SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2020
Open to Public
Inspection
Name of the organization
BURKE HOSPICE AND PALLIATIVE CARE INC
 
Employer identification number

56-1316395
Return Reference Explanation
FORM 990, PART VI, SECTION B, LINE 11B THE 990 IS AVAILABLE AT THE ORGANIZATIONS OFFICE FOR BOARD MEMBERS TO REVIEW
FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST FORMS ARE SIGNED ANNUALLY.
FORM 990, PART VI, SECTION B, LINE 15 HOSPICE SALARY AND BENEFITS REPORTS-SOUTHEASTERN REGION AND WCI ANNUAL SALARY REVIEW FOR HEALTHCARE.
FORM 990, PART VI, SECTION C, LINE 19 THESE ARE AVAILABLE UPON REQUEST
FORM 990, PART XI, LINE 9: ROUNDING 1.
FORM 990, PART XII, LINE 2C AUDIT REVIEWED BY THE AUDITORS WITH THE FINANCE COMMITTEE, THE BOARD HANDLES SELECTION OF AUDITOR.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2020


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