KANAWHA HOSPICE CARE INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
KANAWHA HOSPICE CARE INC (EIN 34-1337316)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-05-15
IRS object ID
201311359349306361
Schema version
2012v2.1
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

FieldValueIRS element (for citing)
Timestamp2013-05-15T13:21:17-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1GIBBONS & KAWASH ACBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1707 VIRGINIA ST E STE 300AddressLine1
CityCHARLESTONCity
StateWVState
ZIP Code253012724ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN341337316EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1KANAWHA HOSPICE CARE INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlKANANameControl
Phone3047688523Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11606 KANAWHA BLVD WAddressLine1
CityCHARLESTONCity
StateWVState
ZIP Code25387ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameLARRY ROBERTSONName
TitleEXECUTIVE DIRECTORTitle
Phone3047688523Phone
Date Signed2013-05-14DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameROBERT ADAMSName
Phone3043458400Phone
Date Prepared2013-05-14DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonLARRY ROBERTSONNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11606 KANAWHA BLVD WAddressLine1
CityCHARLESTONCity
StateWVState
ZIP Code253872536ZIPCode
FieldValueIRS element (for citing)
Gross Receipts22310012GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.HOSPICECAREWV.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1981YearFormation
State Legal DomicileWVStateLegalDomicile
Activity Or Mission DescriptionPROVIDES HOSPICE CARE TO TERMINALLY ILL PATIENTSActivityOrMissionDescription
Nbr Voting Members Governing Body19NbrVotingMembersGoverningBody
Nbr Independent Voting Members18NbrIndependentVotingMembers
Total Nbr Employees310TotalNbrEmployees
Total Nbr Volunteers275TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year1027519ContributionsGrantsPriorYear
Contributions Grants Current Year885795ContributionsGrantsCurrentYear
Program Service Revenue Prior Year18184275ProgramServiceRevenuePriorYear
Program Service Revenue CY21308818ProgramServiceRevenueCY
Investment Income Prior Year-660InvestmentIncomePriorYear
Investment Income Current Year47875InvestmentIncomeCurrentYear
Other Revenue Prior Year75845OtherRevenuePriorYear
Other Revenue Current Year17726OtherRevenueCurrentYear
Total Revenue Prior Year19286979TotalRevenuePriorYear
Total Revenue Current Year22260214TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year14061012SalariesEtcPriorYear
Salaries Etc Current Year15074057SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year162785TotalFundrsngExpCurrentYear
Other Expense Prior Year5987578OtherExpensePriorYear
Other Expenses Current Year6397476OtherExpensesCurrentYear
Total Expenses Prior Year20048590TotalExpensesPriorYear
Total Expenses Current Year21471533TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-761611RevenuesLessExpensesPriorYear
Revenues Less Expenses CY788681RevenuesLessExpensesCY
Total Assets BOY18542469TotalAssetsBOY
Total Assets EOY19524776TotalAssetsEOY
Total Liabilities BOY6357757TotalLiabilitiesBOY
Total Liabilities EOY6262920TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY12184712NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY13261856NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionPROVIDES HOSPICE CARE TO TERMINALLY ILL PATIENTSMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense11101720Expense
Revenue16594476Revenue
DescriptionPATIENT CARE-PROVIDES IN-HOME AND INSTITUTIONAL HOSPICE CARE SERVICES TO TERMINALLY ILL PATIENTS.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense5803678Expense
Revenue4714342Revenue
DescriptionHOSPICE HOUSE - 24 BED FACILITY PROVIDING HOSPICE CARE SERVICES TO TERMINALLY ILL PATIENTS HOSPICE HOUSE WEST - 10 BED FACILITY PROVIDING HOSPICE CARE SERVICES TO TERMINALLY ILL PATIENTSDescription

