2018-12-18T06:40:47-06:00 2018-06-30 310905417 VONLEHMAN & COMPANY INC 810 WRIGHTS SUMMIT PARKWAY SUITE 300 FORT WRIGHT KY 410112993 990 2017-07-01 311004692 HOSPICE OF DARKE COUNTY INC DBA STATE OF THE HEART HOSPICE HOSP 9375482999 1350 N BROADWAY GREENVILLE OH 45331 MICHAEL RIEMAN PRESIDENT 9375482999 2018-12-06 1 BETH VICE P00545816 8593313300 69.61.206.123 2018-12-06 12:03:04 ES P 8B92B2B9C1F95C895775EC00001CD5555B9EB3CD 310B77EF616F804907D9C3496201619A859D1EA3 2017 2019-02-21 02:37:17Z ALFRED GROTH 1350 N BROADWAY GREENVILLE OH 45331 9215082 0 X WWW.STATEOFTHEHEARTCARE.ORG X 1981 OH HOSPICE OF DARKE COUNTY, INC. WORKS TO MAINTAIN THE VALUE AND DIGNITY OF HUMAN LIFE BY PROVIDING A CHOICE FOR HIGH QUALITY, COMPASSIONATE CARE AND SUPPORT SERVICES TO PATIENTS AND FAMILIES WITH LIFE LIMITING ILLNESS, TO PROMOTE THE EMOTIONAL, PSYCHOLOGICAL, SPIRITUAL AND PHYSICAL WELL BEING OF SURVIVORS AFFECTED BY DEATH, DYING AND GRIEF, AND TO SUPPORT ALL MEMBERS OF THE COMMUNITY IN THE KNOWLEDGE AND CARE OF THOSE PERSONS EXPERIENCING END-OF-LIFE ISSUES. 10 10 116 108 0 0 327077 280010 8464466 8683410 210953 186298 -6352 8950 8996144 9158668 0 0 0 0 5467661 5510057 0 0 118237 3818548 3569480 9286209 9079537 -290065 79131 9834259 10388589 922893 1183947 8911366 9204642 X HOSPICE OF DARKE COUNTY, INC. WORKS TO MAINTAIN THE VALUE AND DIGNITY OF HUMAN LIFE BY PROVIDING A CHOICE FOR HIGH QUALITY, COMPASSIONATE CARE AND SUPPORT SERVICES TO PATIENTS AND FAMILIES WITH LIFE LIMITING ILLNESS, TO PROMOTE THE EMOTIONAL, PSYCHOLOGICAL, SPIRITUAL AND PHYSICAL WELL BEING OF SURVIVORS AFFECTED BY DEATH, DYING AND GRIEF, TO SUPPORT ALL MEMBERS OF THE COMMUNITY IN THE KNOWLEDGE AND CARE OF THOSE PERSONS EXPERIENCING END-OF-LIFE ISSUES. 0 0 8044957 8683705 HOSPICE OF DARKE COUNTY, INC. WORKS TO MAINTAIN THE VALUE AND DIGNITY OF HUMAN LIFE BY PROVIDING A CHOICE FOR HIGH QUALITY, COMPASSIONATE CARE AND SUPPORT SERVICES TO PATIENTS AND FAMILIES WITH LIFE LIMITING ILLNESS, TO PROMOTE THE EMOTIONAL, PSYCHOLOGICAL, SPIRITUAL AND PHYSICAL WELL BEING OF SURVIVORS AFFECTED BY DEATH, DYING AND GRIEF, TO SUPPORT ALL MEMBERS OF THE COMMUNITY IN THE KNOWLEDGE AND CARE OF THOSE PERSONS EXPERIENCING END-OF-LIFE ISSUES. 8044957 1 1 0 0 0 0 0 0 0 1 1 1 0 0 0 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 15 0 1 116 1 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 OH IN X KRISTI STRAWSER 9375482999 1350 N BROADWAY GREENVILLE OH 45331 ALFRED GROTH PRESIDENT 1.00 X X 0 0 0 TRACY HAINES TREASURER 1.00 X X 0 0 0 WENDY STUKEY SECRETARY 1.00 X X 0 0 0 JUDY HOWELL TRUSTEE 1.00 X 0 0 0 MILLIE REED TRUSTEE 