2023-11-15T12:44:42-06:00 2022-12-31 HW&CO 28601 Chagrin Blvd 210 Woodmere OH 44122 990 2022-01-01 341363926 Hospice of Medina County % JEFF KOVACS HOSP 2163832222 17876 St Clair Avenue Cleveland OH 44110 William Finn PRESIDENT & CEO 2163832222 2023-08-31 true William Finn 999009999 Joseph C Sbrocco CPA P00069069 2168311200 3 2022 2023-04-26 12:10:37Z WILLIAM E FINN 17876 ST CLAIR AVE CLEVELAND OH 44110 0 false X WWW.HOSPICEWR.ORG X 1981 OH WE PROVIDE PALLIATIVE END OF LIFE CARE, CAREGIVER SUPPORT, AND BEREAVEMENT SERVICES THROUGHOUT NORTHERN OHIO. WE STRIVE TO RELIEVE SUFFERING & ENHANCE COMFORT IN END OF LIFE CARE. 19 19 0 19 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30951 5959 2523514 2498522 -2492563 -2492563 X HOSPICE OF MEDINA COUNTY PROVIDES PALLIATIVE END-OF-LIFE CARE, CAREGIVER SUPPORT, AND BEREAVEMENT SERVICES THROUGHOUT NORTHERN OHIO. IN CELEBRATION OF THE INDIVIDUAL WORTH OF EACH LIFE, WE STRIVE TO RELIEVE SUFFERING, ENHANCE COMFORT, PROMOTE QUALITY LIFE, FOSTER CHOICE IN END-OF-LIFE CARE AND SUPPORT EFFECTIVE GRIEVING. false false 0 0 HOSPICE CARE SERVICES ARE ABOUT PROVIDING PEOPLE (ADULTS AND CHILDREN) WITH A LIFE-LIMITING ILLNESS, AND THEIR FAMILIES WITH CHOICES AND DIGNITY. CARE IS PROVIDED WHEREVER THE PATIENTS LIVE; IN THEIR HOME, IN A HOSPITAL, ASSISTED LIVING/LONG-TERM CARE FACILITY OR at A HOSPICE HOUSE residential facility. CARE IS PROVIDED BY A TEAM OF PAID STAFF AND VOLUNTEERS WHO ARE AVAILABLE 24-HOURS A-DAY, SEVEN DAYS A WEEK. ADDITIONALLY, BEREAVEMENT SERVICES ARE PROVIDED FOR FAMILIES FOR MORE THAN A YEAR FOLLOWING THE LOSS OF A LOVED ONE. SEE SCHEDULE O (PAGE 2, PART III #4a) EXPLANATION AS TO SERVICES PROVIDED BY HOSPICE OF MEDINA COUNTY DURING 2022. 0 true false false false false false false false false false false false false false false false false true false false false false false false false false false false false true false false false false false false false false false false false false false true false false false true 0 0 0 false false false false false false false false false false false false X 19 19 false false false false true false true true true false false true true true true true true true false false OH X JEFF KOVACS 2163832222 17876 ST CLAIR CLEVELAND OH 44110 WILLIAM FINN PRESIDENT & CEO 1.0 50.0 X X 0 488241 34877 JOHN MASTROJOHN III EXECUTIVE VP/COO 1.0 48.0 X 0 239526 26876 JULIA BARTEL CHIEF CLINICAL OFFICER 2.0 49.0 X 0 227614 28882 JEFFREY KOVACS CHIEF FINANCIAL OFFICER 1.0 50.0 X 0 188337 12175 MIKE SANDRIDGE TRUSTEE 1.0 2.0 X 0 0 0 MICHAEL BAACH DIRECTOR 1.0 2.0 X 0 0 0 WILLIAM BOWMAN VICE CHAIR 1.0 4.0 X 0 0 0 NEROY CARTER DIRECTOR 1.0 1.0 X 0 0 0 ALFRED CONNORS DIRECTOR 1.0 3.0 X 0 0 0 RAYMOND CUSHING DIRECTOR 1.0 2.0 X 0 0 0 DAN DEMONICA DIRECTOR 1.0 2.0 X 0 0 0 ELIZABETH DOMHOLDT DIRECTOR 1.0 2.0 X 0 0 0 WILLIAM HERZBERGER CHAIR 1.0 5.0 X X 0 0 0 MICHAEL JACOBSON DIRECTOR 1.0 2.0 X 0 0 0 VIRGINIA MLACK MOONEY DIRECTOR 1.0 2.0 X 0 0 0 LAURA NAVIN SECRETARY 