2018-03-26T18:28:36-05:00 2017-12-31 550486667 ARNETT CARBIS TOOTHMAN LLP PO BOX 908 BRIDGEPORT WV 26330 990 2017-01-01 541126227 BLUE RIDGE HOSPICE INC BLUE 5403139200 333 WEST CORK STREET NO 405 WINCHESTER VA 22601 ERNEST J CARNEVALE JR PRESIDENT AND CEO 5405365210 2018-03-22 1 WILLIAM J BEHRENS CPA P00089711 3046245471 2018-03-22 2017 2022-09-23 18:48:47Z ERNEST J CARNEVALE JR 333 WEST CORK STREET NO 405 WINCHESTER VA 22601 19403195 0 X WWW.BLUERIDGEHOSPICE.ORG X 1981 VA MAKE QUALITY END-OF-LIFE CARE AVAILABLE TO INDIVIDUALS AND FAMILIES FACING SERIOUS ILLNESS. 8 8 270 1152 0 0 4354047 4844116 12090097 14023167 59518 245816 144050 109076 16647712 19222175 0 0 0 0 9464284 10282922 0 0 3295773 6396614 6802401 15860898 17085323 786814 2136852 5622250 7781113 1344573 1415711 4277677 6365402 X MAKE QUALITY END-OF-LIFE CARE AVAILABLE TO INDIVIDUALS AND FAMILIES FACING SERIOUS ILLNESS. 0 0 9967382 13264653 BLUE RIDGE HOSPICE BEGAN OPERATIONS IN NOVEMBER 1979 THROUGH THE VISION AND DETERMINATION OF TWO INDIVIDUALS. BLUE RIDE HOSPICE IS A MEDICARE AND MEDICAID-CERTIFIED NOT-FOR-PROFIT 501(C)(3) ORGANIZATION PROVIDING PHYSICAL, EMOTIONAL, SOCIAL AND SPIRITUAL CARE FOR THE TERMINALLY ILL AND THEIR FAMILIES. BLUE RIDGE HOSPICE HAS ALSO EARNED THE JOINT COMMISSION'S GOLD SEAL OF APPROVAL. AT ITS INCEPTION, BLUE RIDGE HOSPICE SERVED ONLY A FEW PATIENTS EACH DAY IN THE WINCHESTER AREA. TODAY, BLUE RIDGE HOSPICE SERVES OVER 1,200 PATIENTS A YEAR IN 9 COUNTIES OFFERING A VARIETY OF CARE PROGRAMS, INCLUDING AMONG OTHERS, MUSIC THERAPY, BEREAVEMENT AND CHAPLAIN SERVICES. THROUGHOUT THE YEARS AND ITS GROWTH, BLUE RIDGE HOSPICE'S MISSION HAS REMAINED CONSTANT. BLUE RIDGE HOSPICE STRIVES TO MAKE QUALITY END-OF-LIFE CARE AVAILABLE TO INDIVIDUALS AND FAMILIES FACING SERIOUS ILLNESS AND TO SUPPORT ANYONE IN OUR COMMUNITY AFFECTED BY DEATH, DYING, AND LOSS. BLUE RIDGE HOSPICE IS REGARDED AS AN INTEGRAL PART OF THE HEALTH SERVICES SYSTEM IN THE NORTHERN SHENANDOAH VALLEY AND SURROUNDING AREA. BLUE RIDGE HOSPICE'S CURRENT SERVICE AREAS INCLUDE CITY OF WINCHESTER AND THE COUNTIES OF FREDERICK, CLARKE, WARREN, SHENANDOAH, PAGE, WESTERN LOUDOUN, AND RAPPAHANNOCK. SERVICES PROVIDED BY BLUE RIDGE HOSPICE ARE UNDER PROFESSIONAL MEDICAL SUPERVISION AND PROVIDED TO ALLOW THE DYING PERSON TO LIVE AS PAIN-FREE AND COMFORTABLE AS POSSIBLE. SUCH SERVICES INCLUDE PHYSICIAN CARE, NURSING CARE, SOCIAL WORK, CERTIFIED NURSING ASSISTANTS, SPIRITUAL SUPPORT, BEREAVEMENT COUNSELING, MUSIC THERAPY AND VOLUNTEER ASSISTANCE. MORE THAN 