THE HOSPICE OF DAYTON INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
THE HOSPICE OF DAYTON INC (EIN 31-0933339)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-09-09
IRS object ID
201112529349300116
Schema version
2010v3.2
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)
Timestamp2011-09-09T12:40:18-05:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CLARK SCHAEFER HACKETT & COBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line140 N MAIN ST STE 800 KETTERING TOWEAddressLine1
CityDAYTONCity
StateOHState
ZIP Code45423ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN310933339EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1THE HOSPICE OF DAYTON INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlHOSPNameControl
Phone9372564490Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1324 WILMINGTON AVEAddressLine1
CityDAYTONCity
StateOHState
ZIP Code45420ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJERRY DURSTName
TitleCFOTitle
Phone9372564490Phone
Date Signed2011-05-23DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameKEVIN T DAVIS CPAName
Phone9372260070Phone
Date Prepared2011-05-23DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonKENT ANDERSONNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1324 WILMINGTON AVEAddressLine1
CityDAYTONCity
StateOHState
ZIP Code45420ZIPCode
FieldValueIRS element (for citing)
Gross Receipts59329021GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteHTTP://WWW.HOSPICEOFDAYTON.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1978YearFormation
State Legal DomicileOHStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE HOSPICE CARE FOR TERMINALLY ILL INDIVIDUALSActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees662TotalNbrEmployees
Total Nbr Volunteers507TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1444606ContributionsGrantsPriorYear
Contributions Grants Current Year1177836ContributionsGrantsCurrentYear
Program Service Revenue Prior Year41048562ProgramServiceRevenuePriorYear
Program Service Revenue CY42675955ProgramServiceRevenueCY
Investment Income Prior Year460081InvestmentIncomePriorYear
Investment Income Current Year1728571InvestmentIncomeCurrentYear
Other Revenue Prior Year62753OtherRevenuePriorYear
Other Revenue Current Year20249OtherRevenueCurrentYear
Total Revenue Prior Year43016002TotalRevenuePriorYear
Total Revenue Current Year45602611TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year27496847SalariesEtcPriorYear
Salaries Etc Current Year29258073SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year12937417OtherExpensePriorYear
Other Expenses Current Year12879234OtherExpensesCurrentYear
Total Expenses Prior Year40434264TotalExpensesPriorYear
Total Expenses Current Year42137307TotalExpensesCurrentYear
Revenues Less Expenses Prior Year2581738RevenuesLessExpensesPriorYear
Revenues Less Expenses CY3465304RevenuesLessExpensesCY
Total Assets BOY63853822TotalAssetsBOY
Total Assets EOY64261331TotalAssetsEOY
Total Liabilities BOY11291449TotalLiabilitiesBOY
Total Liabilities EOY5600968TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY52562373NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY58660363NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE 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 Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense35516722Expense
Revenue42696204Revenue
DescriptionCOORDINATES 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 Expense35516722TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096198NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees662NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members13NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledOHStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1JERRY DURSTBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number9372564490TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1324 WILMINGTON AVEAddressLine1
CityDAYTONCity
StateOHState
ZIP Code454201891ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (23 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
DEBORAH S DAILEY
PRESIDENT/CEO (JAN-AUG)40.00XX1297543046225
KENT ANDERSON
PRESIDENT/CEO (AUG-DEC)40.00XX8784200
GARY LEROY MD
BOARD MEMBER2.00X000
PAMELA MORRIS
BOARD MEMBER - CHAIR2.00XX000
LISA HANAUER
BOARD MEMBER2.00X000
CLAIRE RODEHAVER
BOARD MEMBER - SECRETARY2.00XX000
TONI SPRINKEL
BOARD MEMBER2.00X000
LOIS SUTHERLAND
BOARD MEMBER2.00X000
GREG TOMAN
BOARD MEMBER - VICE CHAIR2.00XX000
LARRY ZUMSTEIN
BOARD MEMBER2.00X000
DANIEL ERLANDSON
BOARD MEMBER2.00X000
THOMAS MANN
BOARD MEMBER - TREASURER2.00XX000
GEORGETTA KELLY
BOARD MEMBER2.00X000
PAULA MACILWAINE
BOARD MEMBER2.00X000
RATNA PALAKODETI MD
BOARD MEMBER2.00X000
JERRY DURST
CFO40.00X163703020662
BRENDA HUMFLEET
MKTG DIRECTOR/ HODF PRES.2.00X238667022491
JULES SHERMAN
CHIEF MEDICAL OFFICER40.00352283022625X
RUTH THOMSON
MEDICAL DIRECTOR40.0029879506125X
WENDY G SCHMITZ
ASSOC. MEDICAL DIRECTOR40.0020678605227X
CHIRAG PATEL MD
PHYSICIAN40.0030286206125X
MARY MURPHY
VP OF CLINICAL OPERATIONS40.00168321020872X
RANAPREET PATEL MD
PHYSICIAN40.0021581305389X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3332615TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation155741TotalOtherCompensation
Number Individuals GT100 K18NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
EXCELLERX
1601 CHERRY STPHILADELPHIAPA19102PHARMACEUTICAL2602578
PRN FUNDING LLC
