DIGNITY HOSPICE OF SOUTHERN WEST VIRGINIA INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: DIGNITY HOSPICE OF SOUTHERN WEST VIRGINIA INC (EIN 55-0730654)
Tax period: 2016-01-01 to 2016-12-31
Filed: 2017-07-31
IRS object ID: 201702129349301160
Schema version: 2016v3.0
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
Form 990
Schedule A
Schedule D
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-07-31T14:34:02-05:00	ReturnTs
Tax Period End	2016-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	550486667	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ARNETT CARBIS TOOTHMAN LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 908	AddressLine1Txt
City	BRIDGEPORT	CityNm
State Abbreviation	WV	StateAbbreviationCd
ZIP	26330	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2016-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	550730654	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	DIGNITY HOSPICE OF SOUTHERN WV INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	DIGN	BusinessNameControlTxt
Phone	3048554764	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	P O BOX 4304	AddressLine1Txt
City	CHAPMANVILLE	CityNm
State Abbreviation	WV	StateAbbreviationCd
ZIP	25508	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	DENNIS R LEWIS	PersonNm
Person Title	PRESIDENT	PersonTitleTxt
Phone	3048554764	PhoneNum
Signature	2017-07-18	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	WILLIAM J BEHRENS CPA	PreparerPersonNm
PTIN	P00089711	PTIN
Phone	3046245471	PhoneNum
Preparation	2017-07-18	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	216.12.119.47	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2017-07-18	IPDt
IP Tm	07:33:55	IPTm
IP Timezone	ED	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	11B2A86E9B2BFBB9603062A44DDFB9BFD6FECD69	AtSubmissionCreationDeviceId
At Submission Filing Device Id	FA028347D9713788EC6EA1A69D17CDF0B8359852	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2016	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	DENNIS R LEWIS	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	P O BOX 4565	AddressLine1Txt
City	CHAPMANVILLE	CityNm
State Abbreviation	WV	StateAbbreviationCd
ZIP	25508	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$5,223,797	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.DIGNITYHOSPICE.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1994	FormationYr
Legal Domicile State	WV	LegalDomicileStateCd
Activity Or Mission	DIGNITY HOSPICE PROVIDES SERVICES TO TERMINALLY ILL PATIENTS AND PROVIDES EMOTIONAL AND PSYCHOLOGICAL SUPPORT TO THE RESPECTIVE FAMILY MEMBERS.	ActivityOrMissionDesc
Voting Members Governing Body	5	VotingMembersGoverningBodyCnt
Voting Members Independent	5	VotingMembersIndependentCnt
Total Employee	54	TotalEmployeeCnt
Total Volunteers	0	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$7,325	PYContributionsGrantsAmt
CY Contributions Grants	$54,412	CYContributionsGrantsAmt
PY Program Service Revenue	$4,795,266	PYProgramServiceRevenueAmt
CY Program Service Revenue	$5,166,682	CYProgramServiceRevenueAmt
PY Investment Income	$3,993	PYInvestmentIncomeAmt
CY Investment Income	$2,703	CYInvestmentIncomeAmt
PY Other Revenue	$17,906	PYOtherRevenueAmt
CY Other Revenue	$0	CYOtherRevenueAmt
PY Total Revenue	$4,824,490	PYTotalRevenueAmt
CY Total Revenue	$5,223,797	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$2,316,553	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$2,628,542	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$2,125	CYTotalFundraisingExpenseAmt
PY Other Expenses	$1,050,746	PYOtherExpensesAmt
CY Other Expenses	$1,517,126	CYOtherExpensesAmt
PY Total Expenses	$3,367,299	PYTotalExpensesAmt
CY Total Expenses	$4,145,668	CYTotalExpensesAmt
PY Revenues Less Expenses	$1,457,191	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$1,078,129	CYRevenuesLessExpensesAmt
Total Assets BOY	$3,751,389	TotalAssetsBOYAmt
Total Assets EOY	$6,767,026	TotalAssetsEOYAmt
Total Liabilities BOY	$196,162	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$2,133,670	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$3,555,227	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$4,633,356	NetAssetsOrFundBalancesEOYAmt
Mission	DIGNITY HOSPICE PROVIDES SERVICES TO TERMINALLY ILL PATIENTS AND PROVIDES EMOTIONAL AND PSYCHOLOGICAL SUPPORT TO THE RESPECTIVE FAMILY MEMBERS.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$3,542,756	ExpenseAmt
Revenue	$5,169,485	RevenueAmt
Desc	THE HOSPICE PROVIDED CARE TO TERMINALLY ILL PATIENTS AND THEIR FAMILY MEMBERS, 34,762 UNITS OF SERVICE, PROVIDED COMMUNITY EDUCATION, AND PROVIDED CHARITY CARE INCLUDING MEDICAL SUPPLIES.	Desc
Total Program Service Expenses	$3,542,756	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	0	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	0	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	0	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (1)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	0	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	0	OperateHospitalInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	0	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	0	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	7	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	54	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	5	GoverningBodyVotingMembersCnt
