THE HOSPICE OF DAYTON INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
THE HOSPICE OF DAYTON INC (EIN 31-0933339)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-09-07
IRS object ID
202232509349300808
Schema version
2021v4.2
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 ReturnHeader

FieldValueIRS element (for citing)
Return2022-09-07T08:20:25-05:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN381357951PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PLANTE & MORAN PLLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1250 S HIGH ST SUITE 100AddressLine1Txt
CityCOLUMBUSCityNm
State AbbreviationOHStateAbbreviationCd
ZIP43215ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN310933339EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HOSPICE OF DAYTON INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlHOSPBusinessNameControlTxt
Phone9372564490PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1324 WILMINGTON AVENUEAddressLine1Txt
CityDAYTONCityNm
State AbbreviationOHStateAbbreviationCd
ZIP45420ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonROBERT MORRISPersonNm
Person TitleCFOPersonTitleTxt
Phone9372564490PhoneNum
Signature2022-08-30SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstROBERTPersonFirstNm
Person LastMORRISPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAMY CIMINELLOPreparerPersonNm
PTINP00796388PTIN
Phone6148493000PhoneNum
Preparation2022-08-30PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerKIM VESEYPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1324 WILMINGTON AVENUEAddressLine1Txt
CityDAYTONCityNm
State AbbreviationOHStateAbbreviationCd
ZIP45420ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$74,660,154GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.HOSPICEOFDATYON.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1978FormationYr
Legal Domicile StateOHLegalDomicileStateCd
Activity Or MissionTO PROVIDE HOSPICE AND PALLIATIVE CARE FOR THE TERMINALLY ILL AND SUPPORT FOR THEIR FAMILIES.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee935TotalEmployeeCnt
Total Volunteers631TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$6,970,410PYContributionsGrantsAmt
CY Contributions Grants$2,277,328CYContributionsGrantsAmt
PY Program Service Revenue$72,404,492PYProgramServiceRevenueAmt
CY Program Service Revenue$70,306,657CYProgramServiceRevenueAmt
PY Investment Income$395,543PYInvestmentIncomeAmt
CY Investment Income$1,849,985CYInvestmentIncomeAmt
PY Other Revenue$150,462PYOtherRevenueAmt
CY Other Revenue$186,516CYOtherRevenueAmt
PY Total Revenue$79,920,907PYTotalRevenueAmt
CY Total Revenue$74,620,486CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$48,375,034PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$49,428,188CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$14,148CYTotalFundraisingExpenseAmt
PY Other Expenses$29,470,481PYOtherExpensesAmt
CY Other Expenses$28,844,488CYOtherExpensesAmt
PY Total Expenses$77,845,515PYTotalExpensesAmt
CY Total Expenses$78,272,676CYTotalExpensesAmt
PY Revenues Less Expenses$2,075,392PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$3,652,190CYRevenuesLessExpensesAmt
Total Assets BOY$125,883,239TotalAssetsBOYAmt
Total Assets EOY$116,257,424TotalAssetsEOYAmt
Total Liabilities BOY$90,033,708TotalLiabilitiesBOYAmt
Total Liabilities EOY$86,773,812TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$35,849,531NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$29,483,612NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE HOSPICE OF DAYTON, INC. IS COMMITTED TO MAKING QUALITY HOSPICE CARE AVAILABLE AND ACCESSIBLE TO TERMINALLY ILL PERSONS AND THEIR FAMILIES, REGARDLESS OF ABILITY TO PAY, AND IN A MANNER CONSISTENT WITH THE HIGHEST HOSPICE STANDARDS. OUR COMMITMENT TO THE HOSPICE PHILOSOPHY OF CARE INCLUDES A COMPASSIONATE STAFF PLEDGED TO CONTINUOUSLY IMPROVE AND ENHANCE THE CARE WE PROVIDE, RESPECT THE PATIENTS' CHOICES OF CARE, RESPOND TO CHANGING COMMUNITY NEEDS, AND SERVE AS A RESOURCE TO OTHERS FOR IMPROVING THE AVAILABILITY OF QUALITY HOSPICE CARE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$61,473,849ExpenseAmt
Grant$0GrantAmt
Revenue$70,420,658RevenueAmt
DescCOORDINATES A PROGRAM OF HOME, OUTPATIENTS, AND INPATIENT HOSPICE CARE THAT PROVIDES PALLIATIVE CARE, SUPPORTIVE MEDICAL SERVICES, AND OTHER SUPPORT SERVICES TO TERMINALLY ILL PERSONS AND THEIR FAMILIES, REGARDLESS OF ABILITY TO PAY.Desc
