HOSPICE OF THE BLUEGRASS INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
HOSPICE OF THE BLUEGRASS INC (EIN 61-0978097)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-09-09
IRS object ID
201322529349300432
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)
Timestamp2013-09-09T14:00:05-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CROWE HORWATH LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line19600 Brownsboro RoadAddressLine1
Address Line2Suite 400AddressLine2
CityLouisvilleCity
StateKYState
ZIP Code402411122ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN610978097EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1HOSPICE OF THE BLUEGRASS INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlHOSPNameControl
Phone8592765344Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12312 Alexandria DriveAddressLine1
CityLexingtonCity
StateKYState
ZIP Code405043229ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameGRETCHEN BROWNName
TitleCEOTitle
Date Signed2013-09-09DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameRachel SpurlockName
PTINP00520729PTIN
Phone5023263996Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Name Of Principal Officer Business NameOfPrincipalOfficerBusiness

FieldValueIRS element (for citing)
Business Name Line1GRETCHEN BROWNBusinessNameLine1

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12312 ALEXANDRIA DRIVEAddressLine1
CityLEXINGTONCity
StateKYState
ZIP Code405043229ZIPCode
FieldValueIRS element (for citing)
Gross Receipts88002528GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.HOSPICEBG.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1978YearFormation
State Legal DomicileKYStateLegalDomicile
Activity Or Mission DescriptionOUR MISSION IS TO PROVIDE CARE TO TERMINALLY ILL PATIENTS, THE BEREAVED, AND THEIR FAMILIES AND TO EDUCATE PROFESSIONALS IN THE PHILOSOPHY OF HOSPICE AND PALLIATIVE CARE IN ORDER TO SUPPLY KNOWLEDGE TO THE COMMUNITY, PATIENTS AND FAMILIES.ActivityOrMissionDescription
Nbr Voting Members Governing Body18NbrVotingMembersGoverningBody
Nbr Independent Voting Members17NbrIndependentVotingMembers
Total Nbr Employees893TotalNbrEmployees
Total Nbr Volunteers800TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year2896487ContributionsGrantsPriorYear
Contributions Grants Current Year1836386ContributionsGrantsCurrentYear
Program Service Revenue Prior Year61662371ProgramServiceRevenuePriorYear
Program Service Revenue CY60860113ProgramServiceRevenueCY
Investment Income Prior Year1487837InvestmentIncomePriorYear
Investment Income Current Year2879173InvestmentIncomeCurrentYear
Other Revenue Prior Year10534OtherRevenuePriorYear
Other Revenue Current Year235250OtherRevenueCurrentYear
Total Revenue Prior Year66057229TotalRevenuePriorYear
Total Revenue Current Year65810922TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year506164GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY442322GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year37409714SalariesEtcPriorYear
Salaries Etc Current Year37535477SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year649226TotalFundrsngExpCurrentYear
Other Expense Prior Year28219888OtherExpensePriorYear
Other Expenses Current Year24897434OtherExpensesCurrentYear
Total Expenses Prior Year66135766TotalExpensesPriorYear
Total Expenses Current Year62875233TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-78537RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2935689RevenuesLessExpensesCY
Total Assets BOY83308072TotalAssetsBOY
Total Assets EOY88136282TotalAssetsEOY
Total Liabilities BOY16755258TotalLiabilitiesBOY
Total Liabilities EOY15458809TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY66552814NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY72677473NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionWE ARE A MISSION-DRIVEN ORGANIZATION DEDICATED TO PROVIDING THE HIGHEST INTERDISCIPLINARY PALLIATIVE CARE TO ALL WE SERVE. IN ADDITION TO SUPPORTING PATIENTS AND FAMILIES, WE COLLABORATE WITH PARTNERS AS LEADERS IN PALLIATIVE CARE; PROVIDE OPPORTUNITIES FOR THE COMMUNITY TO SHARE TIME, TALENT AND SUPPORT; SUPPORT STAFF AND VOLUNTEERS IN A CREATIVE CLIMATE WHERE THEY FIND MEANING AND CAN DO THEIR BEST WORK AND ARE A CENTER OF EDUCATION EXCELLENCE.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense49366343Expense
Grants442322Grants
Revenue59079289Revenue
DescriptionHOSPICE OF THE BLUEGRASS, INC. IS AN ORGANIZATION DEVOTED TO CARING FOR THE PHYSICAL, PSYCHOSOCIAL, EMOTIONAL AND SPIRITUAL NEEDS OF TERMINALLY ILL INDIVIDUALS AND THEIR FAMILIES. THE CARE PROVIDED INCLUDES COUNSELING, PALLIATIVE AND SUPPORTIVE CARE. SUPPORT, EDUCATION, AND BEREAVEMENT SERVICES ARE PROVIDED TO THE COMMUNITY AS WELL. HOSPICE PROVIDED 336,658 DAYS OF PATIENT CARE TO 5,106 PATIENTS IN 32 COUNTIES WITHIN KENTUCKY. DANIEL'S CARE, A SPECIAL PEDIATRIC CARE SERVICE, SERVED 67 CHILDREN WITH LIFE-THREATENING ILLNESSES. THE EDUCATION DIVISION OFFERED 336 PRESENTATIONS AND PARTICIPATED IN 30 HEALTH FAIRS REACHING 20,197 PROFESSIONAL AND COMMUNITY MEMBERS. BEREAVEMENT COUNSELORS PROVIDED 13,117 HOURS OF COUNSELING TIME DURING THE YEAR. CHARITY CARE PROVIDED TO PATIENTS APPROXIMATED $466,000. (CONTINUED IN SCHEDULE O)Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense1451817Expense
Grants0Grants
Revenue2005259Revenue
DescriptionEXTRA CARE, A DIVISION OF HOSPICE OF THE BLUEGRASS, PROVIDES SUPPLEMENTAL STAFFING TO HOSPICE OF THE BLUEGRASS OFFICES, IT ALSO PROVIDES HOME CARE ASSISTANCE AND PRIVATE DUTY NURSING CARE TO PRIMARILY NON-AMBULATORY AND/OR ELDERLY INDIVIDUALS. APPROXIMATELY 91,500 HOURS OF CARE WERE PROVIDED BY EXTRA CARE DURING THE YEAR.Description
FieldValueIRS element (for citing)
Total Program Service Expense50818160TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArttrueCollectionsOfArt
Credit CounselingtrueCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiestrueForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingtrueGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
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 RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArttrueDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Info In Schedule O Part VXInfoInScheduleOPartV
Number Forms Transmitted With1096220NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees893NumberOfEmployees
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
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members18NbrVotingGoverningBodyMembers
Number Independent Voting Members17NumberIndependentVotingMembers
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 BodytrueForm990ProvidedToGoverningBody
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 FiledKYStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1CAROL RUGGLES CFOBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8592765344TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12312 ALEXANDRIA DRIVEAddressLine1
CityLEXINGTONCity
StateKYState
ZIP Code405043229ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (32 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationAverage Hours Per Week RelatedAverageHoursPerWeekRelatedHighest Compensated EmployeeHighestCompensatedEmployee
ERIC FRANKL
SECRETARY BOARD OF DIRECTORS2.00XX000
GRETCHEN BROWN
PRESIDENT/CEO39.80XX3601100222140.20
JEN SHAH
TREASURER BOARD OF DIRECTORS2.00XX000
MARK NABITY
VICE CHAIR BOARD OF DIRECTORS2.00XX000
WOODFORD WEBB
CHAIR BOARD OF DIRECTORS2.00XX000
BETSY CLEMONS
BOARD MEMBER1.00X000
BRUCE BROOKS
BOARD MEMBER1.00X000
GEORGE WALLACE
BOARD MEMBER1.00X000
J D MILLER
BOARD MEMBER1.00X000
JACK CUNNINGHAM
BOARD MEMBER1.00X000
JOHN MILWARD
BOARD MEMBER1.00X000
JOHN RASNICK
BOARD MEMBER1.00X000
MARK MILLER
BOARD MEMBER1.00X000
MELBA BJORNSON
BOARD MEMBER1.00X000
RANDY LEMAY
BOARD MEMBER (PARTIAL YEAR)1.00X000
SHANNON ARVIN
BOARD MEMBER1.00X000
SUSAN STEMPEL
BOARD MEMBER1.00X000
TERRI FRYMAN
BOARD MEMBER1.00X000
TONYA JACKSON
BOARD MEMBER1.00X000
CAROL RUGGLES
VP FINANCE/CFO39.80X1387680301120.20
CROSWELL CHAMBERS
CHIEF INFORMATION AND SECURITY OFFICER40.00X10676306126
DANITA ROSS
VP HUMAN RESOURCES40.00X116563023909
DEEDE BYRNE
CHIEF CLINICAL OFFICER40.00X120806022618
EUGENIA SMITHER
VP COMPLIANCE AND QUALITY IMPROVEMENT40.00X103016015392
SUSAN SWINFORD
VP ADMINISTRATION39.00X1118530253871.00
SUSAN WARE
VP DEVELOPMENT40.00X115190012650
TODD COTE
CHIEF MEDICAL OFFICER48.00X209868522053229612.00
CHRISTOPHER LYON
ASSOCIATE MEDICAL DIRECTOR57.501638437076235092.50X
KIMBERLY BELL
ASSOCIATE MEDICAL DIRECTOR56.901628328896130553.10X
NANNETTE BERNALES
ASSOCIATE MEDICAL DIRECTOR60.00158106028993X
SALLI WHISMAN
SENIOR HOSPICE MEDICAL DIRECTOR57.301874118667320372.70X
WENDY LATUNIK
ASSOSCIATE MEDICAL DIRECTOR57.801523425853154622.20X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2207471TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs82697TotalReportableCompFrmRltdOrgs
Total Other Compensation303760TotalOtherCompensation
Number Individuals GT100 K19NumberIndividualsGT100K
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
INTEGRITY IT
3080 HARRODSBURG RD STE 104LEXINGTONKY405032778INFORMATION TECHNOLOGY SERVICES807180
BEX CONSTRUCTION INC
153 PROSPEROUS PL STE 1ALEXINGTONKY405092182CONSTRUCTION CONTRACTOR392588
CRM COMPANIES
270 S LIMESTONELEXINGTONKY405082566FACILITY MANAGEMENT230712
KENTUCKY MEDICAL SERVICES FOUNDATION INC
2333 ALUMNI PARK PLZLEXINGTONKY405174022PHYSICIAN SERVICES205029
MCBRAYER MCGINNIS LESLIE & KIRKLAND PLLC
201 E MAIN ST STE 900LEXINGTONKY405072003LEGAL/CONSULTING118530
FieldValueIRS element (for citing)
Number Of Contractors GT100 K7NumberOfContractorsGT100K
Federated Campaigns17889FederatedCampaigns
Fundraising Events183714FundraisingEvents
Related Organizations9392RelatedOrganizations
Government Grants135050GovernmentGrants
All Other Contributions1490341AllOtherContributions
Noncash Contributions53942NoncashContributions
Total Contributions1836386TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICE REVENUE6216106081058160810581
CONTRACT REVENUE6213004695146951
EDUCATIONAL PROGRAM REVENUE61143025812581
0
0

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue60860113TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1738221TotalRevenueColumn
Exclusion$1,738,221ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities22994895Securities
Other184323Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities22015337Securities
Other22929Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities979558Securities
Other161394Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1140952TotalRevenueColumn
Exclusion$1,140,952ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events144965GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events183714CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses145086FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-121TotalRevenueColumn
Exclusion-$121ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Gaming19190GrossIncomeGaming
Gaming Direct Expenses8254GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column10936TotalRevenueColumn
Exclusion$10,936ExclusionAmount

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
INSURANCE RECOVERY900099214306214306
MANAGEMENT FEES90009963326332
DOCUMENT REQUEST FEES90009915651565

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column2232TotalRevenueColumn
Related Or Exempt Function Income2232RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue224435TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column65810922TotalRevenueColumn
Related Or Exempt Function Income61084548RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$2,889,988ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total442322Total
Program Services442322ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1567208Total
Program Services691963ProgramServices
Management And General792209ManagementAndGeneral
Fundraising83036Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total29182927Total
Program Services23970077ProgramServices
Management And General4884129ManagementAndGeneral
Fundraising328721Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1230511Total
Program Services978926ProgramServices
Management And General236044ManagementAndGeneral
Fundraising15541Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total3448478Total
Program Services2635032ProgramServices
Management And General781141ManagementAndGeneral
Fundraising32305Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2106353Total
Program Services1689325ProgramServices
Management And General388823ManagementAndGeneral
Fundraising28205Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total107981Total
Management And General107981ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total54165Total
Management And General54165ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total20566Total
Management And General2566ManagementAndGeneral
Fundraising18000Fundraising

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total157446Total
Management And General157446ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1160449Total
Program Services904163ProgramServices
Management And General256286ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total260533Total
Management And General259903ManagementAndGeneral
Fundraising630Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1231744Total
Program Services367584ProgramServices
Management And General768554ManagementAndGeneral
Fundraising95606Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total1603509Total
Program Services1280970ProgramServices
Management And General301755ManagementAndGeneral
Fundraising20784Fundraising

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1610870Total
Program Services1006964ProgramServices
Management And General603906ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total2200188Total
Program Services1700026ProgramServices
Management And General500162ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total73233Total
Management And General73233ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total229841Total
Management And General229841ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1459837Total
Program Services1184525ProgramServices
Management And General257571ManagementAndGeneral
Fundraising17741Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total280104Total
Management And General280104ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
MEDICAID ROOM AND BOARD58466425846642
PHARMACY AND CHEMOTHERAPY35173083517308
PATIENT CONTRACT SERVICES23773602377360
MEDICAL SUPPLIES736202736202

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1969456Total
Program Services1488771ProgramServices
Management And General472028ManagementAndGeneral
Fundraising8657Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total62875233Total
Program Services50818160ProgramServices
Management And General11407847ManagementAndGeneral
Fundraising649226Fundraising

Total Joint Costs TotalJointCosts

FieldValueIRS element (for citing)
Total0Total

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY32726BOY
EOY47283EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY7481887BOY
EOY7363177EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY905069BOY
EOY587590EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY8227546BOY
EOY8906713EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY572199BOY
EOY346780EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY647216BOY
EOY663878EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis35954082LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec9644806LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY26715977BOY
EOY26309276EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY35353391BOY
EOY39710288EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY2321039BOY
EOY2518600EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY440175BOY
EOY440175EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY610847BOY
EOY1242522EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY83308072BOY
EOY88136282EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY8497050BOY
EOY8243082EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY353188BOY
EOY267113EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY4680BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY6897558BOY
EOY5933418EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY614784BOY
EOY673341EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY387998BOY
EOY341855EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY16755258BOY
EOY15458809EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY65154023BOY
EOY71193290EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY393061BOY
EOY461209EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1005730BOY
EOY1022974EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY66552814BOY
EOY72677473EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY83308072BOY
EOY88136282EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses2935689ReconcilationRevenueExpenses
Reconciliation Unrealized Invest3123134ReconciliationUnrealizedInvest
Reconcilation Other Changes65836ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
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 Years2234659CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2898750CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1960098CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2896487CurrentTaxYearMinus1Year
Current Tax Year1836386CurrentTaxYear
Total11826380Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years60601476CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years60967495CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years63863892CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year61662371CurrentTaxYearMinus1Year
Current Tax Year60860113CurrentTaxYear
Total307955347Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Total0Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

FieldValueIRS element (for citing)
Total0Total

Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt

FieldValueIRS element (for citing)
Total0Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years62836135CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years63866245CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years65823990CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year64558858CurrentTaxYearMinus1Year
Current Tax Year62696499CurrentTaxYear
Total319781727Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10049CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year543145CurrentTaxYearMinus1Year
Current Tax Year19164CurrentTaxYear
Total572358Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10049CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year543145CurrentTaxYearMinus1Year
Current Tax Year19164CurrentTaxYear
Total572358Total
FieldValueIRS element (for citing)
Public Support Total509319209369PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1430274CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1239239CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1410694CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1191994CurrentTaxYearMinus1Year
Current Tax Year1659204CurrentTaxYear
Total6931405Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1430274CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1239239CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1410694CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1191994CurrentTaxYearMinus1Year
Current Tax Year1659204CurrentTaxYear
Total6931405Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years299620CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years282052CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years162894CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year138664CurrentTaxYearMinus1Year
Current Tax Year467607CurrentTaxYear
Total1350837Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years64566029CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years65387536CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years67397578CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year65889516CurrentTaxYearMinus1Year
Current Tax Year64823310CurrentTaxYear
Total328063969Total
FieldValueIRS element (for citing)
Public Support Percentage5090.97300PublicSupportPercentage509
Prior Year Support Percentage0.97300PriorYearSupportPercentage
Investment Income Percentage0.02110InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.02130PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
General ExplanationOTHER INCOME, SCHEDULE A, PART III, LINE 12, DESCRIPTION - OTHER INCOME, COLUMN A - 299620, COLUMN B - 282052, COLUMN C - 162894, COLUMN D - 138664, COLUMN E - 467607, COLUMN F - 1350837;,GeneralExplanation

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 C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$20,566OtherActivitiesAmount
Total Lobbying Expenditures IIB20566TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierDescription of the activities reported on Lines 1a through 1iIdentifier
Return ReferenceSchedule C, Part II-B, Line 1ReturnReference
ExplanationIN 2012, HOSPICE OF THE BLUEGRASS (HOB) PAID $18,000 TO MML&K GOVERNMENT SOLUTIONS, A DIVISION OF MCBRAYER, MCGINNIS, LESLIE & KIRKLAND PLLC TO CONDUCT LOBBYING ACTIVITIES TO ASSIST HOB IN ITS EFFORTS TO IDENTIFY AND SECURE FEDERAL AND STATE FUNDING FOR THE HOSPICE FACILITY LOCATED IN HAZARD, KENTUCKY. ALSO IN 2012, HOB PAID DUES TO THE NATIONAL HOSPICE AND PALLIATIVE CARE ORGANIZATION, KENTUCKY HOME CARE ASSOCIATION AND KENTUCKY MEDICAL ASSOCIATION OF WHICH $2,566 IS RELATED TO LOBBYING ACTIVITIES.Explanation

Schedule D IRS990ScheduleD

Art Public Exhibition Amts ArtPublicExhibitionAmts

FieldValueIRS element (for citing)
Revenues Included0RevenuesIncluded
Assets In Part X51500AssetsInPartX

Collection Used For Other CollectionUsedForOther

FieldValueIRS element (for citing)
Collection Used For Other PurposesXCollectionUsedForOtherPurposes
Description Of Other PurposesCOMMUNITY BEREAVEMENTDescriptionOfOtherPurposes
FieldValueIRS element (for citing)
Solicited Assets For SalefalseSolicitedAssetsForSale
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FStrueIncludedOnFS
Explanation In Part XIIIXExplanationInPartXIII

