Care Center
Legal name: Midwest Palliative & Hospice CareCenter
Nonprofit profile at a glance
- EIN
- 362996608
- IRS 990 coverage
- 2010–2014
- Official website data refreshed
- Sep 2026
- Forms available
- Form 990 2014
- Location
- Cookeville, TN, US
- Phone
- 931-520-4881
- Rating
- 84
- Verdict
- STRONG
- Rating confidence
- Standard
- Sector
- Hospices
Reported finances
- Revenue
- $32,728,740
- Expenses
- $31,947,471
- Assets
- $38,821,744
- Liabilities
- $6,406,377
Source: IRS Form 990. Selected filing: tax year 2014. Amounts in USD.
Leadership & pay
29 people listed
Source: IRS Form 990. Selected filing: tax year 2014. Names and roles reflect this filing, not necessarily current officeholders.
Overview
Mission
Providing food, clothing, and the hope of Jesus to those in need in Cookeville and the Upper Cumberland.
What it reported doing in 2014
Midwest carecenter serves patients and family members in 150 communities in cook and lake counties through comprehensive, compassionate hospice, palliative care and grief support services. In 2014, 2,695 patients facing the end of life received hospice care, which involves nursing, medical management, social work, chaplaincy and volunteer services. Bereavement counseling, in the form of individualized and group support, was provided to 459 adults and 275 youth who were grieving the death of a loved one. To support these programs, 611 individuals provided 25,618 hours of volunteer service through midwest carecenter patient care, office support, fundraising, governance and youth outreach services. (see schedule o)
Operating model
- Revenue model
- Other-operating. 92% 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.
- Includes noncash contributions: Reported contributions include donated property or goods.
The verdict
STRONG - A large share of available resources goes toward mission work and the filed numbers largely add up. Fundraising costs are high for each dollar raised and expenses are high relative to revenue.
Rating breakdown
- Financial Efficiency: 76
- Transparency & Controls: 95
- Accountability: 90
- Sustainability: 49
- Growth: 100
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 81.6%; rating input score 82
- Program expense ratio: 83%; rating input score 83
- Fundraising efficiency: $4.35 raised per $1 spent on fundraising; rating input score 23; 23rd percentile among comparable filings
Transparency & Controls
- Consistency checks: 100%; rating input score 100; 62nd percentile among comparable filings
- Pay-setting controls: 5 of 6 controls in place; rating input score 83
- Compensation committee: Pass
- Independent consultant: Pass
- Other Form 990s reviewed: Missing
- Written employment contract: Pass
- 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: 90.5%; rating input score 90; 26th percentile among comparable filings
- Governance controls: 8 of 9 controls in place; rating input score 89
- 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: Fail
- Board meeting minutes documented: Pass
- Audit committee oversight: Pass
- Independent financial-statement audit: Pass
Sustainability
- Operating margin: 2.4%; rating input score 47; 47th percentile among comparable filings
- Total-asset coverage ratio: 1.22; rating input score 51; 51st percentile among comparable filings
- Liabilities to assets ratio: 0.17; rating input score 72; 72nd percentile among comparable filings
- Officer compensation ratio: 6.2%; rating input score 29; 29th percentile among comparable filings
Growth
- Program expense growth: 2.3% per year; rating input score 100; 39th percentile among comparable filings
- Revenue growth: 4.4% per year; rating input score 100; 52nd percentile among comparable filings
- Asset growth: 7.2% per year; rating input score 100; 63rd percentile among comparable filings
Details
- What they do: 4 programs and campaigns described on the official site · 2 operating locations identified
- Where the money goes: 81.6% of revenue deployed · 83% of spending went to programs
- Governance: 19 of 21 board members independent · 8 of 9 filing controls reported
- Programs: 2 filed program accomplishments · $26.5M in reported program spending
- Leadership: top reported pay $320K · 29 people listed · 5 of 6 pay-setting controls reported
- Consistency: 36 of 36 current checks pass
- Schedules: 8 filed schedules · includes major donors and executive pay
- Filing history: 5 filing years from 2010 to 2014
- Contacts: How to reach this organization
- Money network: 10 filed money-flow records
- Related organizations: 1 filed related-organization link
- 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.
- High — Financial Efficiency: Fundraising efficiency scored 23/100.
- Moderate — Sustainability: Operating margin scored 47/100.
- Review — Accountability: Governance controls: Form 990 shared with the board not reported.
- Review — Sustainability: Total-asset coverage ratio scored 51/100.
- High — Sustainability: Officer compensation ratio scored 29/100.