Activity3 Activity3

FieldValueIRS element (for citing)
Expense1175923Expense
DescriptionSOCIAL SERVICES - PROVIDES SUPPPORT/COMFORT TO PATIENT AND FAMILY AND DISCUSSES EMOTIONAL AND FINANCIAL ASPECTS OF DYING PROCESS.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense638310Expense
DescriptionOTHER CONSISTS OF BEREAVEMENT, EDUCATIONAL SERVICES VOLUNTEER SERVICES, HUBBARD HOSPICE HOUSE WEST, LESS IN-KIND EXPENSES.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp638310TotalOfOtherProgramServiceExp
Total Program Service Expense18719631TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees310NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members19NbrVotingGoverningBodyMembers
Number Independent Voting Members18NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledWVStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonMIKE MORRISNamePerson
Telephone Number3047688523TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11606 KANAWHA BLVD WAddressLine1
CityCHARLESTONCity
StateWVState
ZIP Code25387ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (30 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
LARRY ROBERTSON
EXEC. DIRECT40.00XX204356013493
JUDY D DEEGANS
MEMBER0.50XX000
RICHARD C DONOVAN
MEMBER0.50XX000
MARTIN J GLASSER
MEMBER0.50X000
FRED HOLROYD
MEMBER0.50XX000
MIRIAM KNIGHT
MEMBER0.50XX000
AUGUSTA KOSSOWICZ
MEMBER0.50X000
ELIZABETH ARBUCKLE
MEMBER0.50X000
DREMA PIERSON
MEMBER0.50XX000
RICHARD L MILLER
MEMBER0.50XX000
RICK WALLACE
MEMBER0.50X000
B SCOTT MILLER
MEMBER0.50X000
W ROGER RAMSEY
MEMBER0.50X000
FRED BOOTHE
MEMBER0.50X000
JESSICA CARTER
MEMBER0.50X000
JANE CONDEE
MEMBER0.50X000
BETTY IRELAND
MEMBER0.50X000
STEVE SWART
MEMBER0.50X000
ELIZABETH VASS
MEMBER0.50X000
RICHARD D BISHOFF
MEMBER THRU0.50X000
RICHARD D BRADFORD
MEMBER THRU0.50X000
CAROL HARTLEY
MEMBER THRU0.50X000
MARTHA STATHERS
MEMBER THRU0.50X000
DAVID WALLACE
MEMBER THRU0.50X000
MIKE MORRIS
DIR OF FIN/I40.00X10454307708
MARIA NAVARRO
PHYSICAN40.0023645303515X
DARRELL BOGGESS
PHYSICAN40.0021134102837X
AMY WIRTS
PHYSICIAN40.0014555208549X
JEFFREY CARRIER
DIR OF CLINI40.0011172208116X
MARY ROBINSON
HHH ADMINIST40.0010249407577X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1116461TotalReportableCompFromOrg
Total Other Compensation51795TotalOtherCompensation
Number Individuals GT100 K7NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
COVENTRY HEALTH LIFE
PO BOX 6529CAROL STREAMIL601976529HEALTH INS.2029596
HOSPISCRIPT SERVICES LLC
PO BOX 933273ATLANTAGA311933273PHARMACEUTICAL804348
CEDAR RIDGE CENTER
302 CEDAR RIDGE ROADSISSONVILLEWV25320NURSING HOME748975
QUALIS MANAGEMENT
PO BOX 7458ROCKY MOUNTNC27804DME MGMT SERV673959
HEARTLAND OF CHARLESTON
DEPT L 2653COLUMBUSOH43260NURSING HOME379744
FieldValueIRS element (for citing)
Number Of Contractors GT100 K26NumberOfContractorsGT100K
Federated Campaigns52708FederatedCampaigns
Fundraising Events195872FundraisingEvents
All Other Contributions637215AllOtherContributions
Total Contributions885795TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT CARE1659447616594476
HOSPICE HOUSE32567203256720
HUBBARD HOSPICE HOUSE WEST14576221457622
FieldValueIRS element (for citing)
Total Program Service Revenue21308818TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column47875TotalRevenueColumn
Exclusion$47,875ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real26600Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real27887Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-1287Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-1287TotalRevenueColumn
Related Or Exempt Function Income-1287RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Gross Income Fundraising Events21911GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events195872CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses21911FundraisingDirectExpenses

