Civic Intelligence

Hospice of Henderson County Inc

EIN 56-1252665 • 501(c)3 • Flat Rock, NC

Profile

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 organization's programs.

571 South Allen RoadFlat Rock, NC 28731

www.fourseasonscfl.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

45th percentile

0.17x

Higher debt load relative to assets than 45% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Liabilities / Revenue

31st percentile

0.13x

Higher debt load relative to revenue than 31% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Net Margin

54th percentile

5.9%

Higher net margin than 54% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Top Officer Pay

73rd percentile

$387,282

Higher top officer pay than 73% of similar nonprofits.

Top officer pay equals 0.9% of source-year revenue.

501(c)3 • $25M-$50M nonprofits • Source year 2024

Asset Growth

70th percentile

11%

Faster asset growth than 70% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2023 to 2024

Revenue Growth

56th percentile

9.9%

Faster revenue growth than 56% of similar nonprofits.

501(c)3 • $25M-$50M nonprofits • Annualized from 2023 to 2024

Assets

Up

$34,601,232

Up $3,568,423 (+11%) from 2023

Liabilities

Up

$5,985,885

Up $607,926 (+11%) from 2023

Net Assets

Up

$28,615,347

Up $2,960,497 (+12%) from 2023

Revenue

Up

$45,351,625

Up $4,099,779 (+9.9%) from 2023

Expenses

Up

$42,669,691

Up $3,597,223 (+9.2%) from 2023

Net Income

Up

$2,681,934

Up $502,556 (+23%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$40M$30M$20M$10M$0Assets 2010: $12,191,894Liabilities 2010: $2,257,380Net Assets 2010: $9,934,5142010Assets 2011: $12,308,919Liabilities 2011: $2,846,244Net Assets 2011: $9,462,6752011Assets 2012: $12,829,452Liabilities 2012: $2,853,784Net Assets 2012: $9,975,6682012Assets 2013: $12,984,887Liabilities 2013: $2,445,543Net Assets 2013: $10,539,3442013Assets 2014: $13,505,435Liabilities 2014: $3,131,903Net Assets 2014: $10,373,5322014Assets 2015: $14,393,797Liabilities 2015: $4,179,135Net Assets 2015: $10,214,6622015Assets 2016: $14,579,002Liabilities 2016: $3,543,840Net Assets 2016: $11,035,1622016Assets 2017: $14,780,773Liabilities 2017: $3,696,358Net Assets 2017: $11,084,4152017Assets 2018: $14,753,774Liabilities 2018: $3,095,462Net Assets 2018: $11,658,3122018Assets 2019: $17,440,936Liabilities 2019: $3,796,160Net Assets 2019: $13,644,7762019Assets 2020: $25,748,705Liabilities 2020: $9,026,242Net Assets 2020: $16,722,4632020Assets 2021: $24,806,944Liabilities 2021: $4,515,234Net Assets 2021: $20,291,7102021Assets 2022: $27,517,787Liabilities 2022: $4,043,349Net Assets 2022: $23,474,4382022Assets 2023: $31,032,809Liabilities 2023: $5,377,959Net Assets 2023: $25,654,8502023Assets 2024: $34,601,232Liabilities 2024: $5,985,885Net Assets 2024: $28,615,3472024

Highlighted filing

2024

Assets$34,601,232
Liabilities$5,985,885
Net Assets$28,615,347

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$60M$40M$20M$0-$20MExpenses 2010: $20,532,7762010Expenses 2011: $22,817,6792011Expenses 2012: $19,673,7002012Expenses 2013: $19,437,5402013Revenue 2014: $18,365,470Expenses 2014: $18,591,545Net Income 2014: -$226,0752014Revenue 2015: $19,310,097Expenses 2015: $19,091,119Net Income 2015: $218,9782015Revenue 2016: $21,492,669Expenses 2016: $20,520,156Net Income 2016: $972,5132016Revenue 2017: $22,681,848Expenses 2017: $22,669,863Net Income 2017: $11,9852017Revenue 2018: $23,375,743Expenses 2018: $24,381,222Net Income 2018: -$1,005,4792018Revenue 2019: $27,444,716Expenses 2019: $26,107,274Net Income 2019: $1,337,4422019Revenue 2020: $33,485,708Expenses 2020: $30,757,416Net Income 2020: $2,728,2922020Revenue 2021: $36,122,942Expenses 2021: $32,865,302Net Income 2021: $3,257,6402021Revenue 2022: $38,827,342Expenses 2022: $35,401,289Net Income 2022: $3,426,0532022Revenue 2023: $41,251,846Expenses 2023: $39,072,468Net Income 2023: $2,179,3782023Revenue 2024: $45,351,625Expenses 2024: $42,669,691Net Income 2024: $2,681,9342024

