2023-05-22T14:43:23-05:00 2022-06-30 453936274 BETH MOORE & ASSOCIATES CPAS PO BOX 120547 NEWPORT NEWS VA 23612 990 2021-07-01 521289657 HOSPICE SUPPORT CARE OF WILLIAMSBURG INC HOSP 7572531220 4445 POWHATAN PARKWAY WILLIAMSBURG VA 23188 SCOTT STABLER PRESIDENT 7572531220 2023-05-17 1 SCOTT STABLER 999009999 LISA CANDELLA CPA P01695830 7572241174 2023-05-17 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z HOSPICE HOUSE & SUPPORT CARE OF WILLIAMSBURG BRANDON RANDALL 4445 POWHATAN PARKWAY WILLIAMSBURG VA 23188 2964030 0 X WWW.WILLIAMSBURGHOSPICE.ORG X 1982 VA "WE GIVE CARE, COMFORT, AND COMPASSION THROUGH AND BEYOND END OF LIFE." 21 21 25 75 0 0 1618912 1998492 0 0 142659 366462 0 0 1761571 2364954 0 0 0 0 680910 877916 0 0 35367 212646 233654 893556 1111570 868015 1253384 4617591 4927119 23029 20115 4594562 4907004 "WE GIVE CARE, COMFORT, AND COMPASSION THROUGH AND BEYOND END OF LIFE." 0 0 997575 PROVIDED HOSPICE AND OTHER SUPPORT SERVICES TO TERMINALLY ILL PATIENTS AND THEIR FAMILY MEMBERS AND OTHER BEREAVED MEMBERS OF THE COMMUNITY. 997575 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 5 0 25 1 0 0 0 0 0 0 0 0 0 0 X 21 21 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 VA X X BRANDON RANDALL 7572531220 4445 POWHATAN PARKWAY WILLIAMSBURG VA 23188 JAMES E LESNICK MD IMMEDIATE PAST PRESIDENT 1.00 X X 0 0 0 JOHN MILLER MD MEDICAL DIRECTOR 1.00 X X 0 0 0 BOB CANFIELD DIRECTOR 1.00 X 0 0 0 TRACY SHACKELFORD DIRECTOR 1.00 X 0 0 0 BRETT SMITH DIRECTOR 1.00 X 0 0 0 LARRY PULLEY DIRECTOR 1.00 X 0 0 0 SCOTT STABLER PRESIDENT 1.00 X X 0 0 0 ELIZABETH WHITE VICE PRESIDENT 1.00 X X 0 0 0 GREGORY T STORER DIRECTOR 1.00 X 0 0 0 DANIEL CARLILE TREASURER 1.00 X X 0 0 0 TERESA SWEANEY DIRECTOR 1.00 X 0 0 0 JAYNE BARNARD DIRECTOR 1.00 X 0 0 0 BUDDY LEAGUE DIRECTOR 1.00 X 0 0 0 SHERRI NELSON SECRETARY 1.00 X X 0 0 0 BRANDON RANDALL EXECUTIVE DIRECTOR 40.00 X X 54212 0 0 JENNIFER SHINN DIRECTOR 1.00 X 0 0 0 SCOTT WISE DIRECTOR 1.00 X 0 0 0 DR DAVISON DOUGLAS DIRECTOR 1.00 X 0 0 0 SCOTT JOHNSTON DIRECTOR 1.00 X 0 0 0 DR ALEX JOOSE DIRECTOR 1.00 X 0 0 0 RABBIT DAVID KATZ DIRECTOR 1.00 X 0 0 0 DR HENRY RANGER DIRECTOR 1.00 X 0 0 0 PATRICA ROBBINS DIRECTOR 1.00 X 0 0 0 54212 0 0 0 0 0 0 0 25640 302290 255822 1414740 201668 1998492 265225 265225 635091 33221 522602 44473 112489 -11252 101237 101237 32001 302290 32001 0 2364954 0 0 366462 54212 42706 5544 5962 742530 697978 22276 22276 4562 4100 196 266 9409 9343 66 67203 62072 3038 2093 3480 3480 22692 22692 10096 10096 3850 3850 6147 5202 101 844 39293 35866 3427 47857 41733 6124 27941 18652 9289 EQUIPMENT REPAIRS 41836 30555 11281 ADMINISTRATIVE 25149 21363 3776 10 PATIENT SUPPORT 5313 5313 1111570 997575 78628 35367 466063 645329 52120 54430 293560 5837 13228 1535542 724362 740776 811180 3292279 2972522 6086 191300 4617591 4927119 23029 20115 23029 20115 X 4348987 4196246 245575 710758 4594562 4907004 4617591 4927119 1253384 -940942 0 X X 0 1 X 1 0 X 823355 623128 896613 1625771 1978255 5947122 823355 623128 896613 1625771 1978255 5947122 5947122 118555 117218 88682 134075 265225 723755 6670877 0.89150 0.89710 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3405816 263087 -563461 10096 3095346 2185449 675703 564533 12000 7869 3405816 2147267 55198 97106 107000 7122 2185449 2073761 71140 106834 96500 7968 2147267 1959638 73466 127617 79000 7960 2073761 0.91840 0.08160 0 0 100500 100500 1110237 575278 534959 202439 51301 151138 122366 97783 24583 811180 X 1413916 -940942 -940942 2354858 10096 10096 2364954 1101474 0 1101474 10096 10096 1111570 PART X, LINE 2: THE ORGANIZATION HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF JUNE 30, 2022. FISCAL YEARS ENDING ON OR AFTER JUNE 30, 2019, REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES. ELEGANT CULINARY AFFAIR 137742 122486 15256 15256 LAYCOCK GOLF TOURNAMENT 75000 75000 3 121549 104804 16745 16745 334291 302290 32001 32001 32001 0 X 1 193100 X PENINSULA HEAT & AIR 1 6568 X JACKS TILE AND CARPET 1 2000 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B ORGANIZATION'S PROCESS TO REVIEW FORM 990- THE TAX RETURN IS REVIEWED BY THE STAFF ACCOUNTANT, EXECUTIVE DIRECTOR, TREASURER, AND THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C ENFORCEMENT OF CONFLICTS POLICY- CONFLICT OF INTEREST POLICY IS ENFORCED BY BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 15A COMPENSATION PROCESS FOR TOP OFFICIAL- THE EXECUTIVE DIRECTOR'S COMPENSATION IS DISCUSSED AND REVIEWED ANNUALLY BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 GUIDESTAR, AVAILABLE UPON REQUEST. FORM 990, PART XII, LINE 2C: THERE HAS BEEN NO CHANGE IN THE COMMITTEE'S RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT.