HOSPICE OF ORLEANS INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization: HOSPICE OF ORLEANS INC (EIN 16-1336090)
Tax period: 2022-01-01 to 2022-12-31
Filed: 2023-11-15
IRS object ID: 202343199349302729
Schema version: 2022v5.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule G
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2023-11-15T08:00:51-06:00	ReturnTs
Tax Period End	2022-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	160929175	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	DOPKINS & COMPANY LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	200 INTERNATIONAL DR	AddressLine1Txt
City	BUFFALO	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	142215794	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2022-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	161336090	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	HOSPICE OF ORLEANS INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	HOSP	BusinessNameControlTxt
Phone	5855890809	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	14080 ROUTE 31 WEST PO BOX 489	AddressLine1Txt
City	ALBION	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	14411	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	CARLO FIGLIOMENI	PersonNm
Person Title	TREASURER	PersonTitleTxt
Phone	5855890809	PhoneNum
Signature	2023-11-13	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	CARLO	PersonFirstNm
Person Last	FIGLIOMENI	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	0	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	MICHAEL ORLOWSKI	PreparerPersonNm
PTIN	P00956557	PTIN
Phone	7166348800	PhoneNum
Preparation	2023-11-13	PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	0	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2022	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	SUPPORTIVE CARE OF ORLEANS	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	JOHN LOMEO	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	14080 ROUTE 31 WEST PO BOX 489	AddressLine1Txt
City	ALBION	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	14411	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$2,149,511	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.SUPPORTIVECAREORLEANS.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1989	FormationYr
Legal Domicile State	NY	LegalDomicileStateCd
Activity Or Mission	PROVIDE HOSPICE CARE TO QUALIFIED INDIVIDUALS AND TO INFORM THE GENERAL PUBLIC REGARDING THE DEFINITION AND ROLE OF HOSPICE CARE	ActivityOrMissionDesc
Voting Members Governing Body	8	VotingMembersGoverningBodyCnt
Voting Members Independent	8	VotingMembersIndependentCnt
Total Employee	52	TotalEmployeeCnt
Total Volunteers	128	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$431,322	PYContributionsGrantsAmt
CY Contributions Grants	$147,248	CYContributionsGrantsAmt
PY Program Service Revenue	$1,634,234	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,475,872	CYProgramServiceRevenueAmt
PY Investment Income	$75,738	PYInvestmentIncomeAmt
CY Investment Income	$27,256	CYInvestmentIncomeAmt
PY Other Revenue	$42,304	PYOtherRevenueAmt
CY Other Revenue	$436,389	CYOtherRevenueAmt
PY Total Revenue	$2,183,598	PYTotalRevenueAmt
CY Total Revenue	$2,086,765	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$1,865,527	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$1,684,815	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$61,498	CYTotalFundraisingExpenseAmt
PY Other Expenses	$774,440	PYOtherExpensesAmt
CY Other Expenses	$607,611	CYOtherExpensesAmt
PY Total Expenses	$2,639,967	PYTotalExpensesAmt
CY Total Expenses	$2,292,426	CYTotalExpensesAmt
PY Revenues Less Expenses	-$456,369	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$205,661	CYRevenuesLessExpensesAmt
Total Assets BOY	$3,320,782	TotalAssetsBOYAmt
Total Assets EOY	$3,031,484	TotalAssetsEOYAmt
Total Liabilities BOY	$360,608	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$458,680	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$2,960,174	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$2,572,804	NetAssetsOrFundBalancesEOYAmt
Mission	PROVIDE HOSPICE CARE TO QUALIFIED INDIVIDUALS AND TO INFORM THE GENERAL PUBLIC REGARDING THE DEFINITION AND ROLE OF HOSPICE CARE.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$1,633,679	ExpenseAmt
Revenue	$1,475,872	RevenueAmt
Desc	PROVIDE HOSPICE CARE TO QUALIFIED INDIVIDUALS THROUGH HOME CARE AND RESIDENCIAL SERVICES AND TO INFORM THE GENERAL PUBLIC REGARDING THE DEFINITION AND ROLE OF HOSPICE CARE.	Desc
Total Program Service Expenses	$1,633,679	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	0	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	0	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (1)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	0	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	Yes (1)	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	0	OperateHospitalInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	0	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	0	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	0	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	52	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (1)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (1)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	8	GoverningBodyVotingMembersCnt
Independent Voting Member	8	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	NY	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CARLO FIGLIOMENI	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	5855890809	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	14080 ROUTE 31 WEST PO BOX 489	AddressLine1Txt
City	ALBION	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	14411	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (10 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd
ANNETTE MANNELLA
VICE SECRETARY	1.00	0.00	Yes (X)	$0	$0	$0
DAVID SCHUBEL
CHAIR	1.00	0.00	Yes (X)	$0	$0	$0	Yes (X)
BEVERLY SASKOWSKI
TREASURER	1.00	0.00	Yes (X)	$0	$0	$0	Yes (X)
PATRICIA EICK
SECRETARY	1.00	0.00	Yes (X)	$0	$0	$0	Yes (X)
DAVID MITCHELL
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
MARGY BROWN
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
KIM KLINETOB
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
DALE LEYDEN
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
MAURA PIERCE
DIRECTOR	1.00	0.00	Yes (X)	$0	$0	$0
JULIE KUMIEGA
CEO	40.00			$103,206	$0	$2,827	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$103,206	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$2,827	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	0	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	LIFETIME CARE HOSPICE	BusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	330 MONROE AVE	AddressLine1Txt
City	ROCHESTER	CityNm
State Abbreviation	NY	StateAbbreviationCd
ZIP	14607	ZIPCd

