BLUE RIDGE HOSPICE INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- BLUE RIDGE HOSPICE INC (EIN 54-1126227)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-04-01
- IRS object ID
- 201320919349300422
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-04-01T15:55:09-05:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 521130974 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ALBRIGHT CRUMBACKER MOUL & ITELL CPA'S | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1110 PROFESSIONAL COURT SUITE 300 | AddressLine1 |
| City | HAGERSTOWN | City |
| State | MD | State |
| ZIP Code | 21740 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 541126227 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BLUE RIDGE HOSPICE INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | BLUE | NameControl |
| Phone | 5405365210 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 333 WEST CORK STREET NO 405 | AddressLine1 |
| City | WINCHESTER | City |
| State | VA | State |
| ZIP Code | 22601 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | ERNEST J CARNEVALE JR | Name |
| Title | PRESIDENT AND CEO | Title |
| Phone | 3017395300 | Phone |
| Date Signed | 2013-03-21 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | R KERT SHIPWAY | Name |
| PTIN | P00349171 | PTIN |
| Phone | 3017395300 | Phone |
| Date Prepared | 2013-03-20 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | ERNEST J CARNEVALE JR | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 333 WEST CORK STREET SUITE 405 | AddressLine1 |
| City | WINCHESTER | City |
| State | VA | State |
| ZIP Code | 22601 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 16243692 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.BLUERIDGEHOSPICE.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1981 | YearFormation |
| State Legal Domicile | VA | StateLegalDomicile |
| Activity Or Mission Description | BLUE RIDGE HOSPICE'S MISSION IS TO MAKE QUALITY END-OF-LIFE CARE AVAILABLE TO INDIVIDUALS AND THEIR FAMILIES FACING SERIOUS ILLNESS AND TO SUPPORT ANYONE IN OUR COMMUNITY AFFECTED BY DEATH, DYING, AND LOSS. BLUE RIDGE HOSPICE PROVIDES PHYSICAL, EMOTIONAL, SOCIAL, AND SPIRITUAL CARE FOR TERMINALLY ILL PATIENTS AND THEIR FAMILIES IN THE REGIONS OF VIRGINIA CONSISTING OF THE CITY OF WINCHESTER AND COUNTIES OF FREDERICK, CLARKE, WARREN, FAUQUIER, SHENANDOAH, PAGE, RAPPAHANNOCK, AND WESTERN LOUDOUN. BLUE RIDGE HOSPICE PROVIDES AN EMPHASIS ON ENHANCING THE LIVES OF TERMINALLY ILL PERSONS. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 18 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 18 | NbrIndependentVotingMembers |
| Total Nbr Employees | 243 | TotalNbrEmployees |
| Total Nbr Volunteers | 906 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 2709704 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 2947657 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 13483134 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 12955639 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 63482 | InvestmentIncomePriorYear |
| Investment Income Current Year | 67195 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 109962 | OtherRevenuePriorYear |
| Other Revenue Current Year | 196755 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 16366282 | TotalRevenuePriorYear |
| Total Revenue Current Year | 16167246 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 8705009 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 8579253 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 2265749 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 7843143 | OtherExpensePriorYear |
| Other Expenses Current Year | 7182501 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 16548152 | TotalExpensesPriorYear |
| Total Expenses Current Year | 15761754 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -181870 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 405492 | RevenuesLessExpensesCY |
| Total Assets BOY | 4946172 | TotalAssetsBOY |
| Total Assets EOY | 5324411 | TotalAssetsEOY |
| Total Liabilities BOY | 1653195 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 1506472 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 3292977 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 3817939 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | SEE SCHEDULE "O" FOR MISSION STATEMENT. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 9620794 | Expense |
| Revenue | 12069295 | Revenue |
