FAIRHOPE HOSPICE & PALLIATIVE CARE INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
FAIRHOPE HOSPICE & PALLIATIVE CARE INC (EIN 31-1084518)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-11-14
IRS object ID
202233189349313713
Schema version
2021v4.2
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 ReturnHeader

FieldValueIRS element (for citing)
Return2022-11-14T15:08:01-06:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN341897225PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1HILL BARTH & KING LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1226 NORTH FIFTH STREET SUITE 500AddressLine1Txt
CityCOLUMBUSCityNm
State AbbreviationOHStateAbbreviationCd
ZIP43215ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN311084518EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1FAIRHOPE HOSPICE & PALLIATIVE CARE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlFAIRBusinessNameControlTxt
Phone7406547077PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1282 SELLS ROADAddressLine1Txt
CityLANCASTERCityNm
State AbbreviationOHStateAbbreviationCd
ZIP43130ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKRISTIN GLASUREPersonNm
Person TitlePRESIDENT AND CEOPersonTitleTxt
Phone7406547077PhoneNum
Signature2022-11-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstKRISTINPersonFirstNm
Person LastGLASUREPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCHRIS M NEUMANPreparerPersonNm
PTINP01594938PTIN
Phone6142284000PhoneNum
Preparation2022-11-14PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerKRISTIN GLASUREPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1282 SELLS ROADAddressLine1Txt
CityLANCASTERCityNm
State AbbreviationOHStateAbbreviationCd
ZIP43130ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$14,177,859GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.FAIRHOPEHOSPICE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1984FormationYr
Legal Domicile StateOHLegalDomicileStateCd
Activity Or MissionTO PROVIDE A PROGRAM OF PALLIATIVE AND SUPPORTIVE SERVICES FOR THE PHYSICAL, PSYCHOLOGICAL, SOCIAL, SPIRITUAL NEEDS OF THE DYING PERSONS AND THEIR FAMILY, AND FURTHER TO PROVIDE HOSPICE AND PALLIATIVE SERVICES TO INDIVIDUALS WHO QUALIFY FOR SUCH SERVICES.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee137TotalEmployeeCnt
Total Volunteers96TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,243,442PYContributionsGrantsAmt
CY Contributions Grants$1,821,230CYContributionsGrantsAmt
PY Program Service Revenue$12,690,510PYProgramServiceRevenueAmt
CY Program Service Revenue$12,321,290CYProgramServiceRevenueAmt
PY Investment Income$19,774PYInvestmentIncomeAmt
CY Investment Income$17,918CYInvestmentIncomeAmt
PY Other Revenue$18,260PYOtherRevenueAmt
CY Other Revenue$17,421CYOtherRevenueAmt
PY Total Revenue$13,971,986PYTotalRevenueAmt
CY Total Revenue$14,177,859CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$7,236,317PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$8,162,803CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$94,080CYTotalFundraisingExpenseAmt
PY Other Expenses$4,775,340PYOtherExpensesAmt
CY Other Expenses$4,861,056CYOtherExpensesAmt
PY Total Expenses$12,011,657PYTotalExpensesAmt
CY Total Expenses$13,023,859CYTotalExpensesAmt
PY Revenues Less Expenses$1,960,329PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,154,000CYRevenuesLessExpensesAmt
Total Assets BOY$12,986,929TotalAssetsBOYAmt
Total Assets EOY$12,660,357TotalAssetsEOYAmt
Total Liabilities BOY$2,770,568TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,220,689TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$10,216,361NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$11,439,668NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE HOSPICE SERVICES AND SUPPORT TO THE TERMINALLY ILL.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$8,270,179ExpenseAmt
Revenue$10,631,920RevenueAmt
DescPROVIDES SERVICES AND SUPPORT TO THE TERMINALLY ILL AND THEIR FAMILIES ON AN OUTPATIENT BASIS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$2,134,045ExpenseAmt
Revenue$1,337,488RevenueAmt
