2016-05-12T15:16:18-05:00 2015-12-31 521130974 ALBRIGHT CRUMBACKER MOUL & ITELL CPA'S 1110 PROFESSIONAL COURT SUITE 300 HAGERSTOWN MD 21740 990 2015-01-01 311011765 HOSPICE OF THE PANHANDLE INC HOSP 3042640406 330 HOSPICE LANE KEARNEYSVILLE WV 25430 MARGARET COGSWELL CHIEF EXECUTIVE OFFICER 3042640406 2016-05-11 1 R KERT SHIPWAY CPA P00349171 3017395300 2016-05-03 2015 2016-09-27 15:27:22Z MARGARET COGSWELL 330 HOSPICE LANE KEARNEYSVILLE WV 25430 12052830 0 X WWW.HOSPICEOTP.ORG X 1982 WV HOSPICE OF THE PANHANDLE PROVIDES COMPASSIONATE CARE TO THOSE WITH LIFE LIMITING ILLNESS, AND ASSISTS THEIR FAMILIES AND CAREGIVERS. 15 15 137 194 0 0 530850 792985 9900541 9490437 243478 580400 0 0 10674869 10863822 0 0 0 0 7121944 6937317 0 0 125737 3284308 3090127 10406252 10027444 268617 836378 19955533 20467906 8410039 8204711 11545494 12263195 HOSPICE OF THE PANHANDLE PROVIDES COMPASSIONATE CARE TO THOSE WITH LIFE LIMITING ILLNESS, AND ASSISTS THEIR FAMILIES AND CAREGIVERS. 0 0 6334684 9490437 THE HOSPICE PROVIDES NURSING AND, PALLIATIVE AND SUPPORTING CARE FOR THE TERMINALLY ILL AND THEIR FAMILIES. 6334684 1 1 0 0 0 0 0 0 0 0 1 1 0 0 0 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 71 0 1 137 1 0 0 0 0 0 0 0 0 0 0 X 15 15 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 WV X X WALT DEWALT 3042640406 330 HOSPICE LANE KEARNEYSVILLE WV 25430 THE REV GEORGE T SCHRAMM PRESIDENT 1.00 X X 0 0 0 PHYLLIS LETART VICE PRESIDENT 1.00 X X 0 0 0 JIM SEIBERT TREASURER 1.00 X X 0 0 0 DR CRAIG WINKEL SECRETARY 1.00 X X 0 0 0 BARBARA PICHOT DIRECTOR 1.00 X 0 0 0 DAVID ASAM DIRECTOR 1.00 X 0 0 0 LINDA MCGRAW DIRECTOR 1.00 X 0 0 0 JAMES B CRAWFORD III DIRECTOR 1.00 X 0 0 0 SUSAN TRUMP DIRECTOR 1.00 X 0 0 0 NINA ARNETT DIRECTOR 1.00 X 0 0 0 DIANE DAILEY DIRECTOR 1.00 X 0 0 0 CARTER WAGONER DIRECTOR 1.00 X 0 0 0 AARON HENRY DIRECTOR 1.00 X 0 0 0 WILLIAM STUBBLEFIELD DIRECTOR 1.00 X 0 0 0 DR KAREN RUDOLPH DIRECTOR 1.00 X 0 0 0 MARGARET COGSWELL CHIEF EXECUTIVE OFFICER 40.00 X 175130 0 5136 WALTER DEWALT CHIEF FINANCIAL OFFICER 40.00 X 124674 0 10066 SARA TENNANT HOME CARE DIRECTOR 1.00 X 112387 0 12163 412191 0 27365 3 0 1 0 UNITED HEALTHCARE INSURANCE 9020 STONY POINT PARKWAY SUITE 400 RICHMOND WV 23235 EMPLOYEE INSURANCE 691365 HAMPSHIRE HLTH CARE CENTER 260 SUNRISE BLVD ROMNEY WV 26757 NHME ROOM & BOARD 403994 WILLOW TREE MANOR 921 E FORT AVE SUITE 240 BALTIMORE MD 21230 NURSING HOME ROOM & BOARD 397412 ENCLARA HEALTH LLC 1480 IMPERIAL WAY WEST DEPTFORD NJ 08066 MEDICINE 340758 HEARTLAND OF MARTINSBURG 209 CLOVER ST MARTINSBURG WV 25404 NHME ROOM & BOARD 307838 14 23535 152727 616723 792985 PATIENT CARE REVENUE 623000 9490437 9490437 9490437 214665 214665 802499 725000 832625 329139 -30126 395861 365735 365735 27244 152727 27244 0 10863822 