINGTONCity
StateNCState
ZIP Code284058364ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN561216682EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1LOWER CAPE FEAR HOSPICEBusinessNameLine1
Business Name Line2INCORPORATEDBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlLOWENameControl
Phone9107967900Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11414 PHYSICIANS DRIVEAddressLine1
CityWILMINGTONCity
StateNCState
ZIP Code28401ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDEBORAH PRESSLEYName
TitleVP FINANCE AND OPERATIONSTitle
Phone9107967900Phone
Date Signed2011-10-11DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameCHARLES L EARNEY CPAName
Phone9102569995Phone
Date Prepared2011-12-05DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDEBRA WALTERS CHAIRNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11414 PHYSICIANS DRIVEAddressLine1
CityWILMINGTONCity
StateNCState
ZIP Code28401ZIPCode
FieldValueIRS element (for citing)
Gross Receipts29415133GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.HOSPICEANDLIFECARECENTER.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1978YearFormation
State Legal DomicileNCStateLegalDomicile
Activity Or Mission DescriptionHOSPICE CARE FOR TERMINALLY ILL PATIENTS.ActivityOrMissionDescription
Nbr Voting Members Governing Body19NbrVotingMembersGoverningBody
Nbr Independent Voting Members19NbrIndependentVotingMembers
Total Nbr Employees296TotalNbrEmployees
Total Nbr Volunteers320TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year3057950ContributionsGrantsPriorYear
Contributions Grants Current Year2770169ContributionsGrantsCurrentYear
Program Service Revenue Prior Year23121758ProgramServiceRevenuePriorYear
Program Service Revenue CY26642825ProgramServiceRevenueCY
Investment Income Prior Year250339InvestmentIncomePriorYear
Investment Income Current Year2139InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year26430047TotalRevenuePriorYear
Total Revenue Current Year29415133TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year14247006SalariesEtcPriorYear
Salaries Etc Current Year16700932SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year690075TotalFundrsngExpCurrentYear
Other Expense Prior Year6718465OtherExpensePriorYear
Other Expenses Current Year7572174OtherExpensesCurrentYear
Total Expenses Prior Year20965471TotalExpensesPriorYear
Total Expenses Current Year24273106TotalExpensesCurrentYear
Revenues Less Expenses Prior Year5464576RevenuesLessExpensesPriorYear
Revenues Less Expenses CY5142027RevenuesLessExpensesCY
Total Assets BOY29227271TotalAssetsBOY
Total Assets EOY37664401TotalAssetsEOY
Total Liabilities BOY8809539TotalLiabilitiesBOY
Total Liabilities EOY12404715TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY20417732NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY25259686NetAssetsOrFundBalancesEOY
Mission DescriptionHOSPICE CARE FOR TERMINALLY ILL PATIENTS.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense19454621Expense
DescriptionLOWER CAPE FEAR HOSPICE AND LIFECARECENTER (LCFH & LCC) PROVIDES PROFESSIONAL HEALTH CARE AND COMFORT TO PEOPLE WITH LIFE LIMITING ILLNESS AND OFFERS HOPE, SUPPORT AND EDUCATION. HOSPICE FOCUSES ON THE PHYSICAL, EMOTIONAL AND SPIRITUAL NEEDS OF PATIENTS AND THEIR FAMILIES DURING ILLNESS, DEATH AND BEREAVEMENT. THROUGH END-OF-LIFE HOSPICE CARE, TRANSITIONAL PROGRAMS AND SERVICES, AND COMMUNITY OUTREACH, LCFH & LCC STRIVES TO HELP ITS COMMUNITY MEMBERS LIVE THEIR LIVES WELL, HOWEVER SHORT OR LONG THEIR LIVES MAY BE.Description
Total Program Service Expense19454621TotalProgramServiceExpense
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 StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
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 RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096102NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees296NumberOfEmployees
Employment Tax Returns FiledfalseEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members19NbrVotingGoverningBodyMembers
Number Independent Voting Members19NumberIndependentVotingMembers
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 BodyfalseForm990ProvidedToGoverningBody