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance1078184BeginningOfYearBalance
Contributions0Contributions
Investment Earnings Or Losses146672InvestmentEarningsOrLosses
End Of Year Balance1224856EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance1046452BeginningOfYearBalance
Contributions7000Contributions
Investment Earnings Or Losses24732InvestmentEarningsOrLosses
End Of Year Balance1078184EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance873382BeginningOfYearBalance
Contributions1000Contributions
Investment Earnings Or Losses172070InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures0OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance1046452EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance728814BeginningOfYearBalance
Contributions1000Contributions
Investment Earnings Or Losses157071InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures13503OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance873382EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance987252BeginningOfYearBalance
Contributions62189Contributions
Investment Earnings Or Losses-320515InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures0OtherExpenditures
Administrative Expenses112AdministrativeExpenses
End Of Year Balance728814EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.07300BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.62500PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.30200TermEndowmentEOYBalance
Endowments Held By Unrelated OrgstrueEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis3455360OtherCostOrOtherBasis
Book Value3455360BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis24442440OtherCostOrOtherBasis
Depreciation3973397Depreciation
Book Value20469043BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis611937OtherCostOrOtherBasis
Depreciation392049Depreciation
Book Value219888BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis7392845OtherCostOrOtherBasis
Depreciation5279360Depreciation
Book Value2113485BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis51500OtherCostOrOtherBasis
Book Value51500BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings26309276TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
ANNUITIES PAYABLE$147,404
FAIR VALUE ADJUSTMENT OF INTEREST RATE SWAP$194,451
FieldValueIRS element (for citing)
Total Of Amounts341855TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Collections of art - description of collectionsSchedule D, Part III, Line 4HOSPICE OWNS TWO MEMORIAL GARDEN SCULPTURES AND ONE FOYER SCULPTURE DESIGNED TO ENHANCE ITS COMMUNITY BEREAVEMENT PROGRAM. DONORS DESIGNATED SPECIFIC FUNDS FOR THE PURCHASE OF THE GARDEN SCULPTURES AND THE FOYER SCULPTURE WAS DONATED.
Explanation of escrow agreementSchedule D, Part IV, Line 2bTHE ORGANIZATION HOLDS FUNDS FOR JESSAMINE COUNTY HOSPICE CHARITIES. THESE FUNDS ARE RECORDED AS BOTH AN ASSET AND A LIABILITY ON THE ORGANIZATION'S FINANCIAL STATEMENTS.
Intended uses of endowment fundsSchedule D, Part V, Line 4FUNDS RECEIVED FROM ENDOWMENTS ARE USED TO SUPPORT PROGRAM SERVICES.
FIN 48 (ASC 740) footnoteSchedule D, Part X, Line 2THE ORGANIZATION IS EXEMPT FROM INCOME TAXES ON INCOME FROM RELATED ACTIVITIES UNDER SECTION 501(C)(3) OF THE U.S. INTERNAL REVENUE CODE AND CORRESPONDING STATE TAX LAW. ACCORDINGLY, NO PROVISION HAS BEEN MADE FOR FEDERAL AND STATE INCOME TAXES. A TAX POSITION IS RECOGNIZED AS A BENEFIT ONLY IF IT IS "MORE LIKELY THAN NOT" THAT THE TAX POSITION WOULD BE SUSTAINED IN A TAX EXAMINATION, WITH A TAX EXAMINATION BEING PRESUMED TO OCCUR. THE AMOUNT RECOGNIZED IS THE LARGEST AMOUNT OF TAX BENEFIT THAT IS GREATER THAN 50% LIKELY OF BEING REALIZED ON EXAMINATION. FOR TAX POSITIONS NOT MEETING THE "MORE LIKELY THAN NOT" TEST, NO TAX BENEFIT IS RECORDED. DUE TO ITS TAX-EXEMPT STATUS, THE ORGANIZATION IS NOT SUBJECT TO U.S. FEDERAL INCOME TAX OR STATE INCOME TAX. THE ORGANIZATION'S FORM 990 HAS NOT BEEN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE OR THE STATE OF KENTUCKY FOR THE LAST THREE YEARS. THE ORGANIZATION DOES NOT EXPECT THE TOTAL OF UNRECOGNIZED TAX BENEFITS TO SIGNIFICANTLY CHANGE IN THE NEXT 12 MONTHS. THE ORGANIZATION DID NOT HAVE ANY AMOUNTS ACCRUED OR RECOGNIZED FOR INTEREST AND PENALTIES AT DECEMBER 31, 2012 AND 2011.

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable

FieldValueIRS element (for citing)
RegionCENTRAL AMERICA AND THE CARIBBEANRegion
Number Of Offices0NumberOfOffices
Number Of Employees0NumberOfEmployees
Type Of Activities ConductedINVESTMENTSTypeOfActivitiesConducted
Total Expenditures2319000TotalExpenditures
FieldValueIRS element (for citing)
Total Number Of Offices0TotalNumberOfOffices
Total Number Of Employees0TotalNumberOfEmployees
Total Amount Spent2319000TotalAmountSpent
Transfer To Foreign CorpfalseTransferToForeignCorp
Interest In Foreign TrustfalseInterestInForeignTrust
Own Foreign CorptrueOwnForeignCorp
Passive Foreign Invest CotruePassiveForeignInvestCo
Foreign PartnershipfalseForeignPartnership
Boycott CountriesfalseBoycottCountries

Form990 Schedule F Part V Form990ScheduleFPartV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Method used to account for expenditures on organization's financial statementsSchedule F, Part I, Line 3CENTRAL AMERICA AND THE CARIBBEAN: ACCRUAL
Method used to account for expenditures on organization's financial statementsSchedule F, Part I, Line 3CENTRAL AMERICA AND THE CARIBBEAN: ACCRUAL

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1FRANKFORT GALANameOfEvent1
Gross Receipts Event174215GrossReceiptsEvent1
Charitable Contributions Event138661CharitableContributionsEvent1
Gross Revenue Event135554GrossRevenueEvent1
Rent Facility Costs Event19078RentFacilityCostsEvent1
Food And Beverage Event111560FoodAndBeverageEvent1
Entertainment Event1600EntertainmentEvent1
Other Direct Expenses Event111379OtherDirectExpensesEvent1
Name Of Event2NORTHERN KENTUCKY GALANameOfEvent2
Gross Receipts Event267573GrossReceiptsEvent2
Charitable Contributions Event227491CharitableContributionsEvent2
Gross Revenue Event240082GrossRevenueEvent2
Rent Facility Costs Event24300RentFacilityCostsEvent2
Food And Beverage Event215677FoodAndBeverageEvent2
Entertainment Event23000EntertainmentEvent2
Other Direct Expenses Event28822OtherDirectExpensesEvent2
Total Number Of Other Events7TotalNumberOfOtherEvents
Gross Receipts Other Events186891GrossReceiptsOtherEvents
Charitable Contrib Other Events117562CharitableContribOtherEvents
Gross Revenue Other Events69329GrossRevenueOtherEvents
Rent Facility Costs Other Events19134RentFacilityCostsOtherEvents
Food And Beverage Other Events24759FoodAndBeverageOtherEvents
Entertainment Other Events16604EntertainmentOtherEvents
Other Direct Expenses Other Events20173OtherDirectExpensesOtherEvents
Gross Receipts Total328679GrossReceiptsTotal
Charitable Contributions Total183714CharitableContributionsTotal
Gross Revenue Total Events144965GrossRevenueTotalEvents
Cash Prizes Total Events0CashPrizesTotalEvents
Non Cash Prizes Total Events0NonCashPrizesTotalEvents
Rent Facility Costs Total Events32512RentFacilityCostsTotalEvents
Food And Beverage Total Events51996FoodAndBeverageTotalEvents
Entertainment Total Events20204EntertainmentTotalEvents
Other Direct Expenses Total Events40374OtherDirectExpensesTotalEvents
Direct Expense Summary Events145086DirectExpenseSummaryEvents
Net Income Summary-121NetIncomeSummary

Gaming Information GamingInformation

FieldValueIRS element (for citing)
Gross Revenue Other Gaming19190GrossRevenueOtherGaming
Cash Prizes Other Gaming7413CashPrizesOtherGaming
Other Direct Expenses Other Gaming841OtherDirectExpensesOtherGaming
Volunteer Labor Other GamingtrueVolunteerLaborOtherGaming
Volunteer Labor Prcnt Other Gaming0.85VolunteerLaborPrcntOtherGaming
Gross Revenue Total Gaming19190GrossRevenueTotalGaming
Cash Prizes Total Gaming7413CashPrizesTotalGaming
Non Cash Prizes Total Gaming0NonCashPrizesTotalGaming
Rent Facility Costs Total Gaming0RentFacilityCostsTotalGaming
Other Direct Expenses Total Gaming841OtherDirectExpensesTotalGaming
Direct Expense Summary Gaming8254DirectExpenseSummaryGaming
Net Gaming Income Summary10936NetGamingIncomeSummary
FieldValueIRS element (for citing)
States Where Gaming ConductedKYStatesWhereGamingConducted
LicensedtrueLicensed
License Suspended EtcfalseLicenseSuspendedEtc
Gaming With NonmembersfalseGamingWithNonmembers
Member Of Other EntityfalseMemberOfOtherEntity
Percentage Of Gaming Own Facility0PercentageOfGamingOwnFacility
Percentage Of Gaming Othr Facility1PercentageOfGamingOthrFacility

Name Of Gaming Rec Keeper Bus NameOfGamingRecKeeperBus

FieldValueIRS element (for citing)
Business Name Line1CAROL RUGGLESBusinessNameLine1

Address Of Gaming Rec Keeper US AddressOfGamingRecKeeperUS

FieldValueIRS element (for citing)
Address Line12312 ALEXANDRIA DRIVEAddressLine1
CityLEXINGTONCity
StateKYState
ZIP Code405043229ZIPCode
FieldValueIRS element (for citing)
Contract With3rd Party For Gam RevfalseContractWith3rdPartyForGamRev

Gaming Manager Name Business GamingManagerNameBusiness

FieldValueIRS element (for citing)
Business Name Line1KIM LIVESAYBusinessNameLine1
FieldValueIRS element (for citing)
Gaming Manager Compensation775GamingManagerCompensation
Gaming Manager Services ProvidedKIM LIVESAY IS THE DIRECTOR OF ANNUAL GIVING AND PUBLIC RELATIONS.GamingManagerServicesProvided
Gaming Manager Is EmployeeXGamingManagerIsEmployee
Charitable Distrib RequiredfalseCharitableDistribRequired

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1PALLIATIVE CARE CENTER OF THE BLUEGRASS INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12407 MEMBERS WAYAddressLine1
CityLEXINGTONCity
StateKYState
ZIP Code405043383ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient611333301EINOfRecipient
IRC Section501(C)(3)IRCSection
Amount Of Cash Grant442322AmountOfCashGrant
Amount Of Non Cash Assistance0AmountOfNonCashAssistance
Method Of ValuationN/AMethodOfValuation
Description Of Non Cash AssistanceN/ADescriptionOfNonCashAssistance
Purpose Of GrantFINANCIAL SUPPORT TO RELATED ORGANIZATIONPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierProcedures for monitoring use of grant fundsIdentifier
Return ReferenceSchedule I, Part I, Line 2ReturnReference
ExplanationPALLIATIVE CARE CENTER OF THE BLUEGRASS (PCC) IS A RELATED ORGANIZATION IN WHICH HOB PROVIDES SUPPORT FOR OPERATIONS. ON A CONSOLIDATED BASIS, THESE ENTRIES ARE ELIMINATED. HOWEVER, ON A STAND-ALONE BASIS TO PROVIDE TRANSPARENCY IN REPORTING, THE SUPPORT PROVIDED BY HOB IS REPORTED AS GRANT / ASSISTANCE TO PCC. ON PCC'S FORM 990 THIS WILL BE REFLECTED AS A CONTRIBUTION FROM RELATED ORGANIZATIONS. THE SUPPORT PROVIDED IS BASED ON INTERCOMPANY EXPENSES INCURRED BY PCC WHERE PCC DOES NOT HAVE THE CASH FLOW TO REIMBURSE HOB. THE AMOUNT IS DETERMINED ANNUALLY BY THE HOB BOARD OF DIRECTORS AND THE PCC BOARD OF DIRECTORS BASED ON A REQUEST FROM PCC.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
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 (8 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
SALLI WHISMAN
SENIOR HOSPICE MEDICAL DIRECTOR186772863700639309810453208119632180321008300
WENDY LATUNIK
ASSOSCIATE MEDICAL DIRECTOR152186584700156676712957219277167232642500
KIMBERLY BELL
ASSOCIATE MEDICAL DIRECTOR162661888700171960133286366348175211957200
NANNETTE BERNALES
ASSOCIATE MEDICAL DIRECTOR157332000774061970227960187099000
CAROL RUGGLES
VP FINANCE/CFO138354000414073980227140168880000
TODD COTE
CHIEF MEDICAL OFFICER2095365212300332821001024901585339432357315863800
GRETCHEN BROWN
PRESIDENT/CEO26581500094295012500097140382324000
CHRISTOPHER LYON
ASSOCIATE MEDICAL DIRECTOR1636707069001737844736514089608186379804900

