KANAWHA HOSPICE CARE INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
KANAWHA HOSPICE CARE INC (EIN 34-1337316)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-05-16
IRS object ID
201141369349301769
Schema version
2010v3.2
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)
Timestamp2011-05-16T08:29:07-05:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1GIBBONS & KAWASH CPA'SBusinessNameLine1

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 Date2010-01-01TaxPeriodBeginDate

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 Code25312ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameLARRY ROBERTSONName
TitleEXECUTIVE DIRECTORTitle
Phone3047688523Phone
Date Signed2011-05-12DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameROBERT ADAMSName
Phone3043458400Phone
Date Prepared2011-05-12DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
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 Receipts21692487GrossReceipts
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 Employees284TotalNbrEmployees
Total Nbr Volunteers250TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year880830ContributionsGrantsPriorYear
Contributions Grants Current Year3057022ContributionsGrantsCurrentYear
Program Service Revenue Prior Year16578527ProgramServiceRevenuePriorYear
Program Service Revenue CY18343856ProgramServiceRevenueCY
Investment Income Prior Year73463InvestmentIncomePriorYear
Investment Income Current Year51218InvestmentIncomeCurrentYear
Other Revenue Prior Year155632OtherRevenuePriorYear
Other Revenue Current Year192157OtherRevenueCurrentYear
Total Revenue Prior Year17688452TotalRevenuePriorYear
Total Revenue Current Year21644253TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year12123686SalariesEtcPriorYear
Salaries Etc Current Year12858582SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year117865TotalFundrsngExpCurrentYear
Other Expense Prior Year5355139OtherExpensePriorYear
Other Expenses Current Year5598524OtherExpensesCurrentYear
Total Expenses Prior Year17478825TotalExpensesPriorYear
Total Expenses Current Year18457106TotalExpensesCurrentYear
Revenues Less Expenses Prior Year209627RevenuesLessExpensesPriorYear
Revenues Less Expenses CY3187147RevenuesLessExpensesCY
Total Assets BOY16719166TotalAssetsBOY
Total Assets EOY19947934TotalAssetsEOY
Total Liabilities BOY7005400TotalLiabilitiesBOY
Total Liabilities EOY6913999TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY9713766NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY13033935NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionPROVIDES HOSPICE CARE TO TERMINALLY ILL PATIENTSMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense9926285Expense
Revenue14607891Revenue
DescriptionPATIENT CARE-PROVIDES IN-HOME AND INSTITUTIONAL HOSPICE CARE SERVICES TO TERMINALLY ILL PATIENTS.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense4110883Expense
Revenue3735965Revenue
DescriptionHOSPICE HOUSE-24 BED FACILITY PROVIDING HOSPICE CARE SERVICES TO TERMINALLY ILL PATIENTSDescription

Activity3 Activity3

FieldValueIRS element (for citing)
Expense1092501Expense
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)
Expense798546Expense
DescriptionOTHER CONSISTS OF BEREAVEMENT, EDUCATIONAL SERVICES VOLUNTEER SERVICES, LESS IN-KIND EXPENSES.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp798546TotalOfOtherProgramServiceExp
Total Program Service Expense15928215TotalProgramServiceExpense
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 Employees284NumberOfEmployees
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 (25 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
VPXX000
JUDY D DEEGANS
MEMBERX000
RICHARD C DONOVAN
MEMBERX000
MARTIN J GLASSER
MEMBERX000
CAROL HARTLEY
PRESIDENTXX000
FRED HOLROYD
MEMBERX000
JOY KLEEMAN
MEM. AT LRG.X000
MIRIAM KNIGHT
MEMBERX000
AUGUSTA KOSSOWICZ
MEMBERX000
MARGARET J MCKEON
MEMBERX000
DREMA PIERSON
SECRETARYXX000
SHARON ROWE
MEM. AT LRG.X000
RICHARD L MILLER
MEMBERX000
MARTHA STATHERS
MEMBERX000
DAVID WALLACE
MEMBERX000
RICK WALLACE
MEMBERX000
GARY L KNEPP DO
MEMBERX000
B SCOTT MILLER
MEMBERX000
W ROGER RAMSEY
MEMBERX000
LARRY ROBERTSON
EXEC. DIRECTX18690701962840.00
MIKE MORRIS
DIR OF FIN/IX9174301339140.00
MICHAEL COVELLI
MEDICAL DIRE20746101993940.00X
AMY WIRTS
PHYSICIAN1278830724540.00X
PAULA TAYLOR
PHYSICIAN1213880714940.00X
FieldValueIRS element (for citing)
Total Reportable Comp From Org735382TotalReportableCompFromOrg
Total Other Compensation67352TotalOtherCompensation
Number Individuals GT100 K4NumberIndividualsGT100K
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.1407000
HOSPISCRIPT SERVICES LLC
PO BOX 933273ATLANTAGA311933273PHARMACEUTICAL865761
QUALIS MANAGEMENT
PO BOX 7458ROCKY MOUNTNC27804DME MGMT SERV544334
VALLEY CENTER
1000 LINCOLN DRSOUTH CHARLESTONWV25309NURSING HOME408423
GOLDEN LIVING CENTER - RIVERSIDE
6500 MACCORKLE AVE SWST ALBANSWV25177NURSING HOME381358
FieldValueIRS element (for citing)
Number Of Contractors GT100 K18NumberOfContractorsGT100K
Federated Campaigns52276FederatedCampaigns
Fundraising Events123522FundraisingEvents
All Other Contributions2881224AllOtherContributions
Total Contributions3057022TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT CARE1460789114607891
HOSPICE HOUSE37359653735965
FieldValueIRS element (for citing)
Total Program Service Revenue18343856TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column51218TotalRevenueColumn
Exclusion$51,218ExclusionAmount

