2017-11-15T14:35:27-06:00 2016-12-31 560747981 DIXON HUGHES GOODMAN LLP 1410 SPRING HILL ROAD SUITE 500 TYSONS VA 221023056 990 2016-01-01 311105643 Hospice Care Corporation HOSP 3048640884 PO Box 760 Arthurdale WV 26520 Sherry Belldina director of finance 3048640884 2017-11-14 1 Tamara Vineyard P01775208 7039700400 2017-11-14 108.28.169.88 2017-11-14 16:03:14 ES P FA6615D9C99F458CE6FA9C42C18D29C367B8AA70 FA6615D9C99F458CE6FA9C42C18D29C367B8AA70 2016 2017-02-10 21:41:12Z PO Box 760 Arthurdale WV 26520 14816195 0 X www.hospicecarecorp.org X 1983 WV To improve care for those facing life-limiting illness through direct support of patients and their families, public education and public advocacy. 6 5 161 318 0 0 527541 271114 14430183 14375148 97374 -385795 154147 48729 15209245 14309196 0 0 0 0 7107301 6899258 0 0 269627 8539897 8200510 15647198 15099768 -437953 -790572 13330300 11472528 5207357 3505786 8122943 7966742 To improve care for those facing life-limiting illness through direct support of patients and their families, public education and public advocacy. 0 0 12952473 14347573 Provides services of RN, medical, home health aides, social services, spiritual and counseling, and respite care to patients including physical care as well as necessary supplies, medicines, and bereavement supplies. Also provides education to the public on hospice care services. 12952473 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 60 0 1 161 1 0 0 0 0 0 0 0 0 0 0 X 6 5 0 1 0 0 1 0 0 1 1 1 0 0 1 1 1 1 1 1 0 0 X Sherry Belldina 3048640884 PO Box 760 Arthurdale WV 26520 Malene Davis President/CEO 0.00 X X 0 0 0 Kim Larew Chair 0.00 X X 0 0 0 Rev David Spence Treasurer 40.00 X X 57949 0 0 Sonia Bailey-Gibson Secretary 0.00 X X 0 0 0 Sandra Campbell Director 0.00 X 0 0 0 Jeffrey L Godwin Director 0.00 X 0 0 0 Samuel Roberts Medical Director 40.00 X 161361 0 0 Ronald Hicks Executive Director 40.00 X 114807 0 0 334117 0 0 2 0 1 0 ELKINS REHAB & CARE CENTER 1175 Beverly Pike Elkins WV 262419759 nursing home 686601 GRAFTON CITY HOSPITAL 1 Hospital Plaza Grafton WV 263541187 GIP/Hospital Admissions 376131 WEST VIRGINIA UNIVERSITY HOSPITALSINC 1 Medical Center Drive morgantown WV 26506 GIP/Hospital Admissions 350655 WILBEA MEDICAL EQUIPMENT-WV PO Box 3449 Harker Heights TX 76548 Provide/Deliver DME to Patients 320110 MAPLESHIRE 30 Mon General Drive Morgantown WV 265052840 nursing home 272753 10 271114 271114 patient service revenue 621990 12662827 12662827 medicaid room & board 623990 2206014 2206014 thrift shop sales 453310 156215 156215 consulting physician 621990 38732 38732 membership dues 621990 12953 12953 -701593 -701593 14375148 93781 93781 452001 27575 -452001 -27575 -479576 -27575 -452001 76152 27423 48729 48729 14309196 14347573 0 -309491 219310 219310 5081249 4155500 768187 157562 59504 49111 8624 1769 1133213 935296 164232 33685 405982 335077 58837 12068 215559 215559 39000 39000 237619 6068 231551 32521 32521 67627 29489 32345 5793 431781 252143 136922 42716 397324 377517 12886 6921 8262 3763 4499 128570 128570 131914 43518 88396 34103 34103 direct program expenses 4361654 4361654 bad debt 1921935 1921935 telephone 136056 87718 43024 5314 other expenses 34084 2451 27844 3789 22501 10832 11659 10 15099768 12952473 1877668 269627 668324 1456757 31444 4423859 1724319 36374 36542 59009 54293 4187169 1573825 2806321 2613344 5336413 5555829 13330300 11472528 675998 558704 572900 561845 3958459 2385237 5207357 3505786 X 8073975 7919311 48968 47431 8122943 7966742 13330300 11472528 -790572 634133 238 0 X X 0 1 X 1 0 X 356422 351073 346067 527541 271114 1852217 356422 351073 346067 527541 271114 1852217 179932 1672285 203352 251627 240692 109165 93781 898617 2750834 14375148 0.60790 0.65900 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 365831 89690 455521 2628930 971767 1657163 423321 6133 417188 530994 474760 56234 148403 121165 27238 2613344 wesbanco zpic loan obligation 1850000 accrued other 535237 2385237 X 14943329 634133 634133 14309196 0 14309196 15099768 0 15099768 0 15099768 Part X, Line 2: The Corporation is exempt from federal taxation. The Internal Revenue Service has issued a ruling stating that the Corporation qualifies as a public charity under Section 509(a)(1) of the Internal Revenue Code, and, as such, is exempt from federal taxation under 501(c)(3). The Corporation's Federal Return of Organization Exempt From Income Tax (Form 990) for 2016 and 2015 are subject to examination by the IRS, generally for three years after they were filed. light up a life 12723 12723 golf tournaments 25510 25510 7 37919 37919 27423 76152 76152 27423 27423 48729 X 0 0 0 0 0 0 0 0 0 Samuel Roberts Medical Director 161261 0 100 0 0 0 0 0 0 0 161361 0 0 0 Part I, Line 3 Malene Davis is the founding president of hospice care corporation. She founded hospice care corporation 30 years ago. She is accessible to the organization for consultation at all times. Her compensation includes the potential for this accessibility for crisis and expert advice to senior leadership and to the governing board throughout the course. Form 990, Part VI, Section A, line 3 MULTI-VIEW INCORPORATED ASSISTS HOSPICE CARE CORPORATION IN GENERAL LEDGER MAINTENANCE AND PLANNING AND EXECUTING BUDGETS AND FINANCIAL OPERATIONS. Form 990, Part VI, Section A, line 6 INDIVIDUALS MAY BECOME MEMBERS BY DONATING A SPECIFIC AMOUNT TO THE ORGANIZATION Form 990, Part VI, Section B, line 11b THE DIRECTOR OF FINANCE REVIEWS THE 990 BEFORE IT IS FILED Form 990, Part VI, Section B, line 12c Members of the Board of Directors and WV Caring Staff submit a form to disclose personal or financial interests that could potentially interfere with their duties and responsibilities to WV Caring. These forms are submitted at the time of hire or Board appointment, annually and whenever a potential conflict arises. Potential conflicts of interest are reviewed by the Board of Directors and/or by the hospice Administrator to determine appropriate action. Form 990, Part VI, Section B, line 15a THE BOARD CONDUCTS AN ANNUAL REVIEW OF THE CEO'S COMPENSATION Form 990, Part VI, Section C, line 19 GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST Form 990, Part VII Contact Addresses for Officers, Directors, Etc Kim Larew - Rt.10, PO Box 287, Morgantown, WV 26507. Sonia Bailey-Gibson - 2111 Hillary Drive, Morgantown, WV 26508. Sandra Campbell - 407 Grafton Road, Morgantown, WV 26508. Jeffrey L. Godwin - 92 Elm Street, Buckhannon, WV 26201. Form 990, Part XII, Line 2c: The process has not changed from the prior year.