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Health or social club dues or initiation feesSchedule J, Part I, Line 1aTHE ORGANIZATION PAYS CLUB DUES TO SPINDLETOP HALL, OPERATED BY THE UNIVERSITY OF KENTUCKY, WHICH REQUIRES INDIVIDUAL MEMBERSHIP AND DOES NOT PERMIT CORPORATE MEMBERSHIP, THEREFORE THE MEMBERSHIP IS WITH THE CEO; HOWEVER ALL INTERESTED PERSONS MAY UTILIZE THE MEMBERSHIP UPON CEO APPROVAL. DUES ARE MODEST AND THE AGENCY UTILIZES THE FACILITY FOR GROUP MEETINGS AND OCCASIONAL GUEST LUNCHEONS. THE BENEFIT WAS NOT TREATED AS TAXABLE COMPENSATION SPECIFICALLY TO THE INTERESTED PERSON AS THIS PERSON DOES NOT UTILIZE THE MEMBERSHIP FOR PERSONAL USE.
Supplemental nonqualified retirement planSchedule J, Part I, Line 4bGRETCHEN BROWN PARTICIPATES IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN IN WHICH SHE IS 100% VESTED. $34,438 WAS DEFERRED UNDER THE PLAN WITH RESPECT TO THE 2012 CALENDAR YEAR. IN ADDITION, THIS PLAN REPORTED $42,989 IN INVESTMENT EARNINGS IN 2012.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1CITY OF HAZARD KENTUCKYBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN616001839IssuerEIN
Date Issued2009-10-29DateIssued
Issue Price8750000IssuePrice
Description Of PurposeSEE SCHEDULE ODescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer
Pool FinancingfalsePoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Amount Retired2816582AmountRetired
Amount Bond Defeased0AmountBondDefeased
Total Proceeds8766651TotalProceeds
Amount In Reserve Fund0AmountInReserveFund
Capitalized Interest0CapitalizedInterest
Refunding Escrow0RefundingEscrow
Issuance Costs From Proceeds110802IssuanceCostsFromProceeds
Credit Enhancement0CreditEnhancement
Working Capital Expenditures0WorkingCapitalExpenditures
Capital Expenditures8655849CapitalExpenditures
Other Spent Proceeds0OtherSpentProceeds
Amount Unspent0AmountUnspent
Year Of Subst Completion2011YearOfSubstCompletion
Current RefundingfalseCurrentRefunding
Advance RefundingfalseAdvanceRefunding
Final Allocation MadetrueFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementsfalseAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtyfalseMngmentCntrctBondFinancdPrprty
Engage Bond Counsel ContractsfalseEngageBondCounselContracts
Any Research AgreementsfalseAnyResearchAgreements
Engage Bond Counsel ResearchfalseEngageBondCounselResearch
Prcntge Prvt Business Use By Others0.0000PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0.0000PercentageOfPrvtBusinessReUBI
Total Private Business Use0.0000TotalPrivateBusinessUse
Bond Iss Meet Prvt Security Pay TesttrueBondIssMeetPrvtSecurityPayTest
Change In Use Bond Financed PropfalseChangeInUseBondFinancedProp
Prcntge Bond Financed Prop0.000000PrcntgeBondFinancedProp
Remedial Action TakenfalseRemedialActionTaken
Non Qualified Bond Remed ProcdrstrueNonQualifiedBondRemedProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T FiledfalseForm8038TFiled
Rebate Not Due YettrueRebateNotDueYet
Exception To RebatetrueExceptionToRebate
No Rebate DuefalseNoRebateDue
Variable Rate IssuetrueVariableRateIssue
Hedge Identified In Books And RecdstrueHedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

FieldValueIRS element (for citing)
Business Name Line1BRANCH BANKING & TRUST COBusinessNameLine1
FieldValueIRS element (for citing)
Term Of Hedge5.0TermOfHedge
Superintegrated HedgetrueSuperintegratedHedge
Hedge TerminatedfalseHedgeTerminated
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGIC

Name Of GIC Provider NameOfGICProvider

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Term Of GIC0TermOfGIC
Regulatory Safe Harbor SatisfiedtrueRegulatorySafeHarborSatisfied
Gross Proceeds InvestedfalseGrossProceedsInvested
Written Proc To Monitor ReqstrueWrittenProcToMonitorReqs

Form990 Schedule K Part V Form990ScheduleKPartV

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

Form990 Schedule K Part VI Form990ScheduleKPartVI (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF PURPOSE OF BONDSCHEDULE K, PART I, COLUMN (F)THE PURPOSE OF THE BOND WAS TO FUND THE CONSTRUCTION OF A FREE-STANDING HOSPICE INPATIENT FACILITY AND AN ADMINISTRATIVE HOSPICE BUILDING IN HAZARD, KENTUCKY.
TOTAL PROCEEDS OF ISSUESCHEDULE K, PART II, LINE 3BOND ISSUE PRICE - $8,750,000 INVESTMENT EARNINGS - $16,651 TOTAL PROCEEDS OF ISSUE - $8,766,651
ISSUANCE COST FROM PROCEEDSSCHEDULE K, PART II, LINE 7PROCEEDS USED FOR BOND ISSUANCE COSTS (INCLUDING UNDERWRITERS' DISCOUNT) - $110,802

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1PAT BYRNE PRINTING INCBusinessNameLine1
FieldValueIRS element (for citing)
RelationshipPAT BYRNE PRINTING, INC. IS OWNED BY PAT BYRNE, THE SPOUSE OF DEEDE BYRNE, CHIEF CLINICAL OFFICER.Relationship
Amount Of Transaction123933AmountOfTransaction
Description Of TransactionPAT BYRNE PRINTING, INC. PRINTS VARIOUS PATIENT AND BUSINESS RELATED FORMS AND LITERATURE FOR HOSPICE OF THE BLUEGRASS. THIS TRANSACTION WAS MADE AT ARM'S LENGTH.DescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Schedule M IRS990ScheduleM

