BLUE RIDGE HOSPICE INC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- BLUE RIDGE HOSPICE INC (EIN 54-1126227)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-05-12
- IRS object ID
- 201701329349301855
- Schema version
- 2016v3.0
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-05-12T09:31:03-05:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 550486667 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ARNETT CARBIS TOOTHMAN LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 908 | AddressLine1Txt |
| City | BRIDGEPORT | CityNm |
| State Abbreviation | WV | StateAbbreviationCd |
| ZIP | 26330 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 541126227 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BLUE RIDGE HOSPICE INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BLUE | BusinessNameControlTxt |
| Phone | 5403139200 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 333 WEST CORK STREET NO 405 | AddressLine1Txt |
| City | WINCHESTER | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 22601 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ERNEST J CARNEVALE JR | PersonNm |
| Person Title | PRESIDENT AND CEO | PersonTitleTxt |
| Phone | 5405365210 | PhoneNum |
| Signature | 2017-05-08 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | WILLIAM J BEHRENS CPA | PreparerPersonNm |
| PTIN | P00089711 | PTIN |
| Phone | 3046245471 | PhoneNum |
| Preparation | 2017-05-01 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 216.12.119.47 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2017-05-08 | IPDt |
| IP Tm | 16:02:06 | IPTm |
| IP Timezone | ED | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DE2755A45C890A9700FFB7CB601A1A67000C6980 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | FDECD44301556DFCD31B10E28F5E7523EA2FAD70 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ERNEST J CARNEVALE JR | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 333 WEST CORK STREET NO 405 | AddressLine1Txt |
| City | WINCHESTER | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 22601 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $17,078,343 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.BLUERIDGEHOSPICE.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1981 | FormationYr |
| Legal Domicile State | VA | LegalDomicileStateCd |
| Activity Or Mission | MAKE QUALITY END-OF-LIFE CARE AVAILABLE TO INDIVIDUALS AND FAMILIES FACING SERIOUS ILLNESS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 247 | TotalEmployeeCnt |
| Total Volunteers | 982 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $3,954,760 | PYContributionsGrantsAmt |
| CY Contributions Grants | $4,354,047 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $11,204,581 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $12,090,097 | CYProgramServiceRevenueAmt |
| PY Investment Income | $70,528 | PYInvestmentIncomeAmt |
| CY Investment Income | $59,518 | CYInvestmentIncomeAmt |
| PY Other Revenue | $104,608 | PYOtherRevenueAmt |
| CY Other Revenue | $144,050 | CYOtherRevenueAmt |
| PY Total Revenue | $15,334,477 | PYTotalRevenueAmt |
| CY Total Revenue | $16,647,712 | 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 | $9,488,245 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $9,464,284 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $3,105,925 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $6,124,647 | PYOtherExpensesAmt |
| CY Other Expenses | $6,396,614 | CYOtherExpensesAmt |
| PY Total Expenses | $15,612,892 | PYTotalExpensesAmt |
| CY Total Expenses | $15,860,898 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$278,415 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $786,814 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $4,878,953 | TotalAssetsBOYAmt |
| Total Assets EOY | $5,622,250 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,461,616 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,344,573 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $3,417,337 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $4,277,677 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | MAKE QUALITY END-OF-LIFE CARE AVAILABLE TO INDIVIDUALS AND FAMILIES FACING SERIOUS ILLNESS. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $9,107,506 | ExpenseAmt |
| Revenue | $11,291,255 | RevenueAmt |
| Desc | 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 980 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 2016, BLUE RIDGE HOSPICE PROVIDED OVER $230,000 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. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,428,649 | ExpenseAmt |
| Revenue | $863,766 | RevenueAmt |
| Desc | 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 2016, THE INPATIENT CARE CENTER SERVED OVER 230 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 2016, 36 PATIENTS RECEIVED FINANCIAL SUPPORT FROM BLUE RIDGE HOSPICE FOR THEIR STAY AT THE INPATIENT CARE CENTER. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $628,851 | ExpenseAmt |
| Desc | 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. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $11,165,006 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | 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 |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| 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 | Yes (1) | 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 | Yes (1) | 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 | Yes (1) | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| 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 | 90 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 247 | 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 | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | Yes (1) | Form8282PropertyDisposedOfInd |