1.0 4.0 X X 0 0 0 FAITH NOBLE DIRECTOR 1.0 2.0 X 0 0 0 MARY OGRINC DIRECTOR 1.0 2.0 X 0 0 0 K KAY POTETZ DIRECTOR 1.0 2.0 X 0 0 0 MARK RIBBINS DIRECTOR 1.0 2.0 X 0 0 0 MARK ROSS TREASURER 1.0 3.0 X X 0 0 0 MARK SCHROEDER DIRECTOR 1.0 2.0 X 0 0 0 WILLIAM SPRINGER DIRECTOR 1.0 2.0 X 0 0 0 WILLIAM STIGELMAN DIRECTOR 1.0 2.0 X 0 0 0 0 1143718 102810 0 false true false 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 24992 0 0 0 0 0 5959 5959 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 30951 5959 2523514 2498522 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2523514 2498522 X -2492563 -2492563 0 0 -2492563 -2492563 30951 5959 0 X false true X true false X 0 0 0 0 0 0 5000765 4050545 782849 0 0 9834159 0 0 0 5000765 4050545 782849 0 0 9834159 0 0 0 9834159 13 259 99 0 0 371 0 13 259 99 0 0 371 0 2791 30705 41533 75029 5003569 4081509 824481 0 0 9909559 0.99239 0.99465 0.00004 0.00003 X X X X X false true false false false false false false false WILLIAM FINN PRESIDENT & CEO 379241 109000 9739 25138 523118 JULIA BARTEL CHIEF CLINICAL OFFICER 209970 17644 3744 25138 256496 JEFFREY KOVACS CHIEF FINANCIAL OFFICER 172904 15433 3470 8705 200512 JOHN MASTROJOHN III EXECUTIVE VP/COO 221126 18400 4790 22086 266402 SCHEDULE J, PART I, #4B PARTICIPATE IN, RECEIVE PAYMENT FROM, SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: WILLIAM FINN PARTICIPATES IN A NONQUALIFIED RETIREMENT PLAN WITH NO EMPLOYER CONTRIBUTIONS. PAGE 6, PART VI, SECTION A, #11B FORM 990 REVIEW PROCESS Initially the Form 990 is prepared by the outside accounting firm who sends it to management for their review and approval. Management then forwards the Form 990 to the Finance Committee of the Board for their review and approval before it is finalized. It is then made available to the full Board for their review, prior to filing the form with the IRS. PAGE 6, PART VI, SECTION B, #12C MONITOR AND ENFORCE CONFLICT OF INTEREST POLICY All Board members and employees are required to submit a disclosure statement at the beginning of employment and annually thereafter. If a matter arises which a Board member or employee has a conflict of interest, it shall be promptly disclosed to the Board or Chief Executive Officer as appropriate. Staff may initiate disclosure through their supervisor. However, the Board member or employee shall not participate in the discussion or vote to determine whether a conflict exists unless requested to do so. PAGE 6, PART VI, SECTION B, #15A PROCESS FOR DETERMINING COMPENSATION THE COMPENSATION OF THE CEO IS BASED ON LABOR MARKET DATA FROM BOTH LOCAL AND NATIONAL SOURCES. WITH THE HELP OF THE HUMAN RESOURCES TEAM, THE ORGANIZATION PARTICIPATES IN ANNUAL AND SPECIAL COMPENSATION SURVEYS AND THE RESULTING DATA IS SHARED WITH THE BOARD OF DIRECTORS. COMPENSATION INFORMATION IS ALSO OBTAINED FROM FORM 990'S FROM OTHER COMPARABLE NOT-FOR-PROFIT HOSPICES. IN ADDITION, EACH BOARD DIRECTOR IS ASKED TO RESPOND TO A QUESTIONNAIRE EVALUATING