1.00 X 0 0 0 DAVE WOLTERS VICE PRESIDENT 1.00 X X 0 0 0 SARAH ROYER TRUSTEE 1.00 X 0 0 0 JIM STAMCOFF TRUSTEE 1.00 X 0 0 0 NICK ANDERSON 2ND VICE PRESIDENT 1.00 X X 0 0 0 ERIC FEE TRUSTEE 1.00 X 0 0 0 ANGELA SIPE EXECUTIVE DIRECTOR - 7/1/17-6/4/18 40.00 X 93920 0 8834 KRISTI STRAWSER EXECUTIVE DIRECTOR - 5/14/18 - 6/30/18 40.00 X 53451 0 5089 147371 0 13923 0 0 0 0 QUALIS MANAGEMENT PO BOX 7458 ROCKY MOUNT NC 27804 DURABLE MEDICAL EQUIPMENT 408753 PROCARE PBM 1267 PROFESSIONAL PARKWAY GAINSVILLE GA 30507 MEDICATIONS 322719 BRETHREN RETIREMENT COMMUNITY 750 CHESTNUT ST GREENVILLE OH 45331 PATIENT ROOM AND BOARD 273860 RESTHAVEN 1096 N OHIO ST GREENVILLE OH 45331 PATIENT ROOM AND BOARD 262092 CELINA MANOR 1001 MYERS RD CELINA OH 45822 PATIENT ROOM AND BOARD 228040 5 39527 240483 280010 PATIENT CARE REVENUE 900099 8683410 8683410 8683410 200792 200792 14494 -14494 -14494 -14494 50575 41920 8655 8655 MISCELLANEOUS INCOME 900099 295 295 295 9158668 8683705 0 194953 147371 114950 29474 2947 4393697 3681516 630031 82150 85662 71616 12441 1605 562887 470590 81749 10548 320440 267897 46538 6005 10260 8577 1488 195 21300 17807 3089 404 64819 54192 9420 1207 64107 53595 9310 1202 79195 66209 11502 1484 179278 173357 5245 676 97319 81363 14134 1822 32079 26819 4659 601 ROOM AND BOARD EXPENSE 1594073 1594073 MEDICAL SUPPLIES & DRUG 850595 850588 7 REPAIRS & MAINTENANCE E 143102 119603 20812 2687 UTILITIES, TELEPHONE, A 133103 114265 16685 2153 300250 277940 19759 2551 9079537 8044957 916343 118237 364 393 655411 1094201 1266956 969803 17937 43292 2949277 1348919 1695745 1600358 6197846 6680542 9834259 10388589 922893 978367 205580 922893 1183947 X 8661777 8971857 249589 232785 8911366 9204642 9834259 10388589 79131 214145 0 X X 0 1 X 1 0 X 312419 290316 279881 327077 280010 1489703 312419 290316 279881 327077 280010 1489703 1489703 279176 301504 271412 210953 200792 1263837 577 8425 2391 6454 295 18142 2771682 42600265 0.53750 0.52940 X 180000 10000 170000 190000 10000 180000 200000 10000 190000 210000 10000 200000 220000 10000 210000 0 0 227615 227615 1463179 617174 846005 635025 297913 337112 623458 433832 189626 1600358 MUTUAL FUNDS 6680542 F 6680542 X 9520142 214145 90915 56414 361474 9158668 0 9158668 9226866 90915 56414 147329 9079537 0 9079537 PART X, LINE 2: THE ORGANIZATION HAS ADOPTED THE PROVISIONS OF THE ACCOUNTING PRONOUNCEMENT RELATED TO ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. THE ORGANIZATION RECOGNIZED NO INTEREST OR PENALTIES IN THE STATEMENTS OF ACTIVITIES FOR EITHER OF THE YEARS ENDED JUNE 30, 2018 OR 2017. IF THE SITUATION AROSE IN