2022-09-07T08:35:32-05:00 2021-12-31 381357951 PLANTE & MORAN PLLC 250 S HIGH ST SUITE 100 COLUMBUS OH 43215 990 2021-01-01 311769696 OHIO'S HOSPICE FOUNDATION OHIO 9372564490 324 WILMINGTON AVENUE DAYTON OH 45420 ROBERT MORRIS CFO 9372564490 2022-08-30 1 ROBERT MORRIS 999009999 AMY CIMINELLO P00796388 6148493000 2022-08-30 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z X LORI IGEL 324 WILMINGTON AVENUE DAYTON OH 45420 6400823 0 X WWW.HOSPICEOFDAYTON.ORG X 2001 OH TO PROVIDE FINANCIAL SUPPORT TO ITS PARENT ORGANIZATION, THE HOSPICE OF DAYTON, INC. (31-0933339) 13 12 26 12 0 0 3365806 3667104 0 0 1221783 2570756 98367 54757 4685956 6292617 2528203 2221435 0 0 766118 780570 0 0 812751 716627 649446 4010948 3651451 675008 2641166 43339157 45353156 1882582 443000 41456575 44910156 X OHIO'S HOSPICE FOUNDATION IS A SUPPORTIVE FOUNDATION OF THE HOSPICE OF DAYTON, INC. IT PROVIDES COUNSEL AND ASSISTANCE TO THE HOSPICE OF DAYTON INC., BY HELPING TO IDENTIFY AND ACCESS INDIVIDUAL AND CORPORATE FINANCIAL SUPPORT WITHIN THE HOSPICE OF DAYTON'S SERVICE AREA, PROVIDING A COMMUNITY PERSPECTIVE ON KEY ISSUES RELEVANT TO PALLIATIVE AND HOSPICE CARE, AIDING IN THE DEVELOPMENT OF A COMPREHENSIVE COMMUNITY OUTREACH EDUCATIONAL PROGRAM, HELPING TO SHAPE KEY MESSAGES ON HOSPICE AND PALLIATIVE CARE, HELPING FORMULATE STRATEGIES TO INCREASE NON-EARNED REVENUE, AND MAKING FUNDING/GRANTING DECISIONS RELATIVE TO THE HOSPICE OF DAYTON, INC. 0 0 2238202 2221435 131242 SUPPORT OF THE HOSPICE OF DAYTON, INC. (EIN 31-0933339) GRANTS PAID SUPPORT INDIGENT CARE, PATHWAYS OF HOPE, COMPLIMENTARY CARE, PALLIATIVE CARE, AS WELL AS THE OVERALL COMMUNITY BASED MODEL OF CARE. 2238202 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 1 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 0 0 26 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 13 12 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X ROBERT MORRIS 9372569507 7575 PARAGON ROAD DAYTON OH 45459 KENT ANDERSON PRESIDENT & CEO - OHI 2.00 58.00 X 0 670685 59948 CALVIN ROBINSON CHIEF FINANCIAL OFFICER - PART YEAR 2.00 38.00 X 0 274825 17965 LORI IGEL PRESIDENT, OHIO'S HOSPICE 40.00 0.00 X X 169199 0 26429 ROBERT MORRIS CHIEF FINANCIAL OFFICER 2.00 38.00 X 0 173853 20339 STACY GELLER VP OF PHILANTHROPIC DEVELOPMENT 40.00 0.00 X 115890 0 23499 JANICE CULVER CHAIR 3.00 0.00 X X 0 0 0 TONY LOMBARDO VICE CHAIR - PART YEAR 0.00 0.00 X X 0 0 0 CHIP MUES BOARD MEMBER - PART YEAR 2.00 0.00 X 0 0 0 DON FODOR BOARD MEMBER 2.00 0.00 X 0 0 0 GREG TOMAN BOARD MEMBER - PART YEAR 2.00 0.00 X 0 0 0 JANE WINCH BOARD MEMBER 2.00 0.00 X 0 0 0 JERRY TATAR BOARD MEMBER 2.00 0.00 X 0 0 0 JOHN SWEENEY BOARD MEMBER 2.00 0.00 X 0 0 0 LYNDA HOFFMAN BOARD MEMBER 2.00 0.00 X 0 0 0 MICHAEL BOLAND BOARD MEMBER 2.00 0.00 X 0 0 0 RICHARD WICK BOARD MEMBER 2.00 0.00 X 0 0 0 THOMAS MANN BOARD MEMBER 2.00 6.00 X 0 0 0 LESLIE POOLE BOARD MEMBER 2.00 2.00 X 0 0 0 HEATHER BAILEY BOARD MEMBER 2.00 2.00 X 0 0 