| Description | THE ORGANIZATION PROVIDES MEDICAL AND OTHER RELATED SERVICES, SUCH AS NURSING CARE, SOCIAL WORK, CERTIFIED NURSING ASSISTANTS AND VOLUNTEER ASSISTANCE, TO THE TERMINALLY ILL AND THEIR FAMILIES WHO LIVE IN THE COUNTIES OF FREDERICK, CLARKE, WARREN, FAUQUIER, SHENANDOAH, WESTERN LOUDOUN, PAGE, RAPPAHANNOCK AND THE CITY OF WINCHESTER, VA. BLUE RIDGE HOSPICE SERVED OVER 1,109 PATIENTS IN 2012. THESE PATIENTS WERE SERVED REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 1341522 | Expense |
| Revenue | 726217 | Revenue |
| Description | BLUE RIDGE HOSPICE INPATIENT CARE CENTER SERVED OVER 200 PATIENTS IN 2012 IN THEIR FACILITY. THE PATIENTS STAY AT THE FACILITY FOR GENERAL INPATIENT LEVEL OF CARE OR FOR ASSISTED LIVING ROOM AND BOARD CARE. THESE PATIENTS WERE SERVED REGARDLESS OF THEIR ABILITY TO PAY FOR THEIR STAY AT THE INPATIENT CARE CENTER. THE CENTER PROVIDES ROOM AND BOARD, NURSING, SOCIAL WORK, CERTIFIED NURSING ASSISTANTS, MUSIC THERAPY, CHAPLAIN, AND VOLUNTEER SERVICES TO ITS PATIENTS. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 298529 | Expense |
| Description | BLUE RIDGE HOSPICE PROVIDED BEREAVEMENT AND OUTREACH SERVICES, SUCH AS MUSIC THERAPY AND CHAPLAIN SERVICES TO THE POPULATION IN THE ENTIRE SERVICE AREA. BEREAVEMENT SERVICES ARE PROVIDED FREE OF CHARGE TO THE RESIDENTS IN THE BLUE RIDGE HOSPICE SERVICE AREA. MUSIC THERAPY AND CHAPLAIN SERVICES ARE PROVIDED AS AN UNREIMBURSED SERVICE TO HOSPICE PATIENTS. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 740833 | Expense |
| Revenue | 160127 | Revenue |
| Description | PALLIATIVE MEDICINE CONSULTANTS STRIVE TO RELIEVE PHYSICAL, EMOTIONAL, AND SPIRITUAL PAIN, WHILE IMPROVING THE QUALITY OF LIFE FOR PATIENTS AND THEIR FAMILIES WHO ARE FACING SERIOUS ILLNESS. PALLIATIVE MEDICINE CONSULTANTS SERVED 482 PATIENTS AND MADE 1,625 VISITS IN 2012 AT THE HOSPITAL AND OUT-PATIENT CLINIC. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 740833 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Rev | 160127 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 12001678 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 1 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 1 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 1 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 33 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 243 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 1 | QuidProQuoContributions |
| Quid Pro Quo Disclosure | 1 | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | 1 | Form8282PropertyDisposedOf |
| Number Of8282 Filed | 3 | NumberOf8282Filed |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Form1098 C Filed | 1 | Form1098CFiled |
| Excess Business Holdings | 0 | ExcessBusinessHoldings |
| Taxable Distributions | 0 | TaxableDistributions |
| Distribution To Donor | 0 | DistributionToDonor |
| Filed Lieu1041 | 0 | FiledLieu1041 |
| Licensed More Than One State | 0 | LicensedMoreThanOneState |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 18 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 18 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | VA | StatesWhereCopyOfReturnIsFiled |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHERYL RINGER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 5405365210 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 333 WEST CORK STREET SUITE 405 | AddressLine1 |
| City | WINCHESTER | City |
| State | VA | State |
| ZIP Code | 22601 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (25 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| ROBERT MOWERY CPA | ||||||||
| CHAIRPERSON | 0.00 | X | X | 0 | 0 | 0 | ||
| PAUL DELMERICO | ||||||||
| VICE CHAIRPERSON | 0.00 | X | X | 0 | 0 | 0 | ||
| BETHANNE BERMAN | ||||||||
| SECRETARY | 0.00 | X | X | 0 | 0 | 0 | ||
| NANCY PICKLAP CPA | ||||||||
| TREASURER | 0.00 | X | X | 0 | 0 | 0 | ||
| KATHY GUSTIN MD | ||||||||
| PAST CHAIR | 0.00 | X | X | 0 | 0 | 0 | ||
| GEORGE CALEY | ||||||||
| AT-LARGE | 0.00 | X | X | 0 | 0 | 0 | ||
| JACKSON W HELM MD | ||||||||
| AT-LARGE | 0.00 | X | X | 0 | 0 | 0 | ||
| LYNNE SAYLES | ||||||||
| AT-LARGE | 0.00 | X | X | 0 | 0 | 0 | ||
| HELEN ZEBARTH | ||||||||
| AT-LARGE | 0.00 | X | X | 0 | 0 | 0 | ||
| CHRISTOPHER CURRAN | ||||||||
| DIRECTOR | 0.00 | X | 0 | 0 | 0 | |||
| WANDA GILBERT | ||||||||
| DIRECTOR | 0.00 | X | 0 | 0 | 0 | |||
| JOHN HARDESTY | ||||||||
| DIRECTOR | 0.00 | X | 0 | 0 | 0 | |||
| MARY ANN KAPLAN | ||||||||
| DIRECTOR | 0.00 | X | 0 | 0 | 0 | |||
