2024-10-08T15:00:57-05:00 2023-12-31 381357951 PLANTE & MORAN PLLC 250 S HIGH ST SUITE 100 COLUMBUS OH 43215 990 2023-01-01 311370625 THE LOVING CARE HOSPICE INC LOVI 9372569507 779 LONDON AVE MARYSVILLE OH 43040 ROBERT MORRIS CFO 9372569507 2024-10-07 1 1 AMANDA M COON P01754645 6148493000 2024-10-07 2023 2024-10-15 13:58:12Z RENEE SPARKS 779 LONDON AVE MARYSVILLE OH 43040 1915656 0 X WWW.HOSPICEOFCENTRALOHIO.ORG X 1993 OH THE MISSION OF HOSPICE IS TO PROVIDE MEDICAL CARE, NURSING CARE, PAIN RELIEF, AND EMOTIONAL AND SPIRITUAL SUPPORT SERVICES TO TERMINALLY ILL PATIENTS AND THEIR FAMILIES. 11 11 26 26 0 0 124648 105045 3266464 1641924 3347 43320 0 0 3394459 1790289 0 0 0 0 1952091 1129315 0 0 0 1248912 684072 3201003 1813387 193456 -23098 1450633 705695 1493528 749654 -42895 -43959 THE MISSION OF HOSPICE IS TO PROVIDE MEDICAL CARE, NURSING CARE, PAIN RELIEF, AND EMOTIONAL AND SPIRITUAL SUPPORT SERVICES TO TERMINALLY ILL PATIENTS AND THEIR FAMILIES. 0 0 1329309 0 1641924 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. 1329309 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 26 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X ROBERT MORRIS 9372569507 7575 PARAGON ROAD DAYTON OH 45459 CHARLES BANE BOARD MEMBER 2.00 0.00 X 0 0 0 KEVIN BLACK BOARD MEMBER 2.00 4.00 X 0 0 0 PETER HALEY VICE CHAIR 2.00 2.00 X X 0 0 0 MARY JUSTICE BOARD MEMBER 2.00 4.00 X 0 0 0 GARY LEROY BOARD MEMBER 2.00 0.00 X 0 0 0 THOMAS MANN CHAIR 2.00 2.00 X X 0 0 0 DAVID REYNOLDS BOARD MEMBER 2.00 2.00 X 0 0 0 TONI SPRINKEL BOARD MEMBER 2.00 0.00 X 0 0 0 GENE THORN TREASURER 2.00 0.00 X X 0 0 0 PEGGY MARK BOARD MEMBER 2.00 0.00 X 0 0 0 DOUG HELMAN SECRETARY 2.00 4.00 X X 0 0 0 KENT ANDERSON CHIEF EXECUTIVE OFFICER 2.00 58.00 X 0 432625 46218 ROBERT MORRIS CHIEF FINANCIAL OFFICER 2.00 58.00 X 0 296275 36130 ANDREA BAKER EXECUTIVE DIRECTOR - HOCO/LOV 20.00 20.00 X 0 88289 14466 0 817189 96814 0 0 1 0 0 27252 77793 105045 PATIENT SERVICE REVENU 624100 1641924 1641924 1641924 10831 10831 477 157379 0 125367 477 32012 32489 32489 1790289 1641924 0 43320 889371 803072 86299 35611 31693 3918 137579 126363 11216 66754 60700 6054 7775 7775 2496 2496 15637 563 15074 14921 6462 8459 11487 1102 10385 17715 12766 4949 46059 44972 1087 8680 1831 6849 17116 17069 47 13294 13294 ALLOCATED COSTS 274052 274052 MEDICAL SUPPLIES 128378 128378 ROOM & BOARD 54171 54171 PATIENT SERVICES 13602 13134 468 58689 27033 31656 1813387 1329309 484078 0 487138 7645 629 128296 49905 358833 78391 312786 343629 250000 250000 41876 25401 1450633 705695 271154 954 1222374 748700 1493528 749654 X -42895 -43959 -42895 -43959 1450633 705695 -23098 22034 0 X X 0 1 X 1 0 X 185238 301384 205044 124648 105045 921359 3130099 3353828 4151276 3266464 1641924 15543591 3315337 3655212 4356320 3391112 1746969 16464950 0 0 0 16464950 328 78 4452 10831 15689 328 78 4452 10831 15689 9827 490 3920 14237 3325492 