HOSPICE OF HOPE INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
HOSPICE OF HOPE INC (EIN 61-1145339)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-08-09
IRS object ID
201232229349301268
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)
Timestamp2012-08-09T14:38:51-05:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN310905417EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1VONLEHMAN & COMPANY INCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1250 GRANDVIEW DR SUITE 300AddressLine1
CityFT MITCHELLCity
StateKYState
ZIP Code41017ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN611145339EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1HOSPICE OF HOPE INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlHOSPNameControl
Phone6067594050Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1909 KENTON STATION DRIVEAddressLine1
CityMAYSVILLECity
StateKYState
ZIP Code41056ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameKAVIN CARTMELLName
TitleEXECUTIVE DIRECTORTitle
Phone6067594050Phone
Date Signed2012-08-03DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBETH VICEName
PTINP00545816PTIN
Phone8593313300Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonKAVIN CARTMELLNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1909 KENTON STATION DRIVEAddressLine1
CityMAYSVILLECity
StateKYState
ZIP Code41056ZIPCode
FieldValueIRS element (for citing)
Gross Receipts17171911GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.HOSPICEOFHOPE.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1988YearFormation
State Legal DomicileKYStateLegalDomicile
Activity Or Mission DescriptionHOSPICE OF HOPE IS AN ORGANIZATION DEVOTED TO CARING FOR THE PHYSICAL, PSYCHOSOCIAL, EMOTIONAL, AND SPIRITUAL NEEDS OF TERMINALLY ILL INDIVIDUALS AND THEIR FAMILIES.ActivityOrMissionDescription
Nbr Voting Members Governing Body17NbrVotingMembersGoverningBody
Nbr Independent Voting Members17NbrIndependentVotingMembers
Total Nbr Employees181TotalNbrEmployees
Total Nbr Volunteers70TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year180637ContributionsGrantsPriorYear
Contributions Grants Current Year751149ContributionsGrantsCurrentYear
Program Service Revenue Prior Year12185454ProgramServiceRevenuePriorYear
Program Service Revenue CY13229159ProgramServiceRevenueCY
Investment Income Prior Year128211InvestmentIncomePriorYear
Investment Income Current Year511461InvestmentIncomeCurrentYear
Other Revenue Prior Year32859OtherRevenuePriorYear
Other Revenue Current Year40772OtherRevenueCurrentYear
Total Revenue Prior Year12527161TotalRevenuePriorYear
Total Revenue Current Year14532541TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year6357562SalariesEtcPriorYear
Salaries Etc Current Year6655263SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year98379TotalFundrsngExpCurrentYear
Other Expense Prior Year5446004OtherExpensePriorYear
Other Expenses Current Year5764596OtherExpensesCurrentYear
Total Expenses Prior Year11803566TotalExpensesPriorYear
Total Expenses Current Year12419859TotalExpensesCurrentYear
Revenues Less Expenses Prior Year723595RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2112682RevenuesLessExpensesCY
Total Assets BOY18651400TotalAssetsBOY
Total Assets EOY19943875TotalAssetsEOY
Total Liabilities BOY844320TotalLiabilitiesBOY
Total Liabilities EOY907422TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY17807080NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY19036453NetAssetsOrFundBalancesEOY
Mission DescriptionHOSPICE OF HOPE PROVIDES ASSISTED LIVING, HOSPICE, AND HEALTH RELATED SERVICES TO THE AGING, THE TERMINALLY ILL, AND TO OTHER INDIVIDUALS IN NEED OF HEALTHCARE AND SUPPORTIVE SERVICES.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense9866652Expense
Revenue13232268Revenue
DescriptionHOSPICE OF HOPE IS AN ORGANIZATION DEVOTED TO CARING FOR THE PHYSICAL, PSYCHOSOCIAL, EMOTIONAL, AND SPIRITUAL NEEDS OF TERMINALLY ILL INDIVIDUALS AND THEIR FAMILIES.Description
Total Program Service Expense9866652TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art1CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member1BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109671NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees181NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Form8899 Filed0Form8899Filed
Form1098 C Filed0Form1098CFiled
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members17NbrVotingGoverningBodyMembers
Number Independent Voting Members17NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledKYStatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is FiledOHStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1KAVIN CARTMELLBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number6067594050TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1909 KENTON STATION DRAddressLine1
CityMAYSVILLECity
StateKYState
ZIP Code41056ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (21 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
TONYA BOWMAN
TREASURER0.00XX000
BOB CANADA
BOARD MEMBER0.00X000
MARY WOODHEAD HILLENMEYER
BOARD MEMBER0.00X000
DORINDA LEET
BOARD MEMBER0.00X000
WARREN MARKWELL
VICE CHAIR0.00XX000
MARSHA MCCARTNEY
BOARD MEMBER0.00X000
MARILYN PATTISON
BOARD MEMBER0.00X000
MICHAEL S PFEFFER
BOARD MEMBER0.00X000
RONALD J RICE
CHAIR0.00XX000
TERRI SRINIVASAN
BOARD MEMBER0.00X000
ROBIN WALTON
IMMEDIATE PAST CHAIR0.00X000
DR PHILLIP YUNKER
BOARD MEMBER0.00X000
KAVIN CARTMELL
EXECUTIVE DIRECTOR40.00X13004600
DR ROBERT F ROSS
ADMINISTRATIVE MEDICAL DIR0.00X000
R DENNISON KELLER
BOARD MEMBER0.00X000
ROBERT VALENTINE
SECRETARY0.00XX000
DR RALPH WILLIAMS
BOARD MEMBER0.00X000
CLAYTON G LYKINS JR
BOARD MEMBER0.00X000
JOHN H LAWLER
BOARD MEMBER0.00X000
MARY DAN HANEY
PHARMACIST40.0010933800X
DR PAUL F JUNKER
MEDICAL DIRECTOR40.0014719100X
FieldValueIRS element (for citing)
Total Reportable Comp From Org386575TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K3NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
ANTHEM BCBS KY GROUP
PO BOX 105124ATLANTAGA30348EMPLOYEE INSURANCE BENEFITS815659
THE HARTFORD
1 GRIFFIN RD NORTHWINDSORCT06095EMPLOYEE RETIREMENT484117
OHIO VALLEY MANOR
5280 US ROUTE 62-68RIPLEYOH45167PATIENT NURSING HOME STAYS AND CARE456921
LOCUST RIDGE NURSING HOME INC
12745 ELM CORNER ROADWILLIAMSBURGOH45176PATIENT NURSING HOME STAYS AND CARE429949
JRA INC
3225 SUMMIT SQUARE PLACE SUITE 200LEXINGTONKY40509ARCHITECT FEES401792
FieldValueIRS element (for citing)
Number Of Contractors GT100 K19NumberOfContractorsGT100K
Fundraising Events10933FundraisingEvents
All Other Contributions740216AllOtherContributions
Noncash Contributions90610NoncashContributions
Total Contributions751149TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICARE/MEDICAID PAYM9000991248732412487324
INSURANCE/SELF-PAY900099604319604319
BTADD CONTRACT REVENUE900099137516137516
FieldValueIRS element (for citing)
Total Program Service Revenue13229159TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column326558TotalRevenueColumn
Exclusion$326,558ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real3744Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real3744Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column3744TotalRevenueColumn
Related Or Exempt Function Income3744RelatedOrExemptFunctionIncome

