2024-11-15T11:35:29-06:00 2023-12-31 351356555 DONOVAN PC 5151 E US HWY 36 AVON IN 46123 990 2023-01-01 351687026 VISITING NURSE & HOSPICE HOME INC VISI 2604353222 5910 HOMESTEAD ROAD FORT WAYNE IN 46814 LESLIE FRIEDEL CEO 2604353222 2024-11-14 1 0 REX E MILLER CPA CGMA P01081969 3177456411 2024-11-14 2023 2024-10-15 13:58:12Z STILLWATER HOSPICE LESLIE FRIEDEL 5910 HOMESTEAD ROAD FORT WAYNE IN 46814 17710297 0 X WWW.STILLWATER-HOSPICE.ORG X 1944 IN STILLWATER HOSPICE PROVIDES COMPASSION, COMFORT, AND GUIDANCE THROUGH LIFE'S JOURNEY. 22 22 211 138 0 0 1280203 1661075 14667153 15281428 325430 223897 -1325112 540902 14947674 17707302 250999 24792 0 0 10894378 11924199 0 0 309511 5542968 6042401 16688345 17991392 -1740671 -284090 24672439 25479508 1552136 1932228 23120303 23547280 X STILLWATER HOSPICE PROVIDES COMPASSIONATE CARE TO ALLEVIATE SUFFERING AND ENSURE QUALITY OF LIFE FOR THOSE AFFECTED BY SERIOUS ILLNESS. 0 0 9003246 9792 14770447 THE ORGANIZATION OFFERS HOSPICE SERVICE IN THE HOME TO THOSE WISHING TO REMAIN AT HOME. FOR SUCH PATIENTS, THIS ALLOWS THE ABILITY TO STAY IN A FAMILIAR ENVIRONMENT PROVIDING COMFORT AND PEACE TO PATIENTS AND FAMILIES. THE ORGANIZATION ALSO PROVIDES THE OPTION OF HOSPICE HOME TO THOSE THAT MEET THE CRITERIA AND CAN NO LONGER REMAIN IN THEIR HOMES, OFTEN IN THEIR FINAL DAYS. HOSPICE HOME OFFERS 24 HOUR CARE IN A FREE-STANDING, 14-BED FACILITY. IN 2023, THE ORGANIZATION PROVIDED HOSPICE SERVICE TO 1,344 PATIENTS COMPRISING 83,954 DAYS OF SERVICE. 380373 15000 408825 THE ORGANIZATION PROVIDES HOME HEALTH CARE SERVICES FOCUSED ON CHRONIC DISEASE MANAGEMENT. IN 2023, THE ORGANIZATION PROVIDED NURSING, THERAPY, AND HOME HEALTH AIDE SERVICES TO 31 PATIENTS. THE ORGANIZATION ALSO PROVIDES PALLIATIVE CONSULTS TO BOTH INPATIENTS AND OUTPATIENTS TO PROVIDE DIRECTION IN THE COMFORT AND CARE IN THE TREATMENT OF THEIR ILLNESSES. TO ALL PATIENTS, THE ORGANIZATION SEEKS TO PROVIDE THE APPROPRIATE SYMPTOM MANAGEMENT IN ORDER TO LIVECOMFORTABLY. 4654121 643058 COMMUNITY HEALTH CARE SERVICES 4654121 643058 14037740 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 14 0 211 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 22 22 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 IN X X ELAINE JONES 2604353219 5910 HOMESTEAD ROAD FORT WAYNE IN 46814 DR ANN MOORE CHIEF MEDICAL OFFICER 40.00 X 264462 0 24847 MICHELLE CHAMBERS DIRECTOR 1.00 X 0 0 0 JAMES COUCHMAN DIRECTOR 1.00 X 0 0 0 LARRY DEBOLT DIRECTOR 1.00 X 0 0 0 RACHEL DEBOLT DIRECTOR 1.00 X 0 0 0 TERI DEMATAS DIRECTOR 1.00 X 0 0 0 DR KENT FARNSWORTH DIRECTOR 1.00 X 0 0 0 PATTI HAYS DIRECTOR 1.00 X X 0 0 0 DR THOMAS HOWARD DIRECTOR 1.00 X 0 0 0 KEITH HUFFMAN DIRECTOR 1.00 X 0 0 0 SUZON MOTZ FOUNDATION BOARD REPRESENTATIVE 1.00 1.00 X 0 0 0 KIM MURPHY DIRECTOR 1.00 X 0 0 0 BERTO NUNEZ DIRECTOR 1.00 X 0 0 0 GRANT PORTER DIRECTOR 1.00 X 0 0 0 MOLLY SOBERALSKI DIRECTOR 1.00 X 0 0 0 NANCY STEWART DIRECTOR 1.00 1.00 X 0 0 0 JESICA THORSON CHAIR 1.00 X X 0 0 0 MAURICIO VERGARA DIRECTOR 1.00 X 0 0 0 GINA ZIMMERMAN DIRECTOR 1.00 X 0 0 0 LESLIE FRIEDEL CEO 40.00 1.00 X 201697 0 33388 ELAINE JONES CFO 40.00 X 136977 0 13110 HEIDI BUFFENBARGER CNO 40.00 X 138787 0 7950 PAMELA HERMAN