Field	Value	IRS element (for citing)
Services	BUSINESS/CLINICAL STAFFING & SERVICES	ServicesDesc
Compensation	$159,693	CompensationAmt

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	1	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$6,823	FederatedCampaignsAmt
Fundraising	$18,177	FundraisingAmt
All Other Contributions	$122,248	AllOtherContributionsAmt
Total Contributions	$147,248	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	FEES FOR SERVICES	Desc
Business	621610	BusinessCd
Total Revenue Column	$1,475,872	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,475,872	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,475,872	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$24,979	TotalRevenueColumnAmt
Exclusion	$24,979	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$41,536	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$39,259	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$2,277	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,277	TotalRevenueColumnAmt
Exclusion	$2,277	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$44,809	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$18,177	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$23,487	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$21,322	TotalRevenueColumnAmt
Exclusion	$21,322	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
EMPLOYER RETENTION CRE	623990	$230,377	$230,377
PROVIDER RELIEF FUNDS	623990	$184,690	$184,690

Field	Value	IRS element (for citing)
Other Revenue Total	$415,067	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,086,765	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,475,872	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$463,645	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$113,928	TotalAmt
Program Services	$68,357	ProgramServicesAmt
Management And General	$45,571	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$1,351,993	TotalAmt
Program Services	$1,053,117	ProgramServicesAmt
Management And General	$249,312	ManagementAndGeneralAmt
Fundraising	$49,564	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$8,266	TotalAmt
Program Services	$6,804	ProgramServicesAmt
Management And General	$1,084	ManagementAndGeneralAmt
Fundraising	$378	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$126,597	TotalAmt
Program Services	$97,004	ProgramServicesAmt
Management And General	$25,281	ManagementAndGeneralAmt
Fundraising	$4,312	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$84,031	TotalAmt
Program Services	$65,701	ProgramServicesAmt
Management And General	$15,199	ManagementAndGeneralAmt
Fundraising	$3,131	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$21,141	TotalAmt
Management And General	$21,141	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$25,091	TotalAmt
Management And General	$25,091	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$9,037	TotalAmt
Management And General	$9,037	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$350	TotalAmt
Management And General	$350	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$7,121	TotalAmt
Management And General	$7,121	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$98,456	TotalAmt
Program Services	$8,625	ProgramServicesAmt
Management And General	$89,831	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$56,870	TotalAmt
Program Services	$24,755	ProgramServicesAmt
Management And General	$32,115	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$30,382	TotalAmt
Program Services	$22,291	ProgramServicesAmt
Management And General	$8,091	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$9,712	TotalAmt
Program Services	$9,449	ProgramServicesAmt
Management And General	$263	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$16,652	TotalAmt
Program Services	$110	ProgramServicesAmt
Management And General	$16,542	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$14,000	TotalAmt
Management And General	$14,000	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$108,303	TotalAmt
Program Services	$82,313	ProgramServicesAmt
Management And General	$22,358	ManagementAndGeneralAmt
Fundraising	$3,632	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$14,106	TotalAmt
Program Services	$10,809	ProgramServicesAmt
Management And General	$2,816	ManagementAndGeneralAmt
Fundraising	$481	FundraisingAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL EXPENSES	$149,826	$149,826
REPAIRS & MAINTENANCE	$46,564	$34,518	$12,046

