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OUR HOSPICE OF SOUTH CENTRAL INDIANA INC: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
OUR HOSPICE OF SOUTH CENTRAL INDIANA INC (EIN 35-1479425)
Tax period
2023-01-01 to 2023-12-31
Filed
2024-10-25
IRS object ID
202402999349300410
Schema version
2023v5.1
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

FieldValueIRS element (for citing)
Return2024-10-25T10:19:40-05:00ReturnTs
Tax Period End2023-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN351178661PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BLUE & CO LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1500 NORTH MERIDIAN ST SUITE 200AddressLine1Txt
CityINDIANAPOLISCityNm
State AbbreviationINStateAbbreviationCd
ZIP46204ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2023-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN351479425EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1OUR HOSPICE OF SOUTHBusinessNameLine1Txt
Business Name Line2CENTRAL INDIANA INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlOURHBusinessNameControlTxt
Phone8123148000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12626 E 17TH STREETAddressLine1Txt
CityCOLUMBUSCityNm
State AbbreviationINStateAbbreviationCd
ZIP47201ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSTEPHANIE CAINPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone8123148000PhoneNum
Signature2024-10-25SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTYLER K GREENE CPAPreparerPersonNm
PTINP00057872PTIN
Phone3176334705PhoneNum
Preparation2024-10-25PreparationDt
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2024-10-15 13:58:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSTEPHANIE CAINPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12626 E 17TH STREETAddressLine1Txt
CityCOLUMBUSCityNm
State AbbreviationINStateAbbreviationCd
ZIP47201ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$21,016,349GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.OURHOSPICE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1980FormationYr
Legal Domicile StateINLegalDomicileStateCd
Activity Or MissionOUR HOSPICE OF SOUTH CENTRAL INDIANA, INC. (OHSCI) IS AN INDEPENDENT, NOT-FOR-PROFIT ORGANIZATION PROVIDING SERVICES TO THE TERMINALLY ILL IN A 22-COUNTY SERVICE AREA. SINCE ITS INCEPTION 43 YEARS AGO, HOSPICE HAS EXPANDED TO MEET THE NEEDS FOR END-OF-LIFE CARE IN SOUTH-CENTRAL INDIANA.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee240TotalEmployeeCnt
Total Volunteers89TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,651,128PYContributionsGrantsAmt
CY Contributions Grants$1,283,940CYContributionsGrantsAmt
PY Program Service Revenue$17,541,478PYProgramServiceRevenueAmt
CY Program Service Revenue$18,611,943CYProgramServiceRevenueAmt
PY Investment Income-$1,182,936PYInvestmentIncomeAmt
CY Investment Income$947,002CYInvestmentIncomeAmt
PY Other Revenue$67,521PYOtherRevenueAmt
CY Other Revenue-$2,061CYOtherRevenueAmt
PY Total Revenue$18,077,191PYTotalRevenueAmt
CY Total Revenue$20,840,824CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$14,083,076PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$15,693,463CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$530,360CYTotalFundraisingExpenseAmt
PY Other Expenses$4,416,838PYOtherExpensesAmt
CY Other Expenses$4,772,998CYOtherExpensesAmt
PY Total Expenses$18,499,914PYTotalExpensesAmt
CY Total Expenses$20,466,461CYTotalExpensesAmt
PY Revenues Less Expenses-$422,723PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$374,363CYRevenuesLessExpensesAmt
Total Assets BOY$17,764,846TotalAssetsBOYAmt
Total Assets EOY$17,432,769TotalAssetsEOYAmt
Total Liabilities BOY$3,051,839TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,360,399TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$14,713,007NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$15,072,370NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionOUR HOSPICE OF SOUTH CENTRAL INDIANA, INC. (OHSCI) IS AN INDEPENDENT, NOT-FOR-PROFIT ORGANIZATION PROVIDING SERVICES TO THE TERMINALLY ILL IN A 22-COUNTY SERVICE AREA. SINCE ITS INCEPTION 43 YEARS AGO, HOSPICE HAS EXPANDED TO MEET THE NEEDS FOR END-OF-LIFE CARE IN SOUTH-CENTRAL INDIANA.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$16,956,486ExpenseAmt
