THE HOSPICE OF DAYTON INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- THE HOSPICE OF DAYTON INC (EIN 31-0933339)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-11-05
- IRS object ID
- 201303099349300145
- Schema version
- 2012v2.1
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-11-05T11:06:56-06:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 310800053 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CLARK SCHAEFER HACKETT & CO | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10100 INNOVATION DRIVE SUITE 400 | AddressLine1 |
| City | DAYTON | City |
| State | OH | State |
| ZIP Code | 45342 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 310933339 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE HOSPICE OF DAYTON INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | HOSP | NameControl |
| Phone | 9372564490 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 324 WILMINGTON AVE | AddressLine1 |
| City | DAYTON | City |
| State | OH | State |
| ZIP Code | 45420 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JERRY DURST | Name |
| Title | CFO | Title |
| Phone | 9372564490 | Phone |
| Date Signed | 2013-06-13 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | KEVIN T DAVIS CPA | Name |
| PTIN | P00039883 | PTIN |
| Phone | 9372260070 | Phone |
| Date Prepared | 2013-06-13 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | KENT ANDERSON | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 324 WILMINGTON AVE | AddressLine1 |
| City | DAYTON | City |
| State | OH | State |
| ZIP Code | 45420 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 69718490 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | HTTP://WWW.HOSPICEOFDAYTON.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1978 | YearFormation |
| State Legal Domicile | OH | StateLegalDomicile |
| Activity Or Mission Description | TO PROVIDE HOSPICE CARE FOR TERMINALLY ILL INDIVIDUALS | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 15 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 14 | NbrIndependentVotingMembers |
| Total Nbr Employees | 833 | TotalNbrEmployees |
| Total Nbr Volunteers | 795 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 2151665 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 2779667 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 47479554 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 50835808 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 1596590 | InvestmentIncomePriorYear |
| Investment Income Current Year | 853190 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 356439 | OtherRevenuePriorYear |
| Other Revenue Current Year | 132674 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 51584248 | TotalRevenuePriorYear |
| Total Revenue Current Year | 54601339 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 33991004 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 38799595 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 16278419 | OtherExpensePriorYear |
| Other Expenses Current Year | 17665737 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 50269423 | TotalExpensesPriorYear |
| Total Expenses Current Year | 56465332 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 1314825 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -1863993 | RevenuesLessExpensesCY |
| Total Assets BOY | 72954335 | TotalAssetsBOY |
| Total Assets EOY | 75086944 | TotalAssetsEOY |
| Total Liabilities BOY | 15086698 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 17101044 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 57867637 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 57985900 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | THE 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. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 46722101 | Expense |
| Revenue | 50910332 | Revenue |
| Description | COORDINATES A PROGRAM OF HOME, OUTPATIENT, 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. | Description |
| Total Program Service Expense | 46722101 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 277 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 833 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 15 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 14 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | OH | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JERRY DURST | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 9372564490 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 324 WILMINGTON AVE | AddressLine1 |
| City | DAYTON | City |
| State | OH | State |
| ZIP Code | 454201891 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (21 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| KENT ANDERSON | ||||||||
| PRESIDENT/CEO | 40.00 | X | X | 443319 | 0 | 9962 | ||
| PAMELA MORRIS | ||||||||
| BOARD MEMBER - CHAIR | 2.00 | X | X | 0 | 0 | 0 | ||
| LISA HANAUER | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| CLAIRE RODEHAVER | ||||||||
| BOARD MEMBER - SECRETARY | 2.00 | X | X | 0 | 0 | 0 | ||
