2023-11-14T15:46:15-05:00 2023-06-30 475648183 KIRBY & MOORE LLP 1020 COLLEGE STREET BOWLING GREEN KY 42101 990 2022-07-01 311035478 HOSPICE OF SOUTHERN KENTUCKY INC HOSP 2707823402 5872 SCOTTSVILLE ROAD BOWLING GREEN KY 42104 STEVEN JANTZ CEO 2707823402 2023-11-14 true STEVEN JANTZ XXX-XX-XXXX false R KIM KIRBY P01904441 2707825488 2023-11-14 X 2022 2023-04-26 12:10:37Z STEVEN JANTZ 8393196 false X WWW.HOSPICESOKY.ORG X 1981 KY THE HOSPICE MISSION IS TO HONOR LIFE THROUGH EXCEPTIONAL SERVICE AND COMPASSIONATE CARE. THE ORGANIZATION IS PRIMARILY ENGAGED IN PROVIDING CARE AND SUPPORT THAT ENABLES THE TERMINALLY ILL TO SPEND THEIR FINAL DAYS IN A COMFORTABLE AND DIGNIFIED HOME ENVIRONMENT. PAID PROFESSIONALS AND TRAINED VOLUNTEERS MINISTER TO THE PHYSICAL, PSYCHOLOGICAL, SPIRITUAL AND SOCIAL NEEDS OF THE PATIENTS AND THEIR FAMILIES. 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ONLY ONE PROGRAM PROVIDES SERVICES TO TERMINALLY ILL PATIENTS IN THE SOUTHERN KENTUCKY AREA THROUGH BOTH AN ON-SITE FACILITY OR AT PATIENT'S HOME. 5634207 true true false false false false false false false false true false false false false false true false false false false false false false true false false false false true false false false false false false false false true false false false false false false false false true 36 0 true 103 true false false false false false true true false false false false false false false false X 16 16 false false false false false false false true true false false true true true true true true true true false KY X X MEGAN DICK 2707823402 5872 SCOTTSVILLE ROAD BOWLING GREEN KY 42104 X STEVEN JANTZ CEO 40.00 X 193589 0 0 DR MICHAEL BYRNE MEDICAL DIRE 40.00 X 187548 0 0 MEGAN DICK CPA CFO 40.00 X 121588 0 0 KELLY BELL DIRECTOR 0.50 X 0 0 0 GAIL BROADY CHAIR 1.50 X X 0 0 0 PAUL COOK DIRECTOR 0.50 X 0 0 0 DOT DARBY-PASCHALL PAST CHAIR 1.50 X 0 0 0 BRENDA GILDERSLEEVE DIRECTOR 1.00 X 0 0 0 DIANA GOAD DIRECTOR 0.50 X 0 0 0 ROMANZA JOHNSON ADVISOR TO C 1.50 X 0 0 0 CATHERINE HELTSLEY MD DIRECTOR 0.50 X 0 0 0 DAVID SMITH MD DIRECTOR 0.50 X 0 0 0 JAMIE JARBOE MD DIRECTOR 0.50 X 0 0 0 DIXIE MAHURIN DIRECTOR 1.00 X 0 0 0 PORTIA PENNINGTON TREASURER 1.50 X X 0 0 0 JOHN LONG PHD DIRECTOR 0.50 X 0 0 0 KEN WHITLEY RN VICE CHAIR 5.00 X X 0 0 0 KIM VICKOUS RN SECRETARY 1.50 X X 0 0 0 PEARL TAYLOR DIRECTOR 0.50 X 0 0 0 502725 3 false true false 2699 250518 332852 25816 586069 MEDICARE 900099 6114958 6114958 MEDICAID 900099 1224177 1224177 PRIVATE INSURANCE 900099 243050 243050 7582185 21680 21680 1428 412 1016 1016 1016 200543 96335 104208 104208 MISC INC 900099 1291 1291 1291 8296449 7584492 125888 381137 381137 3289262 2910482 378780 271980 186051 85929 284332 204713 79619 3000 3000 3902 3902 23356 23356 108084 108084 37493 13699 23794 182829 171357 