| Form8282 Filed | 6 | Form8282FiledCnt |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | 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 | VA | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHERYL RINGER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5403139200 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 333 WEST CORK STREET SUITE 405 | AddressLine1Txt |
| City | WINCHESTER | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 22601 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| PAUL DELMERICO | |||||||
| IMM PAST CHAIR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MARY ANN KAPLAN | |||||||
| CHAIR | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| JARED TRUBAN | |||||||
| VICE CHAIR & TREASURER | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| GEORGE CALEY | |||||||
| AT LARGE DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| LYNNE SAYLES | |||||||
| AT LARGE DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| HELEN ZEBARTH | |||||||
| AT LARGE DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MARY JO JACKSON | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| NANCY CAMPBELL | |||||||
| SECRETARY | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| LEONARD YANG MD | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| ERNEST CARNEVALE JR | |||||||
| PRESIDENT & CEO | 40.00 | $192,655 | $0 | $13,282 | Yes (X) | ||
| CHERYL RINGER | |||||||
| CFO | 40.00 | $126,654 | $0 | $18,683 | Yes (X) | ||
| PATRICIA BISHOP | |||||||
| DIR. OF CLINICAL SERVICES | 40.00 | $133,674 | $0 | $7,404 | Yes (X) | ||
| RICHARD MILLIGAN | |||||||
| PHYSICIAN | 40.00 | $191,687 | $0 | $17,321 | Yes (X) | ||
| ANTHONY CROSEN | |||||||
| DIR. OF BUSINESS DEVELOPMENT | 40.00 | $116,778 | $0 | $17,321 | Yes (X) | ||
| DIANNE BEIN | |||||||
| NURSE PRACTITIONER | 40.00 | $100,337 | $0 | $1,784 | Yes (X) | ||
| BRENDAN M FLYNN | |||||||
| MEDICAL DIRECTOR | 40.00 | $194,356 | $0 | $14,684 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,056,141 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $90,479 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 7 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| HOSPISCRIPT LLC | |||||
| 8454 NETWORK PLACE | CHICAGO | IL | 60673 | PHARMACY | $712,851 |
| ADVANCED HOME CARE INC | |||||
| PO BOX 890492 | CHARLOTTE | NC | 28289 | DME SUPPLIER | $266,160 |
| NB 333 W CORK STREET LLC | |||||
| 13900 LINCOLN PARK DRIVE SUITE 260 | HERNDON | VA | 20171 | RENT | $227,260 |
| MCKESSON MEDICAL | |||||
| PO BOX 204786 | DALLAS | TX | 75320 | MEDICAL SUPPLIES | $200,250 |
| VALLEY HOME CARE | |||||
| PO BOX 1910 | WINCHESTER | VA | 22604 | DME SUPPLIER | $191,626 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 8 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $4,354,047 | AllOtherContributionsAmt |
| Noncash Contributions | $16,140 | NoncashContributionsAmt |
| Total Contributions | $4,354,047 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| HOSPICE CARE | 623990 | $11,226,331 | $11,226,331 |
| INPATIENT CARE CENTER | 623990 | $863,766 | $863,766 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $12,090,097 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $43,956 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $43,956 | RelatedOrExemptFuncIncomeAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $377,959 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $359,473 | SecuritiesAmt |
| Other | $2,924 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $18,486 | SecuritiesAmt |
| Other | -$2,924 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $15,562 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $15,562 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $206,878 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $68,234 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $138,644 | TotalRevenueColumnAmt |
| Exclusion | $138,644 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER INCOME | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $5,406 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $5,406 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $5,406 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $16,647,712 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $12,155,021 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $138,644 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $349,496 | TotalAmt |
| Management And General | $349,496 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,564,616 | TotalAmt |
| Program Services | $6,605,188 | ProgramServicesAmt |
| Management And General | $763,309 | ManagementAndGeneralAmt |
| Fundraising | $196,119 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,016,680 | TotalAmt |
| Program Services | $857,176 | ProgramServicesAmt |
| Management And General | $131,980 | ManagementAndGeneralAmt |
| Fundraising | $27,524 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $533,492 | TotalAmt |
| Program Services | $445,083 | ProgramServicesAmt |
| Management And General | $74,850 | ManagementAndGeneralAmt |
| Fundraising | $13,559 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,000 | TotalAmt |
| Program Services | $9,655 | ProgramServicesAmt |
