2024-08-13T10:02:28-05:00 2023-09-30 440160260 FORVIS MAZARS LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2022-10-01 561252665 HOSPICE OF HENDERSON COUNTY INC HOSP 8286926178 571 SOUTH ALLEN ROAD FLAT ROCK NC 28731 DR MILLICENT BURKE-SINCLAIR CEO 8286926178 2024-08-13 1 0 AMY BIBBY P00445891 8282542254 2024-08-13 2022 2024-08-08 14:25:15Z FOUR SEASONS THE CARE YOU TRUST DR MILLICENT BURKE-SINCLA 571 SOUTH ALLEN ROAD FLAT ROCK NC 28731 41251846 0 X HTTPS://FOURSEASONSCARE.ORG X 1979 NC THE ORGANIZATION OFFERS AN ORGANIZED SUPPORT CARE PROGRAM FOR TERMINALLY ILL PATIENTS AND THEIR FAMILIES, AND EDUCATES HEALTH CARE PROFESSIONALS, CONCERNED CITIZENS AND OTHERS REGARDING THE ORGANIZATIONS PROGRAMS. 22 22 470 399 0 0 1499424 929754 36970179 40039861 -90889 19126 448628 263105 38827342 41251846 0 0 0 0 24824487 27881537 0 0 0 10576802 11190931 35401289 39072468 3426053 2179378 27517787 31032809 4043349 5377959 23474438 25654850 CO-CREATING THE CARE EXPERIENCE MEANS THAT OUR TEAM OF QUALIFIED PROFESSIONALS WORKS WITH YOU, YOUR FAMILY, AND YOUR EXISTING HEALTHCARE TEAM OF PROVIDERS TO CREATE A CUSTOMIZED CARE PLAN, WORKING TOGETHER WITH THE GOAL OF PROVIDING YOU WITH QUALITY CARE. 0 0 31109055 40302966 AS THE REGION'S LARGEST INDEPENDENT NON-PROFIT PROVIDER OF END OF LIFE CARE, FOUR SEASONS PROVIDES THE HIGHEST QUALITY OF CARE TO PATIENTS AND FAMILIES IN THIRTEEN WESTERN NC COUNTIES. OUR SERVICE AREA FOR CARE NAVIGATION, PALLIATIVE CARE, HOSPICE CARE, AND GRIEF SERVICES INCLUDES: BUNCOMBE, CHEROKEE, CLAY, GRAHAM, HAYWOOD, HENDERSON, JACKSON, MACON, MADISON, POLK, RUTHERFORD, SWAIN, AND TRANSYLVANIA COUNTIES. OUR HOME CARE SERVICE AREA INCLUDES: BUNCOMBE, HENDERSON AND TRANSYLVANIA COUNTIES. IN FY23, FOUR SEASONS PROVIDED CARE TO 3,236 HOSPICE PATIENTS FOR A COMBINED TOTAL OF 203,181 DAYS OF CARE, WHICH EQUATES TO SERVING APPROX 557 HOSPICE PATIENTS EACH DAY. 31109055 1 1 0 0 0 0 0 0 0 1 1 0 0 1 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 1 127 0 1 470 1 0 0 0 0 0 0 0 0 0 0 0 0 X 22 22 0 0 1 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X DR MILLICENT BURKE-SINCLAIR 8286926178 571 SOUTH ALLEN ROAD FLAT ROCK NC 28731 RYAN CANNON CHAIR (OCT22-APR23) 2.00 X 0 0 0 BILL MCKIBBIN CHAIR (MAY23-SEPT23) & TREASURER 2.00 X 0 0 0 NANCY BOUVET VICE CHAIR 2.00 X 0 0 0 JULIE THOMPSON SECRETARY 2.00 X 0 0 0 DARYL CROUSE MEMBER AT LARGE 2.00 X 0 0 0 TASHA MICHAELS MEMBER AT LARGE 2.00 X 0 0 0 LEEANNE TUCKER BOARD MEMBER 2.00 X 0 0 0 CAROL HUNTER BOARD MEMBER 2.00 X 0 0 0 BONNIE VAN CLEVEN BOARD MEMBER 2.00 X 0 0 0 DICK BURNS BOARD MEMBER 2.00 X 0 0 0 KORAL ALMAN BOARD MEMBER 2.00 X 0 0 0 LORIN PAGE BOARD MEMBER 2.00 X 0 0 0 MALINDA VERA CRUZ BOARD MEMBER 2.00 X 0 0 0 MARY COFFEY BOARD MEMBER 2.00 X 0 0 0 DR NAVIN ANTHONY BOARD MEMBER 2.00 X 0 0 0 PAULA WAGNER BOARD MEMBER 2.00 X 0 0 0 SUE KERSBERGEN BOARD MEMBER 2.00 X 0 0 0 VICTORIA FLANAGAN BOARD MEMBER 2.00 X 0 0 0 GRETCHEN NICHOLSON BOARD MEMBER 2.00 X 0 0 0 JUDD RICHARDSON BOARD MEMBER 2.00 X 0 0 0 HEATHER