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOTHER REVENUEDescription
Total Revenue Column19013TotalRevenueColumn
Related Or Exempt Function Income19013RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue19013TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column22260214TotalRevenueColumn
Related Or Exempt Function Income21326544RelatedOrExemptFunctionIncome
Exclusion$47,875ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total330100Total
Management And General330100ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total11177077Total
Program Services10552721ProgramServices
Management And General557703ManagementAndGeneral
Fundraising66653Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total453140Total
Program Services405464ProgramServices
Management And General44471ManagementAndGeneral
Fundraising3205Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2297658Total
Program Services1853553ProgramServices
Management And General404103ManagementAndGeneral
Fundraising40002Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total816082Total
Program Services742894ProgramServices
Management And General68050ManagementAndGeneral
Fundraising5138Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total48171Total
Management And General48171ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total33850Total
Management And General33850ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total308676Total
Program Services132000ProgramServices
Management And General176676ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total55849Total
Program Services157ProgramServices
Management And General55692ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total726258Total
Program Services406036ProgramServices
Management And General320222ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total417155Total
Program Services309821ProgramServices
Management And General107334ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total1118157Total
Program Services1087404ProgramServices
Management And General29950ManagementAndGeneral
Fundraising803Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total143069Total
Program Services39507ProgramServices
Management And General103562ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total537283Total
Program Services293130ProgramServices
Management And General244153ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total111466Total
Program Services63067ProgramServices
Management And General48399ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
HEALTH CARE SUPPLIES18419631841963
PHARMACEUTICALS930478930478
REPAIRS & MAINTENANCE781176143616681
FUNDRAISING INDIRECT4698446984

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total21471533Total
Program Services18719631ProgramServices
Management And General2589117ManagementAndGeneral
Fundraising162785Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1423079BOY
EOY534678EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY17809BOY
EOY17841EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY88883BOY
EOY47971EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2032206BOY
EOY3892873EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY56898BOY
EOY81842EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY169572BOY
EOY170095EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis14403153LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec3443670LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY11183759BOY
EOY10959483EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY1947472BOY
EOY2270459EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1622791BOY
EOY1549534EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY18542469BOY
EOY19524776EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1967742BOY
EOY2150200EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY4340015BOY
EOY4112720EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY50000BOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY6357757BOY
EOY6262920EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY10412464BOY
EOY11558435EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1772248BOY
EOY1703421EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY12184712BOY
EOY13261856EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY18542469BOY
EOY19524776EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses788681ReconcilationRevenueExpenses
Reconciliation Unrealized Invest288463ReconciliationUnrealizedInvest
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years814252CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years881339CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3057022CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year821220CurrentTaxYearMinus1Year
Current Tax Year885795CurrentTaxYear
Total6459628Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years17018696CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years16578527CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years18343856CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year18184275CurrentTaxYearMinus1Year
Current Tax Year21376342CurrentTaxYear
Total91501696Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years17832948CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years17459866CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years21400878CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year19005495CurrentTaxYearMinus1Year
Current Tax Year22262137CurrentTaxYear
Total97961324Total
FieldValueIRS element (for citing)
Public Support Total50997961324PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years112422CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years73463CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years51218CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year49582CurrentTaxYearMinus1Year
Current Tax Year47875CurrentTaxYear
Total334560Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years112422CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years73463CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years51218CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year49582CurrentTaxYearMinus1Year
Current Tax Year47875CurrentTaxYear
Total334560Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years50932CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years88254CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years75822CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year108980CurrentTaxYearMinus1Year
Current Tax Year45613CurrentTaxYear
Total369601Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years17996302CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years17621583CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years21527918CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year19164057CurrentTaxYearMinus1Year
Current Tax Year22355625CurrentTaxYear
Total98665485Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99290PublicSupportPercentage509
Prior Year Support Percentage0.99190PriorYearSupportPercentage
Investment Income Percentage0.00000InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01000PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis2239848OtherCostOrOtherBasis
Book Value2239848BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis9800685OtherCostOrOtherBasis
Depreciation1990837Depreciation
Book Value7809848BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2362620OtherCostOrOtherBasis
Depreciation1452833Depreciation
Book Value909787BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings10959483TotalOfBookValueLandBuildings