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities2804734Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities2619183Securities
Other648Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities185551Securities
Other-648Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column184903TotalRevenueColumn
Related Or Exempt Function Income-648RelatedOrExemptFunctionIncome
Exclusion$185,551ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events56554GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events10933CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses19539FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column37015TotalRevenueColumn
Exclusion$37,015ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUS INCOMEDescription
Business Code900099BusinessCode
Total Revenue Column13TotalRevenueColumn
Related Or Exempt Function Income13RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue13TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column14532541TotalRevenueColumn
Related Or Exempt Function Income13232268RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$549,124ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total386575Total
Management And General386575ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total4885928Total
Program Services4099163ProgramServices
Management And General721495ManagementAndGeneral
Fundraising65270Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total189042Total
Program Services147724ProgramServices
Management And General41318ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total755475Total
Program Services585013ProgramServices
Management And General161241ManagementAndGeneral
Fundraising9221Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total438243Total
Program Services354155ProgramServices
Management And General79408ManagementAndGeneral
Fundraising4680Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total3142Total
Management And General3142ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total30473Total
Management And General30473ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total24815Total
Management And General24815ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total240336Total
Program Services21909ProgramServices
Management And General218427ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total41327Total
Program Services32327ProgramServices
Management And General9000ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total491134Total
Program Services471307ProgramServices
Management And General19827ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total188728Total
Program Services9051ProgramServices
Management And General179677ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total63369Total
Management And General63369ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
OTHER PATIENT SERVICES32350533235053
PHARMACY411568411568
MEDICAL SUPPLIES406566406566
BAD DEBT EXPENSE1860512323183728

