KANAWHA HOSPICE CARE INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
KANAWHA HOSPICE CARE INC (EIN 34-1337316)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-05-25
IRS object ID
201201469349300700
Schema version
2011v1.2
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)
Timestamp2012-05-25T08:18:47-05:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1707 VIRGINIA ST E STE 300AddressLine1
CityCHARLESTONCity
StateWVState
ZIP Code253012724ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN341337316EIN

Name Name

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

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameLARRY ROBERTSONName
TitleEXECUTIVE DIRECTORTitle
Phone3047688523Phone
Date Signed2012-05-22DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameROBERT ADAMSName
Phone3043458400Phone
Date Prepared2012-05-22DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

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

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11606 KANAWHA BLVD WAddressLine1
CityCHARLESTONCity
StateWVState
ZIP Code253872536ZIPCode
FieldValueIRS element (for citing)
Gross Receipts19390733GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.HOSPICECAREWV.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1981YearFormation
State Legal DomicileWVStateLegalDomicile
Activity Or Mission DescriptionPROVIDES HOSPICE CARE TO TERMINALLY ILL PATIENTSActivityOrMissionDescription
Nbr Voting Members Governing Body21NbrVotingMembersGoverningBody
Nbr Independent Voting Members20NbrIndependentVotingMembers
Total Nbr Employees314TotalNbrEmployees
Total Nbr Volunteers250TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year3057022ContributionsGrantsPriorYear
Contributions Grants Current Year1027519ContributionsGrantsCurrentYear
Program Service Revenue Prior Year18343856ProgramServiceRevenuePriorYear
Program Service Revenue CY18184275ProgramServiceRevenueCY
Investment Income Prior Year51218InvestmentIncomePriorYear
Investment Income Current Year-660InvestmentIncomeCurrentYear
Other Revenue Prior Year192157OtherRevenuePriorYear
Other Revenue Current Year75845OtherRevenueCurrentYear
Total Revenue Prior Year21644253TotalRevenuePriorYear
Total Revenue Current Year19286979TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year12858582SalariesEtcPriorYear
Salaries Etc Current Year14061012SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year152620TotalFundrsngExpCurrentYear
Other Expense Prior Year5598524OtherExpensePriorYear
Other Expenses Current Year5987578OtherExpensesCurrentYear
Total Expenses Prior Year18457106TotalExpensesPriorYear
Total Expenses Current Year20048590TotalExpensesCurrentYear
Revenues Less Expenses Prior Year3187147RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-761611RevenuesLessExpensesCY
Total Assets BOY19947934TotalAssetsBOY
Total Assets EOY18542469TotalAssetsEOY
Total Liabilities BOY6913999TotalLiabilitiesBOY
Total Liabilities EOY6357757TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY13033935NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY12184712NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionPROVIDES HOSPICE CARE TO TERMINALLY ILL PATIENTSMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense10373762Expense
Revenue14242608Revenue
DescriptionPATIENT CARE-PROVIDES IN-HOME AND INSTITUTIONAL HOSPICE CARE SERVICES TO TERMINALLY ILL PATIENTS.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense4921433Expense
Revenue3941667Revenue
DescriptionHOSPICE HOUSE - 24 BED FACILITY PROVIDING HOSPICE CARE SERVICES TO TERMINALLY ILL PATIENTS HOSPICE HOUSE WEST - 10 BED FACILITY PROVIDING HOSPICE CARE SERVICES TO TERMINALLY ILL PATIENTSDescription

Activity3 Activity3

FieldValueIRS element (for citing)
Expense1189852Expense
DescriptionSOCIAL SERVICES - PROVIDES SUPPPORT/COMFORT TO PATIENT AND FAMILY AND DISCUSSES EMOTIONAL AND FINANCIAL ASPECTS OF DYING PROCESS.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense812738Expense
DescriptionOTHER CONSISTS OF BEREAVEMENT, EDUCATIONAL SERVICES VOLUNTEER SERVICES, HUBBARD HOSPICE HOUSE WEST, LESS IN-KIND EXPENSES.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp812738TotalOfOtherProgramServiceExp
Total Program Service Expense17297785TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees314NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members21NbrVotingGoverningBodyMembers
Number Independent Voting Members20NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledWVStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonMIKE MORRISNamePerson
Telephone Number3047688523TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (23 entries)

TitleTitleIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationAverage Hours Per WeekAverageHoursPerWeekHighest Compensated EmployeeHighestCompensatedEmployee
RICHARD D BISHOFF
TREASURERXX000
RICHARD D BRADFORD
MEMBERX000
JUDY D DEEGANS
MEMBERX000
RICHARD C DONOVAN
MEMBERX000
MARTIN J GLASSER
MEMBERX000
CAROL HARTLEY
PRESIDENTXX000
FRED HOLROYD
MEMBERX000
MIRIAM KNIGHT
MEMBERX000
AUGUSTA KOSSOWICZ
MEMBERX000
ELIZABETH ARBUCKLE
MEMBERX000
DREMA PIERSON
SECRETARYXX000
RICHARD L MILLER
VPXX000
MARTHA STATHERS
MEMBERX000
DAVID WALLACE
MEMBERX000
RICK WALLACE
MEMBERX000
B SCOTT MILLER
MEMBERX000
W ROGER RAMSEY
MEMBERX000
LARRY ROBERTSON
EXEC. DIRECTX19405401279140.00
MIKE MORRIS
DIR OF FIN/IX997110732640.00
AMY WIRTS
PHYSICIAN1470440833640.00X
PAULA TAYLOR
PHYSICIAN1239780696740.00X
MICHAEL COVELLI
MEDICAL DIRE1067760669040.00X
JEFFREY CARRIER
DIR OF CLIN1041270575740.00X
FieldValueIRS element (for citing)
Total Reportable Comp From Org775690TotalReportableCompFromOrg
Total Other Compensation47867TotalOtherCompensation
Number Individuals GT100 K5NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
COVENTRY HEALTH LIFE
PO BOX 6529CAROL STREAMIL601976529HEALTH INS.1724020
HOSPISCRIPT SERVICES LLC
PO BOX 933273ATLANTAGA311933273PHARMACEUTICAL834689
QUALIS MANAGEMENT
PO BOX 7458ROCKY MOUNTNC27804DME MGMT SERV626990
CEDAR RIDGE CENTER
302 CEDAR RIDGE ROADSISSONVILLEWV25320NURSING HOME569845
MARMET CENTER
1 SUTPHIN DRIVEMARMETWV25315NURSING HOME507886
FieldValueIRS element (for citing)
Number Of Contractors GT100 K27NumberOfContractorsGT100K
Federated Campaigns32766FederatedCampaigns
Fundraising Events169729FundraisingEvents
All Other Contributions825024AllOtherContributions
Total Contributions1027519TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT CARE1424260814242608
HOSPICE HOUSE34061223406122
HUBBARD HOSPICE HOUSE WEST535545535545
FieldValueIRS element (for citing)
Total Program Service Revenue18184275TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column49582TotalRevenueColumn
Exclusion$49,582ExclusionAmount

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real33135Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-33135Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-33135TotalRevenueColumn
Related Or Exempt Function Income-33135RelatedOrExemptFunctionIncome

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other50242Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-50242Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-50242TotalRevenueColumn
Exclusion-$50,242ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events20377GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events169729CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses20377FundraisingDirectExpenses

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOTHER REVENUEDescription
Total Revenue Column108980TotalRevenueColumn
Related Or Exempt Function Income108980RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue108980TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column19286979TotalRevenueColumn
Related Or Exempt Function Income18260120RelatedOrExemptFunctionIncome
Exclusion-$660ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total313882Total
Management And General313882ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total10455049Total
Program Services9793631ProgramServices
Management And General595479ManagementAndGeneral
Fundraising65939Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total423305Total
Program Services372130ProgramServices
Management And General48025ManagementAndGeneral
Fundraising3150Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2095725Total
Program Services1719532ProgramServices
Management And General343339ManagementAndGeneral
Fundraising32854Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total773051Total
Program Services697378ProgramServices
Management And General70695ManagementAndGeneral
Fundraising4978Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total41362Total
Management And General41362ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total33225Total
Management And General33225ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total314789Total
Program Services141846ProgramServices
Management And General172943ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total44013Total
Program Services4043ProgramServices
Management And General39970ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total792960Total
Program Services458221ProgramServices
Management And General334739ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total322453Total
Program Services221887ProgramServices
Management And General100566ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total885370Total
Program Services818312ProgramServices
Management And General66065ManagementAndGeneral
Fundraising993Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total177330Total
Program Services50945ProgramServices
Management And General126385ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total511420Total
Program Services247930ProgramServices
Management And General263490ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total89909Total
Program Services45454ProgramServices
Management And General44455ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
HEALTH CARE SUPPLIES16570701657070
PHARMACEUTICALS988768988768
REPAIRS & MAINTENANCE84203806383565
FUNDRAISING INDIRECT4470644706