Total Program Service Expenses$61,473,849TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee935EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonROBERT MORRISPersonNm
Phone9372569507PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line17575 PARAGON ROADAddressLine1Txt
CityDAYTONCityNm
State AbbreviationOHStateAbbreviationCd
ZIP45459ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
KENT ANDERSON
PRESIDENT & CEO - OHI2.0058.00Yes (X)$0$670,685$59,948
ANTHONY EVANS
PRESIDENT, PURE HEALTHCARE40.000.00Yes (X)$395,623$0$55,402
JOHN AHERN
VP OF MEDICAL CARE/MEDICAL DIRECTOR40.000.00$314,720$0$28,557Yes (X)
RANAPREET PATEL
TEAM PHYSICIAN40.000.00$326,876$0$12,364Yes (X)
WENDY SCHMITZ
TEAM PHYSICIAN40.000.00$297,408$0$37,074Yes (X)
ALI JAFFERY
TEAM PHYSICIAN40.000.00$280,029$0$33,379Yes (X)
CALVIN ROBINSON
CHIEF FINANCIAL OFFICER - PART YEAR2.0038.00Yes (X)$0$274,825$17,965
ANNA RYMER
PHYSICIAN MANAGER, PALLIAT40.000.00$241,675$0$39,473Yes (X)
KIM VESEY
GENERAL MANAGER/EXECUTIVE40.000.00Yes (X)$242,146$0$37,752
RICHARD GREENO
TEAM PHYSICIAN40.000.00$213,476$0$36,374Yes (X)
REBECCA BLEDSOE
VP OF PHARMACEUTICAL CARE40.000.00Yes (X)$174,098$0$38,843
YVONNE TURNER
VICE PRESIDENT OF CLINICAL40.000.00$170,299$0$39,408Yes (X)
ROBERT MORRIS
CHIEF FINANCIAL OFFICER2.0038.00Yes (X)$0$173,853$20,339
THOMAS MANN
CHAIR3.005.00Yes (X)$0$0$0Yes (X)
PETE HALEY
VICE CHAIR2.004.00Yes (X)$0$0$0Yes (X)
TONI SPRINKEL
TREASURER2.002.00Yes (X)$0$0$0Yes (X)
PEGGY MARK
SECRETARY2.002.00Yes (X)$0$0$0Yes (X)
GARY LEROY MD
BOARD MEMBER2.002.00$0$0$0Yes (X)
GREG TOMAN
BOARD MEMBER2.000.00$0$0$0Yes (X)
JON LARRABEE
BOARD MEMBER2.000.00$0$0$0Yes (X)
LINDSAY JOHNSON
BOARD MEMBER2.000.00$0$0$0Yes (X)
RATNA PALAKODETI
BOARD MEMBER2.000.00$0$0$0Yes (X)
LUIS CHANAGA
BOARD MEMBER2.000.00$0$0$0Yes (X)
LISA HANUAER
EMERITUS STATUS2.000.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,656,350TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,119,363TotReportableCompRltdOrgAmt
Total Other Compensation$456,878TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K26IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Related Organizations$2,190,000RelatedOrganizationsAmt
Government Grants$87,328GovernmentGrantsAmt
Total Contributions$2,277,328TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT SERVICE REVENUEDesc
Business624100BusinessCd
Total Revenue Column$70,306,657TotalRevenueColumnAmt
Related Or Exempt Func Income$70,306,657RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$70,306,657TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$442,052TotalRevenueColumnAmt
Exclusion$442,052ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$1,447,601SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$39,668OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$1,447,601SecuritiesAmt
Other-$39,668OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,407,933TotalRevenueColumnAmt
Exclusion$1,407,933ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
CLINICAL EDUCATION SERVICES900099$114,001$114,001
CAFETERIA REVENUE722514$47,341$47,341
SUBWAY PROPERTY532000$18,516$18,516

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,658TotalRevenueColumnAmt
Exclusion$6,658ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$186,516OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$74,620,486TotalRevenueColumnAmt
Related Or Exempt Func Income$70,420,658RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,922,500ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,859,207TotalAmt
Management And General$1,859,207ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$36,552,781TotalAmt
Program Services$34,797,284ProgramServicesAmt
Management And General$1,755,497ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,318,475TotalAmt
Program Services$1,277,419ProgramServicesAmt
Management And General$41,056ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$6,981,930TotalAmt
Program Services$6,594,460ProgramServicesAmt
Management And General$387,470ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$2,715,795TotalAmt
Program Services$2,662,029ProgramServicesAmt
Management And General$53,766ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$134,947TotalAmt
Program Services$529ProgramServicesAmt
Management And General$134,418ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$5,048TotalAmt
Program Services$2,250ProgramServicesAmt
Management And General$2,798ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$168,080TotalAmt
