2013-05-14T08:29:10-05:00 2012-12-31 550486667 ARNETT FOSTER TOOTHMAN PLLC PO BOX 908 BRIDGEPORT WV 26330 990 2012-01-01 550730654 DIGNITY HOSPICE OF SOUTHERN WV INC DIGN 3048554764 P O BOX 4565 CHAPMANVILLE WV 25508 DENNIS R LEWIS 3048554764 2013-05-08 1 WILLIAM J BEHRENS P00089711 3046245471 2013-05-08 2012 2016-02-24 21:20:13Z DENNIS R LEWIS P O BOX 4565 CHAPMANVILLE WV 25508 3087254 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 62 0 21398 -1220 54130 23683 2451817 3035494 216 6679 26783 21398 2532946 3087254 0 0 0 0 1510036 1664558 0 0 5789 1168311 1146168 2678347 2810726 -145401 276528 2037985 2258990 948249 892725 1089736 1366265 DIGNITY HOSPICE PROVIDES SERVICES TO TERMINALLY ILL PATIENTS AND PROVIDES EMOTIONAL AND PSYCHOLOGICAL SUPPORT TO THE RESPECTIVE FAMILY MEMBERS. 0 0 2322746 3042173 THE HOSPICE PROVIDED CARE TO TERMINALLY ILL PATIENTS AND THEIR FAMILY MEMBERS, 20,869 UNITS OF SERVICE, PROVIDED COMMUNITY EDUCATION, AND PROVIDED CHARITY CARE INCLUDING MEDICAL SUPPLIES 2322746 1 1 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 0 0 62 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 LEWIS 3048554764 P O BOX 4565 MAIN STREET CHAPMANVILLE WV 25508 X KENT BOWKER 1.00 X 0 0 0 STEPHEN NICHOLS 1.00 X 0 0 0 JAMES GREG DALTON 1.00 X 0 0 0 NANCY GODBY 1.00 X 0 0 0 0 0 0 0 0 0 0 0 23683 23683 PROGRAM SERVICE REVENU 621610 3035494 3035494 3035494 6679 6679 21398 0 21398 21398 21398 3087254 3042173 21398 0 1313582 1050866 262716 11351 9081 2270 211951 169561 42390 127674 102139 25535 351 351 9161 9161 466293 466293 323773 265287 52697 5789 34209 30388 3821 72860 40073 32787 154493 141509 12984 41522 20761 20761 20348 10174 10174 23158 16614 6544 2810726 2322746 482191 5789 15805 114491 227029 159256 815219 975533 8393 5627 1398632 394549 971539 1004083 2037985 2258990 324750 293180 623499 599545 948249 892725 X 0 0 0 0 1089736 1366265 1089736 1366265 2037985 2258990 X 276528 1 X 1 X 0 0 0 X 114645 52793 69972 57391 23683 318484 2614123 3094785 3198293 2449258 3035494 14391953 2728768 3147578 3268265 2506649 3059177 14710437 0 0 0 14710437 54499 20355 21270 23522 28077 147723 54499 20355 21270 23522 28077 147723 2783267 3167933 3289535 2530171 3087254 14858160 0.99010 0.98930 0.00990 0.01070 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 731000 731000 354238 128757 225481 313394 265792 47602 1004083 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. OTHER FEES FORM 990, PART IX, LINE 11G OTHER FEES: PROGRAM SERVICE EXPENSES 466293. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 466293. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: ROUNDING 1.