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Nonprofiteer
← Fredericksburg Hospice No 1

Form 990 for tax year 2022

Filed by Fredericksburg Hospice No 1.

Totals

Total revenue
$6,667,690
Total expenses
$5,626,191
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$6,582,217
Investment income
$85,473
Other revenue
$0
Total assets, end of year
$7,231,772
Total liabilities, end of year
$423,477
Net assets or fund balances, end of year
$6,808,295
Program services expenses (Part IX)
$4,615,360
Management and general expenses
$1,010,831
Fundraising expenses
$0
Program service expenses (Part III)
$4,615,360

Program services were 82.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 2a · Program service revenue: Net Patient Revenue

    total $6,582,217 · related or exempt $6,582,217

  • 3 · Investment income

    total $85,473 · excluded $85,473

  • 4 · Income from investment of tax-exempt bond proceeds

    total $0

  • 5 · Royalties

    total $0

  • 6c · Rental income or loss

    real property $0 · personal property $0

  • 6d · Net rental income or loss

    total $0

  • 7d · Net gain or loss

    total $0

  • 8a · Fundraising events: gross income

    $0

  • 8b · Fundraising events: direct expenses

    $0

  • 8c · Net income from fundraising events

    total $0

  • 9a · Gaming: gross income

    $0

  • 9b · Gaming: direct expenses

    $0

  • 9c · Net income from gaming

    total $0

  • 10a · Gross sales of inventory

    $0

  • 10b · Cost of goods sold

    $0

  • 10c · Net income from sales of inventory

    total $0

  • 11e · Other revenue, total

    $0

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $0

  • 2 · Grants to domestic individuals

    total $0

  • 3 · Grants to foreign organizations and individuals

    total $0

  • 4 · Benefits paid to or for members

    total $0

  • 5 · Compensation of officers, directors and key employees

    total $0

  • 6 · Compensation of disqualified persons

    total $0

  • 7 · Other salaries and wages

    total $2,468,301 · program services $1,974,641 · management and general $493,660

  • 8 · Pension plan contributions

    total $68,310 · program services $54,648 · management and general $13,662

  • 9 · Other employee benefits

    total $483,572 · program services $386,858 · management and general $96,714

  • 10 · Payroll taxes

    total $191,948 · program services $153,558 · management and general $38,390

  • 11a · Fees: management

    total $0

  • 11b · Fees: legal

    total $0

  • 11c · Fees: accounting

    total $6,550 · management and general $6,550

  • 11d · Fees: lobbying

    total $0

  • 11e · Fees: professional fundraising services

    total $0

  • 11f · Fees: investment management

    total $0

  • 11g · Fees: other

    total $1,451,502 · program services $1,166,442 · management and general $285,060

  • 12 · Advertising and promotion

    total $7,746 · program services $6,197 · management and general $1,549

  • 13 · Office expenses

    total $14,182 · program services $11,345 · management and general $2,837

  • 14 · Information technology

    total $65,977 · program services $52,782 · management and general $13,195

  • 15 · Royalties

    total $0

  • 16 · Occupancy

    total $219,823 · program services $175,858 · management and general $43,965

  • 17 · Travel

    total $46,719 · program services $37,375 · management and general $9,344

  • 18 · Travel or entertainment for public officials

    total $0

  • 19 · Conferences, conventions and meetings

    total $987 · program services $790 · management and general $197

  • 20 · Interest

    total $0

  • 21 · Payments to affiliates

    total $0

  • 22 · Depreciation, depletion and amortization

    total $8,212 · program services $6,570 · management and general $1,642

  • 23 · Insurance

    total $1,635 · program services $1,308 · management and general $327

  • 24a · Other expenses: Hospice Supplies

    total $572,036 · program services $572,036

  • 24b · Other expenses: Licenses and Permits

    total $764 · program services $611 · management and general $153

  • 24c · Other expenses: Dues and Subscriptions

    total $15,877 · program services $12,702 · management and general $3,175

  • 24d · Other expenses: .

    total $0

  • 24e · All other expenses

    total $2,050 · program services $1,639 · management and general $411

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $60,000 · end of year $60,000

  • 2 · Savings and temporary cash investments

    beginning of year $5,635,830 · end of year $6,603,986

  • 3 · Pledges and grants receivable

    beginning of year $0 · end of year $0

  • 4 · Accounts receivable

    beginning of year $582,015 · end of year $561,322

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 7 · Other notes and loans receivable

    beginning of year $0 · end of year $0

  • 8 · Inventories for sale or use

    beginning of year $0 · end of year $0

  • 9 · Prepaid expenses and deferred charges

    beginning of year $0 · end of year $0

  • 10a · Land, buildings and equipment: cost or other basis

    $192,562

  • 10b · Land, buildings and equipment: accumulated depreciation

    $186,098

  • 10c · Land, buildings and equipment, net

    beginning of year $7,758 · end of year $6,464

  • 11 · Investments: publicly traded securities

    beginning of year $0 · end of year $0

  • 12 · Investments: other securities

    beginning of year $0 · end of year $0

  • 13 · Investments: program-related

    beginning of year $0 · end of year $0

  • 14 · Intangible assets

    beginning of year $0 · end of year $0

  • 15 · Other assets

    beginning of year $0 · end of year $0

  • 17 · Accounts payable and accrued expenses

    beginning of year $0 · end of year $0

  • 18 · Grants payable

    beginning of year $0 · end of year $0

  • 19 · Deferred revenue

    beginning of year $0 · end of year $0

  • 20 · Tax-exempt bond liabilities

    beginning of year $0 · end of year $0

  • 21 · Escrow or custodial account liability

    beginning of year $0 · end of year $0

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 23 · Secured mortgages and notes payable

    beginning of year $0 · end of year $0

  • 24 · Unsecured notes and loans payable

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $518,808 · end of year $423,477