Revenue$18,739,514RevenueAmt
DescHOSPICE EXISTS TO PROVIDE CARE AND SUPPORT TO INDIVIDUALS AND THEIR FAMILIES IN THE LAST PHASES OF AN INCURABLE DISEASE SO THAT THEY MAY LIVE AS FULLY AND COMFORTABLY AS POSSIBLE. BEREAVEMENT SERVICES ARE PROVIDED TO FAMILY MEMBERS AND/OR SIGNIFICANT OTHERS FOR 13 MONTHS FOLLOWING A DEATH. AN INTERDISCIPLINARY TEAM CARES FOR THE PHYSICAL, PSYCHOSOCIAL, SPIRITUAL AND EMOTIONAL NEEDS OF THOSE WHO CHOOSE OHSCI, WHETHER IT IS A MATTER OF DAYS, WEEKS, OR MONTHS. SERVICES ARE PROVIDED IN A VARIETY OF SETTINGS, INCLUDING THE PATIENT'S HOME, A LONG-TERM CARE FACILITY, AN ASSISTED LIVING FACILITY OR THE HOSPICE INPATIENT FACILITY. A TEAM OF HIGHLY SKILLED PROFESSIONALS AND VOLUNTEERS ARE AVAILABLE 24-HOURS A DAY, 7 DAYS A WEEK.OHSCI IS LICENSED BY THE STATE OF INDIANA AND CERTIFIED BY THE FEDERAL GOVERNMENT. MEDICARE, MEDICAID AND PRIVATE INSURANCE COVER MOST SERVICES. ADDITIONAL FUNDS ARE RAISED THROUGH MEMORIALS, PRIVATE DONATIONS, FUND-RAISING ACTIVITIES, GRANTS AND THE UNITED WAY. TO ENSURE THAT CARE CAN BE PROVIDED REGARDLESS OF ABILITY TO PAY, OHSCI IS A COMMUNITY RESOURCE FOR END-OF-LIFE CARE. HOSPICE PROFESSIONALS AND VOLUNTEERS ARE AVAILABLE TO PARTICIPATE IN EDUCATIONAL OFFERINGS IN A VARIETY OF SETTINGS, INCLUDING CHURCHES, SCHOOLS, CIVIC ORGANIZATIONS, AND OTHER HEALTH CARE PROVIDERS.IN 2023, 1,420 PATIENTS AND FAMILIES RECEIVED 97,981 DAYS OF CARE. ADDITIONALLY, BEREAVEMENT SERVICES PROVIDED TO 3,830 HOSPICE BEREAVED FAMILIES IN 2023. APPROXIMATELY 6.5% OF OHSCI'S ANNUAL BUDGET IS RAISED EACH YEAR TO PROVIDE THE SPECIALIZED CARE NEEDED BY THE TERMINALLY ILL AND THEIR FAMILIES. YOU ARE WELCOME TO VISIT OUR WEBSITE AT WWW.OURHOSPICE.ORG<HTTP://WWW.OURHOSPICE.ORG> FOR ADDITIONAL INFORMATION AND TO VIEW PHOTOS OF THE INPATIENT FACILITY.OHSCI BEGAN OFFERING PALLIATIVE CARE IN 2019 BECAUSE OF THE BELIEF IT IS THE RIGHT THING TO DO. WE DEPEND ON DONORS TO FUND THIS IMPORTANT SPECIALTY BECAUSE IT IS MINIMALLY REIMBURSED (LESS THAN 19%) THROUGH INSURANCE, MEDICARE AND MEDICAID. BRINGING EXCELLENT, COMPASSIONATE PALLIATIVE CARE TO THE MEMBERS OF OUR COMMUNITIES ALLOWS US TO FURTHER FULFILL OUR MISSION; TO MAKE EVERY MOMENT COUNT FOR OUR PATIENTS AND THEIR FAMILIES.Desc
Total Program Service Expenses$16,956,486TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document38IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee240EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldINStatesWhereCopyOfReturnIsFldCd
Own WebsiteYes (X)OwnWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE ORGANIZATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8123148098PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12626 E 17TH STREETAddressLine1Txt
CityCOLUMBUSCityNm
State AbbreviationINStateAbbreviationCd
ZIP47201ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
DAVID THOMPSON MD
BOARD PRESIDENT1.000.00Yes (X)Yes (X)$0$0$0
REBECCA STENNER
BOARD SEC./TREAS./IMM. PAS1.000.00Yes (X)Yes (X)$0$0$0
SCOTT BALLARD
BOARD PRESIDENT-ELECT1.000.00Yes (X)Yes (X)$0$0$0
TOM DOWD
IMM. PAST PRESIDENT1.000.00Yes (X)Yes (X)$0$0$0
SHARON ANDREWS
BOARD MEMBER1.000.00Yes (X)$0$0$0
ERIC NEAL
BOARD MEMBER1.000.00Yes (X)$0$0$0
JAMES BICKEL
BOARD MEMBER1.000.00Yes (X)$0$0$0
STACI GLICK
BOARD MEMBER1.000.00Yes (X)$0$0$0
REX MCKINNEY
BOARD MEMBER1.000.00Yes (X)$0$0$0
MICHAEL MCIVER
BOARD MEMBER1.000.00Yes (X)$0$0$0
NICK RITTMAN
BOARD MEMBER1.000.00Yes (X)$0$0$0
DAVID FINKEL
BOARD MEMBER1.000.00Yes (X)$0$0$0
DENNIS FOGLE
BOARD MEMBER1.000.00Yes (X)$0$0$0
LARRY OLSON
BOARD MEMBER1.000.00Yes (X)$0$0$0
STEPHANIE CAIN
PRESIDENT40.000.00Yes (X)$233,413$0$21,591
LEIGH ANDERSON
MEDICAL DIRECTOR40.000.00$238,197$0$9,520Yes (X)
KIMBERLY A NAPIER
NURSE PRACTITONER40.000.00$135,168$0$11,476Yes (X)
ROY L GOODE
HOSPICE PHYSICIAN32.000.00$137,896$0$5,434Yes (X)
DONNA L BUTLER
NURSE PRACTITONER-PALLIATIVE CARE40.000.00$127,505$0$9,967Yes (X)
ANITA K COLLINS
NURSE PRACTITONER-PALLIATIVE CARE40.000.00$125,548$0$9,408Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$997,727TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$67,396TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K20IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