0 PETE HALEY BOARD MEMBER 2.00 4.00 X 0 0 0 285089 1119363 148180 2 0 1 0 0 113405 3553699 7765 3667104 1196048 1196048 1374708 0 1374708 1374708 1374708 27740 113405 104225 -76485 -76485 135223 3981 131242 131242 6292617 131242 0 2494271 2221435 2221435 335017 335017 327503 327503 10709 10709 61392 458 60934 45949 45949 687 647 40 3593 3593 246795 246795 3002 3002 4526 4526 250958 6643 244315 84830 84830 6438 6438 20468 378 20090 6967 6967 7417 7417 DUES & SUBSCRIPTIONS 13678 13678 HOUSEKEEPING EXPENSE 87 87 3651451 2238202 600498 812751 1862 2639 2174990 1249689 1025469 1902130 7629 6135 38000 38000 6967 0 26594339 29786610 13527901 12405953 43339157 45353156 114891 184835 1767691 258165 1882582 443000 X 37395627 41442374 4060948 3467782 41456575 44910156 43339157 45353156 2641166 812415 0 X X 0 1 X 1 1 1 X X 1 THE HOSPICE OF DAYTON INC 310933339 7 1 2190000 7765 1 2190000 7765 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 26594337 637541 3364796 1014692 218918 29363064 26320904 3926475 -773676 2717345 162021 26594337 24369051 3878398 1808135 118410 26320904 28829625 -730177 3730397 24369051 24949847 709925 3378753 208900 28829625 0.96220 0.03780 0.00000 0 0 38000 38000 0 0 RELATED PARTY RECEIVABLES 12405953 12405953 RELATED PARTY PAYABLES 258165 258165 PART V, LINE 4 ENDOWMENT FUNDS ARE MAINTAINED TO PROVIDE FINANCIAL SUPPORT TO THE FOUNDATION'S PARENT ORGANIZATION, THE HOPSICE OF DAYTON, INC. (31-0933339) IT IS THE FOUNDATION'S OBJECTIVE TO UTILIZE CURRENT FUNDRAISING TO SUPPORT THE HOSPICE OF DAYTON, INC'S PROGRAMS, TO GROW AND PROVIDE RESERVES FOR UNFORESEEN CIRCUMSTANCES OR TO FUND SIGNIFICANT NEW INITIATIVES. GALA / SIPS, SAVORIES 89000 68210 20790 25800 15861 4997 20228 GOLF OUTING 25070 25070 1000 3150 14150 248 2963 3 27075 20125 6950 1600 14228 141145 113405 27740 1000 28950 31611 5245 37419 104225 -76485 1 THE HOSPICE OF DAYTON INC 324 WILMINGTON AVENUE DAYTON OH 45420 310933339 501(C)(3) 2190000 7765 FAIR VALUE TO FACILITATE THE HOSPICE OF DAYTON, INC PURPOSE TO PROVIDE HOSPICE CARE TO THE TERMINALLY ILL AMERICAN VETERANS HERITAGE CENTER PO BOX 3723 DAYTON OH 45401 311745649 501(C)(3) 17500 0 LINCOLN STATUE 3 0 PART I, LINE 2: THE GRANTS ARE PROVIDED TO A RELATED ORGANIZATION. MANAGEMENT OVERLAP BETWEEN THE RELATED ORGANIZATIONS ALLOWS FOR THE ORGANIZATION TO SUBSTANTIATE THE AMOUNT OF THE GRANT. MANAGEMENT OF THE ORGANIZATIONS DETERMINE THE AMOUNT OF FUNDS THAT WILL BE PROVIDED AS THE CRITERIA FOR THE GRANT. 1 0 0 0 0 0 0 1 0 KENT ANDERSON PRESIDENT & CEO - OHI 0 456018 0 214667 0 0 0 32787 0 27161 0 730633 0 0 CALVIN ROBINSON CHIEF FINANCIAL OFFICER - PART YEAR 0 194825 0 80000 0 0 0 4946 0 13019 0 292790 0 0 LORI IGEL PRESIDENT, OHIO'S HOSPICE 157694 0 11505 0 0 0 13524 0 12905 0 195628 0 0 0 ROBERT MORRIS CHIEF FINANCIAL OFFICER 0 168228 0 5625 0 0 0 5243 0 15096 0 194192 0 0 PART I, LINE 3 THE EXECUTIVE COMMITTEE OF THE OHI BOARD OF TRUSTEES UTILIZED LOCAL MARKET KNOWLEDGE, ANNUAL