1,100 VOLUNTEERS OFFER GENEROUS CONTRIBUTIONS OF TIME, TALENT AND COMPASSION TO BLUE RIDGE HOSPICE PATIENTS AND FAMILIES. FURTHERMORE, BLUE RIDGE HOSPICE SERVES ITS PATIENTS REGARDLESS OF THEIR ABILITY TO PAY FOR THE HOSPICE SERVICES. IN 2017, BLUE RIDGE HOSPICE PROVIDED OVER $165,000 IN CHARITY CARE TO INDIVIDUALS WITHOUT INSURANCE OR THE FINANCIAL MEANS TO PAY FOR THEIR CARE. THE COST OF THIS CARE, AS WELL AS THE COST OF PROVIDING UNREIMBURSED SERVICES, SUCH AS MUSIC THERAPY, CHAPLAIN AND BEREAVEMENT SERVICES IS SUPPLEMENTED BY BLUE RIDGE HOSPICE'S OPERATION OF VARIOUS THRIFT SHOPS. THESE THRIFT SHOPS PROMOTE THE HOSPICE MISSION AND AWARENESS AS WELL AS SUPPORT THE SERVICES PROVIDED TO PATIENTS AND FAMILIES THAT ARE WELL BEYOND MEDICARE AND OTHER INSURANCE REIMBURSEMENT. THE EXPENSES ASSOCIATED WITH THE OPERATION OF THE THRIFT SHOPS ARE INCLUDED IN BLUE RIDGE HOSPICE'S FUNDRAISING EXPENSES. 1512143 1032965 IN MOST CASES, HOSPICE PROVIDES CARE FOR THE TERMINALLY ILL PATIENT IN THE HOME. HOWEVER, BLUE RIDGE HOSPICE'S EIGHT-BED INPATIENT CARE CENTER OPENED IN 2004 IN DOWNTOWN WINCHESTER TO PROVIDE AN ALTERNATIVE SETTING FOR SOME PATIENTS AND THEIR FAMILIES. IN 2017, THE INPATIENT CARE CENTER SERVED OVER 260 PATIENTS. THESE PATIENTS STAY AT THE FACILITY FOR GENERAL INPATIENT OR RESPITE LEVEL OF CARE OR FOR ASSISTED LIVING ROOM AND BOARD CARE. AS WITH ALL OF BLUE RIDGE HOSPICE'S SERVICES, THESE WERE PROVIDED REGARDLESS OF THEIR ABILITY TO PAY FOR THEIR STAY AT THE INPATIENT CARE CENTER. IN 2017, 64 PATIENTS RECEIVED FINANCIAL SUPPORT FROM BLUE RIDGE HOSPICE FOR THEIR STAY AT THE INPATIENT CARE CENTER. 634386 BLUE RIDGE HOSPICE CONSIDERS IT A PRIVILEGE TO HELP THOSE WHO ARE GRIEVING REGAIN THEIR BALANCE AND RESUME HEALTHY LIVING. INDIVIDUAL SUPPORT IS PROVIDED TO CHILDREN AND ADULTS IN A COMPASSIONATE SETTING THAT ENCOURAGES SELF-CARE AND HOPE. OTHER GRIEF SERVICES ARE PROVIDED TO INDIVIDUALS AND GROUPS IN A VARIETY OF SETTINGS INCLUDING BUT NOT LIMITED TO HOMES, SCHOOLS, CHURCHES AND FACILITIES. THESE EXTENSIVE RESOURCES FOR PEOPLE OF ALL AGES AND STAGES IN THE GRIEF PROCESS ARE AVAILABLE TO EVERYONE IN THE COMMUNITY, AND ARE FREE OF CHARGE. IN ADDITION TO THE WIDE VARIETY OF AGE AND LOSS-SPECIFIC GRIEF SUPPORT GROUPS BLUE RIDGE HOSPICE OFFERS, OUR EXPERIENCED GRIEF COUNSELORS ARE AVAILABLE FOR PHONE CONSULTATIONS AND REFERRALS. FAMILIES WHOSE LOVED ONE RECEIVED BLUE RIDGE HOSPICE SERVICES HAVE THE ADDITIONAL BENEFIT OF 13-MONTHS OF ONE-ON-ONE OR FAMILY GRIEF COUNSELING. IN ADDITION TO