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total442034Total
Program Services90493ProgramServices
Management And General332333ManagementAndGeneral
Fundraising19208Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total12419859Total
Program Services9866652ProgramServices
Management And General2454828ManagementAndGeneral
Fundraising98379Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1534240BOY
EOY2089874EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY59240BOY
EOY59360EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY296923EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1780082BOY
EOY1846331EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY36109BOY
EOY37917EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY89718BOY
EOY170232EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis4655070LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1578733LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY2844576BOY
EOY3076337EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY12179165BOY
EOY11754039EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY128270BOY
EOY612862EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY18651400BOY
EOY19943875EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY844320BOY
EOY900583EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
EOY6839EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY844320BOY
EOY907422EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY17763759BOY
EOY18701517EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY43321BOY
EOY334936EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY17807080BOY
EOY19036453EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY18651400BOY
EOY19943875EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses2112682ReconcilationRevenueExpenses
Reconcilation Other Changes-883309ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years261765CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years193200CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years156661CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year170160CurrentTaxYearMinus1Year
Current Tax Year751149CurrentTaxYear
Total1532935Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9654671CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11062233CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12151437CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12185454CurrentTaxYearMinus1Year
Current Tax Year13229159CurrentTaxYear
Total58282954Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9916436CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11255433CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12308098CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12355614CurrentTaxYearMinus1Year
Current Tax Year13980308CurrentTaxYear
Total59815889Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50959815889PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1383052CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years-63796CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years-217384CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year86234CurrentTaxYearMinus1Year
Current Tax Year329654CurrentTaxYear
Total1517760Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1383052CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years-63796CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years-217384CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year86234CurrentTaxYearMinus1Year
Current Tax Year329654CurrentTaxYear
Total1517760Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years66301CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years50906CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years73681CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year58658CurrentTaxYearMinus1Year
Current Tax Year37028CurrentTaxYear
Total286574Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11365789CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11242543CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12164395CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12500506CurrentTaxYearMinus1Year
Current Tax Year14346990CurrentTaxYear
Total61620223Total
FieldValueIRS element (for citing)
Public Support Percentage5090.97070PublicSupportPercentage509
Prior Year Support Percentage0.96280PriorYearSupportPercentage
Investment Income Percentage0.02460InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.03140PriorYrInvestIncomePercentage
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 C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators1DirectContactLegislators
Direct Contact Legislators$637DirectContactLegislatorsAmount
Rallies Demonstrations0RalliesDemonstrations
Other Activities0OtherActivities
Total Lobbying Expenditures IIB637TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Schedule D IRS990ScheduleD

Held Works Of Art Amts HeldWorksOfArtAmts

FieldValueIRS element (for citing)
Assets In Part X51930AssetsInPartX
FieldValueIRS element (for citing)
Solicited Assets For Sale0SolicitedAssetsForSale

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance7118458BeginningOfYearBalance
Investment Earnings Or Losses-1169768InvestmentEarningsOrLosses
End Of Year Balance5948690EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance6333199BeginningOfYearBalance
Investment Earnings Or Losses785259InvestmentEarningsOrLosses
End Of Year Balance7118458EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance4764811BeginningOfYearBalance
Investment Earnings Or Losses1568388InvestmentEarningsOrLosses
End Of Year Balance6333199EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance6481903BeginningOfYearBalance
Investment Earnings Or Losses-1717092InvestmentEarningsOrLosses
End Of Year Balance4764811EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance1.00000BoardDesignatedEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis712773OtherCostOrOtherBasis
Book Value712773BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2671408OtherCostOrOtherBasis
Depreciation582758Depreciation
Book Value2088650BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis131206OtherCostOrOtherBasis
Depreciation55462Depreciation
Book Value75744BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1072109OtherCostOrOtherBasis
Depreciation894273Depreciation
Book Value177836BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis67574OtherCostOrOtherBasis
Depreciation46240Depreciation
Book Value21334BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings3076337TotalOfBookValueLandBuildings