Management And General$168,080ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,124,303TotalAmt
Program Services$1,121,275ProgramServicesAmt
Management And General$3,028ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$399,259TotalAmt
Program Services$10,590ProgramServicesAmt
Management And General$388,669ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,050,801TotalAmt
Program Services$321,193ProgramServicesAmt
Management And General$720,299ManagementAndGeneralAmt
Fundraising$9,309FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$287,141TotalAmt
Program Services$95,355ProgramServicesAmt
Management And General$191,786ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,108,820TotalAmt
Program Services$1,319,058ProgramServicesAmt
Management And General$789,762ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,126,907TotalAmt
Program Services$1,042,833ProgramServicesAmt
Management And General$84,074ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$314,579TotalAmt
Program Services$139,327ProgramServicesAmt
Management And General$170,413ManagementAndGeneralAmt
Fundraising$4,839FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$711,462TotalAmt
Program Services$115ProgramServicesAmt
Management And General$711,347ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,787,408TotalAmt
Program Services$2,560,963ProgramServicesAmt
Management And General$226,445ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$264,534TotalAmt
Management And General$264,534ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtProgram ServicesProgramServicesAmt
ALLOCATED COSTS$8,739,910$8,739,910
MEDICAL SUPPLIES$5,410,510$5,410,510
PATIENT SERVICE$1,978,988$1,978,988
ROOM & BOARD$1,684,534$1,684,534

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$547,257TotalAmt
Program Services$455,137ProgramServicesAmt
Management And General$92,120ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$78,272,676TotalAmt
Program Services$61,473,849ProgramServicesAmt
Management And General$16,784,679ManagementAndGeneralAmt
Fundraising$14,148FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,585,404BOYAmt
EOY$740,960EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$10,504,384BOYAmt
EOY$8,038,130EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
EOY$134,656EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$627,692BOYAmt
EOY$433,741EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$67,884,151LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$27,269,786LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$40,452,336BOYAmt
EOY$40,614,365EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$20,294,042BOYAmt
EOY$22,633,180EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$2,284,743BOYAmt
EOY$524,347EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$49,134,638BOYAmt
EOY$43,138,045EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$125,883,239BOYAmt
EOY$116,257,424EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$6,496,252BOYAmt
EOY$4,952,524EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$16,883,221BOYAmt
EOY$6,151,999EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$15,320,474BOYAmt
EOY$15,331,401EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
EOY$10,562,187EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$51,333,761BOYAmt
EOY$49,775,701EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$90,033,708BOYAmt
EOY$86,773,812EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$35,849,531BOYAmt
EOY$29,483,612EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$35,849,531BOYAmt
EOY$29,483,612EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$125,883,239BOYAmt
EOY$116,257,424EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$3,652,190ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$463,027NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$3,176,756OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,922,783CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,635,729CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,124,745CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,970,410CurrentTaxYearMinus1YearAmt
Current Tax Year$2,277,328CurrentTaxYearAmt
Total$15,930,995TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$60,493,353CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$63,812,725CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$67,628,967CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$72,404,532CurrentTaxYearMinus1YearAmt
Current Tax Year$70,420,658CurrentTaxYearAmt
Total$334,760,235TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$62,416,136CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$66,448,454CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$69,753,712CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$79,374,942CurrentTaxYearMinus1YearAmt
Current Tax Year$72,697,986CurrentTaxYearAmt
Total$350,691,230TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$350,691,230PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$510,392CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,124,728CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$292,624CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$307,158CurrentTaxYearMinus1YearAmt
Current Tax Year$442,052CurrentTaxYearAmt
Total$2,676,954TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$510,392CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,124,728CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$292,624CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$307,158CurrentTaxYearMinus1YearAmt
Current Tax Year$442,052CurrentTaxYearAmt
Total$2,676,954TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$174,187CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years-$126,672CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,531CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$150,422CurrentTaxYearMinus1YearAmt
Current Tax Year$72,515CurrentTaxYearAmt
Total$273,983TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$63,100,715CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$67,446,510CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$70,049,867CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$79,832,522CurrentTaxYearMinus1YearAmt
Current Tax Year$73,212,553CurrentTaxYearAmt
Total$353,642,167TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99170PublicSupportCY509Pct
Public Support PY5090.99120PublicSupportPY509Pct
Investment Income CY0.00760InvestmentIncomeCYPct
Investment Income PY0.00800InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$26,594,337BeginningYearBalanceAmt
Contributions$637,541ContributionsAmt
Investment Earnings Or Losses$3,364,796InvestmentEarningsOrLossesAmt
Other Expenditures$1,014,692OtherExpendituresAmt
Administrative Expenses$218,918AdministrativeExpensesAmt
End Year Balance$29,363,064EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$26,320,904BeginningYearBalanceAmt
Contributions$3,926,475ContributionsAmt
Investment Earnings Or Losses-$773,676InvestmentEarningsOrLossesAmt
Other Expenditures$2,717,345OtherExpendituresAmt
Administrative Expenses$162,021AdministrativeExpensesAmt
End Year Balance$26,594,337EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$24,369,051BeginningYearBalanceAmt
Investment Earnings Or Losses$3,878,398InvestmentEarningsOrLossesAmt
Other Expenditures$1,808,135OtherExpendituresAmt
Administrative Expenses$118,410AdministrativeExpensesAmt
End Year Balance$26,320,904EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$28,829,625BeginningYearBalanceAmt
Investment Earnings Or Losses-$730,177InvestmentEarningsOrLossesAmt
Other Expenditures$3,730,397OtherExpendituresAmt
End Year Balance$24,369,051EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$24,949,847BeginningYearBalanceAmt
Contributions$709,925ContributionsAmt
Investment Earnings Or Losses$3,378,753InvestmentEarningsOrLossesAmt
Other Expenditures$208,900OtherExpendituresAmt
End Year Balance$28,829,625EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.96220BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.03780PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.00000TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,301,208OtherCostOrOtherBasisAmt
Book Value$1,301,208BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$48,243,315OtherCostOrOtherBasisAmt
Depreciation$19,334,048DepreciationAmt
Book Value$28,909,267BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$201,178OtherCostOrOtherBasisAmt
Depreciation$12,038DepreciationAmt
Book Value$189,140BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$13,292,733OtherCostOrOtherBasisAmt
Depreciation$7,248,738DepreciationAmt
Book Value$6,043,995BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,845,717OtherCostOrOtherBasisAmt
Depreciation$674,962DepreciationAmt
Book Value$4,170,755BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$40,614,365TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
RELATED PARTY RECEIVABLES$43,128,872