THE CEO'S PERFORMANCE COMPARED TO GOALS ESTABLISHED DURING THE PREVIOUS YEAR'S EVALUATION. THE RESULTS OF THE QUESTIONNAIRES ARE TABULATED AND SHARED WITH THE BOARD'S EXECUTIVE COMMITTEE. BASED ON THE THE LABOR MARKET DATA AND ANNUAL PERFORMANCE EVALUATION PROCESS, THE EXECUTIVE COMMITTEE THEN ESTABLISHES THE CEO'S COMPENSATION LEVEL AS WELL AS ANY PERFORMANCE BONUS THAT MAY BE PROVIDED. FOR OTHER KEY OFFICERS, THE PROCESS IS SIMILAR TO THE PROCESS NOTED ABOVE. THE ORGANIZATION OBTAINS LABOR MARKET DATA FROM BOTH LOCAL AND NATIONAL SOURCES. THE ORGANIZATION PARTICIPATES IN ROUTINE SPECIAL COMPENSATION SURVEYS AND THE RESULTING DATA IS SHARED WITH THE CEO. IN ADDITION, THE INTERNAL ALIGNMENT OF OUR POSITIONS IS PERIODICALLY REVIEWED. RATES OF PAY ARE REVIEWED AND ESTABLISHED FOR INTERNAL POSITIONS BASED ON EQUITABLE RELATIONSHIPS AND THE DIFFICULTY AND RESPONSIBILITY OF WORK PERFORMED. RECOMMENDATIONS FOR REQUISITE CHANGES ARE DISCUSSED WITH THE CEO. THE OFFICER'S PERFORMANCE IS REVIEWED ON AN ANNUAL BASIS BY THE CEO. BASED ON THE INDIVIDUAL'S ANNUAL PERFORMANCE AND GOALS ACHIEVED, AND THE INTERNAL AND EXTERNAL DATA, THE CEO WILL ESTABLISH THE COMPENSATION LEVEL FOR HIS OFFICERS. THIS PROCESS HELPS US MAINTAIN THE ORGANIZATION'S INTERNAL ALIGNMENT AND EXTERNAL COMPETITIVENESS. THE ABOVE PROCESSES ARE DOCUMENTED AT THE TIME THE DECISIONS ARE MADE. PAGE 6, PART VI, SECTION C, #19 DOCUMENTS AVAILABLE TO PUBLIC THE ORGANIZATION MAKES ITS FINANCIAL STATEMENTS AVAILABLE TO THE GENERAL PUBLIC BY PROVIDING COPIES UPON REQUEST and INSPECTION AT THE HEADQUARTERS OFFICE. THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE GENERAL PUBLIC AT THIS TIME. PAGE 6, PART VI, SECTION A, #6 Western Reserve Care Solutions became the sole member of the organization on August 14, 2018 according to the Amended and Restated Articles of Incorporation. PAGE 6, PART VI, SECTION A, #7B Western Reserve Care Solutions as sole member, exercises control over the operations of the organization. PAGE 2, PART III, #4a HOSPICE OF MEDINA COUNTY DISCONTINUED OPERATING THE IN-PATIENT FACILITY DURING JULY 2020. EMPLOYEES CONTINUED TO OPERATE FROM THE BUILDING TO PROVIDE SERVICES TO PATIENTS, AND DURING JANUARY 2022, HOSPICE OF MEDINA COUNTY RESUMED OPERATIONS OF THE IN-PATIENT FACILITY. HOSPICE OF THE WESTERN RESERVE 17876 ST CLAIR AVENUE CLEVELAND OH 44110 341256377 HOSPICE OH 501(c)(3) 10 WRCS false Western Reserve Care Solutions 17876 ST CLAIR AVENUE Cleveland OH 44110 832255711 Holding co OH 501(c)(3) 12b na false HOSPICE OF WESTERN RESERVE AT UH LLC 17876 ST CLAIR AVENUE CLEVELAND OH 44110 832806180 HOSPICE OH 501(C)(3) 10 N/A false Hospice of the Western Reserve Foundatio 17876 St Clair Avenue Cleveland OH 44110 863150092 Finl Support OH 509(A)(3) HWR false STEIN HOSPICE 17876 ST CLAIR AVENUE CLEVELAND OH 44110 341411008 HOSPICE OH 501(C)(3) 7 WRCS false false false false false true false false false false false true false true true false false false false