Independent Voting Member	5	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	WV	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	DENNIS R LEWIS	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	3048554764	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	P O BOX 4565 MAIN STREET	AddressLine1Txt
City	CHAPMANVILLE	CityNm
State Abbreviation	WV	StateAbbreviationCd
ZIP	25508	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (6 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd
MARY BRYANT
BOARD MEMBER	1.00	Yes (X)	$0	$0	$0
JAMES GREG DALTON
BOARD MEMBER	1.00	Yes (X)	$0	$0	$0
NANCY GODBY
BOARD MEMBER	1.00	Yes (X)	$0	$0	$0
MARTHA THORNHILL
BOARD MEMBER	1.00	Yes (X)	$0	$0	$0
DENNIS R LEWIS
PRESIDENT/EXECUTIVE DIRECTOR	40.00		$89,986	$0	$11,915	Yes (X)
SUSAN GORE
SECRETARY	4.00		$0	$0	$0	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$89,986	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$11,915	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	0	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	0	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K	0	CntrctRcvdGreaterThan100KCnt
All Other Contributions	$54,412	AllOtherContributionsAmt
Total Contributions	$54,412	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	PROGRAM SERVICE REVENU	Desc
Business	621610	BusinessCd
Total Revenue Column	$5,166,682	TotalRevenueColumnAmt
Related Or Exempt Func Income	$5,166,682	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$5,166,682	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,703	TotalRevenueColumnAmt
Related Or Exempt Func Income	$2,703	RelatedOrExemptFuncIncomeAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,223,797	TotalRevenueColumnAmt
Related Or Exempt Func Income	$5,169,385	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$2,132,045	TotalAmt
Program Services	$1,808,768	ProgramServicesAmt
Management And General	$323,277	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$17,681	TotalAmt
Program Services	$15,001	ProgramServicesAmt
Management And General	$2,680	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$264,636	TotalAmt
Program Services	$224,517	ProgramServicesAmt
Management And General	$40,119	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$214,180	TotalAmt
Program Services	$181,710	ProgramServicesAmt
Management And General	$32,470	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$2,708	TotalAmt
Management And General	$2,708	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$18,185	TotalAmt
Management And General	$18,185	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$265,545	TotalAmt
Program Services	$259,411	ProgramServicesAmt
Management And General	$6,134	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$19,470	TotalAmt
Program Services	$3,451	ProgramServicesAmt
Management And General	$16,019	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$334,119	TotalAmt
Program Services	$237,044	ProgramServicesAmt
Management And General	$94,950	ManagementAndGeneralAmt
Fundraising	$2,125	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$60,676	TotalAmt
Program Services	$45,507	ProgramServicesAmt
Management And General	$15,169	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$421,386	TotalAmt
Program Services	$391,175	ProgramServicesAmt
Management And General	$30,211	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$273,538	TotalAmt
Program Services	$273,538	ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$11,616	TotalAmt
Management And General	$11,616	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$756	TotalAmt
Management And General	$756	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$24,188	TotalAmt
Program Services	$18,141	ProgramServicesAmt
Management And General	$6,047	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$33,166	TotalAmt
Program Services	$32,720	ProgramServicesAmt
Management And General	$446	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp

Field	Value	IRS element (for citing)
Desc	BAD DEBT	Desc
Total	$51,773	TotalAmt
Program Services	$51,773	ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,145,668	TotalAmt
Program Services	$3,542,756	ProgramServicesAmt
Management And General	$600,787	ManagementAndGeneralAmt
Fundraising	$2,125	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$322,430	BOYAmt
EOY	$390,370	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$1,462,321	BOYAmt
EOY	$2,021,972	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$879,252	BOYAmt
EOY	$1,325,532	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
EOY	$16,105	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$15,282	BOYAmt
EOY	$9,142	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$3,494,852	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$490,947	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$1,072,104	BOYAmt
EOY	$3,003,905	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,751,389	BOYAmt
EOY	$6,767,026	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$185,162	BOYAmt
EOY	$185,049	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$11,000	BOYAmt
