2026-08-14T08:46:49+00:00 2025-09-30 440160260 FORVIS MAZARS LLP ONE OAK ST SUITE 300 ASHEVILLE NC 28801 990 2024-10-01 561252665 HOSPICE OF HENDERSON COUNTY INC HOSP 8286926178 571 SOUTH ALLEN ROAD FLAT ROCK NC 28731 DR MILLICENT BURKE-SINCLAIR CEO 8286926178 2026-08-14 true AMY BIBBY P00445891 8282542254 2026-08-13 2024 2025-03-06 01:10:19Z FOUR SEASONS THE CARE YOU TRUST DR MILLICENT BURKE-SINCLAIR 571 SOUTH ALLEN ROAD FLAT ROCK NC 28731 48440474 false 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. 16 15 517 338 0 0 848460 1168767 43532161 46689557 672021 207467 298983 374683 45351625 48440474 0 0 31385614 33967751 0 0 11284077 12281106 42669691 46248857 2681934 2191617 34601232 36373150 5985885 6141244 28615347 30231906 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. false false 37267942 47064240 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 FOURTEEN WESTERN NC COUNTIES. OUR SERVICE AREA FORCARE NAVIGATION,PALLIATIVE CARE,HOSPICE CARE, ANDGRIEF SERVICESINCLUDES:BUNCOMBE, CHEROKEE, CLAY, GRAHAM, HAYWOOD, HENDERSON, JACKSON, MACON, MADISON, MCDOWELL, POLK, RUTHERFORD, SWAIN, AND TRANSYLVANIA COUNTIES.OURHOME CARESERVICE AREAINCLUDES: BUNCOMBE, HENDERSON AND TRANSYLVANIA COUNTIES. IN FY25, FOUR SEASONS PROVIDED CARE TO 3,595 HOSPICE PATIENTS FOR A COMBINED TOTAL OF 222,695 DAYS OF CARE, WHICH EQUATES TO SERVING APPROX 610 HOSPICE PATIENTS EACH DAY. 37267942 true true false false false false false false false true true false false true true true true false false false false false false false false false false false false true false false false false false false false false false false false false false false true true false false false false true 117 0 true 517 true false false false false false false false false false false false false X 16 15 false false false false false false false true true false false false true true true true true true true true true true X DR MILLICENT BURKE-SINCLAIR 8286926178 571 SOUTH ALLEN ROAD FLAT ROCK NC 28732 BILL MCKIBBIN CHAIR 2.0 X 0 0 0 CAROL HUNTER BOARD MEMBER 2.0 X 0 0 0 CORY DONOHUE TREASURER 2.0 X 0 0 0 DARYL CROUSE MEMBER AT LARGE 2.0 X 0 0 0 JASON BRADSHAW BOARD MEMBER 2.0 X 0 0 0 KEN ADAMS MEMBER AT LARGE 2.0 X 0 0 0 KORAL ALMAN BOARD MEMBER 2.0 X 0 0 0 LEEANNE TUCKER BOARD MEMBER 2.0 X 0 0 0 MALINDA VERA CRUZ BOARD MEMBER 2.0 X 0 0 0 MARY COFFEY BOARD MEMBER 2.0 X 0 0 0 NANCY BOUVET SECRETARY 2.0 X 0 0 0 NAVIN ANTHONY BOARD MEMBER 2.0 X 0 0 0 PAULA WAGNER BOARD MEMBER 2.0 X 0 0 0 TASHA MICHAELS VICE CHAIR 2.0 X 0 0 0 TINA GENTRY MEMBER AT LARGE 2.0 40.0 X 0 207047 14717 VICTORIA FLANAGAN MEMBER AT LARGE 2.0 X 0 0 0 DR MILLICENT BURKE-SINCLAIR PRESIDENT/CEO 40.0 10.0 X 351892 55360 15236 DR RUTH THOMPSON CHIEF MEDICAL OFFICER 40.0 X 313560 0 24821 RICHELLE HOOPER CHIEF CLINICAL OPERATIONS OFFICER 40.0 X 238345 0 16537 RYAN CANNON CHIEF INNOVATION OFFICER/CFO 40.0 X 212654 0 20447 SUE ANN HAMBY CHIEF QUALITY OFFICER 40.0 X 146875 0 15836 DR ELAINA ORI-HONEYCUTT HOSPICE MEDICAL DIRECTOR 40.0 X 233629 0 16106 DR AMY HINTON STAFF PHYSICIAN 40.0 X 188701 0 22444 DR MICHAEL MARSCHKE STAFF PHYSICIAN 40.0 X 208027 0 12877 DR MICHEAL BARNETT STAFF PHYSICIAN 40.0 X 201654 0 19998 DR MICHEAL PARMER STAFF PHYSICIAN 40.0 X 198895 0 19337 DR SANDRA WHITLOCK STAFF PHYSICIAN 40.0 X 224823 0 19190 