3659 GREEN RD SUITE 318CLEVELANDOH44122CONTRACT NURSING867897
KETTERING MEDICAL CENTER
PO BOX 713086COLUMBUSOH432713086HOSPITAL408313
MED-TRANS
PO BOX 1048SPRINGFIELDOH455011048MEDICAL TRANSPORTATION297296
ANNE M REDDY MD
8501 OLD TROY PIKEHUBER HEIGHTSOH45424MEDICAL276689
FieldValueIRS element (for citing)
Number Of Contractors GT100 K13NumberOfContractorsGT100K
Related Organizations1177836RelatedOrganizations
Total Contributions1177836TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT SERVICEDescription
Business Code624100BusinessCode
Total Revenue Column42675955TotalRevenueColumn
Related Or Exempt Function Income42675955RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue42675955TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1099284TotalRevenueColumn
Exclusion$1,099,284ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other14355697Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other13726410Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other629287Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column629287TotalRevenueColumn
Exclusion$629,287ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUS INCOMEDescription
Business Code900099BusinessCode
Total Revenue Column20249TotalRevenueColumn
Related Or Exempt Function Income20249RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue20249TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column45602611TotalRevenueColumn
Related Or Exempt Function Income42696204RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,728,571ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2577980Total
Program Services1577597ProgramServices
Management And General739225ManagementAndGeneral
Fundraising261158Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total21539151Total
Program Services19132744ProgramServices
Management And General2223844ManagementAndGeneral
Fundraising182563Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total265147Total
Program Services231345ProgramServices
Management And General32539ManagementAndGeneral
Fundraising1263Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2737400Total
Program Services2348731ProgramServices
Management And General331747ManagementAndGeneral
Fundraising56922Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2138395Total
Program Services1710380ProgramServices
Management And General401673ManagementAndGeneral
Fundraising26342Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total137843Total
Management And General137843ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total861539Total
Program Services787ProgramServices
Management And General458336ManagementAndGeneral
Fundraising402416Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total353937Total
Program Services105751ProgramServices
Management And General248186ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total53052Total
Program Services14845ProgramServices
Management And General38207ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total436572Total
Program Services30843ProgramServices
Management And General379000ManagementAndGeneral
Fundraising26729Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total130369Total
Program Services14736ProgramServices
Management And General115633ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1251473Total
Program Services938605ProgramServices
Management And General312868ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total164816Total
Management And General164816ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICATIONS & SUPPLIES33525253352525
EQUIPMENT RENTAL AND MA19512641557431393833
CONTRACTED SERVICES1031417566736464681
GENERAL INPATIENT EXPEN725873725873
MILEAGE678795678795

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1749759Total
Program Services2528998ProgramServices
Management And General178154ManagementAndGeneral
Fundraising-957393Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total42137307Total
Program Services35516722ProgramServices
Management And General6620585ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY769BOY
EOY719EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY4278836BOY
EOY6163802EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY6520768BOY
EOY4813499EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY16481BOY
EOY233837EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis25409921LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec13786344LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY11694272BOY
EOY11623577EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY20669987BOY
EOY17611480EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY20672709BOY
EOY23814417EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY63853822BOY
EOY64261331EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY5037724BOY
EOY5259780EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY6253725BOY
EOY341188EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY11291449BOY
EOY5600968EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY51129395BOY
EOY57102477EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY332978BOY
EOY447886EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1100000BOY
EOY1110000EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY52562373BOY
EOY58660363EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY63853822BOY
EOY64261331EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses3465304ReconcilationRevenueExpenses