DescTO PROVIDE INPATIENT SERVICES THROUGH THE HOSPICE UNIT, THE PICKERING HOUSE.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$663,852ExpenseAmt
Revenue$205,375RevenueAmt
DescPALLIATIVE CARE IS SPECIALIZED MEDICAL CARE THAT AIMS TO ENHANCE THE QUALITY OF LIFE FOR PATIENTS AND FAMILIES WHO ARE FACED WITH A CHRONIC OR SERIOUS ILLNESS. IT FOCUSES ON INCREASING COMFORT THROUGH PREVENTION AND TREATMENT TO RELIEVE DISTRESSING SYMPTOMS. IT FOCUSES ON THE PATIENT'S PHYSICAL, EMOTIONAL, AND SPIRITUAL NEEDS OF PATIENTS AND FAMILY.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$256,321ExpenseAmt
Revenue$157,628RevenueAmt
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$256,321TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$157,628TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$11,324,397TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document62IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee137EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldOHStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1NICHOLAS MERRILLBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7406547077PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1282 SELLS ROADAddressLine1Txt
CityLANCASTERCityNm
State AbbreviationOHStateAbbreviationCd
ZIP43130ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
DAVID J DUNBAR MD FACP
TRUSTEE EMERITUS0.00Yes (X)$0$0$0
GREGORY C WENTZ ESQ
TRUSTEE0.00Yes (X)$0$0$0
RONALD D OSGOOD MD
TRUSTEE0.00Yes (X)$0$0$0
TROY EDWARDS DO
TRUSTEE0.00Yes (X)$0$0$0
JOHN M SNIDER ESQ
BOARD PRESIDENT0.00Yes (X)$0$0$0Yes (X)
MATT POSTON AVP
BOARD TREASURER0.00Yes (X)$0$0$0Yes (X)
JAMES CULVER
TRUSTEE EMERITUS0.00Yes (X)$0$0$0
BRIAN LONG CPA PFS
BOARD VICE PRESIDENT0.00Yes (X)$0$0$0Yes (X)
KRISTIN GLASURE
PRESIDENT AND CEO40.00Yes (X)$105,981$0$4,324Yes (X)
CATHIE DEROLPH
TRUSTEE0.00Yes (X)$0$0$0
MARJORIE MOORE
TRUSTEE0.00Yes (X)$0$0$0
GREGORY RIFFLE DO
TRUSTEE0.00Yes (X)$0$0$0
MINDY BAILEY
TRUSTEE0.00Yes (X)$0$0$0
LEATHA WHITNEY
ACTING VICE PRESIDENT40.00Yes (X)$94,290$0$3,050Yes (X)
F ERIC SMITH
BOARD SECRETARY0.00Yes (X)$0$0$0Yes (X)
ANDY SPECHT
TRUSTEE0.00Yes (X)$0$0$0
CHARLES BARROWS
TRUSTEE0.00Yes (X)$0$0$0
ALICIA GRILLIOT
CERTIFIED NURSE PRACTITIONER40.00$106,460$0$14,517Yes (X)
LEROY VARNEY
MEDICAL DIRECTOR40.00$151,995$0$24,018Yes (X)
DENISE BAUER
FORMER PRESIDENT AND CEO40.00$209,009$0$8,888Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$667,735TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$54,797TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K4IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
CRESTVIEW MANOR NURSING HOME
925 BECKS KNOB RDLANCASTEROH43130REHABILITATION AND SKILLED NURSING SERVI$414,729
LANFAIR CENTER FOR REHABILITATION - ALTE
1590 CHARTWELL STLANCASTEROH43130REHABILITATION AND SKILLED NURSING SERVI$395,798
QUALIS MANAGEMENT
58 AZIMUST CTROCKY MOUNTNC27804DURABLE MEDICAL EQUIPMENT MANAGEMENT$252,905
MAIN STREET TERRACE CARE CENTER
1318 E MAIN STLANCASTEROH43130REHABILITATION AND SKILLED NURSING SERVI$250,271
BUSINESS SYSTEM SOLUTIONS INC
2590 KULL RDLANCASTEROH43130IT SERVICES$218,706
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K9CntrctRcvdGreaterThan100KCnt
Government Grants$1,449,826GovernmentGrantsAmt
All Other Contributions$371,404AllOtherContributionsAmt
Total Contributions$1,821,230TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
HOSPICE CARE623990$10,726,945$10,726,945
PICKERING HOUSE623990$1,342,210$1,342,210
PALLIATIVE CARE623990$252,135$252,135
FieldValueIRS element (for citing)
Total Program Service Revenue$12,321,290TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$17,918TotalRevenueColumnAmt
Exclusion$17,918ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$6,300RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$6,300RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,300TotalRevenueColumnAmt
Exclusion$6,300ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUS REVENUEDesc
Business900099BusinessCd
Total Revenue Column$11,121TotalRevenueColumnAmt
Related Or Exempt Func Income$11,121RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$11,121OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$14,177,859TotalRevenueColumnAmt