| BRENDA MATTHEWS | ||||||||
| DIRECTOR | 0.00 | X | 0 | 0 | 0 | |||
| SALLY MEGEATH | ||||||||
| DIRECTOR | 0.00 | X | 0 | 0 | 0 | |||
| SHERRY THOMAS | ||||||||
| DIRECTOR | 0.00 | X | 0 | 0 | 0 | |||
| JARED TRUBAN | ||||||||
| DIRECTOR | 0.00 | X | 0 | 0 | 0 | |||
| LEONARD YANG MD | ||||||||
| DIRECTOR | 0.00 | X | 0 | 0 | 0 | |||
| ERNEST J CARNEVALE JR | ||||||||
| PRESIDENT AND CEO | 40.00 | X | 194308 | 0 | 12052 | X | ||
| CHERYL RINGER | ||||||||
| VP OF FINANCE, CFO | 40.00 | X | 115497 | 0 | 17020 | |||
| PATRICIA BISHOP | ||||||||
| VP OF CLINICAL SERVICES | 40.00 | 123240 | 0 | 6049 | X | |||
| RICHARD MILLIGAN | ||||||||
| PHYSICIAN | 40.00 | 179068 | 0 | 17031 | X | |||
| JACK WRIGHT | ||||||||
| PHYSICIAN | 40.00 | 180405 | 0 | 12027 | X | |||
| PATRICIA GRAY-IRWIN | ||||||||
| VP OF CLINICAL SERVICES | 40.00 | 123971 | 0 | 26 | X | |||
| ANTHONY CROSEN | ||||||||
| VP OF DEVELOPMENT AND COMMUNITY SERVICES | 40.00 | 108170 | 0 | 17056 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1024659 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 81261 | TotalOtherCompensation |
| Number Individuals GT100 K | 7 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| ANTHEM | |||||
| PO BOX 580494 | CHARLOTTE | NC | 282580494 | HEATLH INSURANCE PROVIDER | 1722054 |
| HOSPISCRIPT LLC | |||||
| PO BOX 933273 | ATLANTA | GA | 311933273 | PHARMACY | 462297 |
| VALLEY HOME CARE | |||||
| PO BOX 1910 | WINCHESTER | VA | 226048060 | DURABLE MEDICAL SUPPLIER | 440038 |
| GULF SOUTH | |||||
| PO BOX 841968 | DALLAS | TX | 752841968 | MEDICAL SUPPLIES PROVIDER | 216288 |
| KEY RISK INSURANCE COMPANY | |||||
| PO BOX 18746 | GREENSBORO | NC | 274198746 | WORKERS COMPENSATION INSURANCE | 163920 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 11 | NumberOfContractorsGT100K |
| All Other Contributions | 2947657 | AllOtherContributions |
| Total Contributions | 2947657 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| HOSPICE CARE | 623990 | 12069295 | 12069295 |
| INPATIENT CARE CENTER | 623990 | 726217 | 726217 |
| PALLIATIVE CARE | 623990 | 160127 | 160127 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 12955639 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 59385 | TotalRevenueColumn |
| Exclusion | $59,385 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 7810 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 0 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 7810 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 7810 | TotalRevenueColumn |
| Exclusion | $7,810 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 226934 | GrossIncomeFundraisingEvents |
| Fundraising Direct Expenses | 76446 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 150488 | TotalRevenueColumn |
| Exclusion | $150,488 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | OTHER | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 46267 | TotalRevenueColumn |
| Related Or Exempt Function Income | 46267 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 46267 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 16167246 | TotalRevenueColumn |
| Related Or Exempt Function Income | 13001906 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $217,683 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | X | InfoInScheduleOPartIX |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 327870 | Total |
| Management And General | 327870 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7658355 | Total |
| Program Services | 6718600 | ProgramServices |
| Management And General | 675305 | ManagementAndGeneral |
| Fundraising | 264450 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16231 | Total |
| Program Services | 8338 | ProgramServices |
| Management And General | 7571 | ManagementAndGeneral |
| Fundraising | 322 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 576797 | Total |
| Program Services | 485323 | ProgramServices |
| Management And General | 72391 | ManagementAndGeneral |
| Fundraising | 19083 | Fundraising |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 108341 | Total |
| Program Services | 53173 | ProgramServices |
| Management And General | 17345 | ManagementAndGeneral |
| Fundraising | 37823 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8405 | Total |
| Program Services | 666 | ProgramServices |
| Management And General | 6451 | ManagementAndGeneral |
| Fundraising | 1288 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 423195 | Total |
| Program Services | 259923 | ProgramServices |