Other Securities OtherSecurities (6 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
CASH EQUIVALENTS1163501F
COMMON STOCKS671650F
U.S. GOVERNMENT OBLIGATIONS515873F
CORPORATE BONDS AND NOTES2353900F
MUTUAL FUNDS6889603F
REAL ESTATE INVESTMENTS159512F
FieldValueIRS element (for citing)
Total Of Book Value Securities11754039TotalOfBookValueSecurities
Total Revenue14532541TotalRevenue
Total Expenses12419859TotalExpenses
Excess Or Deficit For Year2112682ExcessOrDeficitForYear
Net Unrealized GL On Investments-883311NetUnrealizedGLOnInvestments
Other$2OtherAmount
Total Adjustments-883309TotalAdjustments
Excess Or Deficit Per FS1229373ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt13619609TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-883311NetUnrealizedGainsInvestments
Other Revenues19539OtherRevenues
Revenue Not Rptd F990-863772RevenueNotRptdF990
Revenue Subtotal14483381RevenueSubtotal
Other Revenues Not Included49160OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt49160RevenueNotRptdOnFinStmt
Total Revenue Per Form99014532541TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt12390238TotExpensesEtcAuditedFinclStmt
Other Expenses Included19539OtherExpensesIncluded
Expenses Not Rptd F99019539ExpensesNotRptdF990
Expenses Subtotal12370699ExpensesSubtotal
Other Expenses Not Included49160OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt49160ExpensesNotRptdOnFinStmt
Total Expenses Per Form99012419859TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X:THE ORGANIZATION HAS ADOPTED THE PROVISIONS OF THE ACCOUNTING PRONOUNCEMENT RELATED TO ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. THE ORGANIZATION RECOGNIZED NO INTEREST OR PENALTIES IN THE STATEMENTS OF ACTIVITIES FOR THE YEARS ENDED DECEMBER 31, 2011 AND 2010. IF THE SITUATION AROSE IN WHICH THE ORGANIZATION WOULD HAVE INTEREST TO RECOGNIZE, IT WOULD RECOGNIZE THIS AS INTEREST EXPENSE AND PENALTIES WOULD BE RECOGNIZED IN OTHER EXPENSES. TAX YEARS STILL OPEN UNDER FEDERAL AND STATE STATUTE OF LIMITATIONS REMAIN SUBJECT TO REVIEW AND CHANGE. BASED ON THE EVALUATION OF THE ORGANIZATION'S TAX POSITIONS, MANAGEMENT BELIEVES ALL POSITIONS TAKEN WOULD BE UPHELD UNDER AN EXAMINATION. THEREFORE, NO PROVISION FOR THE EFFECTS OF UNCERTAIN TAX POSITIONS HAS BEEN RECORDED FOR THE YEARS ENDED DECEMBER 31, 2011 AND 2010.
PART XI, LINE 8 - OTHER ADJUSTMENTS:ROUNDING 2.
PART XI, LINE 8: UNREALIZED GAIN ON INVESTMENTS PART XII, LINE 2D, PART XIII, LINE 2D: FUNDRAISING EXPENSES FROM THE FINANCIAL STATEMENTS, $19,539 PART XII, LINE 4B, PART XIII, LINE 4B: INVESTMENT MANAGEMENT FEES FROM FINANCIAL STATEMENTS, $49,160.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GALANameOfEvent1
Gross Receipts Event118395GrossReceiptsEvent1
Gross Revenue Event118395GrossRevenueEvent1
Other Direct Expenses Event111798OtherDirectExpensesEvent1
Name Of Event2BROWN COUNTY CHARITY HORSE SHOWNameOfEvent2
Gross Receipts Event29739GrossReceiptsEvent2
Charitable Contributions Event291CharitableContributionsEvent2
Gross Revenue Event29648GrossRevenueEvent2
Other Direct Expenses Event22436OtherDirectExpensesEvent2
Total Number Of Other Events2TotalNumberOfOtherEvents
Gross Receipts Other Events17545GrossReceiptsOtherEvents
Charitable Contrib Other Events10842CharitableContribOtherEvents
Gross Revenue Other Events6703GrossRevenueOtherEvents
Other Direct Expenses Other Events5170OtherDirectExpensesOtherEvents
Gross Receipts Total45679GrossReceiptsTotal
Charitable Contributions Total10933CharitableContributionsTotal
Gross Revenue Total Events34746GrossRevenueTotalEvents
Other Direct Expenses Total Events19404OtherDirectExpensesTotalEvents
Direct Expense Summary Events19404DirectExpenseSummaryEvents
Net Income Summary15342NetIncomeSummary