STEPP BOARD MEMBER 2.00 X 0 0 0 TINA KINSEY BOARD MEMBER 2.00 X 0 0 0 DR MILLICENT BURKE-SINCLAIR PRESIDENT/CEO 40.00 X 317407 25172 17038 RIKKI HOOPER CHIEF CLINICAL OPERATIONS OFFICER 40.00 X 194943 0 13817 DR JANET HUNTER BULL CHIEF INNOVATION OFFICER 40.00 X 175230 0 14398 DR RUTH THOMSON CHIEF MEDICAL OFFICER 40.00 X 287485 0 5660 SUE ANN HAMBY CHIEF QUALITY OFFICER 40.00 X 105480 0 2150 ALAN SIEVERS CFO 20.00 20.00 X 0 110658 0 DR ELAINA BISHOP ORI-HONEYCUTT HOSPICE MEDICAL DIRECTOR 40.00 X 224537 0 14478 DR SANDRA WHITLOCK STAFF PHYSICIAN - HOSPICE 40.00 X 196970 0 3911 DR EMILY SAWYER STAFF PHYSICIAN - PALLIATIVE CARE 40.00 X 199612 0 13872 DR AMY HINTON STAFF PHYSICIAN - HOSPICE 40.00 X 184922 0 31355 DR MICHAEL MARSCHKE STAFF PHYSICIAN - HOSPICE 40.00 X 196680 0 18212 DR ROBERT WARD STAFF PHYSICIAN - PALLIATIVE CARE 40.00 X 176311 0 3327 2259577 135830 138218 35 0 1 0 ASTON PARK HEALTHCARE 380 BREVARD RD ASHEVILLE NC 28806 PATIENT ROOM & BOARD 434710 OAKS AT SWEETEN CREEK 3864 SWEETEN CREEK RD ARDEN NC 28704 PATIENT ROOM & BOARD 393669 THE GIVENS ESTATES INC 2360 SWEETEN CREEK RD ASHEVILLE NC 28803 PATIENT ROOM & BOARD 368276 VALLEY HILL HEALTH & REHAB CENTER 1510 HEBRON RD HENDERSONVILLE NC 28739 PATIENT ROOM & BOARD 332169 AUTUMN CORPORATION 501 ESSEOLA DR SALUDA NC 28773 PATIENT ROOM & BOARD 326696 29 873484 56270 929754 HOSPICE AND PALLIATIVE CARE 623000 38633141 38633141 HOME CARE REVENUE 621610 1144630 1144630 MEDICAL DIRECTOR FEES 541900 262090 262090 40039861 19126 19126 MISCELLANEOUS INCOME 900099 263105 263105 263105 41251846 40302966 0 19126 1080545 810749 269796 21773777 16757609 5016168 247020 189887 57133 3145146 2417707 727439 1635049 1256879 378170 53947 53947 2280938 1753381 527557 245213 188498 56715 729766 560979 168787 246498 189486 57012 456296 350760 105536 794243 610543 183700 185589 142664 42925 8984 6906 2078 575147 400839 174308 314556 241803 72753 MEDICAL SUPPLIES 3190016 3190016 OTHER PATIENT RELATED E 1019829 1019829 BAD DEBT EXPENSE 611408 611408 DUES, LICENSES AND SUBS 264989 203700 61289 213512 205412 8100 39072468 31109055 7963413 0 10560342 12787872 726611 728739 5307917 6019131 11984 11984 329902 223278 13367777 7751252 5832483 5616525 135872 62919 412500 412500 4200176 5169861 27517787 31032809 3756767 4359301 6694 56732 279888 264005 0 697921 4043349 5377959 X 19296161 21203788 4178277 4451062 23474438 25654850 27517787 31032809 X 2179378 -271751 272785 X X 0 1 X 1 0 X 1191351 2510280 1427968 1499424 929754 7558777 25846697 30477901 34069939 36970179 40039861 167404577 27038048 32988181 35497907 38469603 40969615 174963354 0 0 0 174963354 35022 40516 5703 5579 19126 105946 35022 40516 5703 5579 19126 105946 86497 42609 619332 448628 263105 1460171 27159567 33071306 36122942 38923810 41251846 176529471 0.99110 0.99150 0.00060 0.00090 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1710622 66909 183500 1961031 2466078 66769 -822225 1710622 2336498 66769 62811 2466078 2171459 79799 85240 2336498 1032968 1122859 