ENCLARA PHARMACIA
PO BOX 95000-7255PHILADELPHIAPA191957255PHARMACY SERVICES$804,820
WILLIAMS BROTHERS HEALTH CARE PHARMACY
PO BOX 271WASHINGTONIN475014535HOME INFUSION & FEEDING SERVICES$140,031
HOMECARE HOMEBASE LLC
PO BOX 678637DALLASTX752678637ELECTRONIC MEDICAL RECORDS$132,528
EMCOR FACILITY SERVICES INC
LOCATION NO 347CINCINNATIOH45264FACILITIES MANAGEMENT SERVICES$102,656
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K4CntrctRcvdGreaterThan100KCnt
Federated Campaigns$39,023FederatedCampaignsAmt
Fundraising$358,317FundraisingAmt
All Other Contributions$886,600AllOtherContributionsAmt
Noncash Contributions$2,522NoncashContributionsAmt
Total Contributions$1,283,940TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescNET PATIENT SERVICE REDesc
Business624100BusinessCd
Total Revenue Column$18,611,943TotalRevenueColumnAmt
Related Or Exempt Func Income$18,611,943RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$18,611,943TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$947,328TotalRevenueColumnAmt
Exclusion$947,328ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$326OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$326OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$326TotalRevenueColumnAmt
Exclusion-$326ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$38,480FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$358,317ContriRptFundraisingEventAmt
Fundraising Direct Expenses$173,917FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$135,437TotalRevenueColumnAmt
Exclusion-$135,437ExclusionAmt
FieldValueIRS element (for citing)
Cost Of Goods Sold$1,282CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$1,282TotalRevenueColumnAmt
Exclusion-$1,282ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
SLEEP CENTER REVENUE900099$127,571$127,571
MISCELLANEOUS REVENUE900099$7,087$7,087
FieldValueIRS element (for citing)
Other Revenue Total$134,658OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$20,840,824TotalRevenueColumnAmt
Related Or Exempt Func Income$18,739,514RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$817,370ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$255,003TotalAmt
Program Services$219,657ProgramServicesAmt
Management And General$35,346ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$11,347,866TotalAmt
Program Services$9,808,238ProgramServicesAmt
Management And General$1,254,826ManagementAndGeneralAmt
Fundraising$284,802FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$314,685TotalAmt
Program Services$265,881ProgramServicesAmt
Management And General$38,326ManagementAndGeneralAmt
Fundraising$10,478FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,928,137TotalAmt
Program Services$2,474,013ProgramServicesAmt
Management And General$382,495ManagementAndGeneralAmt
Fundraising$71,629FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$847,772TotalAmt
Program Services$716,291ProgramServicesAmt
Management And General$106,234ManagementAndGeneralAmt
Fundraising$25,247FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$236,231TotalAmt
Program Services$3,675ProgramServicesAmt
Management And General$150,262ManagementAndGeneralAmt
Fundraising$82,294FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$32,015TotalAmt
Program Services$29,204ProgramServicesAmt
Management And General$2,037ManagementAndGeneralAmt
Fundraising$774FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$156,359TotalAmt
Program Services$32,413ProgramServicesAmt
Management And General$103,349ManagementAndGeneralAmt
Fundraising$20,597FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$368,687TotalAmt
Program Services$108,914ProgramServicesAmt
Management And General$241,640ManagementAndGeneralAmt
Fundraising$18,133FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$469,322TotalAmt
Program Services$342,199ProgramServicesAmt
Management And General$125,683ManagementAndGeneralAmt
Fundraising$1,440FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$297,097TotalAmt
Program Services$294,022ProgramServicesAmt
Management And General$2,298ManagementAndGeneralAmt
Fundraising$777FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$44,981TotalAmt
Program Services$16,009ProgramServicesAmt