PERFORMANCE EVALUATIONS AND BENCHMARK DATA TO ESTABLISH COMPENSATION FOR THE CEO. THE COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES IS ESTABLISHED BY THE CEO UNDER GUIDELINES ESTABLISHED BY OHI AND AFFILIATE BOARDS OF TRUSTEES AS PART OF THE BUDGET PROCESS. PART I, LINE 4A CALVIN ROBINSON RECEIVED SEVERENCE PAYMENTS OF $115,885 DURING THE YEAR. PART I, LINE 7 THE BOARD OF DIRECTORS CONDUCTS AN ANNUAL PERFORMANCE REVIEW TO DETERMINE THE COMPENSATION AND BENEFITS OF THE CEO. IN ADDITION TO NORMAL COMPENSATION AND BENEFITS, THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS MAY ALSO AWARD BONUS COMPENSATION TO THE CEO BASED UPON THE ANNUAL PERFORMANCE REVIEW. THE CEO CONDUCTS AN ANNUAL PERFORMANCE REVIEW OF THE OTHER OFFICERS AND EMPLOYEES TO DETERMINE THEIR COMPENSATION AND BENEFITS. IN ADDITION TO NORMAL COMPENSATION AND BENEFITS, THE CEO, WITH THE APPROVAL OF THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS, MAY ALSO AWARD BONUS COMPENSATION TO THE OTHER OFFICERS AND EMPLOYEES BASED UPON THEIR ANNUAL PERFORMANCE REVIEW. X APPAREL 3 5595 FAIR MARKET VALUE X HAND SANITIZER 2000 1340 FAIR MARKET VALUE X GIFT CARD 19 830 FAIR MARKET VALUE 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 HOSPICE OF DAYTON BECAME THE SOLE MEMBER OF OHIO'S HOSPICE FOUNDATION WITH AN AFFILIATION AGREEMENT SIGNED IN JULY 2013. FORM 990, PART VI, SECTION A, LINE 7A AS THE SOLE MEMBER, HOD HAS THE EXCLUSIVE AUTHORITY BY ACT OF HOD'S BOARD OF DIRECTORS TO APPROVE -REMOVAL OF ONE OR MORE TRUSTEES OF THE FOUDATION'S BOARD OF TRUSTEES. FORM 990, PART VI, SECTION A, LINE 7B AS THE SOLE MEMBER, HOD HAS THE EXCLUSIVE AUTHORITY BY ACT OF HOD'S BOARD OF DIRECTORS TO APPROVE -AMENDMENT OR REPEAL OF THE ARTICLES OF INCORPORATION, CODE OF REGULATIONS OR BYLAWS OF THE FOUNDATION, -CHANGE IN THE CORPORATE PURPOSE AND MISSION OF THE FOUNDATION, -DISSOLUTION, LIQUIDATION OR CESSATION OF OPERATIONS OF THE FOUNDATION, AND, -MERGER OR CONSOLIDATION OF THE FOUNDATION, OR SALE OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE FOUNDATION'S PROPERTY SUBJECT TO THE AUTHORITY OF HOD AS MEMBER, THE FOUNDATION IS CONTROLLED AND MANAGED UNDER THE DIRECTION OF THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS PREPARED BY AN OUTSIDE ACCOUNTING FIRM AND REVIEWED BY THE CFO PRIOR TO BEING FILED WITH THE INTERNAL REVENUE SERVICE. THE FORM 990 IS SENT VIA EMAIL TO THE FULL BOARD AND WILL BE REVIEWED IN SESSION BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS AT THEIR NEXT MEETING. FORM 990, PART VI, SECTION B, LINE 12C IN THE EVENT ANY DIRECTOR, OFFICER OR EXECUTIVE OF THE ORGANIZATION SHALL HAVE ANY DIRECT OR INDIRECT INTEREST IN OR RELATIONSHIP WITH ANY INDIVIDUAL OR ORGANIZATION THAT PROPOSES TO ENTER INTO ANY TRANSACTION WITH THE ORGANIZATION FOR THE SALE, PURCHASE, LEASE OR RENTAL OF PROPERTY OR TO RENDER OR EMPLOY SERVICES, PERSONAL OR OTHERWISE, SUCH DIRECTOR, OFFICER OR EXECUTIVE SHALL FORTHWITH GIVE THE BOARD