| Management And General | 81283 | ManagementAndGeneral |
| Fundraising | 81989 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 174018 | Total |
| Program Services | 137372 | ProgramServices |
| Management And General | 23724 | ManagementAndGeneral |
| Fundraising | 12922 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 384450 | Total |
| Program Services | 360582 | ProgramServices |
| Management And General | 20931 | ManagementAndGeneral |
| Fundraising | 2937 | Fundraising |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3979 | Total |
| Program Services | 246 | ProgramServices |
| Management And General | 1982 | ManagementAndGeneral |
| Fundraising | 1751 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 30216 | Total |
| Program Services | 22722 | ProgramServices |
| Management And General | 3747 | ManagementAndGeneral |
| Fundraising | 3747 | Fundraising |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 188936 | Total |
| Program Services | 163316 | ProgramServices |
| Management And General | 16586 | ManagementAndGeneral |
| Fundraising | 9034 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1301836 | Total |
| Program Services | 1087599 | ProgramServices |
| Management And General | 169798 | ManagementAndGeneral |
| Fundraising | 44439 | Fundraising |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | FundraisingFundraising |
|---|---|---|---|
| HOSPITAL SERVICES | 92484 | 92484 | |
| THRIFT SHOP EXPENSES | 1735271 | 1735271 | |
| PATIENT SERVICES - DRUG | 618996 | 618996 | |
| EQUIPMENT RENTAL | 492112 | 492112 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1620262 | Total |
| Program Services | 1500226 | ProgramServices |
| Management And General | 69343 | ManagementAndGeneral |
| Fundraising | 50693 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15761754 | Total |
| Program Services | 12001678 | ProgramServices |
| Management And General | 1494327 | ManagementAndGeneral |
| Fundraising | 2265749 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 547021 | BOY |
| EOY | 652551 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 39974 | BOY |
| EOY | 32391 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 27526 | BOY |
| EOY | 20819 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1328449 | BOY |
| EOY | 1403853 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1781 | BOY |
| EOY | 324 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 98152 | BOY |
| EOY | 104368 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 2123282 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 863716 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1276231 | BOY |
| EOY | 1259566 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1624254 | BOY |
| EOY | 1850539 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2784 | BOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4946172 | BOY |
| EOY | 5324411 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1194861 | BOY |
| EOY | 1037300 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 458334 | BOY |
| EOY | 469172 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1653195 | BOY |
| EOY | 1506472 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1998623 | BOY |
| EOY | 2525119 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1294354 | BOY |
| EOY | 1292820 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3292977 | BOY |
| EOY | 3817939 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4946172 | BOY |
| EOY | 5324411 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 405492 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 129937 | ReconciliationUnrealizedInvest |
| Reconcilation Invest Expenses | -10467 | ReconcilationInvestExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Separate | X | FinancialStatementSeparate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1567436 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1823183 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 2325866 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 2709704 | CurrentTaxYearMinus1Year |
| Current Tax Year | 2947657 | CurrentTaxYear |
| Total | 11373846 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1567436 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1823183 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 2325866 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 2709704 | CurrentTaxYearMinus1Year |
| Current Tax Year | 2947657 | CurrentTaxYear |