Highlighted filing

2024

Revenue$45,351,625
Expenses$42,669,691
Net Income$2,681,934

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$34.6$5.99$28.6$45.4$42.7$2.68
2023Summary only. Only limited summary data is available for this year.$31.0$5.38$25.7$41.3$39.1$2.18
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$27.5$4.04$23.5$38.8$35.4$3.43
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$24.8$4.52$20.3$36.1$32.9$3.26
2020Summary only. Only limited summary data is available for this year.$25.7$9.03$16.7$33.5$30.8$2.73
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$17.4$3.80$13.6$27.4$26.1$1.34
2018Facts available. Structured filing facts are available, but richer extracted sections are limited.$14.8$3.10$11.7$23.4$24.4$1.01
2017Summary only. Only limited summary data is available for this year.$14.8$3.70$11.1$22.7$22.7$0.01
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$14.6$3.54$11.0$21.5$20.5$0.97
2015Detailed filing. Detailed filing data is available for this year.$14.4$4.18$10.2$19.3$19.1$0.22
2014Detailed filing. Detailed filing data is available for this year.$13.5$3.13$10.4$18.4$18.6$0.23
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$13.0$2.45$10.5$19.4
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$12.8$2.85$9.98$19.7
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$12.3$2.85$9.46$22.8
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$12.2$2.26$9.93$20.5
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Oct 1, 2023 to Sep 30, 2024
Signed
Aug 12, 2025
Return Version
2023v6.0
Gross Receipts
$45,351,625
Mission and Program Overview

Mission

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 organization's programs.

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.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$12,787,872$11,787,947▼ $999,925
Accounts Receivable$6,019,131$6,610,359▲ $591,228
Land, Buildings, and Equipment, Net$5,616,525$5,742,562▲ $126,037
Savings and Temporary Cash Investments$728,739$3,958,859▲ $3,230,120
Intangible Assets$412,500$412,500→ $0
Prepaid Expenses and Deferred Charges$223,278$231,175▲ $7,897
Investments Other Securities$62,919$204,895▲ $141,976
Inventories for Sale or Use$11,984$11,984→ $0
Other Notes and Loans Receivable, Net$0$0→ $0
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Program Related$0--
Investments in Publicly Traded Securities$0$0→ $0
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Rtn Earn Endowment Incm Other Fnds$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Loans From Officers Directors$0$0→ $0
Total Assets$31,032,809$34,601,232▲ $3,568,423
Other Assets Total$5,169,861$5,640,951▲ $471,090
Liabilities
Accounts Payable and Accrued Expenses$4,359,301$5,133,774▲ $774,473
Other Liabilities$697,921$839,452▲ $141,531
Mortgage Notes Payable Secured by Investment Property$264,005$0▼ $264,005
Deferred Revenue$56,732$12,659▼ $44,073
Grants Payable$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$5,377,959$5,985,885▲ $607,926
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$21,203,788$23,828,527▲ $2,624,739
Net Assets With Donor Restrictions$4,451,062$4,786,820▲ $335,758
Total Net Assets Fund Balance$25,654,850$28,615,347▲ $2,960,497
Total Liabilities and Net Assets / Fund Balance$31,032,809$34,601,232▲ $3,568,423

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$3,442,297$2,856,957$6,299,254
Equipment$806,287$3,985,595$4,791,882
Leasehold Improvements$445,341$1,127,535$1,572,876
Land$758,607-$758,607
Other Land Buildings$290,030$100,471$390,501
Other Assets Org$832,235--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2023$1,961,031$32,583▲ $446,632-$2,440,246
2022$1,710,622$66,909▲ $183,500-$1,961,031
2021$2,466,078$66,769▼ $822,225-$1,710,622
2020$2,336,498$66,769▲ $62,811-$2,466,078
2019$2,171,459$79,799▲ $85,240-$2,336,498
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Dr Millicent Burke-SinclairPresident/CEOFT$279,995$65,687$345,682
Dr Ruth ThomsonChief Medical OfficerFT$236,947$91,917$328,864
Dr Elaina Bishop Ori-HoneycuttHospice Medical DirectorFT$204,014$39,817$243,831
Rikki HooperChief Clinical Operations OfficerFT$180,780$62,742$243,522
Dr Emily SawyerStaff PhysicianFT$180,866$40,095$220,961
Dr Sandra WhitlockStaff PhysicianFT$171,487$46,159$217,646
Dr Michael MarschkeStaff PhysicianFT$194,805$20,478$215,283
Dr Amy HintonStaff PhysicianFT$157,628$48,803$206,431
Dr Robert WardStaff PhysicianFT$163,620$38,527$202,147
Ryan CannonChief Innovation Officer/CFOFT$117,110$35,894$153,004
Sue Ann HambyChief Quality OfficerFT$121,892$12,228$134,120