9490437 0 580400 315006 315006 5451265 3705425 1637785 108055 97871 68548 28268 1055 558442 367936 184845 5661 514733 334578 175009 5146 1643 1643 46747 46747 30472 30472 29159 29159 165570 85285 80285 399852 113863 285989 263546 243925 19621 248522 248522 357209 357209 51359 51359 MEDICAL SUPPLIES 1066127 1066127 HOSPITAL, NURSING HOME, 307518 307518 BAD DEBT EXPENSE/RECOVE 41479 41479 EDUCATION 22685 22685 58239 52419 5820 10027444 6334684 3567023 125737 19391 11561 918377 1506863 203902 123385 1565102 1308777 168750 65828 124107 59472 76479 12729232 926492 12047495 11802740 4695856 5264064 380110 81180 19955533 20467906 601025 677211 7809014 7527500 8410039 8204711 X 11545494 12263195 11545494 12263195 19955533 20467906 836378 -151032 32355 0 X 0 1 X 1 0 X 782303 897802 521870 530850 792985 3525810 782303 897802 521870 530850 792985 3525810 282368 3243442 119122 129333 168592 158270 214665 789982 25164 19831 44995 4360787 54961050 0.74380 0.71240 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1881292 1881292 9635680 438399 9197281 4951 4128 823 1207309 483965 723344 11802740 EQUITY MUTUAL FUND 2284029 F FIXED INCOME MUTUAL FUND 2686023 F MONEY MARKET ACCOUNTS 294012 F 5264064 X 10714673 -151032 32355 -118677 10833350 30472 30472 10863822 9996972 0 9996972 30472 30472 10027444 PART X, LINE 2: THE HOSPICE IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C) (3) OF THE INTERNAL REVENUE CODE AND THEREFORE, HAS MADE NO PROVISION FOR FEDERAL INCOME TAXES. THE HOSPICE QUALIFIES FOR THE CHARITABLE CONTRIBUTION DEDUCTION UNDER SECTION 170(B)(1)(A) AND HAS BEEN CLASSIFIED AS AN ORGANIZATION THAT IS NOT A PRIVATE FOUNDATION UNDER SECTION 509(A)(2). THE HOSPICE COMPLIES WITH ASC 740-10, 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 HOSPICE HAS NO UNCERTAIN TAX POSITIONS THAT QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE. THE HOSPICE IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE HOSPICE IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2012. NIGHT AT THE OSCARS 58082 34107 23975 12030 FRIENDSHIP DRIVE 46550 46550 5640 11 75339 72070 3269 9574 179971 152727 27244 27244 27244 0 X 0 0 0 0 0 0 0 0 0 MARGARET COGSWELL CHIEF EXECUTIVE OFFICER 175130 0 0 0 0 0 4422 0 714 0 180266 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 THE HOSPICE OF THE PANHANDLE HAS THE FINANCE COMMITTEE REVIEW THE 990 BEFORE SUBMISSION. FORM 990, PART VI, SECTION B, LINE 12C EACH BOARD MEMBER IS REQUIRED TO SUBMIT IN WRITING TO THE PRESIDENT OF THE BOARD OF DIRECTORS A LIST OF ALL BUSINESS OR OTHER ORGANIZATIONS OF WHICH HE OR SHE IS AN OFFICER, MEMBER, OWNER, OR EMPLOYEE OR FOR WHICH HE OR SHE ACTS AS AN AGENT, WITH WHICH THE HOSPICE HAS, OR MIGHT REASONABLY IN THE FUTURE ENTER INTO, A RELATIONSHIP OR A TRANSACTION