| TONI SPRINKEL | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| LOIS SUTHERLAND | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| GREG TOMAN | ||||||||
| BOARD MEMBER - VICE CHAIR | 2.00 | X | X | 0 | 0 | 0 | ||
| LARRY ZUMSTEIN | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| THOMAS MANN | ||||||||
| BOARD MEMBER - TREASURER | 2.00 | X | X | 0 | 0 | 0 | ||
| PAULA MACILWAINE | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| RATNA PALAKODETI MD | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| LINDSAY M JOHNSON ESQ | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| BURHAN YANES MD | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| JERRY DURST | ||||||||
| CFO | 40.00 | X | 164016 | 0 | 22717 | |||
| BRENDA HUMFLEET | ||||||||
| MKTG DIRECTOR/ HODF PRES. | 2.00 | X | 182984 | 0 | 16535 | |||
| JULES SHERMAN | ||||||||
| CHIEF MEDICAL OFFICER | 40.00 | 232771 | 0 | 14964 | X | |||
| RUTH THOMSON | ||||||||
| VP OF MEDICAL SERVICES | 40.00 | 332062 | 0 | 26953 | X | |||
| WENDY SCHMITZ | ||||||||
| ASSOC. MEDICAL DIRECTOR | 40.00 | 222788 | 0 | 15636 | X | |||
| CHIRAG PATEL | ||||||||
| PHYSICIAN | 40.00 | 272122 | 0 | 16959 | X | |||
| RANAPREET PATEL | ||||||||
| PHYSICIAN | 40.00 | 240510 | 0 | 6005 | X | |||
| MARY MURPHY | ||||||||
| VP OF CLINICAL OPERATIONS | 40.00 | 167104 | 0 | 16090 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2257676 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 145821 | TotalOtherCompensation |
| Number Individuals GT100 K | 20 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| EXCELLERX | |||||
| 1601 CHERRY ST | PHILADELPHIA | PA | 19102 | PHARMACEUTICAL | 2901840 |
| THERAPY SUPPORT INC | |||||
| 2803 N OAK GROVE AVE | SPRINGFIELD | MO | 658034976 | THERAPY | 2149141 |
| PRN FUNDING LLC | |||||
| 3659 GREEN RD SUITE 318 | CLEVELAND | OH | 44122 | CONTRACT NURSING | 560546 |
| KETTERING MEDICAL CENTER | |||||
| PO BOX 713086 | COLUMBUS | OH | 432713086 | HOSPITAL | 431408 |
| THOMPSON HINE LLP | |||||
| 10050 INNOVATION DRIVE | DAYTON | OH | 45342 | LEGAL SERVICES | 326901 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 7 | NumberOfContractorsGT100K |
| Related Organizations | 2779667 | RelatedOrganizations |
| Total Contributions | 2779667 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| PATIENT SERVICE | 624100 | 50627965 | 50627965 |
| CAFETERIA | 624100 | 207843 | 207843 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 50835808 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 512582 | TotalRevenueColumn |
| Exclusion | $512,582 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 42650 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 42650 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 42650 | TotalRevenueColumn |
| Exclusion | $42,650 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 15457759 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 15101651 | Securities |
| Other | 15500 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 356108 | Securities |
| Other | -15500 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 340608 | TotalRevenueColumn |
| Related Or Exempt Function Income | -15500 | RelatedOrExemptFunctionIncome |
| Exclusion | $356,108 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MISCELLANEOUS INCOME | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 90024 | TotalRevenueColumn |
| Related Or Exempt Function Income | 90024 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 90024 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 54601339 | TotalRevenueColumn |
| Related Or Exempt Function Income | 50910332 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $911,340 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1087267 | Total |
| Program Services | 247735 | ProgramServices |
| Management And General | 640013 | ManagementAndGeneral |
| Fundraising | 199519 | Fundraising |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 30597898 | Total |
| Program Services | 27566363 | ProgramServices |
| Management And General | 2475930 | ManagementAndGeneral |
| Fundraising | 555605 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 416810 | Total |
| Program Services | 363558 | ProgramServices |
| Management And General | 44376 | ManagementAndGeneral |
| Fundraising | 8876 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4274018 | Total |
| Program Services | 3505240 | ProgramServices |
| Management And General | 694680 | ManagementAndGeneral |
| Fundraising | 74098 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2423602 | Total |
| Program Services | 1888644 | ProgramServices |
| Management And General | 481501 | ManagementAndGeneral |
| Fundraising | 53457 | Fundraising |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 77781 | Total |
| Management And General | 77781 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1603744 | Total |
| Program Services | 6144 | ProgramServices |
| Management And General | 530430 | ManagementAndGeneral |