11472 12223 7106 5117 192031 146337 45694 74973 51732 23241 NURSING HOME 696932 696932 PHARMACY 361893 361893 DME RENTAL 178934 178934 MAINTENANCE 164902 113782 51120 669018 591189 59297 18532 6936281 5634207 1283542 18532 4476071 5243304 507548 573244 758960 23075 12147 5475923 2100768 3450832 3375155 98948 105188 7960 7960 8630130 10010262 389103 501861 92794 481897 501861 X 8134121 9485081 14112 23320 8148233 9508401 8630130 10010262 1360168 X false true X true false X 398150 432102 1066502 489348 586069 2972171 398150 432102 1066502 489348 586069 2972171 103276 2868895 10140 9939 7292 614 21680 49665 3021836 13855318 0.94940 0.95090 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 101040 101040 4730761 1776342 2954419 253494 48988 204506 84716 52702 32014 305912 222736 83176 3375155 8392784 96335 96335 8296449 8296449 7032616 96335 96335 6936281 6936281 SCHEDULE D, PAGE 4, PART XI, LINE 2D REVENUE NET OF DIRECT FUNDRAISING EXPENSES 96,335 SCHEDULE D, PAGE 4, PART XII, LINE 2D EXPENSES EXCLUDING DIRECT FUNDRAISING EXPENSES 96,335 LOTUS AWARD GAL 127203 127203 2144 2922 15992 9500 30645 GOLF INVITATION 73340 73340 12567 14983 4516 175 2891 200543 200543 14711 17905 20508 9675 33536 96335 104208 KY X X X X X false false false false false false false false false STEVEN JANTZ CEO 183589 10000 193589 DR MICHAEL BYRNE MEDICAL DIRECTOR 187548 187548 X SUPPLIES 4 1587 ESTIMATED FMV X CHAR. PRIZES 50 24229 ESTIMATED FMV false true false SCHEDULE M, PAGE 2, PART II PART I COLUMN B - OF CONTRIBUTIONS. FORM 990 - ORGANIZATION'S MISSION THE HOSPICE MISSION IS TO HONOR LIFE THROUGH EXCEPTIONAL SERVICE AND COMPASSIONATE CARE. THE ORGANIZATION IS PRIMARILY ENGAGED IN PROVIDING CARE AND SUPPORT THAT ENABLES THE TERMINALLY ILL TO SPEND THEIR FINAL DAYS IN A COMFORTABLE AND DIGNIFIED HOME ENVIRONMENT. PAID PROFESSIONALS AND TRAINED VOLUNTEERS MINISTER TO THE PHYSICAL, PSYCHOLOGICAL, SPIRITUAL AND SOCIAL NEEDS OF THE PATIENTS AND THEIR FAMILIES. THE ORGANIZATION SERVES THE SOUTH-CENTRAL KENTUCKY AREA. FORM 990, PAGE 2, PART III, LINE 4D ONLY ONE PROGRAM PROVIDES SERVICES TO TERMINALLY ILL PATIENTS IN THE SOUTHERN KENTUCKY AREA THROUGH BOTH AN ON-SITE FACILITY OR AT PATIENT'S HOME. FORM 990, PAGE 6, PART VI, LINE 11B THE FORM 990 IS REVIEWED BY MANAGEMENT AND BOARD OF DIRECTORS BEFORE ISSUANCE. FORM 990, PAGE 6, PART VI, LINE 12C ORGANIZATION CONFLICTS OF INTEREST POLICY IS REVIEWED ANNUALLY BY KEY EMPLOYEES AND BOARD OF DIRECTORS. FORM 990, PAGE 6, PART VI, LINE 15A SALARY DETERMINED BY COMPARABLE DATA, REVIEW BY BOARD OF DIRECTORS. FORM 990, PAGE 6, PART VI, LINE 15B SALARY DETERMINED BY COMPARABLE DATA UNDER AUTHORITY OF C.E.O., WITH REVIEW BY BOARD OF DIRECTORS IF NECESSARY. FORM 990, PAGE 6, PART VI, LINE 19 DOCUMENTS AVAILABLE FOR INSPECTION, UPON REQUEST.