Related Or Exempt Func Income$12,332,411RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$24,218ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$328,200TotalAmt
Program Services$267,844ProgramServicesAmt
Management And General$57,057ManagementAndGeneralAmt
Fundraising$3,299FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$6,453,277TotalAmt
Program Services$5,266,507ProgramServicesAmt
Management And General$1,121,894ManagementAndGeneralAmt
Fundraising$64,876FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$842,472TotalAmt
Program Services$722,496ProgramServicesAmt
Management And General$112,584ManagementAndGeneralAmt
Fundraising$7,392FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$538,854TotalAmt
Program Services$462,116ProgramServicesAmt
Management And General$72,010ManagementAndGeneralAmt
Fundraising$4,728FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$43,640TotalAmt
Management And General$43,640ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$1,312TotalAmt
Management And General$1,312ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$147,604TotalAmt
Program Services$147,604ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$65,518TotalAmt
Program Services$56,219ProgramServicesAmt
Management And General$7,428ManagementAndGeneralAmt
Fundraising$1,871FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$10,881TotalAmt
Program Services$10,881ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$278,598TotalAmt
Program Services$278,051ProgramServicesAmt
Management And General$104ManagementAndGeneralAmt
Fundraising$443FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$366TotalAmt
Management And General$366ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$213,756TotalAmt
Program Services$148,874ProgramServicesAmt
Management And General$64,172ManagementAndGeneralAmt
Fundraising$710FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$64,476TotalAmt
Program Services$64,476ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
CONTRACT SERVICES$2,803,015$2,738,730$57,184$7,101
MEDICAL SUPPLIES$542,805$542,805
MEDICAL EQUIPMENT RENTA$257,939$257,939
BAD DEBT$146,507$146,507

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$284,639TotalAmt
Program Services$213,348ProgramServicesAmt
Management And General$67,631ManagementAndGeneralAmt
Fundraising$3,660FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$13,023,859TotalAmt
Program Services$11,324,397ProgramServicesAmt
Management And General$1,605,382ManagementAndGeneralAmt
Fundraising$94,080FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$6,633,352BOYAmt
EOY$6,331,699EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$4,997BOYAmt
EOY$1,172EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,342,657BOYAmt
EOY$1,372,246EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$195,225BOYAmt
EOY$143,182EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$6,132,978LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,117,183LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$4,092,573BOYAmt
EOY$4,015,795EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$717,125BOYAmt
EOY$795,263EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,000BOYAmt
EOY$1,000EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$12,986,929BOYAmt
EOY$12,660,357EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,761,548BOYAmt
EOY$1,220,689EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,009,020BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,770,568BOYAmt
EOY$1,220,689EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$9,159,155BOYAmt
EOY$10,232,581EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,057,206BOYAmt
EOY$1,207,087EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$10,216,361BOYAmt
EOY$11,439,668EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$12,986,929BOYAmt
EOY$12,660,357EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$1,154,000ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$68,471NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$836OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$329,532CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$415,761CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$366,872CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$520,444CurrentTaxYearMinus1YearAmt