3655780 4360240 3395564 1757800 16494876 0.99820 0.99680 0.00100 0.00030 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 25680 25680 99065 49026 50039 3551 879 2672 78391 UBS INVESTMENT 343629 C 343629 RELATED PARTY PAYABLES 723299 LEASE LIABILITY 25401 748700 0 0 0 0 0 0 0 0 0 KENT ANDERSON CHIEF EXECUTIVE OFFICER 0 432625 0 0 0 0 0 20250 0 25968 0 478843 0 0 ROBERT MORRIS CHIEF FINANCIAL OFFICER 0 296275 0 0 0 0 0 7062 0 29068 0 332405 0 0 PART I, LINE 3 THE EXECUTIVE COMMITTEE OF THE OHI BOARD OF TRUSTEES UTILIZED LOCAL MARKET KNOWLEDGE, ANNUAL PERFORMANCE EVALUATIONS AND BENCHMARK DATA TO ESTABLISH COMPENSATION FOR THE CEO. THE COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES IS ESTABLISHED BY THE CEO UNDER GUIDELINES ESTABLISHED BY OHI AND AFFILIATE BOARDS OF TRUSTEES AS PART OF THE BUDGET PROCESS. FORM 990, PART VI, SECTION A, LINE 4 IN ORDER TO PROVIDE A MORE EFFECTIVE BOARD OF GOVERNANCE, OHIO'S HOSPICE INC SHIFTED FROM HAVING A SEPARATE BOARD OF DIRECTORS FOR EACH INDIVIDUAL ENTITY, TO ONE MAIN GOVERNING BOARD TO OVERSEE OHIO'S HOSPICE INC AND EACH OF ITS REGIONS. IN ADDITION, THERE WAS THE CREATION OF THREE REGIONAL ADVISORY BOARDS TO PROVIDE GENERAL GUIDANCE AND SUBJECT MATTER EXPERTISE. GOVERNING DOCUMENTS WERE ADJUSTED IN 2023 TO CLARIFY THE RESPONSIBILITIES OF THE ADVISORY BOARDS. FORM 990, PART VI, SECTION A, LINE 6 OHIO'S HOSPICE, INC BECAME THE SOLE MEMBER OF LOVING CARE HOSPICE WITH AN AFFILIATION AGREEMENT SIGNED IN MAY 2018. FORM 990, PART VI, SECTION A, LINE 7A OHIO'S HOSPICE INC. HAS THE POWER TO APPOINT THE BOARD OF DIRECTORS. THE BOARD SHALL RECOMMEND INDIVIDUALS TO FILL ANY OPENINGS. OHIO'S HOSPICE HAS THE RIGHT TO ELECT FROM THESE INDIVIDUALS OR OTHER INDIVIDUALS AT ITS DISCRETION. FORM 990, PART VI, SECTION A, LINE 7B OHIO'S HOSPICE INC. RETAINS THE POWER TO AMEND THE ARTICLES OF INCORPORATION, CODE OF REGULATIONS, ETC. OF THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS PREPARED BY AN OUTSIDE ACCOUNTING FIRM AND REVIEWED BY THE CFO PRIOR TO BEING FILED WITH THE INTERNAL REVENUE SERVICE. THE FORM 990 IS SENT VIA EMAIL TO THE FULL BOARD AND WILL BE REVIEWED IN SESSION BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS AT THEIR NEXT MEETING. FORM 990, PART VI, SECTION B, LINE 12C IN THE EVENT ANY DIRECTOR, OFFICER OR EXECUTIVE OF THE ORGANIZATION SHALL HAVE ANY DIRECT OR INDIRECT INTEREST IN OR RELATIONSHIP WITH ANY INDIVIDUAL OR ORGANIZATION THAT PROPOSES TO ENTER INTO ANY TRANSACTION WITH THE ORGANIZATION FOR THE SALE, PURCHASE, LEASE OR RENTAL OF PROPERTY OR TO RENDER OR EMPLOY SERVICES, PERSONAL OR OTHERWISE, SUCH DIRECTOR, OFFICER OR EXECUTIVE SHALL FORTHWITH GIVE THE BOARD OF DIRECTORS, CHAIR OF THE BOARD OR PRESIDENT OF THE ORGANIZATION NOTICE OF SUCH INTEREST OR RELATIONSHIP AND SHALL THEREAFTER NOT BE COUNTED FOR THE PURPOSE OF DETERMINING A QUORUM AND SHALL REFRAIN FROM VOTING OR