EOY	$1,948,621	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$196,162	BOYAmt
EOY	$2,133,670	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,555,227	BOYAmt
EOY	$4,633,356	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$3,555,227	BOYAmt
EOY	$4,633,356	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$3,751,389	BOYAmt
EOY	$6,767,026	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$1,078,129	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Separate Basis Fincl Stmt	Yes (X)	SeparateBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	Yes (X)	PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$23,683	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$30,646	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$15,191	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$193,106	CurrentTaxYearMinus1YearAmt
Current Tax Year	$54,412	CurrentTaxYearAmt
Total	$317,038	TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$3,035,494	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$2,940,239	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$3,184,112	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$4,443,969	CurrentTaxYearMinus1YearAmt
Current Tax Year	$5,146,882	CurrentTaxYearAmt
Total	$18,750,696	TotalAmt

Total509 Total509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$3,059,177	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$2,970,885	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$3,199,303	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$4,637,075	CurrentTaxYearMinus1YearAmt
Current Tax Year	$5,201,294	CurrentTaxYearAmt
Total	$19,067,734	TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total509	$19,067,734	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$28,077	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$15,004	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$27,861	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$21,899	CurrentTaxYearMinus1YearAmt
Current Tax Year	$22,503	CurrentTaxYearAmt
Total	$115,344	TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$28,077	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$15,004	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$27,861	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$21,899	CurrentTaxYearMinus1YearAmt
Current Tax Year	$22,503	CurrentTaxYearAmt
Total	$115,344	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$3,087,254	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$2,985,889	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$3,227,164	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$4,658,974	CurrentTaxYearMinus1YearAmt
Current Tax Year	$5,223,797	CurrentTaxYearAmt
Total	$19,183,078	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0.99400	PublicSupportCY509Pct
Public Support PY509	0.99290	PublicSupportPY509Pct
Investment Income CY	0.00600	InvestmentIncomeCYPct
Investment Income PY	0.00710	InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509	Yes (X)	ThirtyThrPctSuprtTestsCY509Ind

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$758,342	OtherCostOrOtherBasisAmt
Book Value	$758,342	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,395,182	OtherCostOrOtherBasisAmt
Depreciation	$172,003	DepreciationAmt
Book Value	$2,223,179	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$341,328	OtherCostOrOtherBasisAmt
Depreciation	$318,944	DepreciationAmt
Book Value	$22,384	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$3,003,905	TotalBookValueLandBuildingsAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$5,172,024	TotalRevEtcAuditedFinclStmtAmt
Other Revenue	-$51,773	OtherRevenueAmt
Revenue Not Reported	-$51,773	RevenueNotReportedAmt
Revenue Subtotal	$5,223,797	RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$5,223,797	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$4,093,895	TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$4,093,895	ExpensesSubtotalAmt
Other Expenses Not Included	$51,773	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$51,773	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$4,145,668	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART X, LINE 2:	THE HOSPICE'S FINANCIAL STATEMENTS DO NOT INCLUDE ANY UNCERTAIN TAX POSITIONS.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	BAD DEBTS NETTED ON FINANCIAL STATEMETNS -51773.
PART XII, LINE 4B - OTHER ADJUSTMENTS:	BAD DEBTS NETTED IN INCOME ON FINANCIAL STATEMENTS 51773.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11B	THE ORGANIZATION RECEIVES ITS FORM 990 PRIOR TO ITS BOARD MEETING AND THE REPORT IS DISCUSSED AT THAT MEETING PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12C	ANNUALLY THE BOARD IS ASKED TO COMPLETE A CONFLICT OF INTEREST SURVEY.
FORM 990, PART VI, SECTION B, LINE 15	THE BOARD REVIEWS THE COMPENSATION OF THE EXECUTIVE DIRECTOR AND ALL THE KEY EMPLOYEES WHEN THE CONTRACTS FOR THESE POSITIONS ARE NEGOTIATED. THE COMPENSATION RATES ARE COMPARED TO OTHER SIMILAR FACILITIES IN THE STATE, AND TO NATIONALLY PUBLICALLY AVAILABLE DATA.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION MAKES ITS DOCUMENTS AVAILABLE AT ITS MAIN OFFICE FOR ANY INDIVIDUALS THAT ARE INTERESTED IN SEEING THEM AND MAKES A REQUEST.