BEREAVEMENT SERVICES, BLUE RIDGE HOSPICE PROVIDES MUSIC THERAPY AND CHAPLAIN SERVICES. BLUE RIDGE HOSPICE MUSIC THERAPISTS ARE PROFESSIONALLY TRAINED, BOARD CERTIFIED IN THEIR CARE FOR PEOPLE LIVING WITH ADVANCED ILLNESSES. MUSIC THERAPY INCREASES QUALITY OF LIFE, ALLEVIATES SPIRITUAL SUFFERING, PROVIDES PAIN AND SYMPTOM MANAGEMENT, AND PROMOTES RELAXATION IN END-OF-LIFE CARE THROUGH MUSIC. THE CHAPLAIN SERVICE TEAM MEMBERS AT BLUE RIDGE HOSPICE ARE NON-DENOMINATIONAL, ORDAINED CLERGY OR LAY PERSONS WITH SPECIALIZED TRAINING IN END-OF-LIFE CARE. THEY PROVIDE PRAYER, PRESENCE, ASSISTANCE WITH EXPLORATION OF SPIRITUAL ISSUES AND ASSISTANCE WITH FUNERAL PLANNING. ALL THESE SERVICES ARE PROVIDED AS AN UNREIMBURSED SERVICE TO HOSPICE PATIENTS. 12113911 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 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 91 0 1 270 1 0 0 0 0 0 0 1 4 0 X 8 8 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 VA X X CHERYL RINGER 5403139200 333 WEST CORK STREET SUITE 405 WINCHESTER VA 22601 PAUL DELMERICO DIRECTOR 1.00 X 0 0 0 MARY ANN KAPLAN CHAIR 1.00 X X 0 0 0 JARED TRUBAN VICE CHAIR & TREASURER 1.00 X X 0 0 0 GEORGE CALEY AT LARGE 1.00 X 0 0 0 HELEN ZEBARTH AT LARGE 1.00 X 0 0 0 MARY JO JACKSON DIRECTOR 1.00 X 0 0 0 LEONARD YANG MD DIRECTOR 1.00 X 0 0 0 LYNNE SAYLES SECRETARY 4.00 X 0 0 0 ERNEST CARNEVALE JR PRESIDENT & CEO 40.00 X 191720 0 12736 CHERYL RINGER CFO 40.00 X 150350 0 18116 PATRICIA BISHOP CHIEF CLINICAL OFFICER 40.00 X 150646 0 7401 RICHARD MILLIGAN MEDICAL DIRECTOR 40.00 X 202047 0 16370 ANTHONY CROSEN DIR. OF BUSINESS DEVELOPMENT 40.00 X 122546 0 16821 BRENDAN M FLYNN CHIEF MEDICAL OFFICER 40.00 X 215382 0 18068 DIANNE G BEIN NURSE PRACTITIONER 40.00 X 102430 0 1806 ELLEN P HICKS DIR. OF HUMAN RESOURCES 40.00 X 105222 0 1016 1240343 0 92334 6 0 1 0 OPTUM LLC 28454 NETWORK PLACE CHICAGO IL 60673 PHARMACY SUPPLIES 751094 ADVANCED HOME CARE INC P O BOX 890492 CHARLOTTE NC 28289 DME SUPPLIER 529304 MCKESSON MEDICAL P O BOX 204786 DALLAS TX 75320 MEDICAL SUPPLIES 205284 NB 333 W CORK STREET LLC 13900 LINCOLN PARK DRIVE SUITE 260 HERNDON VA 20171 RENT 196147 KEY RISK INSURANCE COMPANY P O BOX 18746 GREENSBORO NC 274198746 WORKERS COMPENSATION 188509 8 4844116 4844116 HOSPICE CARE 623990 13043338 13043338 INPATIENT CARE CENTER 623990 1032965 1032965 BAD DEBTS 623990 -53136 -53136 14023167 240238 240238 134879 129301 5578 5578 5578 132160 51719 80441 80441 OTHER INCOME 900099 28635 28635 28635 19222175 14297618 0 80441 X 8606088 7280451 1112902 212735 