LPN 40.00 X 133724 0 6857 MARY SHANKSTER CHIEF DEVELOPMENT OFFICER 40.00 X 121966 0 6371 KRISTA SANDLIN DIRECTOR OF SUPPORT PROGRAMS 40.00 X 107241 0 5652 LARRY REED CHAIR 1.00 X X 0 0 0 DERICK BAILEY VICE-CHAIR 1.00 X 0 0 0 DUSTIN CRIDER TREASURER 1.00 X X 0 0 0 KURT NESS SECRETARY 1.00 X 0 0 0 1104854 0 98175 7 0 1 0 0 1661075 1661075 HOSPICE SERVICES AT HOME 621610 13362227 13362227 INPATIENT HOSPICE SERVICES 623000 1316253 1316253 PALLIATIVE CARE SERVICES 621610 602948 602948 15281428 189112 189112 37780 0 2995 37780 -2995 34785 34785 INCR IN ASSETS OF VNHH FOUNDATION 900099 539526 539526 MISCELLANEOUS 900099 1376 1376 540902 17707302 15822330 0 223897 24792 24792 949554 796298 136888 16368 8649205 7395848 1103231 150126 71575 48122 22305 1148 1541153 1036161 480278 24714 712712 479176 222107 11429 46125 46125 41864 41864 30404 30404 495322 311200 180349 3773 365748 227996 133427 4325 287020 122153 152128 12739 705929 285498 414636 5795 233912 99657 126670 7585 384446 340803 32324 11319 18635 10502 8133 1352 1352 638971 321208 294412 23351 116037 103990 9306 2741 PATIENT EXPENSES 2078776 2078776 BAD DEBT EXPENSE 231153 231153 EQUIPMENT RENTAL AND MA 193620 89489 102342 1789 CONTINUING EDUCATION 73502 35000 29602 8900 99585 10420 73889 15276 17991392 14037740 3644141 309511 247609 2950575 2439521 2110740 2636723 79043 247548 13351329 7610995 5448150 5740334 6351335 5938484 108965 93760 7623631 8135529 24672439 25479508 1439352 1847072 112784 85156 1552136 1932228 X 23044303 23478656 76000 68624 23120303 23547280 24672439 25479508 -284090 711067 0 X X 0 1 X 1 0 X 996360 3331334 1258080 1280203 1661075 8527052 13091139 16972848 17032757 14667153 15281428 77045325 14087499 20304182 18290837 15947356 16942503 85572377 0 0 0 85572377 137459 91695 78999 177110 189112 674375 137459 91695 78999 177110 189112 674375 24969 1376 26345 14224958 20395877 18369836 16149435 17132991 86273097 0.99190 0.99210 0.00780 0.00760 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 535125 535125 6838328 3625989 3212339 914598 690042 224556 1635473 383221 1252252 3427805 2911743 516062 5740334 INTEREST IN NET ASSETS OF VISITING NURSE AND HOSPICE HOME FOUNDATION, INC. 8050373 FINANCE LEASE RIGHT-OF-USE ASSETS 85156 8135529 FINANCE LEASE OBLIGATIONS 85156 85156 X 18387965 711067 711067 17676898 30404 30404 17707302 17960988 0 17960988 30404 30404 17991392 PART X, LINE 2: STILLWATER HOSPICE HAS RECEIVED DETERMINATION FROM THE U.S. TREASURY DEPARTMENT STATING IT QUALIFIES UNDER THE INTERNAL REVENUE CODE AS A TAX EXEMPT ORGANIZATION UNDER SECTIONS 501(C)(3). THE ENTITY IS SUBJECT TO TAX ON ANY INCOME UNRELATED TO THEIR TAX-EXEMPT PURPOSES. FOR THE YEARS ENDED DECEMBER 31, 2023 AND 2022, NO ACCOUNTING FOR FEDERAL OR STATE INCOME TAXES WAS REQUIRED TO BE INCLUDED IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. PROFESSIONAL ACCOUNTING STANDARDS REQUIRE THE CORPORATION TO RECOGNIZE A TAX LIABILITY ONLY IF IT IS MORE LIKELY THAN NOT THE TAX POSITION WOULD NOT BE SUSTAINED IN A TAX EXAMINATION, WITH A TAX EXAMINATION BEING PRESUMED TO OCCUR. THE AMOUNT RECOGNIZED IS THE LARGEST AMOUNT OF TAX LIABILITY GREATER THAN 50% LIKELY OF BEING REALIZED ON EXAMINATION. FOR TAX POSITIONS NOT MEETING THE MORE-LIKELY-THAN-NOT TEST, NO TAX LIABILITY IS RECORDED. THE CORPORATION EXAMINED THIS ISSUE AND DETERMINED THERE ARE NO MATERIAL CONTINGENT TAX LIABILITIES OR QUESTIONABLE TAX POSITIONS. THE TAX YEARS ENDED AFTER DECEMBER 31, 2019 ARE OPEN TO AUDIT FOR BOTH FEDERAL AND STATE PURPOSES. 