2017-12-08T13:17:45-06:00 2017-06-30 453936274 BETH MOORE & ASSOCIATES CPAS PO BOX 120547 NEWPORT NEWS VA 23612 990 2016-07-01 521289657 HOSPICE SUPPORT CARE OF WILLIAMSBURG INC HOSP 7572531220 4445 POWHATAN PARKWAY WILLIAMSBURG VA 23188 MARY KAY DINEEN CHAIR 7572209291 2017-12-05 1 DIANE CARTER CPA P01482555 7572241174 2017-12-05 70.169.155.42 2017-12-05 10:21:07 ES P 09D3B13B256C4B0D5A579EC8DD229819AF24D13A 6265197B6FE2B5CC2C3D5118AD98682C643D474F 2016 2017-02-10 21:41:12Z HOSPICE HOUSE & SUPPORT CARE OF WILLIAMSBURG AUDREY SMITH 4445 POWHATAN PARKWAY WILLIAMSBURG VA 23188 1246308 0 X WWW.WILLIAMSBURGHOSPICE.ORG X 1982 VA TO ENHANCE THE QUALITY OF LIVING FOR INDIVIDUALS FACING THE LAST PHASES OF LIFE AND TO SUPPORT THE PEOPLE THEY LOVE. 21 21 40 0 0 0 648628 802394 0 0 110535 21551 235951 144109 995114 968054 0 0 0 0 780087 777988 0 0 28000 191676 202393 971763 980381 23351 -12327 2899882 3015333 13748 18679 2886134 2996654 TO ENHANCE THE QUALITY OF LIVING FOR INDIVIDUALS FACING THE LAST PHASES OF LIFE AND TO SUPPORT THE PEOPLE THEY LOVE. 0 0 808864 1090901 PROVIDED HOSPICE AND OTHER SUPPORT SERVICES TO TERMINALLY ILL PATIENTS AND THEIR FAMILY MEMBERS AND OTHER BEREAVED MEMBERS OF THE COMMUNITY. 808864 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 0 0 0 0 0 0 0 0 0 1 0 0 1 40 1 0 0 0 0 1 1 1 1 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 AUDREY SMITH 7572531220 4445 POWHATAN PARKWAY WILLIAMSBURG VA 23188 MARY KAY DINEEN CHAIRMAN 1.00 X X 0 0 0 DONALD G MURFEE JR VICE-CHAIR 1.00 X X 0 0 0 JAMES E LESNICK MD TREASURER 1.00 X X 0 0 0 JOHN MILLER MD MEDICAL DIRECTOR 1.00 X 0 0 0 BOB CANFIELD GOVERNANCE CHAIR 1.00 X X 0 0 0 DAVID KILGORE DIRECTOR 1.00 X 0 0 0 JEFF CLARK DIRECTOR 1.00 X 0 0 0 JULIE Y HUMMEL DIRECTOR 1.00 X 0 0 0 STUART PATTERSON DIRECTOR 1.00 X 0 0 0 JOANNE SKAHILL ADVANCEMENT COMMMITTEE CHAIR 1.00 X X 0 0 0 JANE O WILSON DIRECTOR 1.00 X 0 0 0 CAROLYN CUTHRELL DIRECTOR 1.00 X 0 0 0 MICHAEL A GATEN DIRECTOR 1.00 X 0 0 0 BRETT SMITH DIRECTOR 1.00 X 0 0 0 ROBIN BOWLING DIRECTOR 1.00 X 0 0 0 CHRISTINE BRAIG DIRECTOR 1.00 X 0 0 0 MARGARET CULLIVAN DIRECTOR 1.00 X 0 0 0 CAROL OCCHUIZZO DIRECTOR 1.00 X 0 0 0 LARRY PULLEY DIRECTOR 1.00 X 0 0 0 SCOTT STABLER DIRECTOR 1.00 X 0 0 0 ELIZABETH WHITE DIRECTOR 1.00 X 0 0 0 AUDREY SMITH EXECUTIVE DIRECTOR 40.00 X 125028 0 0 125028 0 0 1 0 0 0 0 4245 155248 18500 624401 802394 70995 70995 200458 16000 225902 40000 -25444 -24000 -49444 -49444 156461 155248 12352 144109 144109 968054 0 0 165660 125028 107000 14554 3474 576908 493726 67156 16026 22212 19026 3186 53840 47255 6585 6955 6955 29996 29001 995 1349 1349 37413 28060 9353 26305 23783 2522 PRINTING AND PUBLICITY 34533 22546 3487 8500 ADMINISTRATIVE 28297 5929 22368 PATIENT SUPPORT 20314 20314 EQUIPMENT REPAIRS 17231 10875 6356 980381 808864 143517 28000 117305 126328 126006 80589 74843 51925 3591 3000 1442156 607960 910589 834196 1667548 1919295 2899882 3015333 13748 18679 13748 18679 X 2803791 2944979 82343 51675 2886134 2996654 2899882 3015333 -12327 122847 0 X X 0 1 X 1 0 X 593622 862868 648213 633128 706872 3444703 593622 862868 648213 633128 706872 3444703 3444703 42865 65403 88118 110553 77909 384848 3829551 0.89950 0.90870 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1729253 146987 175312 85000 6914 1959638 1763456 25174 -10242 42500 6635 1729253 1693011 111841 42144 76795 6745 1763456 1521427 25000 227056 74000 6471 1693011 1.00000 0 0 135181 135181 1149681 470445 679236 157294 137515 19779 834196 X 1090901 122847 122847 968054 0 968054 980381 0 980381 0 980381 PART X, LINE 2: THE ORGANIZATION HAS DETERMINED THAT IT DOES NOT HAVE ANY MATERIAL UNRECOGNIZED TAX BENEFITS OR OBLIGATIONS AS OF JUNE 30, 2017. FISCAL YEARS ENDING ON OR AFTER JUNE 30, 2014, REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES. ELEGANT CULINARY AFFAIR 114293 42793 71500 10977 HIKE FOR HOSPICE 78283 50703 27580 0 3 119133 61752 57381 1375 311709 155248 156461 12352 12352 144109 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 RESPONISIBILITY FOR OVERSIGHT OF THE AUDIT.