Management And General$28,972ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$10,461TotalAmt
Program Services$10,461ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$338,853TotalAmt
Program Services$69,385ProgramServicesAmt
Management And General$268,757ManagementAndGeneralAmt
Fundraising$711FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$120,035TotalAmt
Management And General$120,035ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
PATIENT SERVICE EXPENSE$2,524,781$2,524,781
DUES & SUBSCRIPTIONS$35,095$11,603$23,113$379
RECOGNITION & AWARDS$27,284$27,284
BAD DEBT EXPENSE$1,952$1,952

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$109,845TotalAmt
Program Services$504ProgramServicesAmt
Management And General$96,242ManagementAndGeneralAmt
Fundraising$13,099FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$20,466,461TotalAmt
Program Services$16,956,486ProgramServicesAmt
Management And General$2,979,615ManagementAndGeneralAmt
Fundraising$530,360FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$400BOYAmt
EOY$400EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$4,895,731BOYAmt
EOY$3,942,950EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,111,760BOYAmt
EOY$1,892,933EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$110,861BOYAmt
EOY$96,694EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$49,858BOYAmt
EOY$130,506EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$10,134,416LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$5,728,528LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$4,719,389BOYAmt
EOY$4,405,888EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$5,876,847BOYAmt
EOY$6,963,398EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$17,764,846BOYAmt
EOY$17,432,769EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,799,763BOYAmt
EOY$2,136,736EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$252,076BOYAmt
EOY$223,663EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,051,839BOYAmt
EOY$2,360,399EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$13,533,528BOYAmt
EOY$13,803,219EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,179,479BOYAmt
EOY$1,269,151EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$14,713,007BOYAmt
EOY$15,072,370EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$17,764,846BOYAmt
EOY$17,432,769EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$374,363ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$15,000OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,177,587CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,086,158CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,672,578CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,333,645CurrentTaxYearMinus1YearAmt
Current Tax Year$1,283,940CurrentTaxYearAmt
Total$8,553,908TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,177,587CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,086,158CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,672,578CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,333,645CurrentTaxYearMinus1YearAmt
Current Tax Year$1,283,940CurrentTaxYearAmt
Total$8,553,908TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$132,555SubstantialContributorsTotAmt
Public Support Total170$8,421,353PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$914,758CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$731,890CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$865,072CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year-$1,307,517CurrentTaxYearMinus1YearAmt
Current Tax Year$947,328CurrentTaxYearAmt
Total$2,151,531TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$141,574CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$210,770CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$184,708CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$518,650CurrentTaxYearMinus1YearAmt
Current Tax Year$173,138CurrentTaxYearAmt
Total$1,228,840TotalAmt
FieldValueIRS element (for citing)
Total Support$11,934,279TotalSupportAmt
Gross Receipts Rltd Activities$81,246,048GrossReceiptsRltdActivitiesAmt
Public Support CY1700.70560PublicSupportCY170Pct
Public Support PY1700.77060PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:FormAndLineReferenceDesc