1086190 898178 160306 27706 590644 496700 78868 15076 63462 41309 11500 10653 23711 23711 1882915 1875745 5244 1926 63656 39319 5394 18943 177232 82322 40488 54422 727241 591489 114068 21684 413585 391838 9121 12626 104790 42586 60207 1997 13576 12578 998 134080 116260 16154 1666 184178 155808 23817 4553 THRIFT SHOP EXPENSES 2909328 2909328 HUMAN RESOURCES 99451 84132 12861 2458 VOLUNTEER 5196 5196 17085323 12113911 1675639 3295773 701581 2307481 210982 29191 67896 42912 1391108 1436247 175 138865 171302 2737933 1316782 1431896 1421151 1679922 2372654 5622250 7781113 1027908 1144869 316665 270842 1344573 1415711 X 2897596 5034448 1380081 1330954 4277677 6365402 5622250 7781113 X 2136852 -49127 X 0 1 X 1 0 X 3309900 3628211 3954760 4337907 4927151 20157929 3309900 3628211 3954760 4337907 4927151 20157929 20157929 42096 46849 79932 135968 245816 550661 14583 9455 6204 2483 28635 61360 20769950 62107394 0.97050 0.97840 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1134541 55307 55307 1134541 1134541 61965 61965 1134541 1134541 69419 69419 1134541 1134541 65653 65653 1134541 1134541 117712 117712 1134541 0 0 93000 93000 732624 116382 616242 752619 275869 476750 921275 727821 193454 238415 196710 41705 1421151 X 19222175 0 19222175 0 19222175 17085323 0 17085323 0 17085323 PART X, LINE 2: THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE ORGANIZATION COMPLIES WITH ASC 740-10 (FORMERLY FIN 48), WHICH ESTABLISHES A THRESHOLD FOR DETERMINING WHEN AN INCOME TAX BENEFIT OF A TAX POSITION CAN BE RECOGNIZED. UNDER ASC 740-10, A TAX POSITION INCLUDES, AMONG OTHER THINGS, (A) A DECISION NOT TO FILE A TAX RETURN (B) AN ALLOCATION OR A SHIFT OF INCOME BETWEEN JURISDICTIONS (C) THE CHARACTERIZATION OF INCOME OR A DECISION TO EXCLUDE REPORTING TAXABLE INCOME IN A TAX RETURN (D) A DECISION TO CLASSIFY A TRANSACTION, ENTITY, OR OTHER POSITION IN A TAX RETURN AS TAX EXEMPT AND (E) AN ENTITY'S STATUS, INCLUDING ITS STATUS AS A TAX-EXEMPT NOT-FOR-PROFIT ENTITY. BASED ON ITS INTERPRETATION OF THE REQUIREMENTS OF ASC 740-10, MANAGEMENT BELIEVES THAT THE ORGANIZATION HAS NO UNCERTAIN TAX POSITIONS THAT QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE. ACCORDINGLY, COMPLIANCE WITH THIS STANDARD HAD NO MATERIAL EFFECT ON THE ORGANIZATION'S FINANCIAL STATEMENTS. PART V, LINE 4: ENDOWMENT IS DESIGNATED TO FUND FUTURE GROWTH AND CONSTRUCTION PROJECTS. HOOD GOLF 26125 26125 765 5K INCOME 33798 33798 8229 13 72237 72237 42725 132160 132160 51719 51719 80441 X 1 1 X X X X 0 0 0 0 0 0 0 0 0 ERNEST