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionBENEFICIAL INTEREST IN TRUSTDescription
Book Value1549534BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets1549534TotalBookValueOtherAssets
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt22591975TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments288463NetUnrealizedGainsInvestments
Other Revenues43298OtherRevenues
Revenue Not Rptd F990331761RevenueNotRptdF990
Revenue Subtotal22260214RevenueSubtotal
Total Revenue Per Form99022260214TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt21514831TotExpensesEtcAuditedFinclStmt
Other Expenses Included43298OtherExpensesIncluded
Expenses Not Rptd F99043298ExpensesNotRptdF990
Expenses Subtotal21471533ExpensesSubtotal
Total Expenses Per Form99021471533TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
LIABILITY UNDER FIN 48 FOOTNOTESCHEDULE D, PAGE 3, PART XHOSPICECARE IS CLASSIFIED AS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501 (C)(3) OF THE INTERNAL REVENUE CODE AND, THEREFORE, IS NOT SUBJECT TO TAXES ON INCOME DERIVED FROM ITS EXEMPT ACTIVITIES. HOSPICECARE HAS BEEN CLASSIFIED AS AN ORGANIZATION THAT IS NOT A PRIVATE FOUNDATION UNDER SECTION 509(A)(2). HOSPICECARE IS GENERALLY NO LONGER SUBJECT TO EXAMINATION BY TAXING AUTHORITIES FOR YEARS PRIOR TO 2009.
REVENUE AMOUNTS INCLUDED IN FINANCIALS - OTHERSCHEDULE D, PAGE 4, PART XI, LINE 2DFUNDRAISING EXPENSE 15,411 RENT EXPENSE 27,887
EXPENSE AMOUNTS INCLUDED IN FINANCIALS - OTHERSCHEDULE D, PAGE 4, PART XII, LINE 2DFUNDRAISING EXPENSE 15,411 RENT EXPENSE 27,887

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Licensed StatesWVLicensedStates

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GOLF 10 FOR 10NameOfEvent1
Gross Receipts Event197705GrossReceiptsEvent1
Charitable Contributions Event182294CharitableContributionsEvent1
Gross Revenue Event115411GrossRevenueEvent1
Other Direct Expenses Event115411OtherDirectExpensesEvent1
Name Of Event2WINE AUCTIONNameOfEvent2
Gross Receipts Event239875GrossReceiptsEvent2
Charitable Contributions Event239875CharitableContributionsEvent2
Total Number Of Other Events5TotalNumberOfOtherEvents
Gross Receipts Other Events73660GrossReceiptsOtherEvents
Charitable Contrib Other Events67160CharitableContribOtherEvents
Gross Revenue Other Events6500GrossRevenueOtherEvents
Other Direct Expenses Other Events6500OtherDirectExpensesOtherEvents
Gross Receipts Total211240GrossReceiptsTotal
Charitable Contributions Total189329CharitableContributionsTotal
Gross Revenue Total Events21911GrossRevenueTotalEvents
Other Direct Expenses Total Events21911OtherDirectExpensesTotalEvents
Direct Expense Summary Events21911DirectExpenseSummaryEvents

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (4 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
LARRY ROBERTSON
EXEC DIRECT20435613493217849
MARIA NAVARRO
PHYSICAN2364533515239968
DARRELL BOGGESS
PHYSICAN2113412837214178
AMY WIRTS
PHYSICIAN1455528549154101

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Bond ReferenceBondReferenceCdDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
CHAR BLDG COMM LEASE REV BONDS S200
A2006-09-271694983HUBBARD HOUSEfalsefalsefalse
CHAS BLDG COMM LEASE REV BONDS S200
B2007-12-203500000CONSTRUCTION - MAIN OFFICEfalsefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Bond ReferenceBondReferenceCdAmount In Reserve FundAmountInReserveFundCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
A169498316949832006falsefalsetruetrue
B350000035000002008falsefalsetruetrue

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTestChange In Use Bond Financed PropChangeInUseBondFinancedPropRemedial Action TakenRemedialActionTakenNon Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
Afalsefalsefalsefalsefalsefalsefalsetrue
Bfalsefalsefalsefalsefalsefalsefalsetrue

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledRebate Not Due YetRebateNotDueYetException To RebateExceptionToRebateNo Rebate DueNoRebateDueVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqs
Afalsefalsefalsefalsefalsefalsefalsefalsefalse
Bfalsefalsefalsefalsefalsefalsefalsefalsefalse