ExplanationOTHER INCOME - 2019 AMOUNT: $ 141,574. 2020 AMOUNT: $ 210,770. 2021 AMOUNT: $ 184,708. 2022 AMOUNT: $ 518,650. 2023 AMOUNT: $ 173,138.ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Disclosed Org Leg CtrlYes (1)DisclosedOrgLegCtrlInd

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$961,599BeginningYearBalanceAmt
Contributions$24,669ContributionsAmt
Investment Earnings Or Losses$43,732InvestmentEarningsOrLossesAmt
End Year Balance$1,030,000EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$974,900BeginningYearBalanceAmt
Contributions$99,030ContributionsAmt
Investment Earnings Or Losses-$112,331InvestmentEarningsOrLossesAmt
End Year Balance$961,599EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$302,051BeginningYearBalanceAmt
Contributions$615,252ContributionsAmt
Investment Earnings Or Losses$57,597InvestmentEarningsOrLossesAmt
End Year Balance$974,900EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$281,393BeginningYearBalanceAmt
Contributions$20,658ContributionsAmt
End Year Balance$302,051EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$255,370BeginningYearBalanceAmt
Contributions$26,023ContributionsAmt
End Year Balance$281,393EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.47340PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.52660TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgYes (1)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,750,149OtherCostOrOtherBasisAmt
Depreciation$3,822,426DepreciationAmt
Book Value$3,927,723BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$23,349OtherCostOrOtherBasisAmt
Depreciation$9,475DepreciationAmt
Book Value$13,874BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,644,474OtherCostOrOtherBasisAmt
Depreciation$1,439,788DepreciationAmt
Book Value$204,686BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$716,444OtherCostOrOtherBasisAmt
Depreciation$456,839DepreciationAmt
Book Value$259,605BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$4,405,888TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
OTHER ASSETS$176,530
ASSETS HELD BY COLUMBUS REGIONAL HEALTH FOUNDATION$6,786,868
FieldValueIRS element (for citing)
Total Book Value Other Assets$6,963,398TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescLEASE LIABILITY NONCURRENTDesc
Amt$223,663Amt
FieldValueIRS element (for citing)
Total Liability$223,663TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$21,082,839TotalRevEtcAuditedFinclStmtAmt
Donated Services And Use Fclts$60,000DonatedServicesAndUseFcltsAmt
Revenue Not Reported$60,000RevenueNotReportedAmt
Revenue Subtotal$21,022,839RevenueSubtotalAmt
Other Revenues Not Included-$182,015OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt-$182,015RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$20,840,824TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$20,708,476TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$60,000DonatedServicesUseFcltsAmt
Other Expenses Included$182,015OtherExpensesIncludedAmt
Expenses Not Reported$242,015ExpensesNotReportedAmt
Expenses Subtotal$20,466,461ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$20,466,461TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:TO HELP FURTHER THE EXEMPT PURPOSE OF THE ORGANIZATION.
PART X, LINE 2:HOSPICE IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. AS SUCH, HOSPICE IS GENERALLY EXEMPT FROM INCOME TAXES. HOWEVER, HOSPICE IS REQUIRED TO FILE FEDERAL FORM 990 RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX WHICH IS AN INFORMATIONAL RETURN ONLY. HOSPICE IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY HOSPICE AND RECOGNIZE A TAX LIABILITY IF HOSPICE HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY VARIOUS FEDERAL AND STATE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY HOSPICE, AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2023 AND 2022, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE ACCOMPANYING FINANCIAL STATEMENTS. HOSPICE FILED ITS FEDERAL AND STATE INCOME TAX RETURNS FOR PERIODS THROUGH DECEMBER 31, 2022. THESE INCOME TAX RETURNS ARE GENERALLY OPEN TO EXAMINATION BY THE RELEVANT TAXING AUTHORITIES FOR A PERIOD OF THREE YEARS FROM THE LATER OF THE DATE THE RETURN WAS FILED OR ITS DUE DATE (INCLUDING APPROVED EXTENSIONS).