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
States Where Copy Of Return Is FiledNCStatesWhereCopyOfReturnIsFiled
Own WebsiteXOwnWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonDEBORAH PRESSLEYNamePerson
Telephone Number9107967900TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11414 PHYSICIANS DRIVEAddressLine1
CityWILMINGTONCity
StateNCState
ZIP Code28401ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (26 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
MITCH LAMM
DIRECTOR4.00X000
JAMES E GRAHAM JR
DIRECTOR4.00X000
JOHN BIRKENHEUER
DIRECTOR4.00X000
LYNN CRUTCHFIELD
DIRECTOR4.00X000
DARRYL MILLS
DIRECTOR4.00X000
SHARON MOODY
DIRECTOR4.00X000
DEBRA WALTERS
CHAIR4.00X000X
DR BRIAN GILMORE
VICE-CHAIR4.00X000X
DR JAMES LANIER
DIRECTOR4.00X000
BERNADETTE CORREA
DIRECTOR4.00X000
HILL ROGERS
DIRECTOR4.00X000
DALLAS ALFORD
SECRETARY/TR4.00X000X
DON BOYD
DIRECTOR4.00X000
BOB RESH
DIRECTOR4.00X000
RENEE HORTON
DIRECTOR4.00X000
SHAMAIR FAISON
DIRECTOR4.00X000
TONI MELVIN-WHITAKER
DIRECTOR4.00X000
JAY PETERSON
DIRECTOR4.00X000
SUE GRONOSTAJSKI
DIRECTOR4.00X000
LAUREN BYSTROM
CEO40.00176032020982X
DEBORAH PRESSLEY
VICE PRESIDE40.00147742018683X
DR MICHELE CLANCY
MEDICAL DIRE40.00269227020659X
DR KAREN REICHOW
VP MEDICAL S40.00226298025237X
DR WILLIAM HOLT
PHYSICIAN40.00191248020319X
DR REBECCA SUMMERLIN
PHYSICIAN40.00190944018633X
DR AUDREY SUTTON-SURAK
PHYSICIAN40.00133525012176X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1335016TotalReportableCompFromOrg
Total Other Compensation136689TotalOtherCompensation
Number Individuals GT100 K13NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
BLUE CROSS BLUE SHEILD OF NC
PO BOX 2291DURHAMNC27702HEALTH INSURANC1932928
HOSPICE PHARMACIA INC
1601 CHERRY STREETPHILADELPHIAPA19102PHARMACY SUPPLI1558698
DAVIS HEALTH CARE CENTER
1011 PORTERS NECK ROADWILMINGTONNC28411ASSISTED LIVING874463
NEW HANOVER MEDICAL CENTER
2131 S 17TH STREETWILMINGTONNC28401MEDICAL SERVICE792714
JOHNSON DRUG CO INC
714 NEW BRIDGE STJACKSONVILLENC28540PHARMACY484704
FieldValueIRS element (for citing)
Number Of Contractors GT100 K35NumberOfContractorsGT100K
Government Grants301396GovernmentGrants
All Other Contributions2468773AllOtherContributions
Total Contributions2770169TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT SERVICESDescription
Total Revenue Column26642825TotalRevenueColumn
Related Or Exempt Function Income26642825RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue26642825TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2139TotalRevenueColumn
Exclusion$2,139ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column29415133TotalRevenueColumn
Related Or Exempt Function Income26642825RelatedOrExemptFunctionIncome
Exclusion$2,139ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total323774Total
Program Services161887ProgramServices
Management And General80943ManagementAndGeneral
Fundraising80944Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total12843931Total
Program Services10357234ProgramServices
Management And General2245631ManagementAndGeneral
Fundraising241066Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2525898Total
Program Services2020718ProgramServices
Management And General454662ManagementAndGeneral
Fundraising50518Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1007329Total
Program Services805863ProgramServices
Management And General181318ManagementAndGeneral
Fundraising20148Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total413676Total
Program Services296837ProgramServices
Management And General112460ManagementAndGeneral
Fundraising4379Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total523367Total
Program Services420451ProgramServices
Management And General95981ManagementAndGeneral
Fundraising6935Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total213493Total
Program Services103867ProgramServices
Management And General101662ManagementAndGeneral
Fundraising7964Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total157083Total
Program Services124475ProgramServices
Management And General30112ManagementAndGeneral
Fundraising2496Fundraising

