2026-09-21T10:34:48+00:00 2024-09-30 440160260 Forvis Mazars LLP One Oak St Suite 300 Asheville NC 28801 990 2023-10-01 561252665 Hospice of Henderson County Inc HOSP 8286926178 571 South Allen Road Flat Rock NC 28731 Dr Millicent Burke-Sinclair CEO 8286926178 2026-09-21 true true Amy Bibby P00445891 8282542254 2026-09-14 2023 X Four Seasons The Care You Trust Dr Millicent Burke-Sinclair 571 South Allen Road Flat Rock NC 28731 45351625 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. 17 16 475 377 0 0 929754 848460 40039861 43532161 19126 672021 263105 298983 41251846 45351625 0 0 0 0 27881537 31385614 0 0 0 11190931 11284077 39072468 42669691 2179378 2681934 31032809 34601232 5377959 5985885 25654850 28615347 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 34297842 43831144 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 for Care Navigation, Palliative Care, Hospice Care, and Grief Services includes: Buncombe, Cherokee, Clay, Graham, Haywood, Henderson, Jackson, Macon, Madison, McDowell, Polk, Rutherford, Swain, and Transylvania Counties. Our Home Care service area includes: Buncombe, Henderson and Transylvania Counties. In FY24, Four Seasons provided care to 3,483 hospice patients for a combined total of 213,615 days of care, which equates to serving approx 584 hospice patients each day. 34297842 true true 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 true true false false false true 126 0 true 475 true false false false false false false false false false false false false X 17 16 false false false false false false false true true 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 & Treasurer 2.0 X 0 0 0 Carol Hunter Board Member 2.0 X 0 0 0 Cory Donohue Member at Large 2.0 X 0 0 0 Daryl Crouse Member at Large 2.0 X 0 0 0 Dick Burns Board Member 2.0 X 0 0 0 Dr Navin Anthony Board Member 2.0 X 0 0 0 Julie Thompson Secretary 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 Member at Large 2.0 X 0 0 0 Paula Wagner Board Member 2.0 X 0 0 0 Sue Kersbergen Board Member 2.0 X 0 0 0 Tasha Michaels Vice Chair 2.0 X 0 0 0 Tina Gentry Board Member 2.0 40.0 X 0 191981 10608 Victoria Flanagan Board Member 2.0 X 0 0 0 Dr Millicent Burke-Sinclair President/CEO 40.0 X 331602 41600 14080 Dr Ruth Thomson Chief Medical Officer 40.0 X 303921 0 24943 Rikki Hooper Chief Clinical Operations Officer 40.0 X 229170 0 14352 Ryan Cannon Chief Innovation Officer/CFO 40.0 X 142560 0 10444 Sue Ann Hamby Chief Quality Officer 40.0 X 121892 0 12228 Dr Elaina Bishop Ori-Honeycutt Hospice Medical Director 40.0 X 229487 0 14344 Dr Amy Hinton Staff Physician 40.0 X 185705 0 20726 Dr Emily Sawyer Staff Physician 40.0 X 207118 0 13843 Dr Michael Marschke Staff Physician 40.0 X 204058 0 11225 Dr Robert Ward Staff Physician 40.0 X 179479 0 22668 Dr Sandra Whitlock Staff Physician 40.0 X 199970 0 17676 2334962 233581 187137 36 false true false 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 2360 Sweeten Creek Rd Asheville NC 28803 Patient Room & Board 368276 Valley Hill Health 1510 Hebron Rd Hendersonville NC 28739 Patient Room & Board 332169 Autumn Corporation 501 Esseola Dr Saluda NC 28773 Patient Room & Board 326696 29 848460 848460 Hospice and Palliative Care 623000 42021180 42021180 Medical Director Fees 541900 264136 264136 Home Care Revenue 621610 1246845 1246845 0 0 0 0 43532161 167440 167440 0 0 504581 0 504581 504581 504581 Miscellaneous Income 900099 298983 298983 0 0 0 0 298983 45351625 43831144 0 672021 1129146 847284 281862 24269323 18942889 5326434 275996 215053 60943 3807943 2967102 840841 1903206 1482955 420251 101120 101120 1798713 1401535 397178 0 234666 182849 51817 717032 558702 158330 245750 191485 54265 455641 355030 100611 941606 733688 207918 185060 144196 40864 7192 5604 1588 545620 373430 172190 346238 269784 76454 Medical Supplies 3405856 3405856 Other Patient Related Expenses 1253864 1253864 Bad Debt Expense 452940 452940 Dues, Licenses and