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Nonprofiteer
← HOSPICE OF HENDERSON COUNTY INC

Form 990 for tax year 2023

Filed by HOSPICE OF HENDERSON COUNTY INC.

What the amendment changed

Compared with the return it replaced , filed 12 August 2025. matched by us Only the return's totals, a 990-PF's accounting method and the names listed in Part VII (Part VIII on a 990-PF) are compared. We relate returns by organization, tax year and form, and order them by each return's own timestamp; the filer's own "amended return" checkbox is a separate fact.

Those are the same on the two returns, so the amendment changed something else.

Totals

Total revenue
$45,351,625
Total expenses
$42,669,691
Contributions and grants received
$848,460
Grants paid
$0
Program service revenue
$43,532,161
Investment income
$672,021
Other revenue
$298,983
Total assets, end of year
$34,601,232
Total liabilities, end of year
$5,985,885
Net assets or fund balances, end of year
$28,615,347
Program services expenses (Part IX)
$34,297,842
Management and general expenses
$8,371,849
Fundraising expenses
$0
Program service expenses (Part III)
$34,297,842

Program services were 80.4% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1d · Related organizations

    $848,460

  • 2a · Program service revenue: Hospice and Palliative Care

    total $42,021,180 · related or exempt $42,021,180

  • 2b · Program service revenue: Medical Director Fees

    total $264,136 · related or exempt $264,136

  • 2c · Program service revenue: Home Care Revenue

    total $1,246,845 · related or exempt $1,246,845

  • 2f · All other program service revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 3 · Investment income

    total $167,440 · excluded $167,440

  • 6c · Rental income or loss

    real property $0 · personal property $0

  • 7a · Gross sales of assets other than inventory

    other assets $504,581

  • 7c · Gain or loss

    securities $0 · other assets $504,581

  • 7d · Net gain or loss

    total $504,581 · excluded $504,581

  • 11a · Other revenue: Miscellaneous Income

    total $298,983 · related or exempt $298,983

  • 11d · All other revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 11e · Other revenue, total

    $298,983

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $1,129,146 · program services $847,284 · management and general $281,862

  • 7 · Other salaries and wages

    total $24,269,323 · program services $18,942,889 · management and general $5,326,434

  • 8 · Pension plan contributions

    total $275,996 · program services $215,053 · management and general $60,943

  • 9 · Other employee benefits

    total $3,807,943 · program services $2,967,102 · management and general $840,841

  • 10 · Payroll taxes

    total $1,903,206 · program services $1,482,955 · management and general $420,251

  • 11b · Fees: legal

    total $101,120 · management and general $101,120

  • 11g · Fees: other

    total $1,798,713 · program services $1,401,535 · management and general $397,178 · fundraising $0

  • 12 · Advertising and promotion

    total $234,666 · program services $182,849 · management and general $51,817

  • 13 · Office expenses

    total $717,032 · program services $558,702 · management and general $158,330

  • 14 · Information technology

    total $245,750 · program services $191,485 · management and general $54,265

  • 16 · Occupancy

    total $455,641 · program services $355,030 · management and general $100,611

  • 17 · Travel

    total $941,606 · program services $733,688 · management and general $207,918

  • 19 · Conferences, conventions and meetings

    total $185,060 · program services $144,196 · management and general $40,864

  • 20 · Interest

    total $7,192 · program services $5,604 · management and general $1,588

  • 22 · Depreciation, depletion and amortization

    total $545,620 · program services $373,430 · management and general $172,190

  • 23 · Insurance

    total $346,238 · program services $269,784 · management and general $76,454

  • 24a · Other expenses: Medical Supplies

    total $3,405,856 · program services $3,405,856

  • 24b · Other expenses: Other Patient Related Expenses

    total $1,253,864 · program services $1,253,864

  • 24c · Other expenses: Bad Debt Expense

    total $452,940 · program services $452,940

  • 24d · Other expenses: Dues, Licenses and Subscriptions

    total $312,800 · program services $243,730 · management and general $69,070

  • 24e · All other expenses

    total $279,979 · program services $269,866 · management and general $10,113 · fundraising $0

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $12,787,872 · end of year $11,787,947