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,292,426	TotalAmt
Program Services	$1,633,679	ProgramServicesAmt
Management And General	$597,249	ManagementAndGeneralAmt
Fundraising	$61,498	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$28,455	BOYAmt
EOY	$29,592	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$9,918	BOYAmt
EOY	$22,440	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$176,357	BOYAmt
EOY	$134,742	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
EOY	$7,808	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$3,280,620	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$1,175,327	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$2,198,877	BOYAmt
EOY	$2,105,293	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$907,175	BOYAmt
EOY	$731,609	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,320,782	BOYAmt
EOY	$3,031,484	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$213,970	BOYAmt
EOY	$112,256	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$146,638	BOYAmt
EOY	$346,424	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$360,608	BOYAmt
EOY	$458,680	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,927,684	BOYAmt
EOY	$2,544,734	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$32,490	BOYAmt
EOY	$28,070	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,960,174	BOYAmt
EOY	$2,572,804	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$3,320,782	BOYAmt
EOY	$3,031,484	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	-$205,661	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$181,709	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Separate Basis Fincl Stmt	Yes (X)	SeparateBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Public Organization170	Yes (X)	PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$153,879	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$155,866	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$504,750	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$431,363	CurrentTaxYearMinus1YearAmt
Current Tax Year	$147,248	CurrentTaxYearAmt
Total	$1,393,106	TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$153,879	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$155,866	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$504,750	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$431,363	CurrentTaxYearMinus1YearAmt
Current Tax Year	$147,248	CurrentTaxYearAmt
Total	$1,393,106	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total170	$1,393,106	PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$9,388	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$5,974	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$9,655	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$21,836	CurrentTaxYearMinus1YearAmt
Current Tax Year	$24,979	CurrentTaxYearAmt
Total	$71,832	TotalAmt

Field	Value	IRS element (for citing)
Total Support	$1,464,938	TotalSupportAmt
Public Support CY170	0.95100	PublicSupportCY170Pct
Public Support PY170	0.95730	PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170	Yes (X)	ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$30,193	OtherCostOrOtherBasisAmt
Book Value	$30,193	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,658,995	OtherCostOrOtherBasisAmt
Depreciation	$760,009	DepreciationAmt
Book Value	$1,898,986	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$191,077	OtherCostOrOtherBasisAmt
Depreciation	$157,311	DepreciationAmt
Book Value	$33,766	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$400,355	OtherCostOrOtherBasisAmt
Depreciation	$258,007	DepreciationAmt
Book Value	$142,348	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$2,105,293	TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt	$1,905,056	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$181,709	NetUnrealizedGainsInvstAmt
Revenue Not Reported	-$181,709	RevenueNotReportedAmt
Revenue Subtotal	$2,086,765	RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$2,086,765	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$2,292,426	TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$2,292,426	ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$2,292,426	TotalExpensesPerForm990Amt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	GOLF TOURNAMENT	Event1Nm
Gross Receipts Event1	$28,725	GrossReceiptsEvent1Amt
Charitable Contri Event1	$2,880	CharitableContriEvent1Amt
Gross Revenue Event1	$25,845	GrossRevenueEvent1Amt
Food And Beverage Event1	$7,132	FoodAndBeverageEvent1Amt
Other Direct Expenses Event1	$2,055	OtherDirectExpensesEvent1Amt
Event2	SPRING BOUQUET	Event2Nm
Gross Receipts Event2	$17,295	GrossReceiptsEvent2Amt
Charitable Contri Event2	$11,443	CharitableContriEvent2Amt
Gross Revenue Event2	$5,852	GrossRevenueEvent2Amt
Other Direct Expenses Event2	$8,538	OtherDirectExpensesEvent2Amt
Other Events Total	3	OtherEventsTotalCnt
Gross Receipts Other Events	$16,966	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$3,854	CharitableContriOtherEventsAmt
Gross Revenue Other Events	$13,112	GrossRevenueOtherEventsAmt
Rent Fclty Costs Other Events	$315	RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events	$4,012	FoodAndBeverageOtherEventsAmt
Oth Direct Expnss Other Events	$1,435	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$62,986	GrossReceiptsTotalAmt
Charitable Contributions Tot	$18,177	CharitableContributionsTotAmt
Gross Revenue Total Events	$44,809	GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events	$315	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$11,144	FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events	$12,028	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$23,487	DirectExpenseSummaryEventsAmt
Net Income Summary	$21,322	NetIncomeSummaryAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11B	A COPY OF THE FORM 990 IS PROVIDED TO THE GOVERNING BODY FOR REVIEW BEFORE IT IS FILED.
FORM 990, PART VI, SECTION B, LINE 12C	THE HOSPICE HAS A BOARD OF DIRECTORS ETHICS POLICY WHICH STATES IT IS THE BOARD MEMBERS' RESPONSIBILITY TO DISCLOSE ALL CONFLICTS OF INTEREST.
FORM 990, PART VI, SECTION B, LINE 15	ALL COMPENSATION IS PAID ACCORDING TO A PAY SCALE BY POSITION AND RAISES ARE GRANTED BASED ON YEARS OF SEVICE. COMPENSATION OF THE CHIEF EXECUTIVE OFFICER IS DETERMINED ANNUALLY BASED ON A PERFORMANCE REVIEW BY THE PERSONNEL COMMITTEE AND A DISCUSSION WITH THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION'S FORM 990, ORGANIZING DOCUMENTS, AND CONFLICT OF INTEREST POLICY ARE AVAILABLE BY REQUEST AT THE ORGANIZATION'S OFFICE, AS LISTED ON PAGE 1 OF FORM 990.
FORM 990, PART XII, LINE 2C:	THE PROCESS HAS NOT CHANGED FROM THE PREVIOUS YEAR.