2023-11-15T08:13:57-06:00 2023-06-30 821819999 C RANDOLPH CPA PLLC 560 BEAVER CREEK SCHOOL RD WEST JEFFERSON NC 28694 990 2022-07-01 561338470 CALDWELL HOSPICE AND PALLIATIVE CARE INC DBA AMOREM CALD 8287540101 902 KIRKWOOD STREET NW LENOIR NC 28645 TERRY JOHNSON DIRECTOR OF FINANCE 8287540101 2023-11-14 1 TERRY JOHNSON 999009999 0 CYNTHIA D RANDOLPH P00441502 3368463211 2023-11-06 X 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z TERRY JOHNSON 902 KIRKWOOD STREET NW LENOIR NC 28645 26565290 0 X WWW.AMOREMSUPPORT.ORG X 1981 NC PROVIDE END OF LIFE CARE THROUGH THE HOSPICE PHILOSOPHY 15 15 288 200 0 0 2328206 5083682 21077368 21185000 146048 240492 34195 56116 23585817 26565290 0 0 0 0 13763599 16006257 0 0 0 6785752 6334471 20549351 22340728 3036466 4224562 31058260 35447080 3763674 3516607 27294586 31930473 PROVIDE END OF LIFE CARE THROUGH THE HOSPICE PHILOSOPHY 0 0 15385975 21241116 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. 15385975 1 1 0 0 0 0 0 0 0 0 1 1 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 1 0 0 0 1 19 0 1 288 1 0 0 0 0 0 0 0 0 0 0 0 0 X 15 15 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 X GREGORY JONES MD VICE CHAIR 0.00 X X 0 0 0 PEG BROYHILL SECRETARY 0.00 X X 0 0 0 MARC CARPENTER BOARD MEMBER 0.00 X X 0 0 0 DAVID BURNETTE II DO BOARD MEMBER 0.00 X 0 0 0 DAVID GRAY BOARD MEMBER 0.00 X 0 0 0 RICH DEAUGUSTINIS BOARD MEMBER 0.00 X 0 0 0 ROB HINMAN TREASURER 0.00 X 0 0 0 MACK JARVIS BOARD MEMBER 0.00 X 0 0 0 JORDAN GREENE CHAIR 0.00 X X 0 0 0 DAVID LACKEY BOARD MEMBER 0.00 X 0 0 0 JARED HUFFMAN BOARD MEMBER 0.00 X 0 0 0 RHONDA LEE BOARD MEMBER 0.00 X 0 0 0 TAMRA STARNES BOARD MEMBER 0.00 X 0 0 0 WONGALEE THOMAS BOARD MEMBER 0.00 X 0 0 0 JANET WINKLER BOARD MEMBER 0.00 X 0 0 0 STEPHANIE JOHNSON NURSE PRACTITIONER 40.00 X 124779 0 0 JULIA SHERRILL CHIEF MEDICAL OFFICER 40.00 X 230008 0 0 FREDA COWAN LEAD NURSE PRACTITIONER 40.00 X 136982 0 0 APRIL MOORE VICE PRESIDENT OF BUSINESS SERVICES 40.00 X 125789 0 0 CATHY SWANSON CEO 40.00 X 235961 0 0 853519 0 0 5 1 1 0 0 4647307 436375 5083682 MEDICARE/MEDICAID PAYMENTS 624200 20295449 20295449 INSURANCE REIMBURSEMENT 623990 648340 648340 PRIVATE REIMBURSEMENT 623990 241211 241211 21185000 240492 240492 0 4647307 0 0 MISCELLANEOUS REVENUE 623990 56116 56116 56116 26565290 21241116 0 240492 13264110 9618174 3645936 2742147 2742147 159566 159566 591116 591116 310133 310133 36884 12674 24210 494157 422564 71593 4025 4025 646160 646160 168915 168915 MEDICATION EXPENSE 946998 946998 DME 605401 605401 FACILITY RELATED EXPENS 460357 460357 COMPUTER EXPENSE 451528 451528 1459231 1038017 421214 22340728 15385975 6954753 0 8327963 8340061 612850 3948753 4551373 341753 398809 21852415 10805004 11420199 11047411 