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real34229Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-34229Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-34229TotalRevenueColumn
Related Or Exempt Function Income-34229RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Gross Income Fundraising Events164569GrossIncomeFundraisingEvents
Fundraising Direct Expenses14005FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column150564TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOTHER REVENUEDescription
Total Revenue Column75822TotalRevenueColumn
Related Or Exempt Function Income75822RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue75822TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column21644253TotalRevenueColumn
Related Or Exempt Function Income18385449RelatedOrExemptFunctionIncome
Exclusion$51,218ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total278650Total
Management And General278650ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total9650441Total
Program Services9079178ProgramServices
Management And General509436ManagementAndGeneral
Fundraising61827Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total414868Total
Program Services367519ProgramServices
Management And General44372ManagementAndGeneral
Fundraising2977Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1797467Total
Program Services1453578ProgramServices
Management And General316586ManagementAndGeneral
Fundraising27303Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total717156Total
Program Services649136ProgramServices
Management And General63290ManagementAndGeneral
Fundraising4730Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total13247Total
Management And General13247ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total37850Total
Management And General37850ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total325403Total
Program Services162219ProgramServices
Management And General163184ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total80912Total
Program Services5700ProgramServices
Management And General75212ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total3315089Total
Program Services2984296ProgramServices
Management And General330793ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total210056Total
Program Services117864ProgramServices
Management And General92192ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total751440Total
Program Services723889ProgramServices
Management And General27069ManagementAndGeneral
Fundraising482Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total194537Total
Program Services54389ProgramServices
Management And General140148ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total486905Total
Program Services222052ProgramServices
Management And General264853ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total98596Total
Program Services47755ProgramServices
Management And General50841ManagementAndGeneral

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
REPAIRS & MAINTENANCE63943606403303
FUNDRAISING2054620546

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total18457106Total
Program Services15928215ProgramServices
Management And General2411026ManagementAndGeneral
Fundraising117865Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY955787BOY
EOY2510192EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY19894BOY
EOY19071EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY22815BOY
EOY24815EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2677283BOY
EOY2707720EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY63227BOY
EOY32087EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY249133BOY
EOY121112EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis13178636LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec2533498LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY10889847BOY
EOY10645138EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY1841180BOY
EOY2087799EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
EOY1800000EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY16719166BOY
EOY19947934EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1865113BOY
EOY2098049EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY4794605BOY
EOY4567310EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY345682BOY
EOY248640EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY7005400BOY
EOY6913999EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY9688444BOY
EOY11205413EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY25322BOY
EOY1828522EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY9713766BOY
EOY13033935EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY16719166BOY
EOY19947934EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses3187147ReconcilationRevenueExpenses
Reconcilation Other Changes133022ReconcilationOtherChanges
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 Years814009CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1045100CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years814252CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year881339CurrentTaxYearMinus1Year
Current Tax Year3057022CurrentTaxYear
Total6611722Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years12723109CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years14663331CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years17018696CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year16578527CurrentTaxYearMinus1Year
Current Tax Year18343856CurrentTaxYear
Total79327519Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years13537118CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years15708431CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years17832948CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year17459866CurrentTaxYearMinus1Year
Current Tax Year21400878CurrentTaxYear
Total85939241Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year1819442CurrentTaxYear
Total1819442Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year1819442CurrentTaxYear
Total1819442Total
FieldValueIRS element (for citing)
Public Support Total50984119799PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years85016CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years114700CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years112422CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year73463CurrentTaxYearMinus1Year
Current Tax Year51218CurrentTaxYear
Total436819Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years85016CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years114700CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years112422CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year73463CurrentTaxYearMinus1Year
Current Tax Year51218CurrentTaxYear
Total436819Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years24425CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years17564CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years50932CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year88254CurrentTaxYearMinus1Year
Current Tax Year75822CurrentTaxYear
Total256997Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years13646559CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years15840695CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years17996302CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year17621583CurrentTaxYearMinus1Year
Current Tax Year21527918CurrentTaxYear
Total86633057Total
FieldValueIRS element (for citing)
Public Support Percentage5090.97100PublicSupportPercentage509
Prior Year Support Percentage0.99160PriorYearSupportPercentage
Investment Income Percentage0.01000InvestmentIncomePercentage
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 Basis2238848OtherCostOrOtherBasis
Book Value2238848BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis8769010OtherCostOrOtherBasis
Depreciation1336194Depreciation
Book Value7432816BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2170778OtherCostOrOtherBasis
Depreciation1197304Depreciation
Book Value973474BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings10645138TotalOfBookValueLandBuildings