OF DIRECTORS, CHAIR OF THE BOARD OR PRESIDENT OF THE ORGANIZATION NOTICE OF SUCH INTEREST OR RELATIONSHIP AND SHALL THEREAFTER NOT BE COUNTED FOR THE PURPOSE OF DETERMINING A QUORUM AND SHALL REFRAIN FROM VOTING OR OTHERWISE ATTEMPTING TO AFFECT ITS DECISION TO PARTICIPATE IN SUCH TRANSACTION. IN THE EVENT THAT A CHALLENGE OR QUESTION IS RAISED WHETHER CONFLICT OR DUALITY OF INTEREST EXISTS, THE BOARD OR CHAIR OF THE BOARD OF THE ORGANIZATION SHALL DETERMINE THAT A DUALITY OF INTEREST EXISTS (BY A 2/3 VOTE OF THE BODY). MINUTES OF APPROPRIATE MEETINGS SHOULD REFLECT THAT SUCH DISCLOSURE WAS MADE, AND THAT SUCH DIRECTOR REMOVED HIMSELF/HERSELF FROM THE ROOM AND DID NOT PARTICIPATE IN THE FINAL DISCUSSION, AND WAS NOT COUNTED FOR THE PURPOSE OF DETERMINING A QUORUM.THE CONFLICT OF INTEREST STATEMENT SHALL BE REVIEWED ANNUALLY FOR THE INFORMATION AND GUIDANCE OF DIRECTORS, OFFICERS OR EXECUTIVES AND THAT ANY NEW DIRECTORS, OFFICERS OR EXECUTIVES BE ADVISED OF THE POLICY UPON UNDERTAKING THE DUTIES OF SUCH OFFICE. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE COMMITTEE OF THE OHI BOARD OF TRUSTEES UTILIZED LOCAL MARKET KNOWLEDGE, ANNUAL PERFORMANCE EVALUATIONS AND BENCHMARK DATA TO ESTABLISH COMPENSATION FOR THE CEO. THE COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES IS ESTABLISHED BY THE CEO UNDER GUIDELINES ESTABLISHED BY OHI AND AFFILIATE BOARDS OF TRUSTEES AS PART OF THE BUDGET PROCESS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST. FORM 990, PART XII, LINE 2C: OHI'S FINANCE COMMITTEE HAS RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE CONSOLIDATED FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT THIS PROCESS IS CONSISTENT WITH PRIOR YEAR. OHI HOSPICE INC 7575 PARAGON ROAD DAYTON OH 45459 371495725 TO PROVIDE HOSPICE CARE OH 501(C)(3) LINE 7 OHIO'S HOSPICE INC 1 HOSPICE OF CENTRAL OHIO 2269 CHERRY VALLEY ROAD NEWARK OH 43055 311059756 TO PROVIDE HOSPICE CARE OH 501(C)(3) LINE 7 OHIO'S HOSPICE INC 1 HOSPICE OF DAYTON INC 7575 PARAGON ROAD DAYTON OH 45459 310933339 TO PROVIDE HOSPICE CARE OH 501(C)(3) LINE 7 OHIO'S HOSPICE INC 1 HOSPICE OF MIAMI COUNTY INC 3230 N COUNTY RD 25A TROY OH 45373 311031277 TO PROVIDE HOSPICE CARE OH 501(C)(3) LINE 7 OHIO'S HOSPICE INC 1 LIFECARE HOSPICE 1900 AKRON ROAD WOOSTER OH 44691 341352875 TO PROVIDE HOSPICE CARE OH 501(C)(3) LINE 7 OHIO'S HOSPICE INC 1 OHIO'S HOSPICE INC 7575 PARAGON ROAD DAYTON OH 45459 463215586 TO PROVIDE MANAGEMENT SERVICES AS A SUPPORTING ORGANIZATION OH 501(C)(3) LINE 12A, I N/A 0 LOVING CARE HOSPICE PO BOX 445 LONDON OH 43140 311370625 TO PROVIDE HOSPICE CARE OH 501(C)(3) LINE 10 OHIO'S HOSPICE INC 1 HOSPICE OF FAYETTE COUNTY 222 N OAKLAND AVE WASHINGTON COURTHOUSE OH 43160 311243376 TO PROVIDE HOSPICE CARE OH 501(C)(3) LINE 7 OHIO'S HOSPICE INC 1 NATIONAL HOSPICE COOPERATIVE 7575 PARAGON ROAD DAYTON OH 45459 832087147 BUSINESS SUPPORT OH N/A C 1 0 1 0 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 0