Current Tax Year$371,404CurrentTaxYearAmt
Total$2,004,013TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$10,384,306CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,472,601CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$12,863,574CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$12,690,510CurrentTaxYearMinus1YearAmt
Current Tax Year$12,321,290CurrentTaxYearAmt
Total$58,732,281TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$10,713,838CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,888,362CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$13,230,446CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$13,210,954CurrentTaxYearMinus1YearAmt
Current Tax Year$12,692,694CurrentTaxYearAmt
Total$60,736,294TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$60,736,294PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$17,230CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$21,847CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$32,652CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$28,204CurrentTaxYearMinus1YearAmt
Current Tax Year$24,218CurrentTaxYearAmt
Total$124,151TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$17,230CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$21,847CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$32,652CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$28,204CurrentTaxYearMinus1YearAmt
Current Tax Year$24,218CurrentTaxYearAmt
Total$124,151TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$133,737CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$50,934CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$107,338CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$723,681CurrentTaxYearMinus1YearAmt
Current Tax Year$1,460,947CurrentTaxYearAmt
Total$2,476,637TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$10,864,805CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$10,961,143CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$13,370,436CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$13,962,839CurrentTaxYearMinus1YearAmt
Current Tax Year$14,177,859CurrentTaxYearAmt
Total$63,337,082TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.95890PublicSupportCY509Pct
Public Support PY5090.97960PublicSupportPY509Pct
Investment Income CY0.00200InvestmentIncomeCYPct
Investment Income PY0.00190InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$629,891BeginningYearBalanceAmt
Contributions$618ContributionsAmt
Investment Earnings Or Losses$73,844InvestmentEarningsOrLossesAmt
Administrative Expenses$5,595AdministrativeExpensesAmt
End Year Balance$698,758EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$547,663BeginningYearBalanceAmt
Contributions$4,532ContributionsAmt
Investment Earnings Or Losses$82,220InvestmentEarningsOrLossesAmt
Administrative Expenses$4,524AdministrativeExpensesAmt
End Year Balance$629,891EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$462,812BeginningYearBalanceAmt
Contributions$81ContributionsAmt
Investment Earnings Or Losses$89,214InvestmentEarningsOrLossesAmt
Administrative Expenses$4,444AdministrativeExpensesAmt
End Year Balance$547,663EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$496,367BeginningYearBalanceAmt
Investment Earnings Or Losses-$29,360InvestmentEarningsOrLossesAmt
Administrative Expenses$4,195AdministrativeExpensesAmt
End Year Balance$462,812EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$165,664BeginningYearBalanceAmt
Contributions$300,670ContributionsAmt
Investment Earnings Or Losses$32,642InvestmentEarningsOrLossesAmt
Administrative Expenses$2,609AdministrativeExpensesAmt
End Year Balance$496,367EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY1.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.00000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.00000TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgYes (1)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$524,568InvestmentCostOrOtherBasisAmt