Books And Publications BooksAndPublications

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Noncash Contribs Rptd F9901228NoncashContribsRptdF990
Method Of Determining RevenuesREPLACEMENT COSTMethodOfDeterminingRevenues

Securities Publicly Traded SecuritiesPubliclyTraded

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions7NumberOfContributions
Noncash Contribs Rptd F99020456NoncashContribsRptdF990
Method Of Determining RevenuesMARKET VALUEMethodOfDeterminingRevenues

Other Non Cash Contributions Table OtherNonCashContributionsTable (4 entries)

Non Cash CheckboxNonCashCheckboxDescriptionDescriptionNumber Of ContributionsNumberOfContributionsNoncash Contribs Rptd F990NoncashContribsRptdF990Method Of Determining RevenuesMethodOfDeterminingRevenues
XCEMETERY PLOTS212985MARKET VALUE
XDURABLE MEDICAL EQUIPMENT11311370REPLACEMENT COST
XOFFICE SUPPLIES AND EQUIPMENT72890REPLACEMENT COST
XPATIENT AND FAMILY COMFORT ITEMS605013REPLACEMENT COST
FieldValueIRS element (for citing)
Number Of8283 Received0NumberOf8283Received
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftstrueReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Explanations of reporting method for number of contributionsSchedule M, Part ISECURITIES - PUBLICLY TRADED: NUMBER OF CONTRIBUTIONS BOOKS AND PUBLICATIONS: NUMBER OF CONTRIBUTIONS OTHER: NUMBER OF CONTRIBUTIONS OTHER: NUMBER OF CONTRIBUTIONS OTHER: NUMBER OF CONTRIBUTIONS OTHER: NUMBER OF CONTRIBUTIONS
Number of contributions or items contributed.Schedule M, part I, column (b), Line 9NUMBER OF CONTRIBUTIONS
Number of contributions or items contributed.Schedule M, part I, column (b), Line 4NUMBER OF CONTRIBUTIONS
Number of contributions or items contributed.Schedule M, part I, column (b), Line other=CEMETERY PLOTSNUMBER OF CONTRIBUTIONS
Number of contributions or items contributed.Schedule M, part I, column (b), Line other=DURABLE MEDICAL EQUIPMENTNUMBER OF CONTRIBUTIONS