2519055 262407 217546 37 false true false SOUTHEASTERN HEALTH FACILITIES DBA MOUNTAIN VIEW MANOR PO BOX 2344 BRYSON CITY NC 28713 PATIENT ROOM AND BOARD 655078 OAKS AT BREVARD 300 MORRIS ROAD BREVARD NC 28712 PATIENT ROOM AND BOARD 582057 SILVER BLUFF VILLAGE 100 SILVER BLUFF DRIVE CANTON NC 28716 PATIENT ROOM AND BOARD 554421 MH ECKERD LIVING CENTER LLP 250 HOSPITAL DRIVE HIGHLAND NC 28741 PATIENT ROOM AND BOARD 523204 GREENS AT HENDERSONVILLE LLC 1870 PISGAH DRIVE HENDERSONVILLE NC 28791 PATIENT ROOM AND BOARD 449745 28 1168767 1168767 HOSPICE AND PALLIATIVE CARE 623000 45406962 45406962 MEDICAL DIRECTOR FEES 541900 329988 329988 HOME CARE REVENUE 621610 952607 952607 0 0 0 0 46689557 207467 207467 0 0 0 0 MISCELLANEOUS INCOME 900099 374683 374683 0 0 0 0 374683 48440474 47064240 0 207467 1263325 964217 299108 0 25800296 20159700 5640596 358956 279695 79261 4591037 3577279 1013758 1954137 1522640 431497 93165 93165 1854117 1444706 409411 0 246722 192243 54479 815187 635183 180004 299661 233492 66169 433936 338118 95818 948629 739160 209469 182745 142392 40353 652381 434520 217861 378292 294760 83532 MEDICAL SUPPLIES 3677746 3677746 OTHER PATIENT RELATED EXPENSES 1405365 1405365 BAD DEBT EXPENSE 758731 758731 DUES, LICENSES AND SUBSCRIPTIONS 259909 202518 57391 274520 265477 9043 0 46248857 37267942 8980915 0 11787947 7665651 3958859 9656649 0 6610359 6666641 0 0 0 0 0 11984 11984 231175 330643 15215419 8722942 5742562 6492477 0 204895 319683 0 412500 412500 5640951 4816922 34601232 36373150 5133774 5493959 0 12659 0 0 0 0 0 0 0 839452 647285 5985885 6141244 X 23828527 26075944 4786820 4155962 0 0 0 28615347 30231906 34601232 36373150 X 2191617 55800 -630858 X false true true false X 1427968 1499424 929754 848460 1168767 5874373 34069939 36970179 40039861 43532161 46689557 201301697 0 0 0 35497907 38469603 40969615 44380621 47858324 207176070 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 207176070 5703 5579 19126 167440 207467 405315 0 5703 5579 19126 167440 207467 405315 0 619332 448628 263105 298983 374688 2004736 36122942 38923810 41251846 44847044 48440479 209586121 0.98850 0.99016 0 0 X SCHEDULE A, PART III, LINE 12 OTHER INCOME DESCRIPTION - , COLUMN A - 619332.0, COLUMN B - 448628.0, COLUMN C - 263105.0, COLUMN D - 298983.0, COLUMN E - 374688.0, COLUMN F - 2004736.0; RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2440246 31152 251942 2723340 1961031 32583 446632 2440246 1710622 66909 183500 1961031 2466078 66769 -822225 1710622 2336498 66769 62811 2466078 0.55 0.3 0.15 false true true 758607 758607 6299254 3019169 3280085 2554095 1248880 1305215 5305713 4329682 976031 297750 125211 172539 6492477 INTEREST IN FOUNDATION 4155961 OTHER ASSETS 21900 ROU ASSET 639061 4816922 FEDERAL INCOME TAXES SHORT-TERM OPERATING LEASE LIABILITY 221945 LONG-TERM OPERATING LEASE LIABILITY 425340 647285 X 47106685 55800 -1389589 -1333789 48440474 0 0 48440474 45490126 -758731 -758731 46248857 0 0 46248857 SCHEDULE D, PART V, LINE 4 INTENDED USES OF ENDOWMENT FUNDS FOUR SEASONS COMPASSION FOR LIFE FOUNDATION HOLDS TWO ENDOWMENTS FOR THE BENEFIT OF FOUR SEASONS. 