Board Members and Trustees

NameTitle
Bill McKibbinChair & Treasurer
Tasha MichaelsVice Chair
Carol HunterBoard Member
Dick BurnsBoard Member
Dr Navin AnthonyBoard Member
Koral AlmanBoard Member
LeeAnne TuckerBoard Member
Malinda Vera CruzBoard Member
Mary CoffeyBoard Member
Paula WagnerBoard Member
Sue KersbergenBoard Member
Tina GentryBoard Member
Victoria FlanaganBoard Member
Cory DonohueMember at Large
Daryl CrouseMember at Large
Nancy BouvetMember at Large
Julie ThompsonSecretary

Highest Paid Contractors

ContractorServicesLocationCompensation
Southeastern Health Facilities dba Mountain View ManorPatient Room and BoardPO Box 2344, Bryson City, NC 28713$655,078
Oaks at BrevardPatient Room and Board300 Morris Road, Brevard, NC 28712$582,057
Silver Bluff VillagePatient Room and Board100 Silver Bluff Drive, Canton, NC 28716$554,421
MH Eckerd Living Center LLPPatient Room and Board250 Hospital Drive, Highland, NC 28741$523,204
Greens at Hendersonville LLCPatient Room and Board1870 Pisgah Drive, Hendersonville, NC 28791$449,745
Revenue and Support

Revenue Composition

Contributions and Grants
$848,460
Program Service Revenue
$43,532,161
Investment Income
$672,021
Other Revenue
$298,983
Change in Net Assets
$2,681,934

Audited Revenue Reconciliation

Revenue per Audited Statements
$45,351,625
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$-174,374
Other Revenue Adjustments
$0
Total Revenue per Audited Statements
$45,177,251
Total Revenue per Form 990
$45,351,625
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$31,385,614
Other Expenses$11,284,077
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$18,942,889$5,326,434-$24,269,323
Other Employee Benefits$2,967,102$840,841-$3,807,943
Payroll Taxes$1,482,955$420,251-$1,903,206
Fees for Services Other$1,401,535$397,178$0$1,798,713
Current Officers, Directors, Trustees, and Key Employees$847,284$281,862-$1,129,146
Travel$733,688$207,918-$941,606
Office Expenses$558,702$158,330-$717,032
Depreciation Depletion$373,430$172,190-$545,620
Occupancy$355,030$100,611-$455,641
Insurance$269,784$76,454-$346,238
Other Expenses$243,730$69,070-$312,800
All Other Expenses$269,866$10,113$0$279,979
Pension Plan Contributions$215,053$60,943-$275,996
Information Technology$191,485$54,265-$245,750
Advertising$182,849$51,817-$234,666
Conferences and Meetings$144,196$40,864-$185,060
Fees for Services Legal-$101,120-$101,120
Interest$5,604$1,588-$7,192
Total Functional Expenses$34,297,842$8,371,849$0$42,669,691

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$42,669,691
Total Expenses per Form 990$42,669,691
Total Expenses per Audited Statements$42,216,754
Expenses Not Reported on Financial Statements$0
Other Expense Adjustments$0
Expenses Not Reported on Form 990$-452,937
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Long-Term Operating Lease Liability$549,699
Short-term Operating Lease Liability$289,753
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

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.

Filing and Contact Details

Filer

Filer Name
Hospice of Henderson County Inc
EIN
56-1252665
Phone
8286926178
Address
571 South Allen Road, Flat Rock, NC 28731
Doing Business As
Four Seasons The Care You Trust

Signing Officer

Name
Dr Millicent Burke-Sinclair
Title
CEO
Phone
8286926178
Signed
2025-08-12
Discuss with paid preparer
Yes

Organization Details

Formed
1979
Legal Domicile
Nc
Voting Board Members
17
Independent Board Members
16
Employees
475
Volunteers
377

Preparer

Firm
Forvis Mazars LLP
Address
500 Ridgefield Court, Asheville, NC 28806
Preparer
Amy Bibby
Phone
8282542254
Supplemental Narrative

Additional Explanations

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.

Financial Statement Notes

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

Raw XML AppendixShowing 400 of 1,028 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/AccountsReceivableGrp/EOYAmt06610359
IRS990/ActivitiesConductedPrtshpInd0false
IRS990/ActivityOrMissionDesc0THE 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.
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IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt0571 South Allen Road
IRS990/BooksInCareOfDetail/USAddress/CityNm0Flat Rock
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IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt1300 Morris Road
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt2100 Silver Bluff Drive
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt3250 Hospital Drive
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/AddressLine1Txt41870 Pisgah Drive
IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm0Bryson City
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IRS990/ContractorCompensationGrp/ContractorAddress/USAddress/CityNm3Highland
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IRS990/Desc0As 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.
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IRS990/MissionDesc0Co-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.
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