IHC HOSPICE INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: IHC HOSPICE INC (EIN 20-0063696)
Tax period: 2011-01-01 to 2011-12-31
Filed: 2012-12-13
IRS object ID: 201203489349300625
Schema version: 2011v1.2
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
Form 990
Schedule A
Schedule D
Schedule L
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-12-13T16:35:50-06:00	Timestamp
Tax Period End Date	2011-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	THE CONE COMPANY	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 3855	AddressLine1
City	SAVANNAH	City
State	GA	State
ZIP Code	314143855	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2011-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	200063696	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	IHC HOSPICE INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	IHCH	NameControl
Phone	9124416594	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3 W PERRY ST	AddressLine1
City	SAVANNAH	City
State	GA	State
ZIP Code	31401	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	ELLEN BOLCH	Name
Title	PRESIDENT	Title
Phone	9124416594	Phone
Date Signed	2012-11-14	DateSigned

Preparer Preparer

Field	Value	IRS element (for citing)
Name	JOHN T CONE	Name
Phone	9124416594	Phone
Date Prepared	2012-11-15	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	ELLEN BOLCH	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	3 W PERRY STREET	AddressLine1
City	SAVANNAH	City
State	GA	State
ZIP Code	31401	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	2511630	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.THAGROUP.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	2003	YearFormation
State Legal Domicile	SC	StateLegalDomicile
Activity Or Mission Description	THE ORGANIZATION PROVIDES HOSPICE CARE ON AN OUTPATIENT AND IN-HOME BASIS FOR TERMINALLY ILL INDIVIDUALS.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	8	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	5	NbrIndependentVotingMembers
Total Nbr Employees	24	TotalNbrEmployees
Total Nbr Volunteers	20	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	56655	ContributionsGrantsPriorYear
Contributions Grants Current Year	10627	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	2030242	ProgramServiceRevenuePriorYear
Program Service Revenue CY	2501003	ProgramServiceRevenueCY
Investment Income Current Year	0	InvestmentIncomeCurrentYear
Other Revenue Current Year	0	OtherRevenueCurrentYear
Total Revenue Prior Year	2086897	TotalRevenuePriorYear
Total Revenue Current Year	2511630	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	847609	SalariesEtcPriorYear
Salaries Etc Current Year	1011401	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	1146273	OtherExpensePriorYear
Other Expenses Current Year	1293797	OtherExpensesCurrentYear
Total Expenses Prior Year	1993882	TotalExpensesPriorYear
Total Expenses Current Year	2305198	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	93015	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	206432	RevenuesLessExpensesCY
Total Assets BOY	469791	TotalAssetsBOY
Total Assets EOY	670500	TotalAssetsEOY
Total Liabilities BOY	34479	TotalLiabilitiesBOY
Total Liabilities EOY	28756	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	435312	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	641744	NetAssetsOrFundBalancesEOY
Mission Description	THE ORGANIZATION PROVIDES HOSPICE CARE ON AN OUTPATIENT AND IN-HOME BASIS FOR TERMINALLY ILL INDIVIDUALS.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	2182364	Expense
Description	HOSPICE CARE SERVICES	Description
Total Program Service Expense	2182364	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	false	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	false	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	false	Hospital
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	false	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	true	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	true	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	false	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transaction Related Entity	false	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	3	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	24	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	8	NbrVotingGoverningBodyMembers
Number Independent Voting Members	5	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
States Where Copy Of Return Is Filed	SC	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	THE ORGANIZATION	NamePerson
Telephone Number	9124416594	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	3 W PERRY ST	AddressLine1
City	SAVANNAH	City
State	GA	State
ZIP Code	31401	ZIPCode

Field	Value	IRS element (for citing)
No Listed Persons Compensated	X	NoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (8 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation
ELLEN B BOLCH
DIRECTOR/PR	1.00	X	X	0	0	0
JOSEPH EBBERWEIN
DIRECTOR/VP	1.00	X	X	0	0	0
KATHY PIETTE
DIRECTOR/SEC	1.00	X	X	0	0	0
JERRY REEVES
DIRECTOR	1.00	X		0	0	0
DAVID SMITH
DIRECTOR	1.00	X		0	0	0
HOWARD MORRISON
DIRECTOR	1.00	X		0	0	0
CORA BETT THOMAS
DIRECTOR	1.00	X		0	0	0
MALIK WATKINS
DIRECTOR	1.00	X		0	0	0

Field	Value	IRS element (for citing)
Formers Listed	false	FormersListed
Total Comp GT150 K	false	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources
All Other Contributions	10627	AllOtherContributions
Total Contributions	10627	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	PROGRAM SERVICE REVENUE	Description
Total Revenue Column	2501003	TotalRevenueColumn
Related Or Exempt Function Income	2501003	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	2501003	TotalProgramServiceRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	2511630	TotalRevenueColumn
Related Or Exempt Function Income	2501003	RelatedOrExemptFunctionIncome

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	887617	Total
Program Services	887617	ProgramServices

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	18178	Total
Program Services	18178	ProgramServices

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	60551	Total
Program Services	60551	ProgramServices

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	45055	Total
Program Services	45055	ProgramServices

Advertising Advertising

Field	Value	IRS element (for citing)
Total	3809	Total
Program Services	3809	ProgramServices

