2016-07-14T15:39:14-05:00 2015-12-31 550486667 ARNETT CARBIS TOOTHMAN LLP PO BOX 908 BRIDGEPORT WV 26330 990 2015-01-01 550730654 DIGNITY HOSPICE OF SOUTHERN WV INC DIGN 3048554764 P O BOX 4304 CHAPMANVILLE WV 25508 DENNIS R LEWIS PRESIDENT 3048554764 2016-07-04 1 WILLIAM J BEHRENS CPA P00089711 3046245471 2016-07-04 2015 2016-09-27 15:27:22Z DENNIS R LEWIS P O BOX 4565 CHAPMANVILLE WV 25508 4824490 0 X WWW.DIGNITYHOSPICE.ORG X 1994 WV DIGNITY HOSPICE PROVIDES SERVICES TO TERMINALLY ILL PATIENTS AND PROVIDES EMOTIONAL AND PSYCHOLOGICAL SUPPORT TO THE RESPECTIVE FAMILY MEMBERS. 4 4 57 0 17906 0 16064 7325 3184112 4795266 2616 3993 25245 17906 3228037 4824490 0 0 0 0 1902634 2316553 0 0 0 948207 1050746 2850841 3367299 377196 1457191 2402511 3751389 304479 196162 2098032 3555227 DIGNITY HOSPICE PROVIDES SERVICES TO TERMINALLY ILL PATIENTS AND PROVIDES EMOTIONAL AND PSYCHOLOGICAL SUPPORT TO THE RESPECTIVE FAMILY MEMBERS. 0 0 2991245 4799259 THE HOSPICE PROVIDED CARE TO TERMINALLY ILL PATIENTS AND THEIR FAMILY MEMBERS, 31,148 UNITS OF SERVICE, PROVIDED COMMUNITY EDUCATION, AND PROVIDED CHARITY CARE INCLUDING MEDICAL SUPPLIES. 2991245 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 8 0 1 57 1 1 1 0 0 0 0 0 0 0 X 4 4 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 WV X DENNIS R LEWIS 3048554764 P O BOX 4565 MAIN STREET CHAPMANVILLE WV 25508 STEPHEN NICHOLS BOARD MEMBER 1.00 X 0 0 0 JAMES GREG DALTON BOARD MEMBER 1.00 X 0 0 0 NANCY GODBY BOARD MEMBER 1.00 X 0 0 0 DENNIS R LEWIS PRESIDENT/EXECUTIVE DIRECTOR 40.00 X X 89986 0 9923 89986 0 9923 0 0 0 0 0 7325 7325 PROGRAM SERVICE REVENU 621610 4795266 4795266 4795266 3993 3993 17906 0 17906 17906 17906 4824490 4799259 17906 0 1872366 1658271 214095 13989 12390 1599 216958 192160 24798 213240 188867 24373 4059 4059 23676 23676 226710 222259 4451 4075 1247 2828 257850 217671 40179 35617 26713 8904 71970 54063 17907 176447 176447 7143 7143 7083 5312 1771 26049 19537 6512 49121 48219 902 BAD DEBT 160946 160946 3367299 2991245 376054 0 139660 322430 513241 1462321 746267 879252 13238 15282 1538863 466759 990105 1072104 2402511 3751389 150786 185162 153693 11000 304479 196162 X 2098032 3555227 2098032 3555227 2402511 3751389 X 1457191 4 X 1 X 0 0 0 X 57391 23683 30646 15191 193106 320017 2449258 3035494 2940239 3184112 4443969 16053072 2506649 3059177 2970885 3199303 4637075 16373089 0 0 0 16373089 23522 28077 15004 27861 21899 116363 23522 28077 15004 27861 21899 116363 2530171 3087254 2985889 3227164 4658974 16489452 0.99290 0.99230 0.00710 0.00770 X 758342 758342 446561 163160 283401 333960 303599 30361 1072104 FORM 990, PART VI, SECTION B, LINE 11 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. FORM 990, PART XI, LINE 9: ROUNDING 4.