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total20048590Total
Program Services17297785ProgramServices
Management And General2598185ManagementAndGeneral
Fundraising152620Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2510192BOY
EOY1423079EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY19071BOY
EOY17809EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY24815BOY
EOY88883EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2707720BOY
EOY2032206EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY32087BOY
EOY56898EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY121112BOY
EOY169572EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis14133098LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec2949339LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY10645138BOY
EOY11183759EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY2087799BOY
EOY1947472EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1800000BOY
EOY1622791EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY19947934BOY
EOY18542469EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2098049BOY
EOY1967742EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY4567310BOY
EOY4340015EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY248640BOY
EOY50000EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY6913999BOY
EOY6357757EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY11205413BOY
EOY10412464EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1828522BOY
EOY1772248EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY13033935BOY
EOY12184712EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY19947934BOY
EOY18542469EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-761611ReconcilationRevenueExpenses
Reconcilation Other Changes-87612ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
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 Years1045100CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years814252CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years881339CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3057022CurrentTaxYearMinus1Year
Current Tax Year821220CurrentTaxYear
Total6618933Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years14663331CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years17018696CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years16578527CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year18343856CurrentTaxYearMinus1Year
Current Tax Year18184275CurrentTaxYear
Total84788685Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years15708431CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years17832948CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years17459866CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year21400878CurrentTaxYearMinus1Year
Current Tax Year19005495CurrentTaxYear
Total91407618Total
FieldValueIRS element (for citing)
Public Support Total50991407618PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years114700CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years112422CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years73463CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year51218CurrentTaxYearMinus1Year
Current Tax Year49582CurrentTaxYear
Total401385Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years114700CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years112422CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years73463CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year51218CurrentTaxYearMinus1Year
Current Tax Year49582CurrentTaxYear
Total401385Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years17564CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years50932CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years88254CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year75822CurrentTaxYearMinus1Year
Current Tax Year108980CurrentTaxYear
Total341552Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years15840695CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years17996302CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years17621583CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year21527918CurrentTaxYearMinus1Year
Current Tax Year19164057CurrentTaxYear
Total92150555Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99190PublicSupportPercentage509
Prior Year Support Percentage0.97100PriorYearSupportPercentage
Investment Income Percentage0.00000InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.01000PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Disclosed Orgs Legal ControlfalseDisclosedOrgsLegalControl
Disclosed For Charitable PurposesfalseDisclosedForCharitablePurposes
Written Policy MonitoringfalseWrittenPolicyMonitoring
Sect170h Requirements SatisfiedfalseSect170hRequirementsSatisfied
Solicited Assets For SalefalseSolicitedAssetsForSale
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FSfalseIncludedOnFS
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis2245848OtherCostOrOtherBasis
Book Value2245848BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis9529964OtherCostOrOtherBasis
Depreciation1615409Depreciation
Book Value7914555BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2357286OtherCostOrOtherBasis
Depreciation1333930Depreciation
Book Value1023356BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings11183759TotalOfBookValueLandBuildings