Form990 Schedule K Part V Form990ScheduleKPartV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Proc To Undertk Corrective ActionfalseProcToUndertkCorrectiveAction

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ALL OTHER ACCOMPLISHMENT DESCRIPTIONFORM 990, PAGE 2, PART III, LINE 4DOTHER CONSISTS OF BEREAVEMENT, EDUCATIONAL SERVICES VOLUNTEER SERVICES, HUBBARD HOSPICE HOUSE WEST, LESS IN-KIND EXPENSES.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BA DRAFT OF THE FINAL VERSION OF THE FORM 990 IS PROVIDED TO THE SIX MEMBERS OF THE EXECUTIVE COMMITTEE FOR REVIEW AND INPUT BEFORE THE 990 IS FILED.
ENFORCEMENT OF CONFLICTS POLICYFORM 990, PAGE 6, PART VI, LINE 12CBOARD MEMBERS ARE REQUIRED TO GIVE FULL WRITTEN DISCLOSURE OF POTENTIAL CONFLICTS AT THE BEGINNING OF EACH BOARD YEAR OR WITHIN ONE (1) MONTH OF ELECTION TO THE BOARD. IF A MATTER ARISES IN WHICH A MEMBER OF THE BOARD HAS A CONFLICT OF INTEREST, THE MEMBER SHALL PROMPTLY DISCLOSE IT TO THE BOARD OF DIRECTORS. IF A TRANSACTION INVOLVES A CONFLICT OF INTEREST, A BOARD MEMBER OR EMPLOYEE MAY DISCLOSE ANY KNOWN SIGNIFICANT REASONS WHY THE TRANSACTION MIGHT NOT BE IN THE BEST INTERESTS OF THE AGENCY. HOWEVER, THE BOARD MEMBER OR EMPLOYEE SHALL NOT PARTICIPATE IN DISCUSSION UNLESS REQUESTED TO DO SO, OR VOTE ON THE TRANSACTION. HIS/HER ABSTENTION AND THE REASON FOR IT, IF ANY, SHALL BE RECORDED IN THE MINUTES.
COMPENSATION PROCESS FOR TOP OFFICIALFORM 990, PAGE 6, PART VI, LINE 15AEXECUTIVE DIRECTOR COMPENSATION IS REVIEWED ANNUALLY BY THE BOARD PRESIDENT AND THE EXECUTIVE COMMITTEE. A REVIEW OF COMPARABLE INDUSTRY SALARIES AND EXECUTIVE DIRECTOR'S PERFORMANCE FOR THE YEAR IS PERFORMED. COMPENSATION PACKAGE RECOMMENDED BY THE PRESIDENT AND EXECUTIVE COMMITTEE IS APPROVED BY THE BOARD AS A WHOLE.
COMPENSATION PROCESS FOR OFFICERSFORM 990, PAGE 6, PART VI, LINE 15BCOMPENSATION FOR MANAGERS, DEPARTMENT HEADS, AND PHYSICIANS IS BASED UPON MARKET-BASED SALARIES (ADJUSTED FOR TENURE) PAID BY COMPARABLE POSITIONS IN THE HOSPICE AND HEALTHCARE INDUSTRY. EXECUTIVE DIRECTOR AND DIRECTOR OF HUMAN RESOURCES REVIEW THESE SALARIES ANNUALLY. PROPOSED CHANGES ARE PRESENTED TO THE BOD FOR APPROVAL.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
RECONCILIATION OF CHANGES - OTHERFORM 990, PART XI, LINE 9FUNDRAISING EXPENSE 15,411 RENT EXPENSE 27,887 FUNDRAISING EXPENSE -15,411 RENT EXPENSE -27,887

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1HOSPICE FOUNDATION OF WV INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11606 KANAWHA BLVD WESTAddressLine1
CityCHARLESTONCity
StateWVState
ZIP Code25312ZIPCode
FieldValueIRS element (for citing)
Primary ActivitiesPROMO/DEVLPrimaryActivities
Exempt Code Section501CExemptCodeSection
Public Charity Status3PublicCharityStatus
Direct Controlling Entity NAN/ADirectControllingEntityNA
Controlled OrgfalseControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

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