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	15322	Total
Management And General	15322	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	78642	Total
Management And General	78642	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	4160	Total
Program Services	4160	ProgramServices

Interest Interest

Field	Value	IRS element (for citing)
Total	80	Total
Program Services	80	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	14673	Total
Program Services	11605	ProgramServices
Management And General	3068	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	2256	Total
Program Services	2256	ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices
HOME OFFICE COST ALLOC'N	460103	460103
MEDICARE & CONTRACTUAL	190855	190855
DRUGS & BIOLOGICALS	101819	101819
HOME MEDICAL EQUIP EXP	92872	92872

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	329206	Total
Program Services	303404	ProgramServices
Management And General	25802	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	2305198	Total
Program Services	2182364	ProgramServices
Management And General	122834	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	230569	BOY
EOY	474113	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
EOY	50000	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	189709	BOY
EOY	114078	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	6817	BOY
EOY	4286	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	46400	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	18377	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	31091	BOY
EOY	28023	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	11605	BOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	469791	BOY
EOY	670500	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	60788	BOY
EOY	99002	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	-26309	BOY
EOY	-70246	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	34479	BOY
EOY	28756	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	435312	BOY
EOY	641744	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	435312	BOY
EOY	641744	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	469791	BOY
EOY	670500	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	206432	ReconcilationRevenueExpenses
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	false	FSAudited

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org170b1 Avi	X	PubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	836533	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	1470382	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	2571285	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	2086897	CurrentTaxYearMinus1Year
Current Tax Year	2511630	CurrentTaxYear
Total	9476727	Total

Total170 Total170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	836533	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	1470382	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	2571285	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	2086897	CurrentTaxYearMinus1Year
Current Tax Year	2511630	CurrentTaxYear
Total	9476727	Total

Field	Value	IRS element (for citing)
Public Support Total170	9476727	PublicSupportTotal170
Total Support	9476727	TotalSupport
Gross Receipts From Admissions Etc	2501003	GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage170	1.00000	PublicSupportPertcentage170
Public Support Pertcent Prior Year	1.00000	PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170	X	ThirtyThreePercntTestsCY170

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Disclosed Orgs Legal Control	false	DisclosedOrgsLegalControl
Disclosed For Charitable Purposes	false	DisclosedForCharitablePurposes
Written Policy Monitoring	false	WrittenPolicyMonitoring
Sect170h Requirements Satisfied	false	Sect170hRequirementsSatisfied
Solicited Assets For Sale	false	SolicitedAssetsForSale
Agent Trustee Etc	false	AgentTrusteeEtc
Included On FS	false	IncludedOnFS
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	false	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	false	AreRelatedOrgsListedScheduleR

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	46400	OtherCostOrOtherBasis
Depreciation	18377	Depreciation
Book Value	28023	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	28023	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
Description	RELATED PARTY RECEIVABLE/PAYABLE	Description
Amount	-$70,246	Amount

Field	Value	IRS element (for citing)
Total Of Amounts	-70246	TotalOfAmounts

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	THA SERVICES INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Relationship	DIRECTOR OWNED	Relationship
Description Of Transaction	HOME OFF COST ALLOCN	DescriptionOfTransaction
Sharing Of Revenues	false	SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
ELECTION OF MEMBERS AND THEIR RIGHTS	FORM 990, PAGE 6, PART VI, LINE 7A	ORGANIZATION HAS VOTING MEMBERS
DECISIONS SUBJECT TO APPROVAL OF MEMBERS	FORM 990, PAGE 6, PART VI, LINE 7B	DECISIONS ARE SUBJECT TO VOTING MEMBER APPROVAL
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990	FORM 990, PAGE 6, PART VI, LINE 11B	REVIEWED WITH CPA AND OFFICER
ENFORCEMENT OF CONFLICTS POLICY	FORM 990, PAGE 6, PART VI, LINE 12C	REVIEW WITH DIRECTORS
COMPENSATION PROCESS FOR TOP OFFICIAL	FORM 990, PAGE 6, PART VI, LINE 15A	REVIEW WITH DIRECTORS
COMPENSATION PROCESS FOR OFFICERS	FORM 990, PAGE 6, PART VI, LINE 15B	REVIEW WITH DIRECTORS
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION	FORM 990, PAGE 6, PART VI, LINE 19	UPON REQUEST
OTHER EXPENSES	FORM 990, PART IX, LINE 24E	MILEAGE REIMBURSEMENT 77,684 MEDICAL DIRECTOR FEES 50,925 GENERAL INPATIENT 48,206 BAD DEBTS 35,000 MEDICAL SUPPLIES 32,906 WORKERS COMP INSURANCE 20,072 TELEPHONE 17,335 DUES & SUBSCRIPTIONS 13,064 OUTPATIENT EXPENSE 9,763 RESPITE EXPENSE 8,108 INSERVICE & EDUCATION 3,732 PROFESSIONAL FEES 3,377 UTILITIES 2,784 RECRUITMENT EXPENSE 2,387 TAXES & LICENSES 1,423 REPAIRS & MAINTENANCE 883 BANK CHARGES 648 UNIFORMS 470 BEREAVEMENT EXPENSE 439