  • 2 · Savings and temporary cash investments

    beginning of year $728,739 · end of year $3,958,859

  • 3 · Pledges and grants receivable

    beginning of year $0 · end of year $0

  • 4 · Accounts receivable

    beginning of year $6,019,131 · end of year $6,610,359

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 7 · Other notes and loans receivable

    beginning of year $0 · end of year $0

  • 8 · Inventories for sale or use

    beginning of year $11,984 · end of year $11,984

  • 9 · Prepaid expenses and deferred charges

    beginning of year $223,278 · end of year $231,175

  • 10a · Land, buildings and equipment: cost or other basis

    $13,813,120

  • 10b · Land, buildings and equipment: accumulated depreciation

    $8,070,558

  • 10c · Land, buildings and equipment, net

    beginning of year $5,616,525 · end of year $5,742,562

  • 11 · Investments: publicly traded securities

    beginning of year $0 · end of year $0

  • 12 · Investments: other securities

    beginning of year $62,919 · end of year $204,895

  • 13 · Investments: program-related

    beginning of year $0

  • 14 · Intangible assets

    beginning of year $412,500 · end of year $412,500

  • 15 · Other assets

    beginning of year $5,169,861 · end of year $5,640,951

  • 17 · Accounts payable and accrued expenses

    beginning of year $4,359,301 · end of year $5,133,774

  • 18 · Grants payable

    beginning of year $0 · end of year $0

  • 19 · Deferred revenue

    beginning of year $56,732 · end of year $12,659

  • 20 · Tax-exempt bond liabilities

    beginning of year $0 · end of year $0

  • 21 · Escrow or custodial account liability

    beginning of year $0 · end of year $0

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 23 · Secured mortgages and notes payable

    beginning of year $264,005 · end of year $0

  • 24 · Unsecured notes and loans payable

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $697,921 · end of year $839,452

  • 27 · Net assets without donor restrictions

    beginning of year $21,203,788 · end of year $23,828,527

  • 28 · Net assets with donor restrictions

    beginning of year $4,451,062 · end of year $4,786,820

  • 29 · Capital stock, trust principal or current funds

    beginning of year $0 · end of year $0

  • 30 · Paid-in or capital surplus, or land, building or equipment fund

    beginning of year $0 · end of year $0

  • 31 · Retained earnings, endowment or other funds

    beginning of year $0 · end of year $0

Mission and programs · 2023

Mission

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.

Activities or mission (Part I)

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.

  • 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.

    Expenses $34,297,842 · Revenue $43,831,144

As filed on the 2023 return.

Listed in Part VII

  • Bill McKibbin

    Chair & Treasurer

    Total calculated
    $0
    Hours/week
    2

  • Carol Hunter

    Board Member

    Total calculated
    $0
    Hours/week
    2

  • Cory Donohue

    Member at Large

    Total calculated
    $0
    Hours/week
    2

  • Daryl Crouse

    Member at Large

    Total calculated
    $0
    Hours/week
    2

  • Dick Burns

    Board Member

    Total calculated
    $0
    Hours/week
    2

  • Dr Navin Anthony

    Board Member

    Total calculated
    $0
    Hours/week
    2

  • Julie Thompson

    Secretary

    Total calculated
    $0
    Hours/week
    2

  • Koral Alman

    Board Member

    Total calculated
    $0
    Hours/week
    2

  • LeeAnne Tucker

    Board Member

    Total calculated
    $0
    Hours/week
    2

  • Malinda Vera Cruz

    Board Member

    Total calculated
    $0
    Hours/week
    2

  • Mary Coffey

    Board Member

    Total calculated
    $0
    Hours/week
    2

  • Nancy Bouvet

    Member at Large

    Total calculated
    $0
    Hours/week
    2

  • Paula Wagner

    Board Member

    Total calculated
    $0
    Hours/week
    2

  • Sue Kersbergen

    Board Member

    Total calculated
    $0
    Hours/week
    2

  • Tasha Michaels

    Vice Chair

    Total calculated
    $0
    Hours/week
    2

  • Tina Gentry

    Board Member

    Total calculated
    $202,589
    From this org
    $0
    From related orgs
    $191,981
    Other
    $10,608
    Hours/week
    2 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $170,000 related
    Bonus
    $0 + $21,981 related
    Other
    $0
    Deferred
    $0 + $7,679 related
    Nontaxable benefits
    $0 + $2,929 related
    Filer's total
    $0 + $202,589 related

