Hospice of Wake County
Also known as Transitions Lifecare
Hospice of Wake County reported $59.0 million in revenue and $56.2 million in expenses for calendar year 2025. Of every $100 it spent, $89.09 went to program services, $9.40 to management and general costs and $1.51 to fundraising. Its largest source of revenue was program service revenue such as fees, sales and contracts: 86.3% of the total. The highest compensation it reported for one person was $356,961 (CEO). 9 people received more than $100,000 in reportable compensation. Revenue rose 11% between 2019 and 2025. Source: Form 990, 2025.
Where $100 of spending went
Calendar year 2025 · Form 990, Part IX, line 25 · total expenses $56MFor context, the median across 5,634 covered health care charities: $86.19 programs, $13.81 management, $0.00 fundraising (medians computed separately, so they may not sum to $100).
Where $100 of revenue came from
Calendar year 2025 · Form 990, Part VIII · total revenue $59MThe 990 scorecard · same measures for every charity, no grades
| Measure | 2025 | Median |
|---|---|---|
| Program services Part IX 25(B) ÷ 25(A) | 89.1% | 85.6% |
| Management & general Part IX 25(C) ÷ 25(A) | 9.4% | 13.7% |
| Fundraising Part IX 25(D) ÷ 25(A) | 1.5% | 0.0% |
| Fundraising cost per $1 of contributions Part IX 25(D) ÷ Part VIII 1h | $0.11 | $0.00 |
| Contributions & grants share of revenue Part VIII 1h ÷ 12 | 13.3% | 1.3% |
| Government grants share of revenue Part VIII 1e ÷ 12 | 0.0% | 0.1% |
| Program service revenue share Part VIII 2g ÷ 12 | 86.3% | 93.7% |
| Highest reported compensation Part VII-A, columns D–F | $356,961 | $975,831 |
| Highest compensation as share of expenses Part VII-A ÷ Part IX 25(A) | 0.64% | 1.34% |
| People paid over $100,000 Part VII, line 2 | 9 | 27 |
| Net assets, in months of expenses Part X 33(B) ÷ monthly expenses | 4.4 | 6.6 |
| Independent voting board members Part VI 1a–1b | 22 of 22 | 88.9% |
A median is context, not a target: hospitals, universities, food banks and grantmakers spend in very different ways. What these measures can and can't tell you.
What the money paid for, in its own words
2025 · Form 990, Part III · the three largest programs by expenseHospice provided at home medical care for the terminally ill as well as palliative care, grief counseling for hospice families and the community and educational programs relating to end of life care
Transitions kids compassionately cares for children, families, and communities significantly impacted by illness or loss on their sacred journey of love, exasperation, triumph; to offer our gifts, skills, and informed perspectives through education, advocacy, and adventure. Services include: home based interdisciplinary care with access to nursing, social work, spiritual care, and physicians 24/7: coordination with community providers to assure continuity across care locations: and support for child as well as siblings and other family members affected by child's illness
Highest reported compensation
2025 · Form 990, Part VII, Section A · roles as filed; names are in the filing, not here| Role | From this org | From related orgs | Other | Total |
|---|---|---|---|---|
| CEO Director/trustee, officer, 40.00 hrs/week | $333,613 | $0 | $23,348 | $356,961 |
| CHIEF MEDICAL OFFICER Officer, 40.00 hrs/week | $294,835 | $0 | $11,415 | $306,250 |
| LEAD HOSPICE PHYSICIAN Highest compensated employee, 40.00 hrs/week | $243,666 | $0 | $18,036 | $261,702 |
| MEDICAL DIRECTOR OF COMMUN Highest compensated employee, 40.00 hrs/week | $233,052 | $0 | $19,349 | $252,401 |
| COO Officer, 40.00 hrs/week | $216,803 | $0 | $26,723 | $243,526 |
| HPC PHYSICIAN Highest compensated employee, 40.00 hrs/week | $216,885 | $0 | $23,471 | $240,356 |
| HPC PHYSICIAN Highest compensated employee, 40.00 hrs/week | $216,123 | $0 | $18,733 | $234,856 |
| CFO Officer, 40.00 hrs/week | $208,685 | $0 | $25,367 | $234,052 |
9 people received more than $100,000 in reportable compensation from Hospice of Wake County (Part VII, line 2). Compensation of current officers, directors and key employees totaled $1.1M (Part IX, line 5).