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
MEADOWVIEW REGIONAL MEDICAL CENTER
KAVIN CARTMELL, EXECUTIVE DIRECTOR, IS A BOARD MEMBER OF MEADOWVIEW.134799PAYMENTS FOR MEDICAL SERVICES PROVIDED TO HOSPICE PATIENTS THROUGHOUT THE YEAR.0
JENNIE FELICE
JENNIE IS THE SISTER OF KAVIN AND IS EMPLOYED BY THE HOSPICE OF HOPE.67967JENNIE FELICE IS EMPLOYED FULL-TIME AS A NURSING SUPERVISOR OF HOSPICE OF HOPE, INC. AND RECEIVES COMPENSATION WITHIN THE ESTABLISHED JOB GRADE RANGE APPROVED FOR THE SAME TYPE OF POSITION WITH SIMILAR EDUCATION AND WORK EXPERIENCE.0

Schedule M IRS990ScheduleM

Real Estate Other RealEstateOther

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F99090610NoncashContribsRptdF990
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 WILL BE PROVIDED TO THE AUDIT COMMITTEE, BUSINESS MANAGER, AND EXECUTIVE DIRECTOR. ANY CHANGES NECESSARY WILL THEN BE MADE AND THEN THE FORM WILL BE SIGNED BY THE EXECUTIVE DIRECTOR.
FORM 990, PART VI, SECTION B, LINE 12CIN THE EVENT THAT A HOSPICE PARTY IS INVOLVED IN ANY CONFLICT OF INTEREST, THE FOLLOWING PROCEDURES ARE FOLLOWED: 1) FULL DISCLOSURE SHOULD BE MADE TO THE EXECUTIVE DIRECTOR. 2) THE EXECUTIVE DIRECTOR WILL INFORM THE BOARD CHAIRPERSON OF ANY SITUATIONS INVOLVING THE BOARD MEMBER IMMEDIATELY. 3) THE EXECUTIVE DIRECTOR WILL HAVE FINAL AUTHORITY IN DETERMINING CONFLICTS OF INTEREST WITH STAFF AND VOLUNTEERS. 4) THE EXECUTIVE COMMITTEE SHALL HAVE FULL AUTHORITY IN DEALING WITH SITUATIONS OF CONFLICT INVOLVING BOARD MEMBERS.
FORM 990, PART VI, SECTION B, LINE 15THE EXECUTIVE DIRECTOR WILL BE REVIEWED BY THE EXECUTIVE COMMITTEE OF THE BOARD ANNUALLY. THE EXECUTIVE DIRECTOR WILL PROVIDE THE COMMITTEE WITH A SELF-APPRAISAL BASED ON THE GOALS AND OBJECTIVES ESTABLISHED FOR THE PRIOR YEAR. THE EXECUTIVE DIRECTOR WILL BE PROVIDED REASONABLE COMPENSATION AS DETERMINED BY THE BOARD.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES THIS INFORMATION AVAILABLE TO ANYONE UPON REQUEST.
FORM 990, PART XI, LINE 5:NET UNREALIZED LOSSES ON INVESTMENTS: -883,311. ROUNDING 2. TOTAL TO FORM 990, PART XI, LINE 5: -883,309.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XII, LINE 2C:THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

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