DEPOSITS$9,173
FieldValueIRS element (for citing)
Total Book Value Other Assets$43,138,045TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescRELATED PARTY PAYABLESDesc
Amt$49,775,701Amt
FieldValueIRS element (for citing)
Total Liability$49,775,701TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART V, LINE 4:FormAndLineReferenceDesc
ExplanationTHE ENDOWMENT FUNDS ARE HELD BY A RELATED PARTY, OHIO'S HOSPICE FOUNDATION, AND ARE INTENTED TO FURTHER SUPPORT HOSPICE OF DAYTON AND ITS ACTIVITIES.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
KENT ANDERSON
PRESIDENT & CEO - OHI$0$456,018$0$214,667$0$0$0$32,787$0$27,161$0$730,633$0$0
ANTHONY EVANS
PRESIDENT, PURE HEALTHCARE$299,760$0$95,863$0$0$0$28,228$0$27,174$0$451,025$0$0$0
JOHN AHERN
VP OF MEDICAL CARE/MEDICAL DIRECTOR$297,058$0$17,662$0$0$0$9,982$0$18,575$0$343,277$0$0$0
RANAPREET PATEL
TEAM PHYSICIAN$271,606$0$55,270$0$0$0$12,364$0$0$0$339,240$0$0$0
WENDY SCHMITZ
TEAM PHYSICIAN$283,956$0$13,452$0$0$0$14,500$0$22,574$0$334,482$0$0$0
ALI JAFFERY
TEAM PHYSICIAN$216,129$0$63,900$0$0$0$10,257$0$23,122$0$313,408$0$0$0
CALVIN ROBINSON
CHIEF FINANCIAL OFFICER - PART YEAR$0$194,825$0$80,000$0$0$0$4,946$0$13,019$0$292,790$0$0
ANNA RYMER
PHYSICIAN MANAGER, PALLIAT$234,426$0$7,249$0$0$0$12,499$0$26,974$0$281,148$0$0$0
KIM VESEY
GENERAL MANAGER/EXECUTIVE$222,357$0$19,789$0$0$0$26,226$0$11,526$0$279,898$0$0$0
RICHARD GREENO
TEAM PHYSICIAN$213,476$0$0$0$0$0$8,952$0$27,422$0$249,850$0$0$0
REBECCA BLEDSOE
VP OF PHARMACEUTICAL CARE$162,593$0$11,505$0$0$0$12,421$0$26,422$0$212,941$0$0$0
YVONNE TURNER
VICE PRESIDENT OF CLINICAL$158,267$0$12,032$0$0$0$12,048$0$27,360$0$209,707$0$0$0
ROBERT MORRIS
CHIEF FINANCIAL OFFICER$0$168,228$0$5,625$0$0$0$5,243$0$15,096$0$194,192$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3THE 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 4ACALVIN ROBINSON RECEIVED SEVERENCE PAYMENTS OF $115,885 DURING THE YEAR.
PART I, LINE 7THE 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.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1COUNTY OF MONTGOMERY OHIOBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN316000172BondIssuerEIN
Bond Issued2020-04-23BondIssuedDt
Issue Price$15,636,807IssuePriceAmt
PurposeSEE PART VIPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Total Proceeds$15,636,807TotalProceedsAmt
Capitalized Interest$905,815CapitalizedInterestAmt
Issuance Costs From Proceeds$230,000IssuanceCostsFromProceedsAmt
Working Capital Expenditures$476,671WorkingCapitalExpendituresAmt
Capital Expenditures$13,955,864CapitalExpendituresAmt
Unspent$68,457UnspentAmt
Refunding Tax Exempt Bonds0RefundingTaxExemptBondsInd
Refunding Taxable BondsYes (1)RefundingTaxableBondsInd
Final Allocation Made0FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Private Bus Use By Others0.00000PrivateBusUseByOthersPct
Private Bus Concerning UBI0.00000PrivateBusConcerningUBIPct
Total Private Business Use0.00000TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt TestYes (1)BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (1)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due YetYes (1)RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate Due0NoRebateDueInd
Variable Rate IssueYes (1)VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (1)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (1)ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE A, (F)THE PROCEEDS OF THE SERIES 2020 BONDS WERE USED TO FINANCE THE ACQUISITION, CONSTRUCTION, IMPROVEMENT, RENOVATION AND/OR EQUIPPING OF THE FACILITIES KNOWN AS PURE HEALTHCARE.
PART II, LINE 3THE AMOUNT OF PROCEEDS OF THE ISSUE DIFFERS FROM THE ISSUE PRICE OF THE ISSUE AS A RESULT OF $1,286.19 OF INTEREST EARNINGS ON THE INVESTMENT OF BOND PROCEEDS.
PART I AND IITHE SERIES 2020 BONDS WERE ISSUED FOR THE BENEFIT OF OHIO'S HOSPICE, INC., THE HOSPICE OF DAYTON, INCORPORATED, PURE HEALTHCARE, LLC, HOSPICE OF MIAMI COUNTY, INC. AND LIFECARE HOSPICE. ONLY A PORTION OF THE PROCEEDS OF THE SERIES 2020 BONDS ARE ALLOCABLE TO PURE HEALTHCARE, LLC, A DISREGARDED ENTITY OF THE HOSPICE OF DAYTON INCORPORATED AND THE AMOUNTS IN PART I AND PART II LINES 1-15 REFLECT SUCH ALLOCATION. THE PORTION OF THE SERIES 2020 BONDS ALLOCABLE TO THE OTHER ENTITIES IS BEING REPORTED ON SCHEDULE K TO EACH OTHER ENTITY'S FORM 990.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6OHIO'S HOSPICE, INC BECAME THE SOLE MEMBER OF HOSPICE OF DAYTON, INC WITH AN AFFILIATION AGREEMENT SIGNED IN JULY 2013.