7 years of filings
Form 990, Parts I, VII, IX and X · each row is that year's own filing, linkedGovernance answers, as filed
2025 · the organization's own yes/no answers; explanations, if any, are in Schedule O of the filing · what each means- Voting board members, and how many are independent Part VI, lines 1a–1b22 · 22 independent
- Audited financial statements Part XII 2bYes
- Conflict-of-interest policy Part VI 12aYes
- Whistleblower policy Part VI 13Yes
- Document retention policy Part VI 14Yes
- Independent process for top executive pay Part VI 15aYes
- Board given the 990 before filing Part VI 11aYes
- Family or business ties among insiders Part VI 2No
- Aware of a significant diversion of assets Part VI 5No
- Excess benefit transaction with an insider Part IV 25aNo
- Loans to or from insiders outstanding Part IV 26No
- Lobbying, or a 501(h) election in effect Part IV 4No
- Over $15,000 of professional fundraising services Part IV 18No
- Over $10,000 of activity outside the U.S. Part IV 14bNo
- Employees Part I, line 5573
- Volunteers Part I, line 6252
Largest outside contractors
2025 · Form 990, Part VII, Section B · businesses only| STATESERV Durable medical equipment | $1,457,774 |
| ENCLARA PHARMACIA Pharmacy | $1,020,058 |
| MCKESSON MEDICAL Medical supplies | $957,953 |
| CORE MEDICAL GROUP Contract rns | $651,149 |
Individuals listed as contractors are left out. 5 contractors were paid more than $100,000 in all.
Private foundation grants it received
8 private foundations reported grants to Hospice of Wake County totaling $154K on their tax year 2023 Form 990-PF returns. See which foundations, on WHOFUNDS.
Source: WHOFUNDS open grant graph, matched from Form 990-PF Part XV.
Correct a figure or respond
Every number above is copied from Hospice of Wake County's own Form 990. If one doesn't match the filing, that's our error and we'll fix it. If you work for Hospice of Wake County, you can publish a response that is linked from this page.
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Of every $100 Hospice of Wake County spent in 2025, $89.09 went to programs. The full breakdown, from its IRS Form 990:
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Similar-sized charities in this cause
- Comanche County Medical Center CompanyComanche, TX · revenue $59M · programs 77.6% · 2024
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- Family Health CenterKalamazoo, MI · revenue $59M · programs 80.5% · 2024
- Fulton County Medical CenterMc Connellsburg, PA · revenue $59M · programs 82.0% · FY2025
- Michigan Primary Care AssociationLansing, MI · revenue $59M · programs 94.7% · FY2025
All health care charities · Largest charities in North Carolina
Questions people ask
How much of Hospice of Wake County's spending goes to programs?
In calendar year 2025, Hospice of Wake County reported that 89.1% of its $56.2 million in expenses went to program services, 9.4% to management and general and 1.5% to fundraising (Form 990, Part IX).
How much does Hospice of Wake County pay its top executive?
The largest total compensation Hospice of Wake County reported for one person in calendar year 2025 was $356,961, for the role of CEO (Form 990, Part VII, including compensation from related organizations and other compensation).
Where does Hospice of Wake County get its money?
Of $59.0 million in revenue in calendar year 2025, 13.3% came from contributions and grants and 86.3% from program service revenue (Form 990, Part VIII).
Is Hospice of Wake County a registered charity?
The IRS lists EIN 56-1228779 as a 501(c)(3) organization (publicly supported organization (170(b)(1)(a)(vi))), and its records show contributions as tax-deductible. Form 990 filings on record here cover tax years 2019, 2020, 2021, 2022, 2023, 2024, 2025. A filing shows what the organization reported; it doesn't by itself show whether a program works.
Sources
- 2025: Form 990 for calendar year 2025, object 202601979349301405 · read the filing · XML
- 2024: Form 990 for calendar year 2024, object 202541989349301409 · read the filing
- 2023: Form 990 for calendar year 2023, object 202442159349301709 · read the filing
- 2022: Form 990 for calendar year 2022, object 202311799349301231 · read the filing
- 2021: Form 990 for calendar year 2021, object 202201949349301010 · read the filing
- 2020: Form 990 for calendar year 2020, object 202122009349300507 · read the filing
- 2019: Form 990 for calendar year 2019, object 202002179349301315 · read the filing
All filings for EIN 56-1228779: ProPublica Nonprofit Explorer · IRS Tax Exempt Organization Search. Figures are as the organization reported them; we have not audited them.