IN WHICH THE BOARD MEMBER WOULD HAVE CONFLICTING INTERESTS. A WRITTEN STATEMENT WILL BE RESUBMITTED WITH ANY NECESSARY CHANGES EACH YEAR. THE PRESIDENT AND THE VICE PRESIDENT OF THE BOARD SHALL BECOME FAMILIAR WITH THE STATEMENTS OF ALL BOARD MEMBERS IN ORDER TO GUIDE THEIR CONDUCT SHOULD A CONFLICT ARISE. HOSPICE STAFF AND VOLUNTEERS ARE REQUIRED TO REPORT/DISCLOSE ALL CURRENT BUSINESS OR EMPLOYMENT RELATIONSHIPS WITH ANY PATIENTS, VENDORS, CONTRACTORS, OR ORGANIZATIONS WITH WHICH HOSPICE OF THE PANHANDLE CURRENTLY DOES BUSINESS. EMPLOYEES/VOLUNTEERS WILL SIGN A CONFLICT OF INTEREST STATEMENT AT TIME OF EMPLOYMENT AND EVERY THREE YEARS THEREAFTER. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION OF THE EXECUTIVE DIRECTOR AND KEY EMPLOYEES IS DETERMINED BY AN ANNUAL MARKET STUDY DONE BY THE HUMAN RESOURCE DIRECTOR. DATA IS PURCHASED FROM THE HOSPITAL & HEALTHCARE COMPENSATION SERVICE IN COOPERATION WITH THE NATIONAL ASSOCIATION FOR HOME CARE & HOSPICE AS WELL AS MULTI-VIEW INCORPORATED'S HOSPICE COMPENSATION SURVEY FOR COMPARISONS TO THE PAY SCALE THAT IS ESTABLISHED AT HOSPICE OF THE PANHANDLE. THESE TWO STUDIES ARE THE BEST AVAILABLE DATA FOR THIS BUSINESS AND THIS LOCATION. ONCE THE DATA IS REVIEWED, THE HUMAN RESOURCE DIRECTOR CONSIDERS THE MEDIAN WAGE OF EACH POSITION, INCLUDING THE EXECUTIVE DIRECTOR AND KEY EMPLOYEES, AND THEN RECOMMENDS ANY CHANGES TO THE ESTABLISHED PAY SCALE TO THE PERSONNEL COMMITTEE OF THE BOARD OF DIRECTORS. THE PERSONNEL COMMITTEE THEN REVIEWS THE RECOMMENDATIONS IN ORDER TO FORMULATE A RECOMMENDATION TO THE FULL BOARD OF DIRECTORS FOR APPROVAL. AS SOME STAFF ARE ALSO MEMBERS OF THIS COMMITTEE, WHEN THE PERSONNEL COMMITTEE DISCUSSES ITS REVIEW, THE STAFF MEMBERS ARE ASKED TO REMOVE THEMSELVES FROM THE MEETING. THE PERSONNEL COMMITTEE THEN TAKES ITS RECOMMENDATION TO THE FULL BOARD OF DIRECTORS, WHO THEN ALSO CONDUCTS A CLOSED SESSION (WITH THE EXECUTIVE DIRECTOR ABSENT) WHEN DISCUSSING THAT POSITION'S SALARY. MINUTES ARE KEPT OF BOTH THE PERSONNEL COMMITTEE AND THE BOARD OF DIRECTORS MEETING TO REFLECT THE REVIEW, RECOMMENDATIONS, AND DECISIONS MADE REGARDING COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION REGISTERS WITH THE CHARITABLE FUNDS REGISTRATION OF WV UNDER THE AUSPICES OF THE WV SECRETARY OF STATE. THE ORGANIZATION IS REQUIRED TO PROVIDE WITH AN APPLICATION THE FOLLOWING: 501(C)3 DETERMINATION LETTER, A COPY OF FEDERAL FORM 990, A COPY OF AUDITED FINANCIAL STATEMENTS, A LIST OF BOARD OF DIRECTORS, A COPY OF NEWSPAPER LISTING OF AUDITED FINANCIAL STATEMENTS, AND A COPY OF FUNDRAISING BROCHURES THAT LISTS THE ADDRESS OF THE WV SECRETARY OF STATE WHERE THEY CAN REQUEST A COPY OF OUR CORPORATION DOCUMENTS, 990, FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY.