Hospice of Henderson County
Also known as Four Seasons the CARE You Trust
Hospice of Henderson County reported $48.4 million in revenue and $46.2 million in expenses for the fiscal year ending September 30, 2025. Of every $100 it spent, $80.58 went to program services, $19.42 to management and general costs and $0.00 to fundraising. Its largest source of revenue was program service revenue such as fees, sales and contracts: 96.4% of the total. The highest compensation it reported for one person was $422,488 (PRESIDENT/CEO). 37 people received more than $100,000 in reportable compensation. Revenue rose 45% between FY2020 and FY2025. Source: Form 990, FY2025.
Where $100 of spending went
The fiscal year ending September 30, 2025 · Form 990, Part IX, line 25 · total expenses $46MFor 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
The fiscal year ending September 30, 2025 · Form 990, Part VIII · total revenue $48MThe 990 scorecard · same measures for every charity, no grades
| Measure | FY2025 | Median |
|---|---|---|
| Program services Part IX 25(B) ÷ 25(A) | 80.6% | 85.6% |
| Management & general Part IX 25(C) ÷ 25(A) | 19.4% | 13.7% |
| Fundraising Part IX 25(D) ÷ 25(A) | 0.0% | 0.0% |
| Fundraising cost per $1 of contributions Part IX 25(D) ÷ Part VIII 1h | $0.00 | $0.00 |
| Contributions & grants share of revenue Part VIII 1h ÷ 12 | 2.4% | 1.3% |
| Government grants share of revenue Part VIII 1e ÷ 12 | 0.0% | 0.1% |
| Program service revenue share Part VIII 2g ÷ 12 | 96.4% | 93.7% |
| Highest reported compensation Part VII-A, columns D–F | $422,488 | $975,831 |
| Highest compensation as share of expenses Part VII-A ÷ Part IX 25(A) | 0.91% | 1.34% |
| People paid over $100,000 Part VII, line 2 | 37 | 27 |
| Net assets, in months of expenses Part X 33(B) ÷ monthly expenses | 7.8 | 6.6 |
| Independent voting board members Part VI 1a–1b | 15 of 16 | 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
FY2025 · Form 990, Part III · the three largest programs by expenseAs 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…
Highest reported compensation
FY2025 · 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 |
|---|---|---|---|---|
| PRESIDENT/CEO Officer, 40.0 hrs/week | $351,892 | $55,360 | $15,236 | $422,488 |
| CHIEF MEDICAL OFFICER Officer, 40.0 hrs/week | $313,560 | $0 | $24,821 | $338,381 |
| CHIEF CLINICAL OPERATIONS OFFICER Officer, 40.0 hrs/week | $238,345 | $0 | $16,537 | $254,882 |
| HOSPICE MEDICAL DIRECTOR Key employee, 40.0 hrs/week | $233,629 | $0 | $16,106 | $249,735 |
| STAFF PHYSICIAN Highest compensated employee, 40.0 hrs/week | $224,823 | $0 | $19,190 | $244,013 |
| CHIEF INNOVATION OFFICER/CFO Officer, 40.0 hrs/week | $212,654 | $0 | $20,447 | $233,101 |
| MEMBER AT LARGE Director/trustee, 2.0 hrs/week | $0 | $207,047 | $14,717 | $221,764 |
| STAFF PHYSICIAN Highest compensated employee, 40.0 hrs/week | $201,654 | $0 | $19,998 | $221,652 |
37 people received more than $100,000 in reportable compensation from Hospice of Henderson County (Part VII, line 2). Compensation of current officers, directors and key employees totaled $1.3M (Part IX, line 5).
6 years of filings
Form 990, Parts I, VII, IX and X · each row is that year's own filing, linkedGovernance answers, as filed
FY2025 · 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–1b16 · 15 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 5517
- Volunteers Part I, line 6338
Largest outside contractors
FY2025 · Form 990, Part VII, Section B · businesses only| SOUTHEASTERN HEALTH FACILITIES DBA MOUNTAIN VIEW MANOR Patient room and board | $655,078 |
| OAKS AT BREVARD Patient room and board | $582,057 |
| SILVER BLUFF VILLAGE Patient room and board | $554,421 |
| MH ECKERD LIVING CENTER LLP Patient room and board | $523,204 |
| GREENS AT HENDERSONVILLE LLC Patient room and board | $449,745 |
Individuals listed as contractors are left out. 28 contractors were paid more than $100,000 in all.
Private foundation grants it received
2 private foundations reported grants to Hospice of Henderson County totaling $50,055 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 Henderson 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 Henderson County, you can publish a response that is linked from this page.
Share or embed this breakdown
Of every $100 Hospice of Henderson County spent in FY2025, $80.58 went to programs. The full breakdown, from its IRS Form 990:
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Similar-sized charities in this cause
- The Chautauqua CenterDunkirk, NY · revenue $48M · programs 86.4% · 2025
- Rochester Regional HealthRochester, NY · revenue $48M · programs 100.0% · 2024
- Mercy Specialty Hospital Southeast KansasGalena, KS · revenue $48M · programs 73.8% · FY2025
- Bill Hillary & Chelsea Clinton FoundationLittle Rock, AR · revenue $49M · programs 78.0% · 2024
- James B Haggin Memorial HospitalHarrodsburg, KY · revenue $48M · programs 82.3% · FY2025
All health care charities · Largest charities in North Carolina
Questions people ask
How much of Hospice of Henderson County's spending goes to programs?
In the fiscal year ending September 30, 2025, Hospice of Henderson County reported that 80.6% of its $46.2 million in expenses went to program services, 19.4% to management and general and 0.0% to fundraising (Form 990, Part IX).
How much does Hospice of Henderson County pay its top executive?
The largest total compensation Hospice of Henderson County reported for one person in the fiscal year ending September 30, 2025 was $422,488, for the role of PRESIDENT/CEO (Form 990, Part VII, including compensation from related organizations and other compensation).
Where does Hospice of Henderson County get its money?
Of $48.4 million in revenue in the fiscal year ending September 30, 2025, 2.4% came from contributions and grants and 96.4% from program service revenue (Form 990, Part VIII).
Is Hospice of Henderson County a registered charity?
The IRS lists EIN 56-1252665 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. A filing shows what the organization reported; it doesn't by itself show whether a program works.
Sources
- FY2025: Form 990 for the fiscal year ending September 30, 2025, object 202602269349301520 · read the filing
- FY2024: Form 990 for the fiscal year ending September 30, 2024 (amended), object 202612649349300626 · read the filing
- FY2023: Form 990 for the fiscal year ending September 30, 2023, object 202402269349301125 · read the filing
- FY2022: Form 990 for the fiscal year ending September 30, 2022, object 202302269349300755 · read the filing
- FY2021: Form 990 for the fiscal year ending September 30, 2021, object 202242249349302084 · read the filing
- FY2020: Form 990 for the fiscal year ending September 30, 2020, object 202102289349303185 · read the filing
All filings for EIN 56-1252665: ProPublica Nonprofit Explorer · IRS Tax Exempt Organization Search. Figures are as the organization reported them; we have not audited them.