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Nonprofiteer
← COUNTRY CARE HOSPICE INC

Form 990 for tax year 2022

Filed by COUNTRY CARE HOSPICE INC.

Totals

Total revenue
$463,952
Total expenses
$447,050
Contributions and grants received
$78,373
Grants paid
$6,580
Program service revenue
$385,473
Investment income
$84
Other revenue
$22
Total assets, end of year
$70,396
Total liabilities, end of year
$118,218
Net assets or fund balances, end of year
-$47,822
Program services expenses (Part IX)
$297,879
Management and general expenses
$149,171
Fundraising expenses
$0
Program service expenses (Part III)
$297,879

Program services were 66.6% 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

    $75,848

  • 1f · All other contributions, gifts and grants

    $2,525

  • 2a · Program service revenue: Hospice Care Revenue

    total $385,473 · related or exempt $385,473

  • 3 · Investment income

    total $84 · excluded $84

  • 11a · Other revenue: PHA Rebates

    total $22 · related or exempt $22

  • 11e · Other revenue, total

    $22

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $6,580 · program services $6,580

  • 5 · Compensation of officers, directors and key employees

    total $55,492 · management and general $55,492

  • 7 · Other salaries and wages

    total $173,958 · program services $173,958

  • 9 · Other employee benefits

    total $58,714 · program services $30,250 · management and general $28,464

  • 10 · Payroll taxes

    total $19,224 · program services $19,224

  • 11b · Fees: legal

    total $5,296 · management and general $5,296

  • 11c · Fees: accounting

    total $9,597 · management and general $9,597

  • 12 · Advertising and promotion

    total $764 · management and general $764

  • 13 · Office expenses

    total $8,832 · management and general $8,832

  • 14 · Information technology

    total $10,417 · program services $775 · management and general $9,642

  • 16 · Occupancy

    total $9,501 · management and general $9,501

  • 17 · Travel

    total $25,883 · program services $24,489 · management and general $1,394

  • 20 · Interest

    total $4,845 · management and general $4,845

  • 23 · Insurance

    total $3,425 · management and general $3,425

  • 24a · Other expenses: Pharmacy Expense

    total $17,155 · program services $17,155

  • 24b · Other expenses: DME Equipment Rental

    total $9,341 · program services $9,341

  • 24c · Other expenses: Vehicle Lease Expense

    total $8,252 · program services $8,252

  • 24d · Other expenses: Dues and Subscriptions

    total $6,935 · management and general $6,935

  • 24e · All other expenses

    total $12,839 · program services $7,855 · management and general $4,984

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $850 · end of year $11,203

  • 4 · Accounts receivable

    beginning of year $7,768 · end of year $58,493

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

    $700

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

    $0

  • 10c · Land, buildings and equipment, net

    beginning of year $0 · end of year $700

  • 17 · Accounts payable and accrued expenses

    beginning of year $0 · end of year $58,533

  • 25 · Other liabilities

    beginning of year $72,706 · end of year $59,685

  • 27 · Net assets without donor restrictions

    beginning of year -$64,088 · end of year -$47,822

Mission and programs · 2022

Mission

To provide hospice care services to seniors and their families.

  • Providing hospice care services to seniors and their families, including hospice care to residents of facilities owned and operated by member hospice facilities.

    Expenses $291,299 · Revenue $385,495

  • Providing grants to member hospice facilities for the care of specific individuals.

    Expenses $6,580 · Grants $6,580

As filed on the 2022 return.

Listed in Part VII

  • Seth Orr

    Member

    Total calculated
    $0
    Hours/week
    1

  • Teresa Achilles

    Executive Director

    Total calculated
    $83,956
    From this org
    $55,492
    From related orgs
    $0
    Other
    $28,464
    Hours/week
    40

  • Holly Noble

    President

    Total calculated
    $0
    Hours/week
    1

  • Amy Bennett

    Secretary/Treasurer

    Total calculated
    $0
    Hours/week
    1

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.

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.

Provenance

Return type
form_990
Tax year
2022
Filed
31 October 2023
IRS schema version
2022v5.0
Source object
202343049349301904

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