| Management And General | $10,918 | ManagementAndGeneralAmt |
| Fundraising | $2,427 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,327,957 | TotalAmt |
| Program Services | $1,265,922 | ProgramServicesAmt |
| Management And General | $50,758 | ManagementAndGeneralAmt |
| Fundraising | $11,277 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,621 | TotalAmt |
| Management And General | $5,837 | ManagementAndGeneralAmt |
| Fundraising | $3,784 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $154,814 | TotalAmt |
| Program Services | $76,672 | ProgramServicesAmt |
| Management And General | $33,433 | ManagementAndGeneralAmt |
| Fundraising | $44,709 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $782,585 | TotalAmt |
| Program Services | $652,735 | ProgramServicesAmt |
| Management And General | $97,648 | ManagementAndGeneralAmt |
| Fundraising | $32,202 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $357,483 | TotalAmt |
| Program Services | $343,567 | ProgramServicesAmt |
| Management And General | $9,690 | ManagementAndGeneralAmt |
| Fundraising | $4,226 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,133 | TotalAmt |
| Program Services | $13,704 | ProgramServicesAmt |
| Management And General | $3,759 | ManagementAndGeneralAmt |
| Fundraising | $2,670 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,532 | TotalAmt |
| Program Services | $17,980 | ProgramServicesAmt |
| Management And General | $3,379 | ManagementAndGeneralAmt |
| Fundraising | $2,173 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $144,475 | TotalAmt |
| Program Services | $124,273 | ProgramServicesAmt |
| Management And General | $13,078 | ManagementAndGeneralAmt |
| Fundraising | $7,124 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $238,267 | TotalAmt |
| Program Services | $199,557 | ProgramServicesAmt |
| Management And General | $32,773 | ManagementAndGeneralAmt |
| Fundraising | $5,937 | FundraisingAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | FundraisingFundraisingAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|---|
| THRIFT SHOP EXPENSES | $2,739,746 | $2,739,746 | ||
| EQUIPMENT RENTAL | $460,697 | $460,697 | ||
| ALL OTHER EXPENSES | $114,304 | $12,448 | $92,797 | $9,059 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,860,898 | TotalAmt |
| Program Services | $11,165,006 | ProgramServicesAmt |
| Management And General | $1,589,967 | ManagementAndGeneralAmt |
| Fundraising | $3,105,925 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $257,124 | BOYAmt |
| EOY | $701,581 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $135,601 | BOYAmt |
| EOY | $210,982 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,528 | BOYAmt |
| EOY | $67,896 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,126,190 | BOYAmt |
| EOY | $1,391,108 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $152,831 | BOYAmt |
| EOY | $138,865 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $2,945,383 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,513,487 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,508,896 | BOYAmt |
| EOY | $1,431,896 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,664,783 | BOYAmt |
| EOY | $1,679,922 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,878,953 | BOYAmt |
| EOY | $5,622,250 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $857,046 | BOYAmt |
| EOY | $1,027,908 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $604,570 | BOYAmt |
| EOY | $316,665 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,461,616 | BOYAmt |
| EOY | $1,344,573 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,125,136 | BOYAmt |
| EOY | $2,897,596 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,292,201 | BOYAmt |
| EOY | $1,380,081 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,417,337 | BOYAmt |
| EOY | $4,277,677 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,878,953 | BOYAmt |
| EOY | $5,622,250 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $786,814 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $88,158 | NetUnrlzdGainsLossesInvstAmt |
| Investment Expense | -$14,632 | InvestmentExpenseAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| 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 | $2,947,657 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,309,900 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,628,211 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,954,760 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,337,907 | CurrentTaxYearAmt |
| Total | $18,178,435 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,947,657 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,309,900 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,628,211 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,954,760 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,337,907 | CurrentTaxYearAmt |
| Total | $18,178,435 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $18,178,435 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $59,045 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $42,096 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $46,849 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $79,932 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $135,968 | CurrentTaxYearAmt |
| Total | $363,890 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,471 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $14,583 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,455 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,204 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,483 | CurrentTaxYearAmt |