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionBENEFICIAL INTEREST IN TRUSTDescription
Book Value1800000BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets1800000TotalBookValueOtherAssets
Total Revenue21644253TotalRevenue
Total Expenses18457106TotalExpenses
Excess Or Deficit For Year3187147ExcessOrDeficitForYear
Net Unrealized GL On Investments133022NetUnrealizedGLOnInvestments
Total Adjustments133022TotalAdjustments
Excess Or Deficit Per FS3320169ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt21825509TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments133022NetUnrealizedGainsInvestments
Other Revenues48234OtherRevenues
Revenue Not Rptd F990181256RevenueNotRptdF990
Revenue Subtotal21644253RevenueSubtotal
Total Revenue Per Form99021644253TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt18505340TotExpensesEtcAuditedFinclStmt
Other Expenses Included48234OtherExpensesIncluded
Expenses Not Rptd F99048234ExpensesNotRptdF990
Expenses Subtotal18457106ExpensesSubtotal
Total Expenses Per Form99018457106TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
LIABILITY UNDER FIN 48 FOOTNOTESCHEDULE D, PAGE 3, PART XFIN 48 DISCLOSURE - HOSPICECARE FOLLOWS THE ACCOUNTING GUIDANCE FOR UNCERTAINTY IN INCOME TAXES USING THE PROVISIONS OF FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ASC 740, INCOME TAXES. USING THAT GUIDANCE, TAX POSITIONS INITIALLY NEED TO BE RECOGNIZED IN THE FINANCIAL STATEMENTS WHEN IT IS MORE-LIKELY-THAN-NOT THE POSITION WILL BE SUSTAINED UPON EXAMINATION BY THE TAX AUTHORITIES. AS OF DECEMBER 31, 2010, HOSPICECARE HAD NO UNCERTAIN TAX POSITIONS THAT QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. HOSPICECARE IS GENERALLY NO LONGER SUBJECT TO EXAMINIATION BY TAXING AUTHORITIES FOR YEARS PRIOR TO 2007.
RECONCILIATION OF CHANGES - OTHERSCHEDULE D, PAGE 4, PART XI, LINE 8FUNDRAISING EXPENSE 14,005 RENT EXPENSE 34,229 FUNDRAISING EXPENSE -14,005 RENT EXPENSE -34,229
REVENUE AMOUNTS INCLUDED IN FINANCIALS - OTHERSCHEDULE D, PAGE 4, PART XII, LINE 2DFUNDRAISING EXPENSE 14,005 RENT EXPENSE 34,229
EXPENSE AMOUNTS INCLUDED IN FINANCIALS - OTHERSCHEDULE D, PAGE 4, PART XIII, LINE 2DFUNDRAISING EXPENSE 14,005 RENT EXPENSE 34,229

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Licensed StatesWVLicensedStates

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1WINE AUCTIONNameOfEvent1
Gross Receipts Event148717GrossReceiptsEvent1
Gross Revenue Event148717GrossRevenueEvent1
Other Direct Expenses Event15288OtherDirectExpensesEvent1
Name Of Event2TENNIS TOURNAMENameOfEvent2
Gross Receipts Event222950GrossReceiptsEvent2
Gross Revenue Event222950GrossRevenueEvent2
Other Direct Expenses Event21896OtherDirectExpensesEvent2
Total Number Of Other Events11TotalNumberOfOtherEvents
Gross Receipts Other Events216424GrossReceiptsOtherEvents
Charitable Contrib Other Events123522CharitableContribOtherEvents
Gross Revenue Other Events92902GrossRevenueOtherEvents
Other Direct Expenses Other Events6821OtherDirectExpensesOtherEvents
Gross Receipts Total288091GrossReceiptsTotal
Charitable Contributions Total123522CharitableContributionsTotal
Gross Revenue Total Events164569GrossRevenueTotalEvents
Other Direct Expenses Total Events14005OtherDirectExpensesTotalEvents
Direct Expense Summary Events14005DirectExpenseSummaryEvents
Net Income Summary150564NetIncomeSummary

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
18690719628206535
MICHAEL COVELLI
20746119939227400

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)

Total ProceedsTotalProceedsCapital 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 PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Counsel Routinely EngagedBondCounselRoutinelyEngagedPost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
falsefalsefalsefalsefalsefalse
falsefalsefalsefalsefalsefalse

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 ACHIEVEMENTS DESCRIPTIONFORM 990, PAGE 2, PART III, LINE 4DOTHER CONSISTS OF BEREAVEMENT, EDUCATIONAL SERVICES VOLUNTEER SERVICES, 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 Section501ExemptCodeSection
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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