2024-11-01T13:55:05-05:00 2023-12-31 410746749 CLIFTONLARSONALLEN LLP 227 WEST TRADE STREET SUITE 800 CHARLOTTE NC 28202 990 2023-01-01 570752796 TIDELANDS COMMUNITY HOSPICE FOUNDATION TIDE 8435463410 2591 NORTH FRASER STREET GEORGETOWN SC 29440 JULIE STALVEY CFO 8435463410 2024-10-31 1 1 KATHERINE A WARLICK P02065266 7049985200 2024-10-31 2023 2024-10-15 13:58:12Z JULIE STALVEY 2591 NORTH FRASER STREET GEORGETOWN SC 29440 439047 0 X WWW.TIDELANDSHOSPICE.ORG X 1982 SC TO SUPPORT A PROGRAM OF SERVICE FOR TERMINALLY ILL PATIENTS. 12 12 0 21 0 0 81145 107956 -34362 298167 37067 32924 -4244 -4600 79606 434447 45143 71065 0 0 0 0 0 0 2170 117550 113591 162693 184656 -83087 249791 2852694 3395014 19634 23421 2833060 3371593 THE MISSION OF TIDELANDS COMMUNITY HOSPICE FOUNDATION IS TO HELP SUPPORT A PROGRAM OF SERVICE TO TERMINALLY ILL PATIENTS FOR WHOM ACTIVE THERAPEUTIC TREATMENT IS NO LONGER PURSUED OR DEEMED APPROPRIATE. 0 0 149374 71065 298167 TIDELANDS SUPPORTS THE PROVISION OF SERVICES TO TERMINALLY ILL PATIENTS THROUGH ITS JOINT VENTURE WITH GHS TRANSITIONAL CARE, LLC ("GHS"), A SOUTH CAROLINA NON-PROFIT LIMITED LIABILITY COMPANY. AS TIDELANDS DID PRIOR TO THE AGREEMENT, THE JOINT VENTURE PROVIDES SERVICES TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY FOR THOSE SERVICES. 149374 1 1 0 0 0 0 0 0 0 1 0 1 0 1 1 1 0 1 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 12 12 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 SC X X JULIA STALVEY 8435463410 2591 NORTH FRASER STREET GEORGETOWN SC 29440 MRS SUSAN JOSEPH BOARD MEMBER 1.00 X 0 0 0 MRS WIN REGISTER BOARD TREASURER 1.00 X X 0 0 0 MRS KRISTINA SOUTHARD BOARD CHAIRMAN 1.00 X X 0 0 0 MRS JOY TALBOT BOARD MEMBER 1.00 X 0 0 0 MR TERRY BARRETT BOARD MEMBER 1.00 X 0 0 0 MRS ASHLEY DESMARTEAU BOARD MEMBER 1.00 X 0 0 0 MRS ANNE FAUL DIRECTOR 1.00 X 0 0 0 DR CHRISTINE GERBER BOARD SECRETARY 1.00 X X 0 0 0 MRS LIBBY INSLEY BOARD MEMBER 1.00 X 0 0 0 MR JOHN MORRIS RN BOARD VICE CHAIRMAN 1.00 X X 0 0 0 REV TY SMITHDEAL BOARD MEMBER 1.00 X 0 0 0 MRS KATHIE MONNICH BOARD MEMBER 1.00 X 0 0 0 KATHY ERBE CEO 1.00 40.00 X 0 131396 5412 JULIE STALVEY CFO 1.00 36.00 X 0 93931 4583 0 225327 9995 0 0 0 0 0 23267 84689 107956 INV IN HOSPICE JV 621610 298167 298167 298167 32924 32924 0 23267 4600 -4600 -4600 434447 298167 0 28324 X 67065 67065 4000 4000 10729 10729 72243 72243 17779 17779 3365 3365 475 475 6066 6066 549 549 MISCELLANEOUS 2385 215 2170 184656 149374 33112 2170 25617 161838 4405 535 1500 2162946 2523495 659726 707646 2852694 3395014 3509 4468 16125 18953 19634 23421 X 2173334 2662602 659726 708991 2833060 3371593 2852694 3395014 X 249791 105238 183504 X X 0 1 X 1 0 X 85122 155712 78066 81145 107956 508001 85122 155712 78066 81145 107956 508001 82129 425872 30716 92719 108061 23680 32924 288100 36433 4157 3109 43699 839800 872413 0.50710 0.47990 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: SPECIAL EVENT RECEIPTS NET OF CONTRIBUTIONS - 2019 AMOUNT: $ 36,433. 2020 AMOUNT: $ 4,157. 2021 AMOUNT: $ 3,109. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 659726 1344 80643 25545 7177 708991 774170 -90312 24132 659726 679646 117356 22832 774170 630629 71376 22359 679646 558758 99486 21729 5886 630629 0.96207 0.03793 0 0 0 LONG-TERM INVESTMENTS 723298 F INVESTMENT IN JOINT VENTURE 1800197 F 2523495 ASSETS LIMITED AS TO USE 707646 707646 DUE TO JOINT VENTURE 18953 18953 X PART V, LINE 4: THE PRIMARY PURPOSE OF THE FUND IS TO PROVIDE DISTRIBUTIONS TO THE DONOR ORGANIZATION IN SUPPORT OF ITS CHARITABLE PURPOSES, TO BE USED FOR SUCH SPECIFIC PUPOSES AS THE BOARD OF DIRECTORS OF THE DONOR ORGANIZATION DEEMS APPROPRIATE TO ENHANCE THE CHARITABLE ACTIVITIES TO THE DONOR ORGANIZATION. PART X, LINE 2: TIDELANDS COMMUNITY HOSPICE FOUNDATION FILES AS A TAX-EXEMPT ORGANIZATION. MANAGEMENT IS NOT AWARE OF ANY ACTIVITIES THAT WOULD JEOPARDIZE THE TAX-EXEMPT STATUS OF THE ORGANIZATION. MANAGEMENT IS NOT AWARE OF ANY SIGNIFICANT ACTIVITIES THAT ARE SUBJECT TO TAX ON UNRELATED BUSINESS INCOME OR EXCISE OR OTHER TAXES FOR THE ORGANIZATION. TIDELANDS COMMUNITY HOSPICE FOUNDATION FOLLOWS GUIDANCE IN THE INCOME TAX STANDARD REGARDING RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. THE GUIDANCE HAS HAD NO IMPACT ON THE ORGANIZATION'S CONSOLIDATED FINANCIAL STATEMENTS. FESTIVAL OF TREES 23267 23267 4600 23267 23267 4600 4600 -4600 1 TIDELANDSGHS JOINT VENTURE LLC 2591 NORTH FRASER STREET GEORGETOWN SC 29440 462046659 66549 0 TO OFFSET CHARITY CARE PART I, LINE 2: THE FOUNDATION PROVIDES CHARITABLE DISBURSEMENTS TO TIDELANDS/GHS JOINT VENTURE, LLC (THE "JOINT VENTURE") TO OFFSET THE COST OF CHARITY CARE PROVIDED BY THE JOINT VENTURE. ALL DISBURSEMENTS ARE INCLUDED IN THE BUDGET FOR THE FOUNDATION AND APPROVED BY THE FOUNDATION BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE MEETS FROM TIME TO TIME AND CONSISTS OF THE BOARD CHAIRMAN, THE VICE CHAIRMAN, THE SECRETARY AND THE TREASURER. FORM 990, PART VI, SECTION A, LINE 2 JOHN STALVEY, BROKER AT WELLS FARGO IS THE HUSBAND OF JULIE STALVEY, CFO. THE FOUNDATION HAS A BROKERAGE ACCOUNT AT WELLS FARGO. FORM 990, PART VI, SECTION B, LINE 11B THE CFO WILL REVIEW THE FORM 990 IN DETAIL. A FINAL DRAFT WILL BE EMAILED TO THE COMPLETE BOARD BEFORE IT IS FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS ANNUALLY SIGN A CONFLICT OF INTEREST STATEMENT. THE POLICY IS REVIEWED ANNUALLY AND COVERS GIFTS AND GRATUITIES, OUTSIDE BUSINESS OR PROFESSIONAL INTERESTS, AND PERSONAL BELIEFS. TO DATE, NO CONFLICTS HAVE ARISEN. FORM 990, PART VI, SECTION B, LINE 15 THE JOINT VENTURE BOARD OF DIRECTORS REVIEWS THE PERFORMANCE AND THE COMPENSATION POLICIES FOR THE EXECUTIVE DIRECTOR. THE PERFORMANCE AND COMPENSATION OF KEY EMPLOYEES IS REVIEWED BY THE EXECUTIVE DIRECTOR. BOTH REVIEWS WERE LAST CONDUCTED IN 2023. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G PATIENT CARE: PROGRAM SERVICE EXPENSES 1,730. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,730. CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 70,513. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 70,513. FORM 990, PART XI, LINE 9: DISTRIBUTIONS FROM TIDELANDS 183,504. FORM 990, PART XII THE PROCESS OF AUDITOR OVERSIGHT AND SELECTION HAS NOT CHANGED FROM THE PRIOR YEAR. TIDELANDSGHS JOINT VENTURE LLC 2591 NORTH FRASER STREET GEORGETOWN SC 29440 462046659 HEALTHCARE SC TIDELANDS COMMUNITY HOSPICE FOUNDATION RELATED 0 0 0.60000 0 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0