| Fundraising | 1067170 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 587479 | Total |
| Program Services | 193201 | ProgramServices |
| Management And General | 394278 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 168242 | Total |
| Program Services | 8280 | ProgramServices |
| Management And General | 159962 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 569697 | Total |
| Program Services | 116915 | ProgramServices |
| Management And General | 409511 | ManagementAndGeneral |
| Fundraising | 43271 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 72003 | Total |
| Program Services | 72003 | ProgramServices |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 276455 | Total |
| Management And General | 276455 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1692818 | Total |
| Program Services | 1237465 | ProgramServices |
| Management And General | 455353 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 180430 | Total |
| Management And General | 180430 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| EQUIPMENT RENTAL AND MA | 3609500 | 2185757 | 1423743 |
| MEDICATIONS & SUPPLIES | 3533102 | 3533102 | |
| CONTRACTED SERVICES | 1910310 | 891526 | 1018784 |
| MILEAGE | 1205013 | 1205013 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2179163 | Total |
| Program Services | 3701155 | ProgramServices |
| Management And General | 480004 | ManagementAndGeneral |
| Fundraising | -2001996 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 56465332 | Total |
| Program Services | 46722101 | ProgramServices |
| Management And General | 9743231 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 969 | BOY |
| EOY | 92530 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2534956 | BOY |
| EOY | 2709225 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7060209 | BOY |
| EOY | 6677250 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 47584 | BOY |
| EOY | 119180 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 35295753 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 12902542 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17772636 | BOY |
| EOY | 22393211 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21457091 | BOY |
| EOY | 16423122 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24080890 | BOY |
| EOY | 26672426 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 72954335 | BOY |
| EOY | 75086944 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14656348 | BOY |
| EOY | 16510480 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 430350 | BOY |
| EOY | 590564 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15086698 | BOY |
| EOY | 17101044 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 56303799 | BOY |
| EOY | 56210656 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 453838 | BOY |
| EOY | 665244 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1110000 | BOY |
| EOY | 1110000 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 57867637 | BOY |
| EOY | 57985900 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 72954335 | BOY |
| EOY | 75086944 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -1863993 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 955690 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 1026566 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 2637407 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1444606 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1177836 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 2151665 | CurrentTaxYearMinus1Year |
| Current Tax Year | 2779667 | CurrentTaxYear |
| Total | 10191181 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 2637407 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1444606 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1177836 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 2151665 | CurrentTaxYearMinus1Year |
| Current Tax Year | 2779667 | CurrentTaxYear |
| Total | 10191181 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | 10191181 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | -2969807 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 460081 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1728571 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1596590 | CurrentTaxYearMinus1Year |
| Current Tax Year | 868690 | CurrentTaxYear |
| Total | 1684125 | Total |
Other Income170 OtherIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 111487 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 62753 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 20249 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 356439 | CurrentTaxYearMinus1Year |
| Current Tax Year | 90024 | CurrentTaxYear |
| Total | 640952 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 12516258 | TotalSupport |
| Gross Receipts From Admissions Etc | 214257087 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.81420 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.73480 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 22867326 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 2309906 | InvestmentEarningsOrLosses |