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. SCHEDULE D, PART X, LINE 2 FIN 48 (ASC 740) FOOTNOTE 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 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, 2025 AND 2024. SCHEDULE D, PART XI, LINE 2(D) OTHER REVENUES IN AUDITED FINANCIAL STATEMENTS NOT IN FORM 990 OTHER CHANGE IN NET ASSETS - -630858 BAD DEBT EXPENSE - -758731 SCHEDULE D, PART XII, LINE 2(D) OTHER EXPENSES IN AUDITED FINANCIAL STATEMENTS NOT IN FORM 990 BAD DEBT EXPENSE - -758731 X X X X false false false false false false false false false TINA GENTRY MEMBER AT LARGE 0 207047 0 0 0 0 0 14717 0 0 0 221764 0 0 DR MILLICENT BURKE-SINCLAIR PRESIDENT/CEO 291576 55360 54316 0 6000 0 0 0 15236 0 367128 55360 0 0 DR RUTH THOMPSON CHIEF MEDICAL OFFICER 276151 0 37409 0 0 0 4696 0 20125 0 338381 0 0 0 RICHELLE HOOPER CHIEF CLINICAL OPERATIONS OFFICER 212204 0 26141 0 0 0 5798 0 10739 0 254882 0 0 0 RYAN CANNON CHIEF INNOVATION OFFICER/CFO 189956 0 22698 0 0 0 5229 0 15218 0 233101 0 0 0 SUE ANN HAMBY CHIEF QUALITY OFFICER 130846 0 16029 0 0 0 3158 0 12678 0 162711 0 0 0 DR ELAINA ORI-HONEYCUTT HOSPICE MEDICAL DIRECTOR 214664 0 18965 0 0 0 5386 0 10720 0 249735 0 0 0 DR SANDRA WHITLOCK STAFF PHYSICIAN 218091 0 6732 0 0 0 4208 0 14982 0 244013 0 0 0 DR MICHEAL BARNETT STAFF PHYSICIAN 194303 0 7351 0 0 0 4642 0 15356 0 221652 0 0 0 DR MICHAEL MARSCHKE STAFF PHYSICIAN 202248 0 5779 0 0 0 2157 0 10720 0 220904 0 0 0 DR MICHEAL PARMER STAFF PHYSICIAN 192318 0 6577 0 0 0 4022 0 15315 0 218232 0 0 0 DR AMY HINTON STAFF PHYSICIAN 182091 0 6610 0 0 0 3381 0 19063 0 211145 0 0 0 FORM 990, PART VI, LINE 1A DELEGATE BROAD AUTHORITY TO A COMMITTEE 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, LINE 11B REVIEW OF FORM 990 BY GOVERNING BODY 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, LINE 12C CONFLICT OF INTEREST POLICY 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, LINE 15A PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL 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 09/30/2025. FORM 990, PART VI, LINE 15B PROCESS TO ESTABLISH COMPENSATION OF OTHER EMPLOYEES TO DETERMINE THE COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES, THE SAME PROCESS IS FOLLOWED AS IS DONE FOR ALL OTHER EMPLOYEES ACROSS THE ORGANIZATION. THE HR LEADER CONDUCTS AN ANALYSIS OF ALL SALARY GRADES AND REVIEWS EACH OFFICER AND KEY EMPLOYEES' EDUCATION, EXPERIENCE, AND TENURE, AND WHERE EACH FALLS WITHIN THE SALARY GRADE BASED ON THOSE AREAS. THE CEO AND HR LEADER REVIEW THE INFORMATION AND DETERMINE APPROPRIATE SALARIES AND SALARY ADJUSTMENTS. THIS IS DOCUMENTED IN EACH EMPLOYEE'S FILE AND YEARLY ADJUSTMENTS ARE INCORPORATED INTO THE UPCOMING FISCAL YEAR BUDGET WHICH IS APPROVED BY THE BOARD. THIS PROCESS WAS LAST UNDERTAKEN DURING FYE 9/30/2025. FORM 990, PART VI, LINE 19 REQUIRED DOCUMENTS AVAILABLE TO THE PUBLIC 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 OTHER CHANGES IN NET ASSETS OR FUND BALANCES CHANGE IN NET ASSETS OF FOUNDATION - -630858; TOTAL - -630858; 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 HOSPICE OF HENDERSON COUNTY INC FOUR SEASONS COMPASSION FOR LIFE FOUNDATION 211 N MAIN STREET HENDERSONVILLE NC 28792 475508988 FUNDRAISING NC 501(C)(3) TYPE II NA false TELEIOS COLLABORATIVE NETWORK 571 SOUTH ALLEN ROAD FLAT ROCK NC 28731 824999138 HOSPICE SUPPORT NC 501(C)(3) TYPE I NA false false false true false false false false false false false false false true true true false false false false