Book Value$524,568BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$4,579,721InvestmentCostOrOtherBasisAmt
Depreciation$1,454,318DepreciationAmt
Book Value$3,125,403BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$7,100InvestmentCostOrOtherBasisAmt
Depreciation$2,757DepreciationAmt
Book Value$4,343BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$649,281InvestmentCostOrOtherBasisAmt
Depreciation$498,466DepreciationAmt
Book Value$150,815BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$372,308InvestmentCostOrOtherBasisAmt
Depreciation$161,642DepreciationAmt
Book Value$210,666BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$4,015,795TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (4 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
FAIRHOPE HOSPICE & PALLIATIVE CARE ENDOWMENT FUND$265,755C
FCF PICKERING HOUSE FUND$33,195C
FOUNDATION FOR APPALACHIAN OHIO$63,310C
FAIRHOPE FUND$433,003C
FieldValueIRS element (for citing)
Total Book Value Securities$795,263TotalBookValueSecuritiesAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$13,034,414TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$13,034,414RevenueSubtotalAmt
Other Revenues Not Included$1,143,445OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$1,143,445RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$14,177,859TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$12,874,838TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$12,874,838ExpensesSubtotalAmt
Other Expenses Not Included$149,021OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$149,021ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$13,023,859TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:THE ORGANIZATION HAS ADOPTED FASB ASC 740-10-65, REGARDING UNCERTAINTY IN INCOME TAXES, AS OF DECEMBER 31, 2009. THE ORGANIZATION EVALUATES ALL TAX POSITIONS IN CONFORMITY WITH FASB ASC 450 FOR CONTINGENCIES, AND AS SUCH WOULD RESERVE FOR ANY TAX POSITIONS DEEMED PROBABLE OF NOT BEING SUSTAINED BY THE INTERNAL REVENUE SERVICE (IRS). THE ORGANIZATION RECOGNIZES TAX BENEFITS ONLY TO THE EXTENT THAT THE ORGANIZATION BELIEVES IT IS MORE LIKELY THAN NOT THAT ITS TAX POSITIONS WILL BE SUSTAINED UPON IRS EXAMINATION. THE ORGANIZATION DOES NOT HAVE A PROVISION FOR UNPAID FEDERAL INCOME TAXES (LIABILITY FOR UNRECOGNIZED TAX BENEFITS) RELATED TO UNCERTAIN TAX POSITIONS IN THE BALANCE SHEET AS IT BELIEVES ALL TAX POSITIONS TAKEN WOULD MORE LIKELY THAN NOT BE SUSTAINED UPON IRS EXAMINATION.
PART XI, LINE 4B - OTHER ADJUSTMENTS:DIVIDENDS 2,680. INTEREST 15,238. BAD DEBT EXPENSE NOT INCLUDED IN PROGRAM REVENUE 146,507. PPP FORGIVENESS 979,020.
PART XII, LINE 4B - OTHER ADJUSTMENTS:BAD DEBT EXPENSE 146,507. INTEREST EXPENSE 366. INVESTMENT EXPENSE 1,312. ADJUSTMENT 836.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DENISE BAUER
FORMER PRESIDENT AND CEO$209,009$0$0$0$0$0$0$0$8,888$0$217,897$0$0$0
LEROY VARNEY
MEDICAL DIRECTOR$151,995$0$0$0$0$0$0$0$24,018$0$176,013$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 4AFormAndLineReferenceDesc
ExplanationDENISE BAUER SEVERANCE - 70,000ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BFORM 990 IS PREPARED BY AN OUTSIDE ACCOUNTING FIRM WHO SENDS IT TO MANAGEMENT FOR THEIR REVIEW. MANAGEMENT THEN SENDS THE 990 TO THE FINANCE COMMITTEE AND THE BOARD OF TRUSTEES. THE BOARD OF TRUSTEES WILL REVIEW AND APPROVE AT THEIR NEXT SCHEDULED MEETING PRIOR TO FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CCONFLICT OF INTEREST POLICY IS PROVIDED TO ALL STAFF UPON EMPLOYMENT. ANNUAL EDUCATIONAL IN-SERVICES ARE PROVIDED TO STAFF TO UPDATE AND REVIEW POLICIES.
FORM 990, PART VI, SECTION B, LINE 15ATHE PERSONNEL COMMITTEE, CONSISTING OF BOARD MEMBERS, PERFORMS THE ANNUAL REVIEW OF THE PRESIDENT & CEO. WHILE PERFORMING THE REVIEW, A COMPARATIVE ANALYSIS AND SURVEY OF OTHER HOSPICES IN THE AREA. BASED ON THE RESULTS OF THE RESEARCH, THE PRESIDENT & CEO'S SALARY FOR THE COMING YEAR IS DETERMINED, WHICH INCLUDES AN ANNUAL MERIT INCREASE.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENT AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9:ADJUSTMENT 836.

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