| End Of Year Balance | 25177232 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 22828457 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 38869 | InvestmentEarningsOrLosses |
| End Of Year Balance | 22867326 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 14407503 | BeginningOfYearBalance |
| Contributions | 6273655 | Contributions |
| Investment Earnings Or Losses | 2324795 | InvestmentEarningsOrLosses |
| Other Expenditures | 177496 | OtherExpenditures |
| End Of Year Balance | 22828457 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 7500120 | BeginningOfYearBalance |
| Contributions | 6015800 | Contributions |
| Investment Earnings Or Losses | 1396370 | InvestmentEarningsOrLosses |
| Other Expenditures | 504787 | OtherExpenditures |
| End Of Year Balance | 14407503 | EndOfYearBalance |
Current Year Minus4 Years CurrentYearMinus4Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 9640550 | BeginningOfYearBalance |
| Investment Earnings Or Losses | -2140430 | InvestmentEarningsOrLosses |
| End Of Year Balance | 7500120 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.95590 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.04410 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.00000 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 1 | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | 0 | AreRelatedOrgsListedScheduleR |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 930854 | OtherCostOrOtherBasis |
| Book Value | 930854 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 29013361 | OtherCostOrOtherBasis |
| Depreciation | 9839250 | Depreciation |
| Book Value | 19174111 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 5238644 | OtherCostOrOtherBasis |
| Depreciation | 3001057 | Depreciation |
| Book Value | 2237587 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 112894 | OtherCostOrOtherBasis |
| Depreciation | 62235 | Depreciation |
| Book Value | 50659 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 22393211 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (2 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| BENEFICIAL INTEREST IN SUBSIDIARY FOUNDATION | 23965535 |
| DUE FROM RELATED ENTITY (HOSPICE OF DAYTON FDTN. 31-1769696) | 2706891 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 26672426 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | RETIREMENT PLAN LIABILITY | Description |
| Amount | $590,564 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 590564 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 61287477 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 955690 | NetUnrealizedGainsInvestments |
| Other Revenues | 5808229 | OtherRevenues |
| Revenue Not Rptd F990 | 6763919 | RevenueNotRptdF990 |
| Revenue Subtotal | 54523558 | RevenueSubtotal |
| Investment Expenses Not Included | 77781 | InvestmentExpensesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 77781 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 54601339 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 61169214 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 4781663 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 4781663 | ExpensesNotRptdF990 |
| Expenses Subtotal | 56387551 | ExpensesSubtotal |
| Investment Expenses Not Included2 | 77781 | InvestmentExpensesNotIncluded2 |
| Expenses Not Rptd On Fin Stmt | 77781 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 56465332 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X, LINE 2: | ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE ORGANIZATION AND RECOGNIZE A TAX LIABILITY IF THE ORGANIZATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD FAIL TO BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE. AS DISCUSSED ABOVE, THE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAXES AND MANAGEMENT BELIEVES THE ORGANIZATION HAS NOT ENGAGED IN ANY ACTIVITIES THAT WOULD DISQUALIFY IT FROM TAX-EXEMPT STATUS OR INCUR A TAX OBLIGATION FOR THE YEARS ENDED DECEMBER 31, 2012 AND 2011. THE ORGANIZATION BELIEVES THEIR ESTIMATES ARE APPROPRIATE BASED ON CURRENT FACTS AND CIRCUMSTANCES. THE ORGANIZATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE ORGANIZATION BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS ENDED PRIOR TO DECEMBER 31, 2009. THE ORGANIZATION'S POLICY WITH REGARD TO INTEREST AND PENALTY, IF INCURRED, IS TO RECOGNIZE INTEREST THROUGH INTEREST EXPENSE AND PENALTIES THROUGH OTHER EXPENSE. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | ELIMINATION OF NET REVENUE ACTIVITY OF SUBSIDIARY FOUNDATION 5,808,229. | |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | ELIMINATION OF NET EXPENSE ACTIVITY OF SUBSIDIARY FOUNDATION 4,781,663. | |
