2023-12-29T12:05:24-05:00 2023-06-30 631273966 BAIN & COMPANY CPA'S PC PO BOX 1090 PELL CITY AL 351251090 990 2022-07-01 631035850 LAKESIDE HOSPICE INC LAKE 2058841111 4010 MASTERS RD PELL CITY AL 35128 BILL HEREFORD PRESIDENT 2058841111 2023-11-29 true BILL HEREFORD XXX-XX-XXXX true GREGORY D BAIN CPA P00187496 2058842332 2023-12-01 2022 2023-04-26 12:10:37Z PAUL GARING 4010 MASTERS ROAD PELL CITY AL 35128 2577845 false X WWW.LAKESIDEHOSPICE.ORG X LAKESIDE HOSPICE IS A FAITH-BASED, COMMUNITY-SUPPORTED PROGRAM, COMMITTED TO PROVIDING AND MAINTAINING THE HIGHEST QUALITY OF CARE AND IN PROVIDING CARE TO ANYONE WHO IS TERMINALLY ILL REGARDLESS OF THEIR ABILITY TO PAY. THE GOAL OF LAKESIDE HOSPICE IS THREEFOLD: (1) TO PROVIDE MEDICAL CARE TO ENABLE THE PATIENT TO REMAIN ALERT, COMFORTABLE AND CAPABLE OF PARTICIPATING IN LIFE AS FULLY AS POSSIBLE FOR AS LONG AS POSSIBLE, (2) TO PROVIDE THE PATIENT AND FAMILY WITH AS MUCH PSYCHOLOGICAL, EMOTIONAL, SOCIAL AND SPIRITUAL SUPPORT AS THEY MAY DESIRE OR NEED, AND (3) TO MAINTAIN COMMUNITY INVOLVEMENT AND AWARENESS. 13 13 38 0 143941 150130 2095232 2289579 596 6186 32966 131950 2272735 2577845 0 0 1371733 1527802 0 67675 577561 817232 1949294 2345034 323441 232811 1594883 1734157 281438 115745 1313445 1618412 X LAKESIDE HOSPICE IS A FAITH-BASED, COMMUNITY-SUPPORTED PROGRAM, COMMITTED TO PROVIDING AND MAINTAINING THE HIGHEST QUALITY OF CARE AND IN PROVIDING CARE TO ANYONE WHO IS TERMINALLY ILL REGARDLESS OF THEIR ABILITY TO PAY. THE GOAL OF LAKESIDE HOSPICE IS THREEFOLD: (1) TO PROVIDE MEDICAL CARE TO ENABLE THE PATIENT TO REMAIN ALERT, COMFORTABLE AND CAPABLE OF PARTICIPATING IN LIFE AS FULLY AS POSSIBLE FOR AS LONG AS POSSIBLE, (2) TO PROVIDE THE PATIENT AND FAMILY WITH AS MUCH PSYCHOLOGICAL, EMOTIONAL, SOCIAL AND SPIRITUAL SUPPORT AS THEY MAY DESIRE OR NEED, AND (3) TO MAINTAIN COMMUNITY INVOLVEMENT AND AWARENESS. false false 1890142 2289579 HOMECARE IS PROVIDED FOR TERMINALLY ILL PATIENTS; AND COMFORT AND SUPPORT ARE GIVEN TO THEIR FAMILIES 1890142 true true false false false false false false false false true false false false true false true false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false true 10 0 false 38 true false false false false false false false false X 13 13 false false false false false false false true true false false false false false false false false false X PAUL GARING 2058841111 4010 MASTERS ROAD PELL CITY AL 35128 X JAMES MCGOWAN EXEC. X 0 0 0 QUAY EDGE BOARD MEMBER X 0 0 0 WAYNE DUTT TREASURER X 0 0 0 MICHAEL BARBER BOARD MEMBER X 0 0 0 JONATHAN BROGDON SECRETARY X 0 0 0 DR ANNETTE HESS BOARD MEMBER X 0 0 0 BILL HEREFORD PRESIDENT X 0 0 0 ELIZABETH MEALER BOARD MEMBER X 0 0 0 STEVE PERRY BOARD MEMBER X 0 0 0 RONNIE HARRIS BOARD MEMBER X 0 0 0 DR SHERRI CHATMAN BOARD MEMBER X 0 0 0 DANIEL LEVERTON BOARD MEMBER X 0 0 0 WAYNE SMITH BOARD MEMBER X 0 0 0 false false false 93470 56660 150130 PROGRAM SERVICE REVENUE 2289579 2289579 2289579 6186 6186 OTHER REVENUE 131950 131950 131950 2577845 2427715 1264277 987765 235577 40935 170457 130863 33663 5931 