Subscriptions 312800 243730 69070 279979 269866 10113 0 42669691 34297842 8371849 0 12787872 11787947 728739 3958859 0 0 6019131 6610359 0 0 0 0 0 0 11984 11984 223278 231175 13813120 8070558 5616525 5742562 0 0 62919 204895 0 412500 412500 5169861 5640951 31032809 34601232 4359301 5133774 0 0 56732 12659 0 0 0 0 0 0 264005 0 0 0 697921 839452 5377959 5985885 X 21203788 23828527 4451062 4786820 0 0 0 0 0 0 25654850 28615347 31032809 34601232 X 2681934 -57192 335755 X false true X true false X 2510280 1427968 1499424 929754 848460 7215886 30477901 34069939 36970179 40039861 43532161 185090041 0 0 0 32988181 35497907 38469603 40969615 44380621 192305927 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 192305927 40516 5703 5579 19126 167440 238364 0 40516 5703 5579 19126 167440 238364 0 42609 619332 448628 263105 298983 1672657 33071306 36122942 38923810 41251846 44847044 194216948 0.9902 0.9911 0 0.0006 X Schedule A, Part III, Line 12 Other Income DESCRIPTION - , COLUMN A - 42609.0, COLUMN B - 619332.0, COLUMN C - 448628.0, COLUMN D - 263105.0, COLUMN E - 298983.0, COLUMN F - 1672657.0; RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1961031 32583 446632 2440246 1710622 66909 183500 1961031 2466078 66769 -822225 1710622 2336498 66769 62811 2466078 2171459 79799 85240 2336498 0.55 0.3 0.15 false true true 758607 758607 6299254 2856957 3442297 1572876 1127535 445341 4791882 3985595 806287 390501 100471 290030 5742562 Interest in Foundation 4786816 Other Assets 21900 ROU Asset 832235 5640951 Short-term Operating Lease Liability 289753 Long-Term Operating Lease Liability 549699 839452 X 45177251 -57192 -117182 -174374 45351625 0 0 45351625 42216754 -452937 -452937 42669691 0 0 42669691 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 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. 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, 2024 and 2023. Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990 Other Change in Net Assets - 335758 Bad Debt Expense - -452940 Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990 Bad Debt Expense - -452940 Other Change to Net Assets - 3 X X X X false false false false false false false false false Tina Gentry Board Member 0 170000 0 21981 0 0 0 7679 0 2929 0 202589 0 0 Dr Millicent Burke-Sinclair President/CEO 279995 41600 51607 0 0 0 0 0 14080 0 345682 41600 0 0 Rikki Hooper Chief Clinical Operations Officer 180780 0 25076 0 23314 0 4663 0 9689 0 243522 0 0 0 Ryan Cannon Chief Innovation Officer/CFO 117110 0 20000 0 5450 0 1900 0 8544 0 153004 0 0 0 Dr Ruth Thomson Chief Medical Officer 236947 0 36974 0 30000 0 6248 0 18695 0 328864 0 0 0 Dr Elaina Bishop Ori-Honeycutt Hospice Medical Director 204014 0 16140 0 9333 0 4667 0 9677 0 243831 0 0 0 Dr Sandra Whitlock Staff Physician 171487 0 5983 0 22500 0 3855 0 13821 0 217646 0 0 0 Dr Emily Sawyer Staff Physician 180866 0 5422 0 20830 0 4166 0 9677 0 220961 0 0 0 Dr Amy Hinton Staff Physician 157628 0 5577 0 22500 0 3032 0 17694 0 206431 0 0 0 Dr Michael Marschke Staff Physician 194805 0 5143 0 4110 0 2055 0 9170 0 215283 0 0 0 Dr Robert Ward Staff Physician 163620 0 5927 0 9932 0 3973 0 18695 0 202147 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 09/30/2024. Form 990, Part VI, Line 15b Process to establish compensation of other employees 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 09/30/2024. 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 - 335755; Form 990, Part XII, Line 2c The process has not changed from the prior year. Form 990, Amended Return This amended Form 990 corrects information previously reported in Part VII, Section B, regarding the organization's five highest-compensated independent contractors and total number of independent contractors paid over $100,000. Four Seasons Health Partners LLC 571 S Allen Road Flat Rock NC 28731 561252665 Healthcare Support Services NC -78 33315 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