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
MEDICAL SUPPLIES37226203722620
OTHER720532199343304173217016
DEPRECIATION6745573050473615877923
BAD DEBT618381618381
PURCHASED SERVICES36918025158910298314608

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total159285Total
Program Services66309ProgramServices
Management And General56898ManagementAndGeneral
Fundraising36078Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total24273106Total
Program Services19454621ProgramServices
Management And General4128410ManagementAndGeneral
Fundraising690075Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY3806278BOY
EOY5118084EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY6545467BOY
EOY10132506EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY679008BOY
EOY690729EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY3051959BOY
EOY3288832EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY329764BOY
EOY611163EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis16611341LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec3557556LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY12827128BOY
EOY13053785EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY1987667BOY
EOY3669257EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
EOY1100045EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY29227271BOY
EOY37664401EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2508595BOY
EOY2796332EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY24019BOY
EOY15496EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY3900000BOY
EOY7200000EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY2106114BOY
EOY2085237EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY270811BOY
EOY307650EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY8809539BOY
EOY12404715EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY19177696BOY
EOY22885605EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1240036BOY
EOY2374081EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY20417732BOY
EOY25259686EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY29227271BOY
EOY37664401EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses5142027ReconcilationRevenueExpenses
Reconcilation Other Changes-300073ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedfalseFSAudited

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1331219CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3089041CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2944993CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3057950CurrentTaxYearMinus1Year
Current Tax Year2770169CurrentTaxYear
Total13193372Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1331219CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3089041CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2944993CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3057950CurrentTaxYearMinus1Year
Current Tax Year2770169CurrentTaxYear
Total13193372Total
FieldValueIRS element (for citing)
Public Support Total17013193372PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years221233CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years36639CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years124565CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year250339CurrentTaxYearMinus1Year
Current Tax Year2139CurrentTaxYear
Total634915Total
FieldValueIRS element (for citing)
Total Support13828287TotalSupport
Gross Receipts From Admissions Etc26642825GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.95410PublicSupportPertcentage170
Public Support Pertcent Prior Year0.93990PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

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

FieldValueIRS element (for citing)
Disclosed Orgs Legal ControlfalseDisclosedOrgsLegalControl
Disclosed For Charitable PurposesfalseDisclosedForCharitablePurposes
Written Policy MonitoringfalseWrittenPolicyMonitoring
Sect170h Requirements SatisfiedfalseSect170hRequirementsSatisfied
Solicited Assets For SalefalseSolicitedAssetsForSale
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FSfalseIncludedOnFS
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis3359496OtherCostOrOtherBasis
Book Value3359496BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis10388128OtherCostOrOtherBasis
Depreciation1766836Depreciation
Book Value8621292BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings11980788TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionFMV OF SWAPDescription
Amount$307,650Amount
FieldValueIRS element (for citing)
Total Of Amounts307650TotalOfAmounts
Total Revenue29415133TotalRevenue
Total Expenses24273106TotalExpenses
Excess Or Deficit For Year5142027ExcessOrDeficitForYear
Net Unrealized GL On Investments-300073NetUnrealizedGLOnInvestments
Total Adjustments-300073TotalAdjustments
Excess Or Deficit Per FS4841954ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt29650292TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-300073NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities535232DonatedSrvcAndUseOfFacilities
Revenue Not Rptd F990235159RevenueNotRptdF990
Revenue Subtotal29415133RevenueSubtotal
Total Revenue Per Form99029415133TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt24808338TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities535232DonatedServicesUseOfFacilities
Expenses Not Rptd F990535232ExpensesNotRptdF990
Expenses Subtotal24273106ExpensesSubtotal
Total Expenses Per Form99024273106TotalExpensesPerForm990