| Total | $38,196 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $18,580,521 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $61,039,866 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.97840 | PublicSupportCY170Pct |
| Public Support PY170 | 0.98050 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,134,541 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $61,965 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $61,965 | AdministrativeExpensesAmt |
| End Year Balance | $1,134,541 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,134,541 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $69,419 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $69,419 | AdministrativeExpensesAmt |
| End Year Balance | $1,134,541 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,134,541 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $65,653 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $65,653 | AdministrativeExpensesAmt |
| End Year Balance | $1,134,541 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,134,541 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $117,712 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $117,712 | AdministrativeExpensesAmt |
| End Year Balance | $1,134,541 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,134,541 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $60,928 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $60,928 | AdministrativeExpensesAmt |
| End Year Balance | $1,134,541 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $93,000 | OtherCostOrOtherBasisAmt |
| Book Value | $93,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $727,555 | OtherCostOrOtherBasisAmt |
| Depreciation | $97,659 | DepreciationAmt |
| Book Value | $629,896 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $726,250 | OtherCostOrOtherBasisAmt |
| Depreciation | $245,582 | DepreciationAmt |
| Book Value | $480,668 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,150,997 | OtherCostOrOtherBasisAmt |
| Depreciation | $980,244 | DepreciationAmt |
| Book Value | $170,753 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $247,581 | OtherCostOrOtherBasisAmt |
| Depreciation | $190,002 | DepreciationAmt |
| Book Value | $57,579 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,431,896 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $16,643,946 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $88,158 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | $88,158 | RevenueNotReportedAmt |
| Revenue Subtotal | $16,555,788 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $14,632 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | $77,292 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $91,924 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $16,647,712 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $15,783,606 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $15,783,606 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $77,292 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $77,292 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $15,860,898 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 XI, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBTS 77,292. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBTS 77,292. |
| PART V, LINE 4: | ENDOWMENT IS DESIGNATED TO FUND FUTURE GROWTH AND CONSTRUCTION PROJECTS. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | 35 ANNIVERSARY CELEBRATION | Event1Nm |
| Gross Receipts Event1 | $64,763 | GrossReceiptsEvent1Amt |
| Gross Revenue Event1 | $64,763 | GrossRevenueEvent1Amt |
| Other Direct Expenses Event1 | $29,639 | OtherDirectExpensesEvent1Amt |
| Event2 | LOUDOUN GOLF EVENT | Event2Nm |
| Gross Receipts Event2 | $47,240 | GrossReceiptsEvent2Amt |
| Gross Revenue Event2 | $47,240 | GrossRevenueEvent2Amt |
| Other Direct Expenses Event2 | $65 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 9 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $94,875 | GrossReceiptsOtherEventsAmt |
| Gross Revenue Other Events | $94,875 | GrossRevenueOtherEventsAmt |
| Oth Direct Expnss Other Events | $38,530 | OthDirectExpnssOtherEventsAmt |
| Gross Receipts Total | $206,878 | GrossReceiptsTotalAmt |
| Gross Revenue Total Events | $206,878 | GrossRevenueTotalEventsAmt |
| Oth Direct Expnss Total Events | $68,234 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $68,234 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $138,644 | NetIncomeSummaryAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ERNEST CARNEVALE JR | ||||||||||||||
| PRESIDENT & CEO | $192,655 | $0 | $0 | $0 | $0 | $0 | $1,042 | $0 | $12,240 | $0 | $205,937 | $0 | $0 | $0 |
| RICHARD MILLIGAN | ||||||||||||||
| PHYSICIAN | $191,687 | $0 | $0 | $0 | $0 | $0 | $638 | $0 | $16,683 | $0 | $209,008 | $0 | $0 | $0 |
| BRENDAN M FLYNN | ||||||||||||||
| MEDICAL DIRECTOR | $194,356 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $14,684 | $0 | $209,040 | $0 | $0 | $0 |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| LYNNE SAYLES | |||
| INVESTMENT BANKER/BOARD MEMBER | $0 | NO DIRECT INVOLVEMENT | 0 |
| DR LEONARD YANG MD | |||
| MEDICAL DOCTOR/BOARD MEMBER | $0 | THIS PHYSICIAN MAY PROVIDE SERVICES TO PATIENTS OF THE HOSPICE IN HIS CAPACITY AS AN EMERGENCY ROOM PHYSICIAN. | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 HOSPIOCE'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. |