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionBENEFICIAL INTEREST IN TRUSTDescription
Book Value1622791BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets1622791TotalBookValueOtherAssets
Total Revenue19286979TotalRevenue
Total Expenses20048590TotalExpenses
Excess Or Deficit For Year-761611ExcessOrDeficitForYear
Net Unrealized GL On Investments-87612NetUnrealizedGLOnInvestments
Total Adjustments-87612TotalAdjustments
Excess Or Deficit Per FS-849223ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt19247599TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-87612NetUnrealizedGainsInvestments
Other Revenues48232OtherRevenues
Revenue Not Rptd F990-39380RevenueNotRptdF990
Revenue Subtotal19286979RevenueSubtotal
Total Revenue Per Form99019286979TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt20096822TotExpensesEtcAuditedFinclStmt
Other Expenses Included48232OtherExpensesIncluded
Expenses Not Rptd F99048232ExpensesNotRptdF990
Expenses Subtotal20048590ExpensesSubtotal
Total Expenses Per Form99020048590TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
LIABILITY UNDER FIN 48 FOOTNOTESCHEDULE D, PAGE 3, PART XHOSPICECARE IS CLASSIFIED AS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND, THEREFORE, IS NOT SUBJECT TO TAXES ON INCOME DERIVED FROM ITS EXEMPT ACTIVITIES. HOSPICECARE HAS BEEN CLASSIFIED AS AN ORGANIZATION THAT IS NOT A PRIVATE FOUNDATION UNDER SECTION 509(A)(2). HOSPICECARE IS GENERALLY NO LONGER SUBJECT TO EXAMINATION BY TAXING AUTHORITIES FOR YEARS PRIOR TO 2008.
RECONCILIATION OF CHANGES - OTHERSCHEDULE D, PAGE 4, PART XI, LINE 8FUNDRAISING EXPENSE 15,097 RENT EXPENSE 33,135 FUNDRAISING EXPENSE -15,097 RENT EXPENSE -33,135
REVENUE AMOUNTS INCLUDED IN FINANCIALS - OTHERSCHEDULE D, PAGE 4, PART XII, LINE 2DFUNDRAISING EXPENSE 15,097 RENT EXPENSE 33,135
EXPENSE AMOUNTS INCLUDED IN FINANCIALS - OTHERSCHEDULE D, PAGE 4, PART XIII, LINE 2DFUNDRAISING EXPENSE 15,097 RENT EXPENSE 33,135

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Licensed StatesWVLicensedStates

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GOLF 10 FOR 10NameOfEvent1
Gross Receipts Event176185GrossReceiptsEvent1
Charitable Contributions Event161088CharitableContributionsEvent1
Gross Revenue Event115097GrossRevenueEvent1
Other Direct Expenses Event115097OtherDirectExpensesEvent1
Name Of Event2WINE AUCTIONNameOfEvent2
Gross Receipts Event239455GrossReceiptsEvent2
Charitable Contributions Event239455CharitableContributionsEvent2
Total Number Of Other Events4TotalNumberOfOtherEvents
Gross Receipts Other Events69466GrossReceiptsOtherEvents
Charitable Contrib Other Events64186CharitableContribOtherEvents
Gross Revenue Other Events5280GrossRevenueOtherEvents
Other Direct Expenses Other Events5280OtherDirectExpensesOtherEvents
Gross Receipts Total185106GrossReceiptsTotal
Charitable Contributions Total164729CharitableContributionsTotal
Gross Revenue Total Events20377GrossRevenueTotalEvents
Other Direct Expenses Total Events20377OtherDirectExpensesTotalEvents
Direct Expense Summary Events20377DirectExpenseSummaryEvents

Schedule J IRS990ScheduleJ

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

Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
LARRY ROBERTSON
19405412791206845
AMY WIRTS
1470448336155380

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Date IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
CHAR BLDG COMM LEASE REV BONDS S200
2006-09-271694983HUBBARD HOUSEfalsefalsefalse
CHAS BLDG COMM LEASE REV BONDS S200
2007-12-203500000CONSTRUCTION - MAIN OFFICEfalsefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Amount In Reserve FundAmountInReserveFundCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
169498316949832006falsefalsetruetrue
350000035000002008falsefalsetruetrue

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyEngage Bond Counsel ContractsEngageBondCounselContractsAny Research AgreementsAnyResearchAgreementsEngage Bond Counsel ResearchEngageBondCounselResearchPost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
falsefalsefalsefalsefalsefalsetrue
falsefalsefalsefalsefalsefalsetrue

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
falsefalsefalsefalsefalsefalse
falsefalsefalsefalsefalsefalse

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

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

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

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

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11606 KANAWHA BLVD WESTAddressLine1
CityCHARLESTONCity
StateWVState
ZIP Code25312ZIPCode
FieldValueIRS element (for citing)
Primary ActivitiesPROMO/DEVLPrimaryActivities
Exempt Code Section501(C)ExemptCodeSection
Public Charity Status3PublicCharityStatus
Direct Controlling Entity NAN/ADirectControllingEntityNA
Controlled OrgfalseControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

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