  • Victoria Flanagan

    Board Member

    Total calculated
    $0
    Hours/week
    2

  • Dr Millicent Burke-Sinclair

    President/CEO

    Total calculated
    $387,282
    From this org
    $331,602
    From related orgs
    $41,600
    Other
    $14,080
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $279,995 + $41,600 related
    Bonus
    $51,607
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $14,080
    Filer's total
    $345,682 + $41,600 related

  • Dr Ruth Thomson

    Chief Medical Officer

    Total calculated
    $328,864
    From this org
    $303,921
    From related orgs
    $0
    Other
    $24,943
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $236,947
    Bonus
    $36,974
    Other
    $30,000
    Deferred
    $6,248
    Nontaxable benefits
    $18,695
    Filer's total
    $328,864

  • Rikki Hooper

    Chief Clinical Operations Officer

    Total calculated
    $243,522
    From this org
    $229,170
    From related orgs
    $0
    Other
    $14,352
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $180,780
    Bonus
    $25,076
    Other
    $23,314
    Deferred
    $4,663
    Nontaxable benefits
    $9,689
    Filer's total
    $243,522

  • Ryan Cannon

    Chief Innovation Officer/CFO

    Total calculated
    $153,004
    From this org
    $142,560
    From related orgs
    $0
    Other
    $10,444
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $117,110
    Bonus
    $20,000
    Other
    $5,450
    Deferred
    $1,900
    Nontaxable benefits
    $8,544
    Filer's total
    $153,004

  • Sue Ann Hamby

    Chief Quality Officer

    Total calculated
    $134,120
    From this org
    $121,892
    From related orgs
    $0
    Other
    $12,228
    Hours/week
    40

  • Dr Elaina Bishop Ori-Honeycutt

    Hospice Medical Director

    Total calculated
    $243,831
    From this org
    $229,487
    From related orgs
    $0
    Other
    $14,344
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $204,014
    Bonus
    $16,140
    Other
    $9,333
    Deferred
    $4,667
    Nontaxable benefits
    $9,677
    Filer's total
    $243,831

  • Dr Amy Hinton

    Staff Physician

    Total calculated
    $206,431
    From this org
    $185,705
    From related orgs
    $0
    Other
    $20,726
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $157,628
    Bonus
    $5,577
    Other
    $22,500
    Deferred
    $3,032
    Nontaxable benefits
    $17,694
    Filer's total
    $206,431

  • Dr Emily Sawyer

    Staff Physician

    Total calculated
    $220,961
    From this org
    $207,118
    From related orgs
    $0
    Other
    $13,843
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $180,866
    Bonus
    $5,422
    Other
    $20,830
    Deferred
    $4,166
    Nontaxable benefits
    $9,677
    Filer's total
    $220,961

  • Dr Michael Marschke

    Staff Physician

    Total calculated
    $215,283
    From this org
    $204,058
    From related orgs
    $0
    Other
    $11,225
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $194,805
    Bonus
    $5,143
    Other
    $4,110
    Deferred
    $2,055
    Nontaxable benefits
    $9,170
    Filer's total
    $215,283

  • Dr Robert Ward

    Staff Physician

    Total calculated
    $202,147
    From this org
    $179,479
    From related orgs
    $0
    Other
    $22,668
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $163,620
    Bonus
    $5,927
    Other
    $9,932
    Deferred
    $3,973
    Nontaxable benefits
    $18,695
    Filer's total
    $202,147

  • Dr Sandra Whitlock

    Staff Physician

    Total calculated
    $217,646
    From this org
    $199,970
    From related orgs
    $0
    Other
    $17,676
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $171,487
    Bonus
    $5,983
    Other
    $22,500
    Deferred
    $3,855
    Nontaxable benefits
    $13,821
    Filer's total
    $217,646

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 3 · Compensation committee
  • 3 · Form 990 of other organizations
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Disregarded entities

Part I: entities that legally are the filer and file no return of their own.

Provenance

Return type
form_990
Tax year
2023
Filed
21 September 2026
IRS schema version
2023v6.0
Source object
202612649349300626

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