15632 2171459 0.55000 0.36000 0.09000 0 1 1 758607 758607 6091464 2859798 3231666 1671700 1100952 570748 4603284 3714770 888514 242722 75732 166990 5616525 INTEREST IN FOUNDATION 4451058 OTHER ASSETS 21900 ROU ASSET 696903 5169861 SHORT-TERM OPERATING LEASE LIABILITY 254747 LONG-TERM OPERATING LEASE LIABILITY 443174 697921 X 40641472 -271751 -338623 -610374 41251846 0 41251846 38461060 0 38461060 611408 611408 39072468 PART V, LINE 4: FOUR SEASONS COMPASSION FOR LIFE FOUNDATION HOLDS TWO ENDOWMENTS FOR THE BENEFIT OF FOUR SEASONS COMPASSION FOR LIFE. THE FIRST ENDOWMENT IS INTENDED TO PROVIDE FINANCIAL ASSISTANCE FOR PALLIATIVE CARE, AND THE SECOND ENDOWMENT IS AVAILABLE TO BE USED AT THE DISCRETION OF THE BOARD OF DIRECTORS. PART X, LINE 2: FOUR SEASONS IS EXEMPT FROM INCOME TAXES ON INCOME FROM RELATED ACTIVITIES UNDER SECTION 501(C)(3) OF THE U.S. INTERNAL REVENUE CODE AND CORRESPONDING STATE TAX LAW. ACCORDINGLY, NO PROVISION HAS BEEN MADE FOR FEDERAL OR STATE INCOME TAXES. U.S. GAAP REQUIRES THAT A TAX POSITION IS RECOGNIZED AS A BENEFIT ONLY IF IT IS "MORE LIKELY THAN NOT" THAT THE TAX POSITION WOULD BE SUSTAINED IN A TAX EXAMINATION, WITH A TAX EXAMINATION BEING PRESUMED TO OCCUR. THE AMOUNT RECOGNIZED IS THE LARGEST AMOUNT OF TAX BENEFIT THAT IS GREATER THAN 50% LIKELY OF BEING REALIZED ON EXAMINATION. FOR TAX POSITIONS NOT MEETING THE "MORE LIKELY THAN NOT" TEST, NO TAX BENEFIT IS RECORDED. FOUR SEASONS' FORM 990 HAS NOT BEEN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE OR THE STATE OF NORTH CAROLINA FOR THE LAST THREE YEARS. FOUR SEASONS DOES NOT EXPECT THE TOTAL AMOUNT OF UNRECOGNIZED TAX BENEFITS TO SIGNIFICANTLY CHANGE IN THE NEXT 12 MONTHS. FOUR SEASONS RECOGNIZES INTEREST AND/OR PENALTIES RELATED TO INCOME TAX MATTERS IN INCOME TAX EXPENSE. FOUR SEASONS DID NOT HAVE ANY AMOUNTS ACCRUED FOR INTEREST AND PENALTIES AT SEPTEMBER 30, 2023 AND 2022. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN NET ASSETS 272,785. BAD DEBT EXP -611,408. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXP 611,408. X X X X 0 0 0 0 0 0 0 0 0 DR MILLICENT BURKE-SINCLAIR PRESIDENT/CEO 269591 14079 47816 0 0 11093 0 0 17038 0 334445 25172 0 0 DR RUTH THOMSON CHIEF MEDICAL OFFICER 249532 0 37953 0 0 0 5660 0 0 0 293145 0 0 0 DR ELAINA BISHOP ORI-HONEYCUTT HOSPICE MEDICAL DIRECTOR 205766 0 18771 0 0 0 4634 0 9844 0 239015 0 0 0 DR AMY HINTON STAFF PHYSICIAN - HOSPICE 179514 0 5408 0 0 0 2838 0 28517 0 216277 0 0 0 DR MICHAEL MARSCHKE STAFF PHYSICIAN - HOSPICE 191335 0 5345 0 0 0 1174 0 17038 0 214892 0 0 0 DR EMILY SAWYER STAFF PHYSICIAN - PALLIATIVE CARE 193866 0 5746 0 0 0 4028 0 9844 0 213484 0 0 0 RIKKI HOOPER CHIEF CLINICAL OPERATIONS OFFICER 169943 0 25000 0 0 0 3973 0 9844 0 208760 0 0 0 DR SANDRA WHITLOCK STAFF PHYSICIAN - HOSPICE 191194 0 5776 0 0 0 3911 0 0 0 200881 0 0 0 DR JANET HUNTER BULL CHIEF INNOVATION OFFICER 175230 0 0 0 0 0 3260 0 11138 0 189628 0 0 0 DR ROBERT WARD STAFF PHYSICIAN - PALLIATIVE CARE 170674 0 5637 0 0 0 3327 0 0 0 179638 