  • 27 · Net assets without donor restrictions

    beginning of year $5,766,795 · end of year $6,808,295

  • 28 · Net assets with donor restrictions

    beginning of year $0 · end of year $0

Mission and programs · 2022

Mission

Create Healthy Management's VISION IS EMPOWER OTHERS, CREATE HEALTHY. THE ORGANIZATION'S VALUES ARE: COMPASSION, OWNERSHIP, INNOVATION, AND EXCELLENCE.

Activities or mission (Part I)

TO PROVIDE CARE TO TERMINALLY ILL PATIENTS BY TREATING THEIR PAIN AND SYMPTOMS AND EASING THEIR EMOTIONAL AND SPIRITUAL SUFFERING.

  • PROVIDED 1,535 PATIENTS WITH CARE DURING 2022 FOR A TOTAL OF 36,459 PATIENT DAYS.

    Expenses $4,615,360 · Revenue $6,582,217

As filed on the 2022 return.

Listed in Part VII

  • Jayne Pope

    HOSPITAL CEO

    Total calculated
    $517,543
    From this org
    $0
    From related orgs
    $492,937
    Other
    $24,606
    Hours/week
    0.25 + 39.75 related

    Schedule J breakdown matched by us

    Base
    not reported + $410,935 related
    Bonus
    not reported + $82,002 related
    Other
    not reported
    Deferred
    not reported + $11,600 related
    Nontaxable benefits
    not reported + $13,006 related
    Filer's total
    not reported + $517,543 related

  • Clinton Kotal

    CHIEF INTEGRATION OFFICER

    Total calculated
    $432,624
    From this org
    $0
    From related orgs
    $383,678
    Other
    $48,946
    Hours/week
    4 + 36 related

    Schedule J breakdown matched by us

    Base
    not reported + $316,242 related
    Bonus
    not reported + $67,436 related
    Other
    not reported
    Deferred
    not reported + $11,600 related
    Nontaxable benefits
    not reported + $37,346 related
    Filer's total
    not reported + $432,624 related

  • Susan Neves

    CFO

    Total calculated
    $409,670
    From this org
    $0
    From related orgs
    $378,955
    Other
    $30,715
    Hours/week
    0.25 + 39.75 related

    Schedule J breakdown matched by us

    Base
    not reported + $313,955 related
    Bonus
    not reported + $65,000 related
    Other
    not reported
    Deferred
    not reported
    Nontaxable benefits
    not reported + $30,715 related
    Filer's total
    not reported + $409,670 related

  • Maureen O Polivka

    HOSPITAL CNO

    Total calculated
    $300,027
    From this org
    $0
    From related orgs
    $279,741
    Other
    $20,286
    Hours/week
    0 + 40 related

    Schedule J breakdown matched by us

    Base
    not reported + $233,290 related
    Bonus
    not reported + $46,451 related
    Other
    not reported
    Deferred
    not reported + $8,769 related
    Nontaxable benefits
    not reported + $11,517 related
    Filer's total
    not reported + $300,027 related

  • Kevin Shane Dickinson

    IT Director

    Total calculated
    $218,941
    From this org
    $0
    From related orgs
    $181,027
    Other
    $37,914
    Hours/week
    5 + 35 related

    Schedule J breakdown matched by us

    Base
    not reported + $177,420 related
    Bonus
    not reported + $3,607 related
    Other
    not reported
    Deferred
    not reported + $7,203 related
    Nontaxable benefits
    not reported + $30,711 related
    Filer's total
    not reported + $218,941 related

  • Katelyn Vinklarek

    Administrative Director

    Total calculated
    $217,827
    From this org
    $0
    From related orgs
    $175,503
    Other
    $42,324
    Hours/week
    20 + 20 related

    Schedule J breakdown matched by us

    Base
    not reported + $150,303 related
    Bonus
    not reported + $25,200 related
    Other
    not reported
    Deferred
    not reported + $6,059 related
    Nontaxable benefits
    not reported + $36,265 related
    Filer's total
    not reported + $217,827 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

None.

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

SCHEDULE J, PART I, LINE 3
EXECUTIVE COMPENSATION: Create Healthy Management, A RELATED ORGANIZATION, DETERMINES COMPENSATION OF THE Hospice'S President THROUGH THE USE OF THE FOLLOWING: - COMPENSATION COMMITTEE - COMPENSATION SURVEY OR STUDY - APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Provenance

Return type
form_990
Tax year
2022
Filed
15 November 2023
IRS schema version
2022v5.0
Source object
202302919349300015

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