WHICH THE ORGANIZATION WOULD HAVE INTEREST TO RECOGNIZE, IT WOULD RECOGNIZE THIS AS INTEREST EXPENSE AND PENALTIES WOULD BE RECOGNIZED IN OTHER EXPENSES. CURRENTLY, THE PRIOR THREE YEARS ARE OPEN UNDER FEDERAL AND STATE STATUTES OF LIMITATIONS AND REMAIN SUBJECT TO REVIEW AND CHANGE. THE ORGANIZATION IS NOT CURRENTLY UNDER AUDIT NOR HAS THE ORGANIZATION BEEN CONTACTED BY THESE JURISDICTIONS. BASED ON THE EVALUATION OF THE ORGANIZATION'S TAX POSITIONS, MANAGEMENT BELIEVES ALL POSITIONS TAKEN WOULD BE UPHELD UNDER AN EXAMINATION. THEREFORE, NO PROVISION FOR THE EFFECTS OF UNCERTAIN TAX POSITIONS HAS BEEN RECORDED FOR EITHER OF THE YEARS ENDED JUNE 30, 2018 OR 2017. PART XI, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES 41,920. LOSS ON ASSET SALE 14,494. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES 41,920. LOSS ON ASSET SALE 14,494. GOLF OUTING 26256 26256 9605 POKER RUN 9728 9728 4817 1 7908 7908 3493 43892 43892 17915 17915 25977 FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE FORM 990 IS PRESENTED TO THE FINANCE COMMITTEE AND THEN RECOMMENDED FOR PRESENTATION TO THE BOARD OF DIRECTORS. THE BOARD THEN REVIEWS AND APPROVES THE FORM 990 AT ITS REGULAR MEETING. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY THE BOARD OF TRUSTEES REVIEW A VENDOR AND FINANCIAL INSTITUTION LIST. THE BOARD OF TRUSTEES REVIEW THIS LIST IDENTIFYING ANY POTENTIAL VIOLATIONS OF THE CONFLICT OF INTEREST POLICY. EACH BOARD MEMBER IS GIVEN THE CONFLICT OF INTEREST POLICY TO READ AND CERTIFICATION SHEET TO SIGN ANNUALLY. ALL AFFILIATIONS ARE REQUIRED TO BE DISCLOSED AND DESCRIBED ON THE AGENCY'S CONFLICT OF INTEREST DISCLOSURE DOCUMENT. THE BOARD OF TRUSTEES ANNUALLY REVIEW AND DOCUMENT ANY DISCLOSED AFFILIATIONS TO DETERMINE IF A POSSIBLE CONFLICT OF INTEREST EXISTS. FORM 990, PART VI, SECTION B, LINE 15A THE PROCESS FOR DETERMINING COMPENSATION FOR THE EXECUTIVE DIRECTOR INCLUDES THE REVIEW AND APPROVAL BY THE GOVERNING BODY. INFORMATION CONSIDERED DURING THIS PROCESS INCLUDES COMPARATIVE COMPENSATION FOR SIMILARLY QUALIFIED PERSONS IN COMPARATIVE POSITIONS AT SIMILAR ORGANIZATIONS. DOCUMENTATION AND RECORD KEEPING WITH RESPECT TO THIS REVIEW PROCESS ARE MAINTAINED THROUGHOUT THE PROCESS. FORM 990, PART VI, SECTION C, LINE 19 THE AGENCY'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND ANNUAL AUDITED FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AT OUR FRONT DESK IN WHICH THE INFORMATION WILL BE MAILED TO THE ADDRESS PROVIDED. PART XII, LINE 2C THERE HAVE BEEN NO CHANGES IN THE METHOD OF CHOOSING AN INDIVIDUAL AUDITOR OR METHOD OF OVERSIGHT.