Four Seasons
Legal name: Hospice of Henderson County Inc
Nonprofit profile at a glance
- EIN
- 561252665
- IRS 990 coverage
- 2009–2024
- Official website data refreshed
- Sep 2026
- Forms available
- Form 990 2024, Form 990-T 2020
- Location
- Flat Rock, NC, United States
- Phone
- 866.466.9734
- Rating
- 81
- Verdict
- STRONG
- Rating confidence
- Moderate
Reported finances
- Revenue
- $48,440,474
- Expenses
- $46,248,857
- Assets
- $36,373,150
- Liabilities
- $6,141,244
Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.
Leadership & pay
27 people listed
Executive titles in this filing
- DR MILLICENT BURKE-SINCLAIR (PRESIDENT/CEO)
Highest reported compensation
- DR MILLICENT BURKE-SINCLAIR (PRESIDENT/CEO): $422,488 total reported compensation
- DR RUTH THOMPSON (CHIEF MEDICAL OFFICER): $338,381 total reported compensation
- RICHELLE HOOPER (CHIEF CLINICAL OPERATIONS OFFICER): $254,882 total reported compensation
Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.
Overview
Mission
Four Seasons is a nationally recognized, non-profit Hospice Care and Palliative Care leader in Western North Carolina, co-creating the care experience for patients and families. Four Seasons is a nationally recognized, non-profit Hospice Care and Palliative Care leader, co-creating quality care in Western North Carolina since 1979. Being a non-profit means patients are our bottom line, and we provide quality care, no matter of the individual’s ability to pay, thanks to funds from our community raised through our Foundation. Our commitment to providing trusted care means we offer our patients the best advancements in care and have expanded our service lines to include Home Care, Care Navigation and Grief Services. Our Mission: _Co-Creating the Care Experience_.
What it reported doing in 2024
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 forcare navigation, palliative care, hospice care, andgrief servicesincludes: buncombe, cherokee, clay, graham, haywood, henderson, jackson, macon, madison, mcdowell, polk, rutherford, swain, and transylvania counties.ourhome careservice areaincludes: buncombe, henderson and transylvania counties. In fy25, four seasons provided care to 3,595 hospice patients for a combined total of 222,695 days of care, which equates to serving approx 610 hospice patients each day.
Operating model
- Revenue model
- Other-operating. 97% of the money available for current operations came from other operating revenue.
- Distribution model
- Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.
The verdict
STRONG - A large share of available resources goes toward mission work and the filed numbers largely add up. Expenses are high relative to revenue and total assets are small relative to annual expenses; liquid coverage is unknown.
Rating breakdown
- Financial Efficiency: 70
- Transparency & Controls: 90
- Accountability: 96
- Sustainability: 45
- Growth: 100
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 77%; rating input score 77
- Program expense ratio: 80.6%; rating input score 81
- Fundraising efficiency: Limited
Transparency & Controls
- Consistency checks: 100%; rating input score 100; 62nd percentile among comparable filings
- Pay-setting controls: 4 of 6 controls in place; rating input score 67
- Compensation committee: Pass
- Independent consultant: Missing
- Other Form 990s reviewed: Pass
- Written employment contract: Missing
- Compensation survey or study: Pass
- Board or committee approval: Pass
- Foreign activity oversight: Limited
- Grant itemization coverage: Limited
- Major donor itemization: Yes; rating input score 100
- Related-party transparency: Limited
Accountability
- Independent voting board: 93.8%; rating input score 94; 27th percentile among comparable filings
- Governance controls: 9 of 9 controls in place; rating input score 100
- Conflict-of-interest policy: Pass
- Whistleblower policy: Pass
- Document-retention policy: Pass
- CEO compensation review process: Pass
- Other executive compensation review process: Pass
- Form 990 shared with the board: Pass
- Board meeting minutes documented: Pass
- Audit committee oversight: Pass
- Independent financial-statement audit: Pass
Sustainability
- Operating margin: 4.5%; rating input score 52; 52nd percentile among comparable filings
- Total-asset coverage ratio: 0.79; rating input score 28; 28th percentile among comparable filings
- Liabilities to assets ratio: 0.17; rating input score 63; 63rd percentile among comparable filings
- Officer compensation ratio: 5.9%; rating input score 43; 43rd percentile among comparable filings
Growth
- Program expense growth: 9.7% per year; rating input score 100; 69th percentile among comparable filings
- Revenue growth: 6.8% per year; rating input score 100; 58th percentile among comparable filings
- Asset growth: 8.3% per year; rating input score 100; 56th percentile among comparable filings
Details
- What they do: 5 programs and campaigns described on the official site · 1 operating location identified
- Where the money goes: 77% of revenue deployed · 80.6% of spending went to programs
- Governance: 15 of 16 board members independent · 9 of 9 filing controls reported
- Programs: 1 filed program accomplishment · $37.3M in reported program spending
- Leadership: top reported pay $422K · 27 people listed · 4 of 6 pay-setting controls reported
- Highest-paid contractors: 5 contractors listed · $2.8M reported
- Consistency: 32 of 32 current checks pass
- Schedules: 6 filed schedules · includes major donors and executive pay
- Filing history: 16 filing years from 2009 to 2024
- Contacts: How to reach this organization
- Money network: 11 filed money-flow records
- Related organizations: 2 filed related-organization links
- Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
- People: Everyone the filings name, and which of them the filings identify by more than a name.
Key Signals
Signals prioritize questions for review. They are not findings of misconduct.
- Review — Sustainability: Operating margin scored 52/100.
- High — Sustainability: Total-asset coverage ratio scored 28/100.
- Moderate — Sustainability: Officer compensation ratio scored 43/100.