93068 72713 17342 3013 21369 16027 5342 10185 8370 1815 78175 34088 41757 2330 25257 11544 12922 791 120763 107859 11069 1835 200 200 93198 93198 38179 28634 9545 SNF R&B 135134 135134 PATIENT CARE - EQUIPMENT 95889 95889 PATIENT CARE MEDICINES 69041 69041 MISCELLANEOUS PROGRAM EXP 50550 20755 16955 12840 79292 78062 1230 2345034 1890142 387217 67675 600898 538629 354358 555664 177930 154314 758622 284595 411797 474027 49900 11523 1594883 1734157 149539 104222 131899 11523 281438 115745 X 1313445 1597476 20936 1313445 1618412 1594883 1734157 X 232811 72156 X false false X 94724 146228 37009 143941 150130 572032 2276191 2333167 2031436 2128794 2427715 11197303 2370915 2479395 2068445 2272735 2577845 11769335 11769335 2370915 2479395 2068445 2272735 2577845 11769335 1.00000 1.00000 0.00000 0.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 626538 626538 284595 -284595 341943 LEASE LIABILITY 11523 11523 2577845 2577845 2577845 2272878 2272878 72156 72156 2345034 SCHEDULE D, PAGE 4, PART XII, LINE 4B BOOK / TAX DEPRECIATION DIFFERENCE 72,156 FORM 990 - ORGANIZATION'S MISSION LAKESIDE HOSPICE IS A FAITH-BASED, COMMUNITY-SUPPORTED PROGRAM, COMMITTED TO PROVIDING AND MAINTAINING THE HIGHEST QUALITY OF CARE AND IN PROVIDING CARE TO ANYONE WHO IS TERMINALLY ILL REGARDLESS OF THEIR ABILITY TO PAY. THE GOAL OF LAKESIDE HOSPICE IS THREEFOLD: (1) TO PROVIDE MEDICAL CARE TO ENABLE THE PATIENT TO REMAIN ALERT, COMFORTABLE AND CAPABLE OF PARTICIPATING IN LIFE AS FULLY AS POSSIBLE FOR AS LONG AS POSSIBLE, (2) TO PROVIDE THE PATIENT AND FAMILY WITH AS MUCH PSYCHOLOGICAL, EMOTIONAL, SOCIAL AND SPIRITUAL SUPPORT AS THEY MAY DESIRE OR NEED, AND (3) TO MAINTAIN COMMUNITY INVOLVEMENT AND AWARENESS. FORM 990 IN SEPTEMBER 2018, LAKESIDE HOSPICE, INC. ENTERED INTO A ONE-YEAR "MANAGEMENT SERVICES AGREEMENT" BETWEEN WOODSTOCK HEALTH SERVICES, LLC, AN AFFILIATED HOSPICE ORGANIZATION, IN EXCHANGE FOR FUTURE ASSISTANCE IN OPENING THE WOODSTOCK HOSPICE CARE FACILITY. THIS AGREEMENT WOULD HAVE ALLOWED THEM TO OPERATE UNDER LAKESIDE HOSPICE, INC.'S CERTIFICATE OF NEED (CON), PROVIDER NUMBERS, AND TAX IDENTIFICATION NUMBER FOR BILLING PURPOSES. THIS WRITTEN AGREEMENT EXPIRED ONE YEAR LATER IN SEPTEMBER 2019 (DURING THE CURRENT FISCAL YEAR). HOWEVER, AS OF JUNE 30, 2020, WOODSTOCK HEALTH SERVICES, LLC IS SPECIFICALLY LISTED AS AN ADDITIONAL ORGANIZATION INTEREST AND BRANCH LOCATION UNDER LAKESIDE HOSPICE, INC.'S PALMETTO GBA PROVIDER INFORMATION, AND IS SET TO EXPIRE SEPTEMBER 2021 IF NO FURTHER ACTION IS TAKEN. WOODSTOCK HEALTH SERVICES, LLC, HAD NOT ENGAGED IN ANY BUSINESS BY JUNE 30, 2020, AND THEREFORE THE AFFILIATION HAS NO MATERIAL EFFECT ON LAKESIDE HOSPICE, INC.'S CURRENT FINANCIAL STATEMENTS, EXCEPT FOR DISCLOSURE PURPOSES. FORM 990, PAGE 1, PART I, LINE 6 VOLUNTEERS PROVIDE OFFICE AND BEREAVEMENT SERVICES. FORM 990, PAGE 6, PART VI, LINE 11B EXECUTIVE DIRECTOR AND BOARD OF DIRECTORS REVIEWS THE FORM 990. FORM 990, PAGE 6, PART VI, LINE 19 GOVERNING DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9 BOOK / TAX DEPRECIATION DIFFERENCE 72,156