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (6 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrgComp Report Prior990 Filing OrgCompReportPrior990FilingOrg
LAUREN BYSTROM
176032508815894197014184915
DEBORAH PRESSLEY
147742389814785166425
DR MICHELE CLANCY
269227119878672289886237898
DR KAREN REICHOW
226298630218935251535220845
DR WILLIAM HOLT
191248364016679211567
DR REBECCA SUMMERLIN
190944369914934209577

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
BOND PAYABLE
5610743136579027B22007-11-014000000HEALTH CARE FACILITYfalsefalsefalse
BOND PAYABLE
5610743132011-04-013400000HEALTH CARE FACILITYfalsefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Year Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindTotal ProceedsTotalProceedsCapital ExpendituresCapitalExpendituresAmount UnspentAmountUnspent
2008falsefalsetruetrue
2012falsefalsefalsefalse34000004727882927212

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Counsel Routinely EngagedBondCounselRoutinelyEngagedPost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
falsefalsefalsefalsefalsefalse
falsefalsefalsefalsefalsefalse

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
falsefalsefalsefalsefalsefalse
falsefalsefalsefalsefalsefalse

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BAUDIT COMMITTEE HIRES CPA FIRM TO PERFORM AUDIT. AFTER AUDIT COMPLETED THE AUDIT COMMITTEE INSTRUCTS CPA FIRM TO DRAFT 990, AND THEN AUDIT COMMITTEE AND MANAGEMENT REVEIW THE 990 AND APPROVE. OFFICER OF THE ORGANIZATION SIGNS FORM 8879 AND THE CPA FIRM EFILES 990.
ENFORCEMENT OF CONFLICTS POLICYFORM 990, PAGE 6, PART VI, LINE 12CBOARD MEMBERS AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE CONFLICTS AND POTENTIAL CONFLICTS ANNUALLY. IF CONFLICT ARISES, THE CONFLICTED INDIVIDUAL IS REQUIRED TO LEAVE THE ROOM AND NOT TO PARTICIPATE IN ANY VOTE ON THE CONFLICTED TOPIC.
COMPENSATION PROCESS FOR TOP OFFICIALFORM 990, PAGE 6, PART VI, LINE 15AHOSPICE BOARD OF DIRECTORS, WHO ARE INDEPENDENT AND RECEIVE NO SALARY, APPOINT A COMPENSATION COMMITTEE. THE COMMITTE IS COMPRISED OF ONLY NON CONFLICTED MEMBERS. THE MEMBERS ARE REQUIRED TO RESEARCH AND RETAIN DOCUMENTATION FROM VARIOUS SOURCES ON COMPARABLE SALARIES. ONE SOURCE USED IS 990 FILINGS BY OTHER SIMILAR NOT FOR PROFITS. ONLY THIS COMMITTEE CAN APPROVE SALARY OF THE EXECUTIVE DIRECTOR.
COMPENSATION PROCESS FOR OFFICERSFORM 990, PAGE 6, PART VI, LINE 15BHOSPICE BOARD OF DIRECTORS, WHO ARE INDEPENDENT AND RECEIVE NO SALARY, APPOINT A COMPENSATION COMMITTEE. THE COMMITTE IS COMPRISED OF ONLY NON CONFLICTED MEMBERS. THE MEMBERS ARE REQUIRED TO RESEARCH AND RETAIN DOCUMENTATION FROM VARIOUS SOURCES ON COMPARABLE SALARIES. ONE SOURCE USED IS 990 FILINGS BY OTHER SIMILAR NOT FOR PROFITS. THIS COMMITTEE ASSIGNS REASONABLE SALARIES FOR EMPLOYEES, AND THIS INFORMATION IS INCORPORATED INTO THE ANNUAL BUDGET. MANAGEMENT IS INSTRUCTED TO STAY WITHIN THESE GUIDELINES AND BUDGETS.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19ONLINE AT WWW.GUIDESTAR.ORG AND BY REQUEST.

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