Reconcilation Other Changes2632686ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1357494CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2524373CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2637407CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1444606CurrentTaxYearMinus1Year
Current Tax Year1177836CurrentTaxYear
Total9141716Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1357494CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2524373CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2637407CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1444606CurrentTaxYearMinus1Year
Current Tax Year1177836CurrentTaxYear
Total9141716Total
FieldValueIRS element (for citing)
Public Support Total1709141716PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years870188CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2109807CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years-2969807CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year460081CurrentTaxYearMinus1Year
Current Tax Year1728571CurrentTaxYear
Total2198840Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years75335CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years109120CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years111487CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year62753CurrentTaxYearMinus1Year
Current Tax Year20249CurrentTaxYear
Total378944Total
FieldValueIRS element (for citing)
Total Support11719500TotalSupport
Gross Receipts From Admissions Etc187113646GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.78000PublicSupportPertcentage170
Public Support Pertcent Prior Year0.86270PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance14407503BeginningOfYearBalance
Contributions6273655Contributions
Investment Earnings Or Losses2324795InvestmentEarningsOrLosses
Other Expenditures177496OtherExpenditures
End Of Year Balance22828457EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance7500120BeginningOfYearBalance
Contributions6015800Contributions
Investment Earnings Or Losses1396370InvestmentEarningsOrLosses
Other Expenditures504787OtherExpenditures
End Of Year Balance14407503EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance9640550BeginningOfYearBalance
Investment Earnings Or Losses-2140430InvestmentEarningsOrLosses
End Of Year Balance7500120EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.95140BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.04860PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.00000TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs1EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R0AreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis930854OtherCostOrOtherBasis
Book Value930854BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis17562552OtherCostOrOtherBasis
Depreciation8274480Depreciation
Book Value9288072BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis6820295OtherCostOrOtherBasis
Depreciation5477120Depreciation
Book Value1343175BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis96220OtherCostOrOtherBasis
Depreciation34744Depreciation
Book Value61476BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings11623577TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
BENEFICIAL INTEREST IN SUBSIDIARY FOUNDATION23375973
DUE FROM RELATED ENTITY (HOSPICE OF DAYTON FDTN. 31-1769696)438444
FieldValueIRS element (for citing)
Total Book Value Other Assets23814417TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionRETIREMENT PLAN LIABILITYDescription
Amount$341,188Amount
FieldValueIRS element (for citing)
Total Of Amounts341188TotalOfAmounts
Total Revenue45602611TotalRevenue
Total Expenses42137307TotalExpenses
Excess Or Deficit For Year3465304ExcessOrDeficitForYear
Net Unrealized GL On Investments-70578NetUnrealizedGLOnInvestments
Other$2,703,264OtherAmount
Total Adjustments2632686TotalAdjustments
Excess Or Deficit Per FS6097990ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt50304708TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-70578NetUnrealizedGainsInvestments
Other Revenues4910518OtherRevenues
Revenue Not Rptd F9904839940RevenueNotRptdF990
Revenue Subtotal45464768RevenueSubtotal
Investment Expenses Not Included137843InvestmentExpensesNotIncluded
Revenue Not Rptd On Fin Stmt137843RevenueNotRptdOnFinStmt
Total Revenue Per Form99045602611TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt44206718TotExpensesEtcAuditedFinclStmt
Other Expenses Included2207254OtherExpensesIncluded
Expenses Not Rptd F9902207254ExpensesNotRptdF990
Expenses Subtotal41999464ExpensesSubtotal
Investment Expenses Not Included2137843InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt137843ExpensesNotRptdOnFinStmt
Total Expenses Per Form99042137307TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X:THE ORGANIZATION EVALUATES THE ACCOUNTING AND RECOGNITION FOR INCOME TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN INCOME TAX RETURNS FILED BY THE ORGANIZATION. THE ORGANIZATION IS EXEMPT FROM INCOME TAXES AND THEREFORE NO PROVISION FOR INCOME TAXES IS INCLUDED IN THE ACCOMPANYING FINANCIAL STATEMENTS MANAGEMENT BELIEVES THAT THE ORGANIZATION HAS NOT ENGAGED IN ANY ACTIVITIES NOT DIRECTLY RELATED TO THE ORGANIZATION'S TAX-EXEMPT PURPOSE, WHICH WOULD BE SUBJECT TO TAXATION AS UNRELATED BUSINESS INCOME OR DISQUALIFY THEM FROM TAX-EXEMPT STATUS. THE ORGANIZATION'S TAX FILINGS ARE SUBJECT TO AUDIT BY TAXING AUTHORITIES. THE ORGANIZATION'S OPEN AUDIT PERIODS ARE FOR YEARS 2007-2010.
