2014-01-07T11:21:17-06:00 2013-06-30 310905417 VONLEHMAN & COMPANY INC 250 GRANDVIEW DR SUITE 300 FT MITCHELL KY 41017 990 2012-07-01 311004692 HOSPICE OF DARKE COUNTY INC DBA STATE OF THE HEART HOSPICE HOSP 9375482999 1350 N BROADWAY GREENVILLE OH 45331 JAMES STAMCOFF 9375486994 2013-12-02 1 BETH VICE P00545816 8593313300 2012 2015-11-30 17:44:51Z JAMES STAMCOFF 1350 N BROADWAY GREENVILLE OH 45331 9442550 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. 12 12 119 106 0 0 196369 203838 7132535 9008544 122357 166058 27021 9671 7478282 9388111 0 0 0 0 3833570 4763529 0 0 82847 3494799 4078513 7328369 8842042 149913 546069 8305452 9545562 809164 1222795 7496288 8322767 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 7010884 9009947 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. 7010884 1 1 0 0 0 0 0 0 0 0 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 1 0 0 0 0 0 0 0 0 0 1 5 0 119 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 OH IN X KELLY BRUNSWICK 9375482999 1350 N BROADWAY GREENVILLE OH 45331 LISA GASPER 2.00 X 0 0 0 PAULA COX 2.00 X 0 0 0 GAIL DUES 2.00 X 0 0 0 JAMES STAMCOFF 2.00 X X 0 0 0 RANDY ELAM 2.00 X X 0 0 0 TRACY HAINES 2.00 X X 0 0 0 ILZE KOCH 2.00 X 0 0 0 CINDY MCCALLISTER 2.00 X 0 0 0 GINGER GODFREY 2.00 X 0 0 0 DIANE SWALLOW 2.00 X 0 0 0 MICHAEL RIEMAN 2.00 X 0 0 0 WENDY STUKEY 2.00 X 0 0 0 THEODORE BAUER 40.00 X 97624 0 0 KELLY BRUNSWICK 40.00 X 42679 0 0 140303 0 0 0 0 0 0 QUALIS MANAGEMENT PO BOX 7458 ROCKY MOUNT NC 27804 DURABLE MEDICAL EQUIPMENT 436810 PROCARE PBM 1267 PROFESSIONAL PARKWAY GAINSVILLE GA 30507 PHARMACEUTICAL COMPANY 316034 BRETHREN RETIREMENT COMMUNITY 750 CHESTNUT ST GREENVILLE OH 45331 PATIENT ROOM AND BOARD 243082 RESTHAVEN 1096 N OHIO ST GREENVILLE OH 45331 PATIENT ROOM AND BOARD 212246 CELINA MANOR 1001 MYERS ROAD CELINA OH 45822 PATIENT ROOM AND BOARD 198648 7 203838 203838 PATIENT CARE REVENUE 900099 9008544 9008544 9008544 166058 166058 62707 54439 8268 8268 MISCELLANEOUS INCOME 900099 1403 1403 1403 9388111 9009947 0 174326 140303 109436 28061 2806 3813877 3172915 574953 66009 52853 31139 21714 458685 13028 445657 297811 224971 72840 5000 5000 38874 38874 5769 5769 94533 46758 43048 4727 107773 12507 92167 3099 299053 266364 26483 6206 145459 50911 94548 23077 6923 16154 ROOM AND BOARD EXPENSE 1772131 1772131 MEDICAL SUPPLIES & DRUG 840042 840042 UTILITIES, TELEPHONE, A 242933 33670 209263 SOFTWARE LICENSE EXPENS 99908 99908 403961 325181 78780 8842042 7010884 1748311 82847 175 299 1356580 1329534 809963 1070397 30025 71166 3393261 1400550 2004134 1992711 4104575 5081455 8305452 9545562 809164 1222795 809164 1222795 X 6949344 7730506 546944 592261 7496288 8322767 8305452 9545562 546069 280410 0 X X 0 1 X 1 0 X 178449 162287 172204 196369 203838 913147 178449 162287 172204 196369 203838 913147 913147 101140 95912 83006 126420 166058 572536 31788 22534 34605 9671 98598 1584281 0.57640 0.54240 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 242530 242530 2006316 565015 1441301 1049210 835535 213675 95205 95205 1992711 MUTUAL FUNDS 5081455 F 5081455 X 9803420 280410 80460 54439 415309 9388111 0 9388111 8976941 80460 54439 134899 8842042 0 8842042 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE U.S. INTERNAL REVENUE CODE AND A SIMILAR PROVISION OF STATE LAW. IN ADDITION, THE ORGANIZATION IS NOT A PRIVATE FOUNDATION AS DEFINED IN SECTION 509(A)(1) OF THE U.S. INTERNAL REVENUE CODE. 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 BOTH YEARS ENDED JUNE 30, 2013 AND 2012. 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. TAX YEARS STILL OPEN UNDER FEDERAL AND STATE STATUTE OF LIMITATIONS REMAIN SUBJECT TO REVIEW AND CHANGE. 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 BOTH YEARS ENDED JUNE 30, 2013 AND 2012. PART XI, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES 54,439. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES 54,439. GOLF OUTING 39680 39680 15968 39680 39680 15968 15968 23712 LORRI KAUP FORMER BOARD MEMBER 746 PURCHASE OF DURABLE MEDICAL EQUIPMENT 0 FORM 990, PART VI, SECTION B, LINE 11 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. AUDIT COMMITTE PART XII, LINE 2C THERE HAVE BEEN NO CHANGES IN THE METHOD OF CHOOSING AN INDIVIDUAL AUDITOR OR METHOD OF OVERSIGHT.