FORM 990, PART VI, SECTION A, LINE 7AOHIO'S HOSPICE INC. HAS THE POWER TO APPOINT THE BOARD OF DIRECTORS. THE BOARD SHALL RECOMMEND INDIVIDUALS TO FILL ANY OPENINGS. OHIO'S HOSPICE HAS THE RIGHT TO ELECT FROM THESE INDIVIDUALS OR OTHER INDIVIDUALS AT ITS DISCRETION.
FORM 990, PART VI, SECTION A, LINE 7BOHIO'S HOSPICE INC. RETAINS THE POWER TO AMEND THE ARTICLES OF INCORPORATION, CODE OF REGULATIONS, ETC. OF THE ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 11BTHE 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 12CIN 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 15THE 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 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST.
FORM 990, PART XI, LINE 9:LOSS ON IMPAIRMENT OF INVESTMENT -3,176,756.
PART XII LINE 2COHI'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.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
PURE HEALTHCARE LLC
7575 PARAGON ROADDAYTONOH45459TO PROVIDE PALLIATIVE CARE PHYSICIANS & SUPPORT PERSONNELOH-$6,553,870$24,165,364THE HOSPICE OF DAYTON
INNOVATIVE CARE SOLUTIONS LLC
33 W FIRST STREET SUITE 600DAYTONOH45402DURABLE MEDICAL EQUIPMENT AND TRANSPORTATIONOH-$658,122$1,094,958THE HOSPICE OF DAYTON
THE COLLABORATIVE LABORATORY
7575 PARAGON ROADDAYTONOH45459INVEST IN HEALTHCARE INNOVATIONSOH$0$0THE HOSPICE OF DAYTON

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
OHI HOSPICE INC
7575 PARAGON ROADDAYTONOH45459371495725TO PROVIDE HOSPICE CAREOH501(C)(3)LINE 7OHIO'S HOSPICE INCYes (1)
HOSPICE OF CENTRAL OHIO
2269 CHERRY VALLEY ROADNEWARKOH43055311059756TO PROVIDE HOSPICE CAREOH501(C)(3)LINE 7OHIO'S HOSPICE INCYes (1)
OHIO'S HOSPICE FOUNDATION
7575 PARAGON ROADDAYTONOH45459311769696TO PROVIDE FINANCIAL SUPPORT TO ITS PARENT, HOSPICE OF DAYTONOH501(C)(3)LINE 12A, IHOSPICE OF DAYTON INCYes (1)
HOSPICE OF MIAMI COUNTY INC
3230 N COUNTY RD 25ATROYOH45373311031277TO PROVIDE HOSPICE CAREOH501(C)(3)LINE 7OHIO'S HOSPICE INCYes (1)
LIFECARE HOSPICE
1900 AKRON ROADWOOSTEROH44691341352875TO PROVIDE HOSPICE CAREOH501(C)(3)LINE 7OHIO'S HOSPICE INCYes (1)
OHIO'S HOSPICE INC
7575 PARAGON ROADDAYTONOH45459463215586TO PROVIDE MANAGEMENT SERVICES AS A SUPPORTING ORGANIZATIONOH501(C)(3)LINE 12A, I0N/A
LOVING CARE HOSPICE
PO BOX 445LONDONOH43140311370625TO PROVIDE HOSPICE CAREOH501(C)(3)LINE 10OHIO'S HOSPICE INCYes (1)
HOSPICE OF FAYETTE COUNTY
222 N OAKLAND AVEWASHINGTON COURTHOUSEOH43160311243376TO PROVIDE HOSPICE CAREOH501(C)(3)LINE 7OHIO'S HOSPICE INCYes (1)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1NATIONAL HOSPICE COOPERATIVEBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line17575 PARAGON ROADAddressLine1Txt
CityDAYTONCityNm
State AbbreviationOHStateAbbreviationCd
ZIP45459ZIPCd
FieldValueIRS element (for citing)
EIN832087147EIN
Primary ActivitiesBUSINESS SUPPORTPrimaryActivitiesTxt
Legal Domicile StateOHLegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Entity TypeCEntityTypeTxt
Controlled OrganizationYes (1)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1HOSPICE OF DAYTON FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeCTransactionTypeTxt
Involved$2,190,000InvolvedAmt
Method Of Amount DeterminationCASH VALUEMethodOfAmountDeterminationTxt

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