| PART V, LINE 4: ENDOWMENT FUNDS ARE MAINTAINED BY A RELATED ORGANIZATION, HOSPICE OF DAYTON FOUNDATION (31-1769696). ENDOWMENT FUNDS ARE MAINTAINED BY THE FOUNDATION TO SUPPORT THE HOSPICE OF DAYTON, INC., THE FOUNDATION'S PARENT ORGANIZATION. IT IS THE FOUNDATION'S OBJECTIVE TO UTILIZE CURRENT FUNDRAISING TO SUPPORT PROGRAMS OF THE HOSPICE OF DAYTON, INC., TO GROW AND PROVIDE RESERVES FOR UNFORESEEN CIRCUMSTANCES, OR TO FUND SIGNIFICANT NEW INITIATIVES. THE BENEFICIAL INTEREST IN SUBSIDIARY FOUNDATION REPORTED ON SCHEDULE D, PART IX INCLUDES THE ENDOWMENT ASSETS SHOWN ON SCHEDULE D, PART V. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KENT ANDERSON | ||||||||||||||
| PRESIDENT/CEO | 303319 | 0 | 140000 | 0 | 0 | 0 | 0 | 0 | 9962 | 0 | 453281 | 0 | 0 | 0 |
| JERRY DURST | ||||||||||||||
| CFO | 164016 | 0 | 0 | 0 | 0 | 0 | 12755 | 0 | 9962 | 0 | 186733 | 0 | 0 | 0 |
| BRENDA HUMFLEET | ||||||||||||||
| MKTG DIRECTOR/ HODF PRES. | 182984 | 0 | 0 | 0 | 0 | 0 | 13214 | 0 | 3321 | 0 | 199519 | 0 | 0 | 0 |
| JULES SHERMAN | ||||||||||||||
| CHIEF MEDICAL OFFICER | 227605 | 0 | 5166 | 0 | 0 | 0 | 6010 | 0 | 8954 | 0 | 247735 | 0 | 0 | 0 |
| RUTH THOMSON | ||||||||||||||
| VP OF MEDICAL SERVICES | 332062 | 0 | 0 | 0 | 0 | 0 | 16991 | 0 | 9962 | 0 | 359015 | 0 | 0 | 0 |
| WENDY SCHMITZ | ||||||||||||||
| ASSOC. MEDICAL DIRECTOR | 222788 | 0 | 0 | 0 | 0 | 0 | 5674 | 0 | 9962 | 0 | 238424 | 0 | 0 | 0 |
| CHIRAG PATEL | ||||||||||||||
| PHYSICIAN | 260754 | 0 | 11368 | 0 | 0 | 0 | 6997 | 0 | 9962 | 0 | 289081 | 0 | 0 | 0 |
| RANAPREET PATEL | ||||||||||||||
| PHYSICIAN | 240510 | 0 | 0 | 0 | 0 | 0 | 6005 | 0 | 0 | 0 | 246515 | 0 | 0 | 0 |
| MARY MURPHY | ||||||||||||||
| VP OF CLINICAL OPERATIONS | 167104 | 0 | 0 | 0 | 0 | 0 | 12769 | 0 | 3321 | 0 | 183194 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| PART I, LINE 3 | THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES UTILIZES LOCAL MARKET KNOWLEDGE, ANNUAL PERFORMANCE EVALUATIONS AND BENCHMARK DATA TO ESTABLISH COMPENSATION FOR THE PRESIDENT/CEO. THE COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES IS ESTABLISHED BY THE PRESIDENT/CEO UNDER GUIDELINES ESTABLISHED BY THE BOARD OF TRUSTEES AS PART OF THE BUDGET PROCESS. | |
| PART III | FORM 990, SCHEDULE J, PART I, ITEM 4B: CONTRIBUTIONS OF $8,500 EACH WERE MADE TO 457(B) DEFERRED COMPENSATION PLANS ON BEHALF OF B. HUMFLEET, J. DURST, R. THOMSON AND M. MURPHY. | SUPPLEMENTAL INFORMATION |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | THE BOARD OF TRUSTEES IS PROVIDED A COPY OF FORM 990 TO REVIEW PRIOR TO FILING. | |
| FORM 990, PART VI, SECTION B, LINE 12C | THE BOARD OF TRUSTEES ANNUALLY REPORTS ON ANY ACTIVITY THAT COULD GIVE RISE TO POTENTIAL CONFLICTS OF INTEREST. | |
| FORM 990, PART VI, SECTION B, LINE 15 | A & B THE COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES UTILIZES LOCAL MARKET KNOWLEDGE, ANNUAL PERFORMANCE EVALUATIONS AND BENCHMARK DATA TO ESTABLISH COMPENSATION FOR THE PRESIDENT/CEO. THE COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES IS ESTABLISHED BY THE PRESIDENT/CEO UNDER GUIDELINES ESTABLISHED BY THE BOARD OF TRUSTEES AS PART OF THE BUDGET PROCESS. | |
| FORM 990, PART VI, SECTION C, LINE 19 | HOSPICE OF DAYTON, INC. MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON RECEIPT OF A WRITTEN REQUEST FOR SUCH INFORMATION. | |
| FORM 990, PART XI, LINE 9: | CHANGE IN NET ASSETS OF BENEFICIAL INTEREST IN RELATED ENTITY (31-1769696) 1,026,566. | CHANGES IN NET ASSETS OR FUND BALANCES: |
| FORM 990, PART XI, LINE 2C: | THE BOARD OF TRUSTEES HAS CHARGED THE FINANCE COMMITTEE WITH OVERSIGHT OF THE INDEPENDENT AUDIT. THIS PROCESS IS CONSISTENT WITH THE PRIOR YEAR. | |
| FORM 990, PART IX, LINE 24F: | ALL COMPENSATION OF EMPLOYEES OF HOSPICE OF DAYTON FOUNDATION (31-1769696) IS PAID BY HOSPICE OF DAYTON, INC. AND IS ALLOCATED TO THE FOUNDATION, CONSISTING OF $747,089 OF SALARIES, $91,009 OF EMPLOYEE BENEFITS AND $53,457 OF PAYROLL TAXES. IN ADDITION, $1,142,280 OF FOUNDATION ACTIVITIES AND $43,271 OF FOUNDATION OCCUPANCY COSTS WERE PAID BY THE HOSPICE OF DAYTON, INC. AND ALLOCATED TO THE FOUNDATION. ALL ALLOCATIONS ARE BASED ON ACTUAL COSTS OF FOUNDATION OPERATIONS. THE TOTAL AMOUNT ALLOCATED TO THE FOUNDATION IS $2,077,106. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOSPICE OF DAYTON FOUNDATION | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 324 WILMINGTON AVENUE | AddressLine1 |
| City | DAYTON | City |
| State | OH | State |
| ZIP Code | 45420 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 311769696 | EIN |
| Primary Activities | TO PROVIDE FINANCIAL SUPPORT TO ITS PARENT, HOSPICE OF DAYTON | PrimaryActivities |
| Legal Domicile State | OH | LegalDomicileState |
| Exempt Code Section | 501(C)(3) | ExemptCodeSection |
| Public Charity Status | 170(B)(1)(A)(VI) | PublicCharityStatus |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOSPICE OF DAYTON INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Org | 1 | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| HOSPICE OF DAYTON FOUNDATION (31-1769696) | ||
| C | 2779667 | CASH VALUE |
| HOSPICE OF DAYTON FOUNDATION (31-1769696) | ||
| M | 1142280 | CASH VALUE |
| HOSPICE OF DAYTON FOUNDATION (31-1769696) | ||
| N | 43271 | CASH VALUE |
| HOSPICE OF DAYTON FOUNDATION (31-1769696) | ||
| O | 891555 | CASH VALUE |
Comments