| Total | 11373846 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | 11373846 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 61440 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 36944 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 45780 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 61723 | CurrentTaxYearMinus1Year |
| Current Tax Year | 59045 | CurrentTaxYear |
| Total | 264932 | Total |
Other Income170 OtherIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 6627 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 5162 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 7850 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 3713 | CurrentTaxYearMinus1Year |
| Current Tax Year | 5471 | CurrentTaxYear |
| Total | 28823 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 11667601 | TotalSupport |
| Gross Receipts From Admissions Etc | 62557486 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.97480 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.96620 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1134541 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 60928 | InvestmentEarningsOrLosses |
| Other Expenditures | 60928 | OtherExpenditures |
| End Of Year Balance | 1134541 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1134541 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 58219 | InvestmentEarningsOrLosses |
| Other Expenditures | 58219 | OtherExpenditures |
| End Of Year Balance | 1134541 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1134541 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 43477 | InvestmentEarningsOrLosses |
| Other Expenditures | 43477 | OtherExpenditures |
| End Of Year Balance | 1134541 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1134541 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 35300 | InvestmentEarningsOrLosses |
| Other Expenditures | 35300 | OtherExpenditures |
| End Of Year Balance | 1134541 | EndOfYearBalance |
Current Year Minus4 Years CurrentYearMinus4Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1134541 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 46948 | InvestmentEarningsOrLosses |
| Other Expenditures | 46948 | OtherExpenditures |
| End Of Year Balance | 1134541 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Term Endowment EOY Balance | 1.00000 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 93000 | InvestmentCostOrOtherBasis |
| Book Value | 93000 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 229296 | InvestmentCostOrOtherBasis |
| Depreciation | 27934 | Depreciation |
| Book Value | 201362 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 682494 | InvestmentCostOrOtherBasis |
| Depreciation | 149164 | Depreciation |
| Book Value | 533330 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 975893 | InvestmentCostOrOtherBasis |
| Depreciation | 577826 | Depreciation |
| Book Value | 398067 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 142599 | InvestmentCostOrOtherBasis |
| Depreciation | 108792 | Depreciation |
| Book Value | 33807 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 1259566 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities (4 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| CORPORATE BONDS | 177379 | F |
| STOCK | 71834 | F |
| MUTUAL FUNDS | 1581450 | F |
| OTHER | 19876 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 1850539 | TotalOfBookValueSecurities |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 16412598 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 129937 | NetUnrealizedGainsInvestments |
| Donated Srvc And Use Of Facilities | 125882 | DonatedSrvcAndUseOfFacilities |
| Revenue Not Rptd F990 | 255819 | RevenueNotRptdF990 |
| Revenue Subtotal | 16156779 | RevenueSubtotal |
| Investment Expenses Not Included | 10467 | InvestmentExpensesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 10467 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 16167246 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 15887636 | TotExpensesEtcAuditedFinclStmt |
| Donated Services Use Of Facilities | 125882 | DonatedServicesUseOfFacilities |
| Expenses Not Rptd F990 | 125882 | ExpensesNotRptdF990 |
| Expenses Subtotal | 15761754 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 15761754 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: | PART V, LINE 4: | ENDOWMENT IS DESIGNATED TO FUND FUTURE GROWTH AND CONSTRUCTION PROJECTS. |