CARNEVALE JR PRESIDENT & CEO 191720 0 0 0 0 0 1008 0 11728 0 204456 0 0 0 CHERYL RINGER CFO 150350 0 0 0 0 0 819 0 17297 0 168466 0 0 0 PATRICIA BISHOP CHIEF CLINICAL OFFICER 150646 0 0 0 0 0 773 0 6628 0 158047 0 0 0 RICHARD MILLIGAN MEDICAL DIRECTOR 202047 0 0 0 0 0 1072 0 15298 0 218417 0 0 0 BRENDAN M FLYNN CHIEF MEDICAL OFFICER 215382 0 0 0 0 0 1125 0 16943 0 233450 0 0 0 LYNNE SAYLES INVESTMENT BANKER/BOARD MEMBER NO DIRECT INVOLVEMENT 0 DR LEONARD YANG MD MEDICAL DOCTOR/BOARD MEMBER THIS PHYSICIAN MAY PROVIDE SERVICES TO PATIENTS OF THE HOSPICE IN HIS CAPACITY AS AN EMERGENCY ROOM PHYSICIAN. 0 PATRICIA BISHOP CONSULTANT/CHIEF CLINICAL OFFICER PERFORMS CONSULTING WORK FOR OTHER HOSPICES 0 FORM 990, PART VI, SECTION A, LINE 2 BOARD MEMBERS ARE ENGAGED IN VARIOUS BUSINESS ACTIVITIES THROUGHOUT THE COMMUNITY IN WHICH THEY ENTER INTO VENDOR RELATIONSHIPS. FORM 990, PART VI, SECTION B, LINE 11B BLUE RIDGE HOSPICE SENDS THE FORM 990 TO ALL BOARD MEMBERS VIA EMAIL PRIOR TO THE BOARD MEETING. THE BOARD MEMBERS THEN DISCUSS THE 990 DURING THE FOLLOWING MEETING. ANY BOARD MEMBERS WHO ARE NOT ABLE TO ATTEND THE NEXT MEETING ARE ENCOURAGED TO CALL WITH QUESTIONS OR COMMENTS. BOARD MEMBERS ARE ENGAGED IN VARIOUS BUSINESS ACTIVITIES THROUGHOUT THE COMMUNITY IN WHICH THEY ENTER INTO VENDOR RELATIONSHIPS. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY ALL EMPLOYEES AND THE BOARD OF DIRECTORS ARE GIVEN A COPY OF BLUE RIDGE HOSPICE'S WRITTEN CONFLICT OF INTEREST POLICIES AND THEY ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST STATEMENT. EACH CONFLICT OR PERCEIVED CONFLICT ARE REVIEWED TO DETERMINE IF APPROPRIATE CONTROLS ARE IN PLACE TO MAINTAIN ARMS-LENGTH TRANSACTIONS FOR SUCH RELATIONSHIPS. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION FOR THE ORGANIZATION'S CEO WAS DETERMINED ON JANUARY 1, 2011 BY THE BOARD OF DIRECTORS AND THE RATE WAS FROZEN FROM THAT DATE FORWARD. THE BOARD UTILIZED VARIOUS SALARY SERVICES AND RESOURCES TO DETERMINE APPROPRIATE SALARY FOR THE CEO POSITION. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G OTHER FEES: PROGRAM SERVICE EXPENSES 16,874. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,874. NURSING HOME: PROGRAM SERVICE EXPENSES 8,834. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,834. PATIENT SERVICES INCLUDING HOSPITAL: PROGRAM SERVICE EXPENSES 1,850,037. MANAGEMENT AND GENERAL EXPENSES 5,244. FUNDRAISING EXPENSES 1,926. TOTAL EXPENSES 1,857,207. FORM 990, PART XI, LINE 9: CHANGE IN TEMPORARILY RESTRICTED NET ASSETS -49,127.