OTHERWISE ATTEMPTING TO AFFECT ITS DECISION TO PARTICIPATE IN SUCH TRANSACTION. IN THE EVENT THAT A CHALLENGE OR QUESTION IS RAISED WHETHER CONFLICT OR DUALITY OF INTEREST EXISTS, THE BOARD OR CHAIR OF THE BOARD OF THE ORGANIZATION SHALL DETERMINE THAT A DUALITY OF INTEREST EXISTS (BY A 2/3 VOTE OF THE BODY). MINUTES OF APPROPRIATE MEETINGS SHOULD REFLECT THAT SUCH DISCLOSURE WAS MADE, AND THAT SUCH DIRECTOR REMOVED HIMSELF/HERSELF FROM THE ROOM AND DID NOT PARTICIPATE IN THE FINAL DISCUSSION, AND WAS NOT COUNTED FOR THE PURPOSE OF DETERMINING A QUORUM.THE CONFLICT OF INTEREST STATEMENT SHALL BE REVIEWED ANNUALLY FOR THE INFORMATION AND GUIDANCE OF DIRECTORS, OFFICERS OR EXECUTIVES AND THAT ANY NEW DIRECTORS, OFFICERS OR EXECUTIVES BE ADVISED OF THE POLICY UPON UNDERTAKING THE DUTIES OF SUCH OFFICE. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE COMMITTEE OF THE OHI BOARD OF TRUSTEES UTILIZED LOCAL MARKET KNOWLEDGE, ANNUAL PERFORMANCE EVALUATIONS AND BENCHMARK DATA TO ESTABLISH COMPENSATION FOR THE CEO. THE COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES IS ESTABLISHED BY THE CEO UNDER GUIDELINES ESTABLISHED BY OHI AND AFFILIATE BOARDS OF TRUSTEES AS PART OF THE BUDGET PROCESS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST. FORM 990, PART XII, LINE 2C: OHI'S FINANCE COMMITTEE HAS RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE CONSOLIDATED FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT THIS PROCESS IS CONSISTENT WITH PRIOR YEAR. OHI HOSPICE INC 7575 PARAGON ROAD DAYTON OH 45459 371495725 TO PROVIDE HOSPICE CARE OH 501(C)(3) LINE 7 OHIO'S HOSPICE INC 1 HOSPICE OF CENTRAL OHIO 2269 CHERRY VALLEY ROAD NEWARK OH 43055 311059756 TO PROVIDE HOSPICE CARE OH 501(C)(3) LINE 10 OHIO'S HOSPICE INC 1 OHIO'S HOSPICE FOUNDATION 7575 PARAGON ROAD DAYTON OH 45459 311769696 TO PROVIDE FINANCIAL SUPPORT TO ITS PARENT, OHIO'S HOSPICE INC. OH 501(C)(3) LINE 7 OHIO'S HOSPICE INC 1 HOSPICE OF DAYTON INC 324 WILMINGTON AVENUE DAYTON OH 45420 310933339 TO PROVIDE HOSPICE CARE OH 501(C)(3) LINE 10 OHIO'S HOSPICE INC 1 HOSPICE OF MIAMI COUNTY INC 3230 N COUNTY RD 25A TROY OH 45373 311031277 TO PROVIDE HOSPICE CARE OH 501(C)(3) LINE 7 OHIO'S HOSPICE INC 1 OHIO'S HOSPICE INC 7575 PARAGON ROAD DAYTON OH 45459 463215586 TO PROVIDE MANAGEMENT SERVICES AS A SUPPORTING ORGANIZATION OH 501(C)(3) LINE 12A, I N/A 0 HOSPICE OF FAYETTE COUNTY 222 N OAKLAND AVE WASHINGTON COURTHOUSE OH 43160 311243376 TO PROVIDE HOSPICE CARE OH 501(C)(3) LINE 7 OHIO'S HOSPICE INC 1 LIFECARE HOSPICE 1900 AKRON ROAD WOOSTER OH 44691 341352875 TO PROVIDE HOSPICE CARE OH 501(C)(3) LINE 7 OHIO'S HOSPICE INC 1 NATIONAL HOSPICE COOPERATIVE 7575 PARAGON ROAD DAYTON OH 45459 832087147 BUSINESS SUPPORT OH N/A C 1 CENTRAL OHIO GERIATRICS 7575 PARAGON ROAD DAYTON OH 45459 264273198 PHYSICIAN OFFICE OH N/A S 1 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 1 0 1 0