2012-08-09T14:38:51-05:00 2011-12-31 310905417 VONLEHMAN & COMPANY INC 250 GRANDVIEW DR SUITE 300 FT MITCHELL KY 41017 990 2011-01-01 611145339 HOSPICE OF HOPE INC HOSP 6067594050 909 KENTON STATION DRIVE MAYSVILLE KY 41056 KAVIN CARTMELL 6067594050 2012-08-03 1 BETH VICE P00545816 8593313300 2011 2016-02-24 21:20:13Z KAVIN CARTMELL 909 KENTON STATION DRIVE MAYSVILLE KY 41056 17171911 0 X WWW.HOSPICEOFHOPE.COM X 1988 KY HOSPICE OF HOPE IS AN ORGANIZATION DEVOTED TO CARING FOR THE PHYSICAL, PSYCHOSOCIAL, EMOTIONAL, AND SPIRITUAL NEEDS OF TERMINALLY ILL INDIVIDUALS AND THEIR FAMILIES. 17 17 181 70 0 0 180637 751149 12185454 13229159 128211 511461 32859 40772 12527161 14532541 0 0 0 0 6357562 6655263 0 0 98379 5446004 5764596 11803566 12419859 723595 2112682 18651400 19943875 844320 907422 17807080 19036453 HOSPICE 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. 0 0 9866652 13232268 HOSPICE OF HOPE IS AN ORGANIZATION DEVOTED TO CARING FOR THE PHYSICAL, PSYCHOSOCIAL, EMOTIONAL, AND SPIRITUAL NEEDS OF TERMINALLY ILL INDIVIDUALS AND THEIR FAMILIES. 9866652 1 1 0 1 0 0 0 1 0 1 1 1 0 0 0 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 1 71 0 1 181 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 17 17 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 KY OH X X KAVIN CARTMELL 6067594050 909 KENTON STATION DR MAYSVILLE KY 41056 TONYA BOWMAN 0.00 X X 0 0 0 BOB CANADA 0.00 X 0 0 0 MARY WOODHEAD HILLENMEYER 0.00 X 0 0 0 DORINDA LEET 0.00 X 0 0 0 WARREN MARKWELL 0.00 X X 0 0 0 MARSHA MCCARTNEY 0.00 X 0 0 0 MARILYN PATTISON 0.00 X 0 0 0 MICHAEL S PFEFFER 0.00 X 0 0 0 RONALD J RICE 0.00 X X 0 0 0 TERRI SRINIVASAN 0.00 X 0 0 0 ROBIN WALTON 0.00 X 0 0 0 DR PHILLIP YUNKER 0.00 X 0 0 0 KAVIN CARTMELL 40.00 X 130046 0 0 DR ROBERT F ROSS 0.00 X 0 0 0 R DENNISON KELLER 0.00 X 0 0 0 ROBERT VALENTINE 0.00 X X 0 0 0 DR RALPH WILLIAMS 0.00 X 0 0 0 CLAYTON G LYKINS JR 0.00 X 0 0 0 JOHN H LAWLER 0.00 X 0 0 0 MARY DAN HANEY 40.00 X 109338 0 0 DR PAUL F JUNKER 40.00 X 147191 0 0 386575 0 0 3 0 0 0 ANTHEM BCBS KY GROUP PO BOX 105124 ATLANTA GA 30348 EMPLOYEE INSURANCE BENEFITS 815659 THE HARTFORD 1 GRIFFIN RD NORTH WINDSOR CT 06095 EMPLOYEE RETIREMENT 484117 OHIO VALLEY MANOR 5280 US ROUTE 62-68 RIPLEY OH 45167 PATIENT NURSING HOME STAYS AND CARE 456921 LOCUST RIDGE NURSING HOME INC 12745 ELM CORNER ROAD WILLIAMSBURG OH 45176 PATIENT NURSING HOME STAYS AND CARE 429949 JRA INC 3225 SUMMIT SQUARE PLACE SUITE 200 LEXINGTON KY 40509 ARCHITECT FEES 401792 19 10933 740216 90610 751149 MEDICARE/MEDICAID PAYM 900099 12487324 12487324 INSURANCE/SELF-PAY 900099 604319 604319 BTADD CONTRACT REVENUE 900099 137516 137516 13229159 326558 326558 3744 0 3744 3744 3744 2804734 2619183 648 185551 -648 184903 -648 185551 56554 10933 19539 37015 37015 MISCELLANEOUS INCOME 900099 13 13 13 14532541 13232268 0 549124 386575 386575 4885928 4099163 721495 65270 189042 147724 41318 755475 585013 161241 9221 438243 354155 79408 4680 3142 3142 30473 30473 24815 24815 240336 21909 218427 41327 32327 9000 491134 471307 19827 188728 9051 179677 63369 63369 OTHER PATIENT SERVICES 3235053 3235053 PHARMACY 411568 411568 MEDICAL SUPPLIES 406566 406566 BAD DEBT EXPENSE 186051 2323 183728 442034 90493 332333 19208 12419859 9866652 2454828 98379 1534240 2089874 59240 59360 296923 1780082 1846331 36109 37917 89718 170232 4655070 1578733 2844576 3076337 12179165 11754039 128270 612862 18651400 19943875 844320 900583 6839 844320 907422 X 17763759 18701517 43321 334936 17807080 19036453 18651400 19943875 X 2112682 -883309 X X 0 1 1 X 0 X 261765 193200 156661 170160 751149 1532935 9654671 11062233 12151437 12185454 13229159 58282954 9916436 11255433 12308098 12355614 13980308 59815889 0 0 0 59815889 1383052 -63796 -217384 86234 329654 1517760 1383052 -63796 -217384 86234 329654 1517760 66301 50906 73681 58658 37028 286574 11365789 11242543 12164395 12500506 14346990 61620223 0.97070 0.96280 0.02460 0.03140 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 637 0 0 637 0 51930 0 7118458 -1169768 5948690 6333199 785259 7118458 4764811 1568388 6333199 6481903 -1717092 4764811 1.00000 0 0 712773 712773 2671408 582758 2088650 131206 55462 75744 1072109 894273 177836 67574 46240 21334 3076337 CASH EQUIVALENTS 1163501 F COMMON STOCKS 671650 F U.S. GOVERNMENT OBLIGATIONS 515873 F CORPORATE BONDS AND NOTES 2353900 F MUTUAL FUNDS 6889603 F REAL ESTATE INVESTMENTS 159512 F 11754039 14532541 12419859 2112682 -883311 2 -883309 1229373 13619609 -883311 19539 -863772 14483381 49160 49160 14532541 12390238 19539 19539 12370699 49160 49160 12419859 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. GALA 18395 18395 11798 BROWN COUNTY CHARITY HORSE SHOW 9739 91 9648 2436 2 17545 10842 6703 5170 45679 10933 34746 19404 19404 15342 MEADOWVIEW REGIONAL MEDICAL CENTER KAVIN CARTMELL, EXECUTIVE DIRECTOR, IS A BOARD MEMBER OF MEADOWVIEW. 134799 PAYMENTS 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. 67967 JENNIE 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 X 1 90610 FAIR MARKET VALUE 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 THE 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 12C IN 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 15 THE 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 19 THE ORGANIZATION MAKES THIS INFORMATION AVAILABLE TO ANYONE UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: 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. FORM 990, PART XII, LINE 2C: THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.