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (18 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
PROGRAM SERVICE DESCRIPTIONFORM 990, PART III, LINE 4ASIGNIFICANT ACTIVITIES IN 2012 INCLUDED BRINGING ALL PHARMACY SERVICES IN-HOUSE AND PROVIDING TRANSITION SERVICES FROM HOSPITAL TO HOME FOR MEDICARE BENEFICIARIES WHO ARE AT RISK OF READMISSION TO THE HOSPITAL WITHIN 30 DAYS. ALSO, WE HAVE PARTNERED WITH THE UNIVERSITY OF KENTUCKY (UK) TO CREATE A NEW END-OF-LIFE CARE PROGRAM FOR PEDIATRIC PATIENTS AT THE UK HOSPITAL. PLEASE VISIT OUR WEBSITE AT WWW.HOSPICEBG.ORG FOR FURTHER INFORMATION ON SERVICES PROVIDED.
EMPLOYEES REPORTED ON FORM W-3FORM 990, PART V, LINE 2AHOSPICE OF THE BLUEGRASS, INC. (HOB) EIN 61-0978097 IS THE COMMON PAYING AGENT FOR PALLIATIVE CARE CENTER OF THE BLUEGRASS, INC. (PCC), A RELATED ORGANIZATION. THEREFORE, ALL APPLICABLE IRS TAX FILINGS ARE REPORTED BY HOB. THE TOTAL NUMBER OF EMPLOYEES REPORTED ON FORM W-3 AND FILED BY THE COMMON PAYING AGENT, HOB, FOR 2012 WAS 909. FOR PURPOSES OF REPORTING THE NUMBER OF EMPLOYEES ON THE FORM 990, LINE 2A FOR HOB AND PCC, THERE WERE 893 AND 16 REPORTED FOR EACH RESPECTIVE ORGANIZATION.
Delegate broad authority to a committeeForm 990, Part VI, Section A, Line 1aTHE EXECUTIVE COMMITTEE CONSISTS OF THE CHAIRMAN OF THE BOARD, THE VICE CHAIRMAN OF THE BOARD, THE IMMEDIATE PAST CHAIRMAN OF THE BOARD, THE PRESIDENT AND CHIEF EXECUTIVE OFFICER, THE SECRETARY, AND THE TREASURER. THE ONLY COMMITTEE MEMBER NOT ON THE GOVERNING BODY (THE BOARD) IS THE IMMEDIATE PAST CHAIRMAN OF THE BOARD WHO SERVES ON THE EXECUTIVE COMMITTEE AS AN EX-OFFICIO, NON-VOTING AND NON-FIDUCIARY MEMBER. THE EXECUTIVE COMMITTEE MAY HAVE AND EXERCISE ALL AUTHORITY OF THE BOARD OF DIRECTORS IN DEALING WITH THE DAY-TO-DAY MANAGEMENT OF THE ORGANIZATION TO THE EXTENT PERMITTED BY LAW. THE ACTIONS TAKEN SHALL BE REPORTED TO THE BOARD EITHER BY WRITTEN MINUTES OR REPORT BY THE CHAIRMAN.
Review of form 990 by governing bodyForm 990, Part VI, Section B, Line 11bA COPY OF THE ORGANIZATION'S FINAL FORM 990 (INCLUDING REQUIRED SCHEDULES), AS ULTIMATELY FILED WITH THE IRS, WAS PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY AND OFFICERS IN ATTENDANCE AT THE AUDIT AND FINANCE COMMITTEE MEETING ON AUGUST 23, 2013 PRIOR TO ITS FILING WITH THE IRS. IN ADDITION, THE ORGANIZATION'S RETURN PREPARER AND MANAGEMENT PRESENTED A FORM 990 SUMMARY REPORT AT THIS MEETING.
Conflict of interest policyForm 990, Part VI, Section B, Line 12cALL ORGANIZATION PERSONNEL, MEMBERS OF THE GOVERNING BODY AND ADVISORY BOARDS ARE COVERED UNDER THE ORGANIZATION'S CONFLICT OF INTEREST POLICY. IN THE EVENT A SITUATION ARISES WHEREBY AN EMPLOYEE HAS A CONFLICT OF INTEREST, HE/SHE IS OBLIGATED TO REPORT THAT POTENTIAL TO THE PRESIDENT/CEO. DISCLOSURE OF A POTENTIAL CONFLICT AND THE PRESIDENT/CEO'S DECISION REGARDING THE ACTIONS WILL BE NOTED IN A FILE KEPT BY THE PRESIDENT/CEO. IN THE EVENT A SITUATION EXISTS WHEREBY A MEMBER OF THE GOVERNING BODY OR ADVISORY COMMITTEE HAS A CONFLICT OF INTEREST, HE/SHE IS OBLIGATED TO REPORT THAT POTENTIAL TO THE GOVERNING BODY. THE GOVERNING BODY WILL THEN RENDER A DECISION OF THAT MEMBER'S ELIGIBILITY TO VOTE ON ANY PARTICULAR ISSUE. DISCLOSURE OF A POTENTIAL CONFLICT AND THE GOVERNING BODY'S DECISION REGARDING THE CONFLICT WILL BE NOTED IN THE MINUTES.
Process used to establish compensation of top management officialForm 990, Part VI, Section B, Line 15aTHE CEO/PRESIDENT'S COMPENSATION IS ESTABLISHED AND APPROVED ANNUALLY BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. THE COMMITTEE UTILIZES DATA PROVIDED BY INDEPENDENT COMPENSATION CONSULTANT STUDIES TO PROVIDE A BASIS FOR COMPARISON ALONG WITH AN ASSESSMENT OF THE CEO TO ARRIVE AT THE COMPENSATION AMOUNT. THIS PROCESS WAS LAST UNDERTAKEN IN THE 1ST QUARTER OF 2012. THE APPROVAL OF THE CEO/PRESIDENT'S COMPENSATION IS DOCUMENTED IN THE EXECUTIVE COMMITTEE MEETING MINUTES.
Process used to establish compensation of other officers/key employeesForm 990, Part VI, Section B, Line 15bTHE ORGANIZATION HAS A COMPENSATION PROGRAM WHICH APPLIES TO ALL PERSONNEL EXCEPT THE PRESIDENT/CEO. THE POLICIES AND PROCEDURES DEFINE THE GENERAL RULES OF OPERATION OF THE COMPENSATION PROGRAM AND THE PRESIDENT/CEO RETAINS THE AUTHORITY TO REVISE THE POLICY AS NEEDED FOR THE EFFECTIVE MANAGEMENT OF THE PROGRAM. THE COMPENSATION PROGRAM WAS INITIALLY DEVELOPED BY A COMPENSATION FIRM, MERCER, INC. IN JANUARY 1997. IT IS REVIEWED AND REVISED AS NEEDED WITH THE MOST RECENT DETAILED REVIEW BEING PERFORMED IN OCTOBER 2010 FOR 2011 COMPENSATION BY HANNA RESOURCE GROUP.
Governing documents, conflict of interest policy and financial statements available to the publicForm 990, Part VI, Section C, Line 19FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND CONFLICT OF INTEREST POLICIES ARE NOT REQUIRED TO BE DISCLOSED PUBLICLY PURSUANT TO INTERNAL REVENUE CODE (IRC) SECTION 6104. THESE DOCUMENTS MAY BE DISCLOSED BASED UPON THE DISCRETION OF THE BOARD.
HOURS FOR RELATED ORGANIZATIONSFORM 990, PART VII, SECTION A, LINE 1A, COLUMN (B)EMPLOYEES HAVING ONE HOUR OR LESS PER WEEK AS HOURS FOR RELATED ORGANIZATIONS DO NOT HAVE REPORTABLE COMPENSATION FROM RELATED ORGANIZATIONS LISTED AS THE VALUE OF THEIR COMPENSATION FOR RELATED ORGANIZATIONS IS IDENTIFIED AS A COMPONENT OF PURCHASED SERVICES AND NOT AS REPORTABLE COMPENSATION.
Other changes in net assets or fund balancesForm 990 , Part XI, Line 9CHANGE IN VALUE OF INTEREST RATE SWAP - 65836;
Number of contributions or items contributed.Schedule M, part I, column (b), Line other=OFFICE SUPPLIES AND EQUIPMENTNUMBER OF CONTRIBUTIONS
Number of contributions or items contributed.Schedule M, part I, column (b), Line other=PATIENT AND FAMILY COMFORT ITEMSNUMBER OF CONTRIBUTIONS
Number of contributions or items contributed.Schedule M, part I, column (b), Line 9NUMBER OF CONTRIBUTIONS
Number of contributions or items contributed.Schedule M, part I, column (b), Line 4NUMBER OF CONTRIBUTIONS
Number of contributions or items contributed.Schedule M, part I, column (b), Line other=CEMETERY PLOTSNUMBER OF CONTRIBUTIONS
Number of contributions or items contributed.Schedule M, part I, column (b), Line other=DURABLE MEDICAL EQUIPMENTNUMBER OF CONTRIBUTIONS
Number of contributions or items contributed.Schedule M, part I, column (b), Line other=OFFICE SUPPLIES AND EQUIPMENTNUMBER OF CONTRIBUTIONS
Number of contributions or items contributed.Schedule M, part I, column (b), Line other=PATIENT AND FAMILY COMFORT ITEMSNUMBER OF CONTRIBUTIONS

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodePrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
PALLIATIVE CARE CENTER OF THE BLUEGRASS
2312 ALEXANDRIA DRIVELEXINGTONKY405043229PATIENT CAREKY501(C)(3)9HOSPICE OF THE BLUEGRASStrue
HOSPICE OF THE BLUEGRASS FOUNDATION INC
2312 ALEXANDRIA DRIVELEXINGTONKY40504SUPPORTKY501(C)(3)Type IHOSPICE OF THE BLUEGRASStrue

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityPercentage OwnershipPercentageOwnershipControlled OrgControlledOrg
HOSPICE MANAGEMENT SERVICES LLC
2312 ALEXANDRIA DRIVELEXINGTONKY40504611377125INACTIVEKYNAC CORPORATION1.00000false
PERPETUAL TRUST (1)
INVESTMENTSKYTRUST0false
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
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 FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1PALLIATIVE CARE CENTER OF THE BLUEGRASS INCBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeBTransactionType
Amount Involved442322AmountInvolved
Method Of Amt DeterminationFMVMethodOfAmtDetermination

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