7019592 9101076 0 1395500 31058260 35447080 648650 870506 3115024 2646101 3763674 3516607 X 27294586 31930473 27294586 31930473 31058260 35447080 4224562 411325 0 X 0 1 X 1 0 X 278861 225505 391752 2328206 5083682 8308006 12440859 14937704 16345776 21077368 21185000 85986707 12719720 15163209 16737528 23405574 26268682 94294713 0 0 0 94294713 120563 149357 151681 146048 240492 808141 120563 149357 151681 146048 240492 808141 135681 -75206 1035137 34195 56116 1185923 12975964 15237360 17924346 23585817 26565290 96288777 0.97930 0.97750 0.00840 0.00760 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 941481 941481 17363822 7627660 9736162 3547112 3177344 369768 11047411 VARIOUS INVESTMENTS 9101076 F 9101076 DUE TO PHYSICIANS AND NURSING HOMES 1151272 ACCRUED PAYROLL AND PAYROLL TAXES 1439281 DEFERRED REVENUE 55548 2646101 X 26976615 411325 411325 26565290 0 26565290 22340728 0 22340728 0 22340728 PART X, LINE 2: FASB ASC 740-10, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAX POSITIONS. BASED ON AN EVALUATION OF UNCERTAIN TAX POSITIONS, MANAGEMENT IS REQUIRED TO MEASURE POTENTIAL TAX LIABILITIES THAT COULD HAVE A RISK OF GREATER THAN A 50% LIKELIHOOD OF BEING REALIZED UPON SETTLEMENT. AS OF JUNE 30, 2023, MANAGEMENT HAS DETERMINED THAT THE ORGANIZATION HAS NO SUCH RISK AND THEREFORE NO LIABILITIES HAVE BEEN RECORDED FOR UNCERTAIN TAX POSITIONS. X X 0 0 0 0 0 0 0 0 0 CATHY SWANSON CEO 235961 0 0 0 0 0 0 0 0 0 235961 0 0 0 JULIA SHERRILL CHIEF MEDICAL OFFICER 230008 0 0 0 0 0 0 0 0 0 230008 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS PROVIDED TO THE ORGANIZATION'S MANAGMEMENT BEFORE IT IS FILED AND IT IS REVIEWED BY THE MANAGEMENT AND IS MADE AVAILABLE TO THE BOARD OF DIRECTORS AT A BOARD MEETING. FORM 990, PART VI, SECTION B, LINE 12C ALL BOARD MEMBERS, EMPLOYEES, AND VOLUNTEERS MUST SIGN AN ACKNOWLEDGEMENT ON OUR POLICY FOR AN INDIVIDUAL STATEMENT OF CONFLICT OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION DETERMINES THE SALARY OF THE EXECUTIVE DIRECTOR BY PERFORMANCE REVIEWS AND SALARY SURVEYS OF SIMILAR POSITIONS. THESE ITEMS ARE REVIEWED BY BOARD PERSONNEL COMMITTEE AND APPROVED BY THE BOARD OF DIRECTORS. THE SALARIES OF OTHER KEY EMPLOYEES ARE DONE BY PERFORMANCE REVIEWS, SALARY SURVEYS OF SIMILAR POSITIONS AND APPROVAL BY THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 18 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVALIABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVALIABLE TO THE PUBLIC UPON REQUEST. CALDWELL HOSPICE FOUNDATION 1265 MOUNTAIN CIRCLE DR LENOIR NC 28645 566469396 SUPPORT CALDWELL HOSPICE AND PALLIATIVE CARE, INC. NC 501(C)(3) LINE 7 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 CALDWELL HOSPICE FOUNDATION C 1000000