PART XI, LINE 8 - OTHER ADJUSTMENTS:CHANGE IN NET ASSETS OF BENEFICIAL INTEREST IN RELATED ENTITY (31-1769696)
PART XII, LINE 2D - OTHER ADJUSTMENTS:ELIMINATION OF NET REVENUE ACTIVITY OF SUBSIDIARY FOUNDATION 4,910,518.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:ELIMINATION OF NET EXPENSE ACTIVITY OF SUBSIDIARY FOUNDATION 2,207,254.
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

FieldValueIRS element (for citing)
Substantiation Required1SubstantiationRequired
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
DEBORAH S DAILEY
3182460624470916850046225000134376808680000
JERRY DURST
12779403590900020662000184365000
BRENDA HUMFLEET
18504205362500022491000261158000
JULES SHERMAN
28475606752700022625000374908000
RUTH THOMSON
298795000006125000304920000
WENDY G SCHMITZ
206786000005227000212013000
CHIRAG PATEL MD
2863240165380006125000308987000
MARY MURPHY
14582102250000020872000189193000
RANAPREET PATEL MD
2017940140190005389000221202000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSUPPLEMENTAL INFORMATIONIdentifier
Return ReferencePART IIIReturnReference
ExplanationFORM 990, SCHEDULE J, PART I, ITEM 4B: A BENEFIT OF $40,100 WAS ACCRUED IN 2010 RELATED TO A 457(F) DEFERRED COMPENSATION PLAN ON BEHALF OF D. DAILEY. DURING 2010, D. DAILEY RECEIVED FULL DISTRIBUTION OF HER DEFERRED COMPENSATION BENEFIT. D. DAILEY'S W-2 INCOME FOR 2010 INCLUDES $868,000 OF DEFERRED COMPENSATION THAT WAS ACCRUED FROM 2003 THROUGH 2009 AND $40,100 OF DEFFERED COMPENSATION EXPENSED IN 2010. CONTRIBUTIONS OF $16,500 EACH WERE MADE TO 457(B) DEFERRED COMPENSATION PLANS ON BEHALF OF B. HUMFLEET, J. DURST, J. SHERMAN & M. MURPHY.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION B, LINE 11THE FINANCE COMMITTEE OF THE TRUSTEES ARE DIRECTLY PROVIDED A COPY OF THE FORM 990 BY MANAGEMENT TO REVIEW PRIOR TO FILING. OTHER BOARD MEMBERS ARE NOTIFIED AND PROVIDED ACCESS TO REVIEW THE FORM 990 PRIOR TO FILING.
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 12C
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 B, LINE 15
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 VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED LOSSES ON INVESTMENTS: -70,578. CHANGE IN NET ASSETS OF BENEFICIAL INTEREST IN RELATED ENTITY (31-1769696) 2,703,264. TOTAL TO FORM 990, PART XI, LINE 5: 2,632,686.FORM 990, PART XI, LINE 5:
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 XI, LINE 2C:
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 $437,730 OF SALARIES, $64,176 OF EMPLOYEE BENEFITS AND $26,342 OF PAYROLL TAXES. IN ADDITION, $402,416 OF FOUNDATION ACTIVITIES AND $26,729 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 $957,393.FORM 990, PART IX, LINE 24F:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1HOSPICE OF DAYTON FOUNDATIONBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1324 WILMINGTON AVENUEAddressLine1
CityDAYTONCity
StateOHState
ZIP Code45420ZIPCode
FieldValueIRS element (for citing)
EIN311769696EIN
Primary ActivitiesTO PROVIDE FINANCIAL SUPPORT TO ITS PARENT, HOSPICE OF DAYTONPrimaryActivities
Legal Domicile StateOHLegalDomicileState
Exempt Code Section501(C)(3)ExemptCodeSection
Public Charity Status170(B)(1)(A)(VI)PublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1HOSPICE OF DAYTON INCBusinessNameLine1
FieldValueIRS element (for citing)
Controlled Org1ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
HOSPICE OF DAYTON FOUNDATION (31-1769696)
C1177836CASH VALUE
HOSPICE OF DAYTON FOUNDATION (31-1769696)
L402416CASH VALUE
HOSPICE OF DAYTON FOUNDATION (31-1769696)
M26729CASH VALUE
HOSPICE OF DAYTON FOUNDATION (31-1769696)
N528248CASH VALUE

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