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | 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. |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | 5K RUN | NameOfEvent1 |
| Gross Receipts Event1 | 41835 | GrossReceiptsEvent1 |
| Gross Revenue Event1 | 41835 | GrossRevenueEvent1 |
| Other Direct Expenses Event1 | 10333 | OtherDirectExpensesEvent1 |
| Name Of Event2 | GALA | NameOfEvent2 |
| Gross Receipts Event2 | 125203 | GrossReceiptsEvent2 |
| Gross Revenue Event2 | 125203 | GrossRevenueEvent2 |
| Other Direct Expenses Event2 | 40837 | OtherDirectExpensesEvent2 |
| Total Number Of Other Events | 4 | TotalNumberOfOtherEvents |
| Gross Receipts Other Events | 59896 | GrossReceiptsOtherEvents |
| Gross Revenue Other Events | 59896 | GrossRevenueOtherEvents |
| Other Direct Expenses Other Events | 25276 | OtherDirectExpensesOtherEvents |
| Gross Receipts Total | 226934 | GrossReceiptsTotal |
| Gross Revenue Total Events | 226934 | GrossRevenueTotalEvents |
| Other Direct Expenses Total Events | 76446 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 76446 | DirectExpenseSummaryEvents |
| Net Income Summary | 150488 | NetIncomeSummary |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ERNEST J CARNEVALE JR | ||||||||||||||
| PRESIDENT AND CEO | 194308 | 0 | 0 | 0 | 0 | 0 | 61 | 0 | 11991 | 0 | 206360 | 0 | 0 | 0 |
| RICHARD MILLIGAN | ||||||||||||||
| PHYSICIAN | 179068 | 0 | 0 | 0 | 0 | 0 | 53 | 0 | 16978 | 0 | 196099 | 0 | 0 | 0 |
| JACK WRIGHT | ||||||||||||||
| PHYSICIAN | 180405 | 0 | 0 | 0 | 0 | 0 | 36 | 0 | 11991 | 0 | 192432 | 0 | 0 | 0 |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)
| RelationshipRelationship | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|
| LYNNE SAYLES | ||
| INVESTMENT BANKER/BOARD MEMBER | NO DIRECT INVOLVEMENT | 0 |
| WANDA GILBERT | ||
| EMPLOYEE OF VENDOR/LANDLORD/BOARD MEMBER | NO DIRECT INVOLVEMENT | 0 |
| KATHY GUSTIN | ||
| EMPLOYEE OF VENDOR/BOARD MEMBER | NO DIRECT INVOLVEMENT | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| 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 11 | 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. | |
| FORM 990, PART VI, SECTION B, LINE 12C | ANNUALLY ALL EMPLOYEES AND THE BOARD OF DIRECTORS ARE GIVEN A COPY OF BLUE RIDGE HOSPICE'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 IS DETERMINED ON AN ANNUAL BASIS BY THE BOARD OF DIRECTORS DURING HIS ANNUAL EVALUATION PROCESS. THE BOARD UTILIZES VARIOUS SALARY SERVICES AND RESOURCES TO DETERMINE APPROPRIATE SALARIES FOR POSITIONS. | |
| 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. | |
| FORM 990, PART IX, LINE 24E | NURSING HOME: PROGRAM SERVICE EXPENSES 480,640. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 480,640. BAD DEBT: PROGRAM SERVICE EXPENSES 395,683. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 395,683. SUPPLIES - NURSING AND MEDICAL: PROGRAM SERVICE EXPENSES 219,103. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 219,103. REPAIRS AND MAINTENANCE: PROGRAM SERVICE EXPENSES 99,453. MANAGEMENT AND GENERAL EXPENSES 37,383. FUNDRAISING EXPENSES 31,790. TOTAL EXPENSES 168,626. PATIENT SERVICES - THERAPY: PROGRAM SERVICE EXPENSES 138,252. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 138,252. PATIENT SERVICES - OTHER: PROGRAM SERVICE EXPENSES 58,273. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 58,273. PATIENT SERVICES - TRANSPORTATION: PROGRAM SERVICE EXPENSES 53,674. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 53,674. DUES AND SUBSCRIPTIONS: PROGRAM SERVICE EXPENSES 6,111. MANAGEMENT AND GENERAL EXPENSES 26,851. FUNDRAISING EXPENSES 3,300. TOTAL EXPENSES 36,262. HUMAN RESOURCES: PROGRAM SERVICE EXPENSES 20,161. MANAGEMENT AND GENERAL EXPENSES 3,010. FUNDRAISING EXPENSES 794. TOTAL EXPENSES 23,965. PUBLIC RELATIONS: PROGRAM SERVICE EXPENSES 975. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 13,097. TOTAL EXPENSES 14,072. PATIENT SERVICES - TESTS: PROGRAM SERVICE EXPENSES 10,900. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,900. VOLUNTEER: PROGRAM SERVICE EXPENSES 10,806. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,806. PHYSICIAN SERVICES: PROGRAM SERVICE EXPENSES 6,195. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,195. MISCELLANEOUS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 2,099. FUNDRAISING EXPENSES 1,712. TOTAL EXPENSES 3,811. | ALL OTHER FUNCTIONAL EXPENSES |
| THE ORGANIZATION HAS NOT CHANGED IT'S OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX YEAR. |
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