0 0 0 FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE, MADE UP OF THE ELECTED OFFICERS OF THE GOVERNING BODY PLUS ONE ADDITIONAL DIRECTOR DESIGNATED BY THE CHAIRMAN, SHALL HAVE AND MAY EXERCISE ALL THE POWER OF THE BOARD THAT MAY BE LAWFULLY DELEGATED. FORM 990, PART VI, SECTION A, LINE 4 THE ORGANIZATION'S BYLAWS WERE AMENDED TO ALLOW SHARED BOARDS BETWEEN THE FILING ORGANIZATION AND FOUR SEASONS COMPASSION FOR LIFE FOUNDATION (A RELATED ORGANIZATION), HOWEVER THE OFFICERS OF EACH BOARD HAD TO BE UNIQUE. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTANT WITH ASSISTANCE AND OVERSIGHT BY MANAGEMENT. A COPY OF THE FORM 990 IS MADE AVAILABLE TO ALL MEMBERS OF THE BOARD OF DIRECTORS SUBSEQUENT TO SUBMISSION TO THE IRS. FORM 990, PART VI, SECTION B, LINE 12C ALL BOARD MEMBERS AND OFFICERS ARE REQUIRED ANNUALLY TO DISCLOSE ANY CONFLICTS OF INTEREST THAT MAY EXIST BETWEEN THEMSELVES AND THE ORGANIZATION. ANY CONFLICTS NOTED ARE REPORTED AND DISCUSSED, AND ANY ACTION DETERMINED NECESSARY IS TAKEN BY THE EXECUTIVE COMMITTEE OF THE BOARD. INDIVIDUALS WITH A CONFLICT ON INTEREST ARE PROHIBITED FROM VOTING ON ANY MATTER WHERE THAT CONFLICT EXISTS. EACH BOARD MEMBER IS REQUIRED TO SIGN THE "CONFLICT OF INTEREST AGREEMENT." FORM 990, PART VI, SECTION B, LINE 15 LINE 15A - TO DETERMINE COMPENSATION FOR THE ORGANIZATION'S CEO, THE EXECUTIVE COMMITTEE AND CHAIRMAN OF THE BOARD OF DIRECTORS REVIEW AND DISCUSS THE CEO'S PERFORMANCE ON AN ANNUAL BASIS. COMPARABILITY DATA IS ALSO CONSIDERED WHEN EVALUATING CEO COMPENSATION. THESE DISCUSSIONS ARE DOCUMENTED IN EMAIL COMMUNICATIONS BETWEEN APPLICABLE PARTIES. THIS PROCESS WAS LAST UNDERTAKEN DURING FYE 09/30/2023. LINE 15B - COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES IS DETERMINED AND DOCUMENTED BY THE CEO. THE CEO CONSIDERS EACH EMPLOYEE'S ANNUAL PERFORMANCE EVALUATIONS WHEN DETERMINING COMPENSATION, AS WELL AS COMPARABILITY INFORMATION COMPLIED TO ENSURE REASONABLENESS OF COMPENSATION. THIS PROCESS IS DOCUMENTED IN EACH EMPLOYEE'S FILE AND WAS LAST UNDERTAKEN DURING FYE 09/30/2023. FORM 990, PART VI, SECTION C, LINE 18 THE ORGANIZATION'S GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST TO THE PUBLIC AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST TO THE PUBLIC AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE. FORM 990, PART XI, LINE 9: CHANGE IN NET ASSETS 272,785. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. FOUR SEASONS HEALTH PARTNERS LLC 571 S ALLEN ROAD FLAT ROCK NC 28731 561252665 HEALTHCARE SUPPORT SERVICES NC 3046 33393 HOSPICE OF HENDERSON COUNTY IN FOUR SEASONS COMPASSION FOR LIFE FOUNDATION 211 N MAIN STREET HENDERSONVILLE NC 28792 475508988 FUNDRAISING NC 501(C)(3) LINE 12B, II N/A 0 TELEIOS COLLABORATIVE NETWORK 571 SOUTH ALLEN ROAD FLAT ROCK NC 28731 824999138 HOSPICE SUPPORT NC 501(C)(3) LINE 12A, I N/A 0 CARING SEASONS HEALTH LLC 100 MAIN STREET STE 204 FORT MILL SC 29715 873034718 HEALTH CARE SC N/A 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0