1 FINANCIAL ASSISTANCE 2 24792 X X 0 0 0 0 0 0 0 0 0 DR ANN MOORE CHIEF MEDICAL OFFICER 264462 0 0 0 0 0 11127 0 13720 0 289309 0 0 0 LESLIE FRIEDEL CEO 201697 0 0 0 0 0 22320 0 11068 0 235085 0 0 0 ELAINE JONES CFO 136977 0 0 0 0 0 13110 0 0 0 150087 0 0 0 FORM 990, PART I, LINE 6 VOLUNTEERS SERVE THE ORGANIZATION IN VARIOUS WAYS FROM PROVIDING ORGANIZATIONAL SUPPORT TO PERSONAL CARE TO PATIENTS AND THEIR FAMILIES. FORM 990, PART VI, SECTION B, LINE 11B ORGANIZATION'S PROCESS TO REVIEW FORM 990: THE FORM 990 IS REVIEWED AND APPROVED BY THE AUDIT COMMITTEE PRIOR TO FILING. EACH MEMBER OF THE BOARD OF DIRECTORS IS ALSO PROVIDED A COPY OF THE FORM 990. THE AUDIT COMMITTEE REPORTS THE RESULTS OF ITS REVIEW TO THE BOARD OF DIRECTORS AT THE NEXT SCHEDULED BOARD MEETING. FORM 990, PART VI, SECTION B, LINE 12C ALL BOARD MEMBERS AND STAFF ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT ON AN ANNUAL BASIS. THE FORMS ARE REVIEWED BY THE CEO AND HUMAN RESOURCES STAFF AND MAINTAINED AT THE ORGANIZATION'S OFFICES. THE FORMS ARE AVAILABLE SHOULD ANY POTENTIAL CONFLICT ARISE THROUGHOUT THE YEAR. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION PROCESS FOR TOP OFFICIAL: THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS SERVES THE ROLE OF A COMPENSATION COMMITTEE. ANNUALLY, THE EXECUTIVE COMMITTEE CONDUCTS A PERFORMANCE REVIEW OF THE CEO TO DETERMINE IF THE CEO HAS ATTAINED THE GOALS SPECIFIED FOR THAT YEAR. ANY COMPENSATION ADJUSTMENT IS DETERMINED BY THE EXECUTIVE COMMITTEE BY REFERENCE TO COMPARABLE SALARIES IN THE LOCAL MARKET AND BY REFERENCE TO DATA PUBLISHED IN THE HOSPICE SALARY AND BENEFITS REPORT PUBLISHED BY HOSPITAL AND HEALTH CARE COMPENSATION SERVICE OF OAKLAND, NJ. COMPENSATION FOR OFFICERS: COMPENSATION ADJUSTMENTS FOR OTHER MANAGEMENT PERSONNEL ARE DETERMINED BY THE CEO AFTER CONSIDERATION OF EMPLOYEE PERFORMANCE AND BY REFERENCE TO COMPARABLE COMPENSATION IN THE LOCAL MARKET AND BY REFERENCE TO THE HOSPICE SALARY AND BENEFITS REPORT PUBLISHED BY HOSPITAL AND HEALTH CARE COMPENSATION SERVICE OF OAKLAND, NJ. A POINT SYSTEM IS THEN USED TO DETERMINE THE AMOUNT OF INCREASE IN COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 THE FINANCIAL STATEMENTS OF THE ORGANIZATION ARE POSTED ON ITS WEBSITE AND ALSO PROVIDED TO THE BETTER BUSINESS BUREAU. ANY OTHER ORGANIZATIONAL DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON EITHER A WRITTEN OR ORAL REQUEST. FORM 990, PART XII, LINE 2C: THE ORGANIZATION HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THE ORGANIZATION DID NOT CHANGE ITS OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE YEAR. VISITING NURSE & HOSPICE HOME FOUNDATION 5910 HOMESTEAD ROAD FORT WAYNE IN 46814 464705612 FOUNDATION IN 501(C)(3) LINE 12B, II VISITING NURSE AND HOSPICE HOME INC 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 VISITING NURSE & HOSPICE HOME FOUNDATION C 1661075 CASH