2015-08-13T12:36:30-05:00 2014-12-31 341630230 RW CORWIN & COMPANY INC PO BOX 6901218 HIGH STREET WADSWORTH OH 442820690 990 2014-01-01 310641121 WIDOWS HOME OF DAYTON OHIO WIDO 9372521661 50 SOUTH FINDLAY STREET DAYTON OH 45403 STEVE DUNSON EXECUTIVE DIRECTOR 9372521661 2015-08-13 1 RW CORWIN COMPANY INC P01209087 3303361004 2015-08-13 2014 2016-02-25 16:41:14Z NANCY HINES 50 SOUTH FINDLAY STREET DAYTON OH 45403 6684466 0 X WWW.WIDOWSHOME.ORG X 1961 OH THE PURPOSE OF THE WIDOWS HOME IS TO PROVIDE LONG-TERM CARE SERVICES TO ELDERLY INDIVIDUALS. 10 10 189 25 0 0 0 461959 5719309 6153676 0 69052 72089 -221 5791398 6684466 0 0 0 0 2822788 2627589 0 0 0 2954544 3879352 5777332 6506941 14066 177525 7088901 8611278 4667581 4382359 2421320 4228919 THE PURPOSE OF THE WIDOWS HOME IS TO PROVIDE LONG-TERM CARE SERVICES TO ELDERLY INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY. 0 0 6506941 6222507 THE WIDOWS HOME OF DAYTON, OHIO PROVIDES LONG-TERM NURSING AND RESIDENTIAL CARE, SHORT-TERM REHABILITATION, AND ADULT DAY PROGRAMS TO ELDERLY INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY. THE HOME IS AN INNER-CITY FACILITY WITH 75 LICENSED BEDS. 6506941 1 1 0 0 0 0 0 0 1 0 1 0 1 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 38 0 189 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 1 0 0 0 OH X STEPHEN D DUNSON 9372521661 50 S FINDLAY STREET DAYTON OH 45403 X NANCY HINES PRESIDENT 0.50 X X 0 0 0 KEITH VALIQUETTE VICE PRESIDENT 0.50 X X 0 0 0 JANE CLIFTON SECRETARY 0.50 X X 0 0 0 ELIZABETH WARDECKE TREASURER 0.50 X X 0 0 0 ROBERT PROPHATER BOARD MEMBER 0.50 X 0 0 0 MARILYN HOBACK BOARD MEMBER 0.50 X 0 0 0 LINDA ROEPKEN BOARD MEMBER 0.50 X 0 0 0 JEFF SORRELL BOARD MEMBER 0.50 X 0 0 0 TIMOTHY P BETE BOARD MEMBER 0.50 X 0 0 0 KIMBERLY ANDREWS BOARD MEMBER 0.50 X 0 0 0 0 0 0 0 0 0 0 EVANS ENERGY LLC 4076 E PATTERSON RD BEAVERCREEK OH 45430 ENERGY CONSULTANT 221300 HC CONSULTING MANAGEMENT 2968 JERICHO PLACE DELAWARE OH 43015 FACILITY MANAGEMENT 116712 2 461959 461959 ROOM AND BOARD 623000 5550600 5550600 ANCILLARY REVENUE 623000 2110975 2110975 ADDITIONAL REVENUE 623000 67680 67680 CONTRACTUAL ALLOWANCES 623000 -1575579 -1575579 6153676 69052 69052 PASSTHROUGH FROM K-1 900099 -221 -221 -221 6684466 6222507 0 0 X 2125417 2125417 233567 233567 268605 268605 108016 108016 16967 16967 22700 22700 53850 53850 19820 19820 14840 14840 2044 2044 169369 169369 353001 353001 79946 79946 DIRECT CARE THERAPIES 661335 661335 DIETARY/FOOD 342215 342215 TAXES 332668 332668 BAD DEBT EXPENSE 318903 318903 1383678 1383678 6506941 6506941 0 0 189749 460458 856426 639252 0 0 39903 165774 10442230 5177523 5376129 5264707 1247022 563638 753410 63056 80655 7088901 8611278 356387 423837 3792900 3603700 15547 12316 502747 342506 4667581 4382359 X 2421320 4043458 185461 2421320 4228919 7088901 8611278 X 177525 1630074 X X 0 1 X 1 0 X 486602 486602 5768165 5689985 5432762 5719309 6153676 28763897 5768165 5689985 5432762 5719309 6640278 29250499 0 0 0 29250499 49778 49778 20741 69052 189349 49778 49778 20741 69052 189349 72089 -221 71868 5817943 5739763 5453503 5791398 6709109 29511716 0.99110 0.99150 0.00640 0.00590 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: BWC REFUND - 2013 AMOUNT: $ 72,089. PASSTHROUGH LOSS K-1 - 2014 AMOUNT: $ -221. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 131650 131650 9006598 4139765 4866833 1303982 1037758 266224 5264707 DODGE AND COX INCOME 34975 F FREDDIE MAC 25055 F HOTCHKIS & WILEY FUNDS 55957 F ISHARES BARCLAYS AGGREGATE BOND FUND 55060 F ISHARES S&P PREFERRED STOCK INDEX FUND 19720 F OPPENHEIMER INTL BOND FUND 53817 F TCW FDS INC 70046 F TERMINAL RR ASSN ST. LOUIS 1479 F AMERICAN CENTURY MID CAP VALUE 81013 F GUGGENHEIM FRONTIER MARKETS EFT 16503 F EUROPACIFIC GROWTH FUND 176729 F FIDELITY ADV NEW INSIGHTS 127807 F ISHARES TR SMALL CAP INDEX FUND 42740 F LAZARD EMERGING MARKETS PORT 119162 F MORGAN STANLEY FUND MIDCAP 90513 F T ROWE PRICE EQUITY INCOME FUND 155655 F T ROWE PRICE NEW HORIZON FUND 46925 F ROYCE FUND 52388 F WISDOM TRUST EMG MARKETS SMALL CAP 19552 F ANDARKO PETROLEUM 495 F CISCO SYSTEMS 584 F EXPRESS SCRIPTS 847 F 1247022 BUCKEYE OVERPAYMENTS 102947 BONDS - INTEREST RATE SWAP VALUE 239559 342506 X PART IV, LINE 2B: RESIDENT SAVINGS ACCOUNTS ARE HELD IN A SEPERATE BANK ACCOUNT. PART X, LINE 2: THE HOME AND THE FOUNDATION QUALIFY AS TAX-EXEMPT NON-PROFIT ORGANIZATIONS UNDER SECTION 501 (C)(3) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO PROVISION FOR FEDERAL INCOME TAX IS REQUIRED. MANAGEMENT EVALUATED THE HOME AND THE FOUNDATION'S TAX POSITIONS AS OF DECEMBER 31, 2014 AND 2013 AND CONCLUDED THAT THEY HAVE TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE CONSOLIDATED FINANCIAL STATEMENTS. IN GENERAL, THE HOME AND THE FOUNDATION ARE NO LONGER SUBJECT TO FEDERAL, STATE OR LOCAL INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR THE YEARS BEFORE 2010. A CITY OF RIVERSIDE 316000133 2006-12-29 2500000 25 BED EXPANSION 0 0 0 A 2500000 2008 0 0 1 1 A 0 0 0 0 0 0 0 0 0 FORM 990, PART VI, SECTION A, LINE 8B COMMITTEE MEETING MINUTES WERE NOT TAKEN. HOWEVER, THE DISCUSSIONS DURING COMMITTEE MEETINGS ARE REPORTED AT BOARD MEETINGS AND ARE DOCUMENTED IN THE BOARD MEETING MINUTES. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 WILL BE PROVIDED TO BOARD MEMBERS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS PROVIDE SELF-DISCLOSURE OF CONFLICTS OF INTEREST. 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 REQUEST. FORM 990, PART IX, LINE 24E RESTRICTED FUNDS - ENERGY UPGRADE EXPENSE: PROGRAM SERVICE EXPENSES 242,173. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 242,173. DRUGS/PHARMACY : PROGRAM SERVICE EXPENSES 200,036. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 200,036. MEDICAL SUPPLIES: PROGRAM SERVICE EXPENSES 176,590. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 176,590. UTILITIES: PROGRAM SERVICE EXPENSES 135,985. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 135,985. REPAIRS/MAINTENANCE: PROGRAM SERVICE EXPENSES 119,656. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 119,656. SEQUESTER REDUCTION: PROGRAM SERVICE EXPENSES 66,686. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 66,686. MEDICAL MINOR EQUIPMENT: PROGRAM SERVICE EXPENSES 51,369. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 51,369. CONSULTING FEES: PROGRAM SERVICE EXPENSES 48,375. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 48,375. SUPPLIES: PROGRAM SERVICE EXPENSES 40,180. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 40,180. INCONTINENCE SUPPLIES: PROGRAM SERVICE EXPENSES 33,323. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 33,323. DATA SERVICES: PROGRAM SERVICE EXPENSES 32,286. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 32,286. TELEPHONE: PROGRAM SERVICE EXPENSES 22,321. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 22,321. LEASED EQUIPMENT: PROGRAM SERVICE EXPENSES 21,133. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 21,133. DEL MAR FOUNDATION GRANT EXPENSE : PROGRAM SERVICE EXPENSES 19,971. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 19,971. PAYROLL PROCESSING FEES: PROGRAM SERVICE EXPENSES 18,061. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 18,061. SETTLEMENTS: PROGRAM SERVICE EXPENSES 18,038. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 18,038. AMBULANCE: PROGRAM SERVICE EXPENSES 17,470. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 17,470. PHYSICIAN: PROGRAM SERVICE EXPENSES 14,022. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 14,022. DUES, LICENSE & SUBSCRIPTIONS: PROGRAM SERVICE EXPENSES 11,574. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,574. CABLE: PROGRAM SERVICE EXPENSES 10,847. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,847. FOUNDATION EXPENSES: PROGRAM SERVICE EXPENSES 10,790. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,790. MEDICAL DIRECTOR: PROGRAM SERVICE EXPENSES 10,264. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,264. LABORATORY EXPENSE: PROGRAM SERVICE EXPENSES 9,817. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,817. HOUSEKEEPING/TEMP: PROGRAM SERVICE EXPENSES 8,004. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,004. PERSONAL CARE SUPPLIES: PROGRAM SERVICE EXPENSES 7,760. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,760. RESIDENT ACTIVITIES: PROGRAM SERVICE EXPENSES 7,088. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,088. ADMIN : PROGRAM SERVICE EXPENSES 5,873. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,873. PHYSICIANS CHARITABLE FUND GRANT EXPENSE : PROGRAM SERVICE EXPENSES 5,083. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,083. TRAINING/SEMINARS: PROGRAM SERVICE EXPENSES 4,372. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,372. BANK SERVICE CHARGES: PROGRAM SERVICE EXPENSES 3,578. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,578. HOFFMAN FUND GRANT EXPENSE: PROGRAM SERVICE EXPENSES 2,488. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,488. MEALS AND ENTERTAINMENT: PROGRAM SERVICE EXPENSES 1,806. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,806. MEDICAL REPORT CONSULTANT: PROGRAM SERVICE EXPENSES 1,533. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,533. LPN POOL: PROGRAM SERVICE EXPENSES 1,487. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,487. LEGACY OF LOVE GRANT EXPENSE: PROGRAM SERVICE EXPENSES 1,209. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,209. RESTRICTED DONATIONS - ACTIVITIES EXPENSE : PROGRAM SERVICE EXPENSES 1,037. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,037. LATE CHARGES: PROGRAM SERVICE EXPENSES 751. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 751. CULTUREWORKS GRANT EXPENSE: PROGRAM SERVICE EXPENSES 390. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 390. SWAP VALUATION: PROGRAM SERVICE EXPENSES 252. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 252. FORM 990, PART XI, LINE 9: MERGE FOUNDATION INVESTMENTS TO WIDOWS HOME 1,629,853. PASSTHROUGH FROM K-1 221. FORM 990, PART XII, LINE 2C: THE ORGANIZATION'S COMMITTEE THAT ASSUMES THE RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS HAS NOT CHANGED THAT PROCESS FROM THE PRIOR YEAR. THE FINANCIAL STATEMENTS ARE CONSOLIDATED WITH THE WIDOWS HOME FOUNDATION, A PUBLIC CHARITY WHOSE PURPOSE IS TO CONDUCT FUNDRAISING ACTIVITIES AND MANAGE THE ENDOWMENT FUNDS FOR THE BENEFIT OF THE WIDOWS HOME OF DAYTON. WIDOWS HOME FOUNDATION 50 SOUTH FINDLAY STREET DAYTON OH 45403 311584036 TO CONDUCT FUNDRAISING ACTIVITIES AND MANAGE ENDOWMENT FUNDS. OH 501(C)(3) LINE 7 N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0