PART XI, LINE 4B - OTHER ADJUSTMENTS:SPECIAL EVENT EXPENSES -182,015.
PART XII, LINE 2D - OTHER ADJUSTMENTS:SPECIAL EVENTS EXPENSES 182,015.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1CONCERTEvent1Nm
Gross Receipts Event1$275,375GrossReceiptsEvent1Amt
Charitable Contri Event1$249,315CharitableContriEvent1Amt
Gross Revenue Event1$26,060GrossRevenueEvent1Amt
Cash Prizes Event1$11,075CashPrizesEvent1Amt
Non Cash Prizes Event1$150NonCashPrizesEvent1Amt
Rent Facility Costs Event1$10,000RentFacilityCostsEvent1Amt
Entertainment Event1$35,000EntertainmentEvent1Amt
Other Direct Expenses Event1$100,674OtherDirectExpensesEvent1Amt
Event2JENNINGS GALAEvent2Nm
Gross Receipts Event2$81,682GrossReceiptsEvent2Amt
Charitable Contri Event2$73,162CharitableContriEvent2Amt
Gross Revenue Event2$8,520GrossRevenueEvent2Amt
Cash Prizes Event2$300CashPrizesEvent2Amt
Rent Facility Costs Event2$1,350RentFacilityCostsEvent2Amt
Food And Beverage Event2$7,680FoodAndBeverageEvent2Amt
Other Direct Expenses Event2$2,293OtherDirectExpensesEvent2Amt
Other Events Total1OtherEventsTotalCnt
Gross Receipts Other Events$39,740GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$35,840CharitableContriOtherEventsAmt
Gross Revenue Other Events$3,900GrossRevenueOtherEventsAmt
Cash Prizes Other Events$653CashPrizesOtherEventsAmt
Rent Fclty Costs Other Events$3,881RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events$660FoodAndBeverageOtherEventsAmt
Oth Direct Expnss Other Events$201OthDirectExpnssOtherEventsAmt
Gross Receipts Total$396,797GrossReceiptsTotalAmt
Charitable Contributions Tot$358,317CharitableContributionsTotAmt
Gross Revenue Total Events$38,480GrossRevenueTotalEventsAmt
Cash Prizes Total Events$12,028CashPrizesTotalEventsAmt
Non Cash Prizes Total Events$150NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$15,231RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$8,340FoodAndBeverageTotalEventsAmt
Entertainment Total Events$35,000EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$103,168OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$173,917DirectExpenseSummaryEventsAmt
Net Income Summary-$135,437NetIncomeSummaryAmt
FieldValueIRS element (for citing)
States Where Gaming ConductedINStatesWhereGamingConductedCd
LicensedYes (1)LicensedInd
License Suspended Etc0LicenseSuspendedEtcInd
Gaming With Nonmembers0GamingWithNonmembersInd
Member Of Other Entity0MemberOfOtherEntityInd
Gaming Other Facility1.00000GamingOtherFacilityPct
Individual With BooksLOUIS TOWNSENDIndividualWithBooksNm

Persons With Books US Address PersonsWithBooksUSAddress

FieldValueIRS element (for citing)
Address Line12626 E 17TH STREETAddressLine1Txt
CityCOLUMBUSCityNm
State AbbreviationINStateAbbreviationCd
ZIP47201ZIPCd
FieldValueIRS element (for citing)
Cntrct With3rd Prty For Game Rev0CntrctWith3rdPrtyForGameRevInd
Gaming Manager PersonSTEPHANIE CAINGamingManagerPersonNm
Gaming Manager Services ProvOVERALL RESPONSIBILITY FOR THE OPERATION AND CONDUCT OF THE GAMING EVENT.GamingManagerServicesProvTxt
Gaming Manager Is EmployeeYes (X)GamingManagerIsEmployeeInd
Charitable Distribution Rqr0CharitableDistributionRqrInd

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
STEPHANIE CAIN
PRESIDENT$188,357$0$44,250$0$806$0$14,948$0$6,643$0$255,004$0$0$0
LEIGH ANDERSON
MEDICAL DIRECTOR$233,013$0$5,000$0$184$0$9,520$0$0$0$247,717$0$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE EXECUTIVE COMMITTEE OF THE BOARD DELEGATED AUTHORITY TO THE FINANCE COMMITTEE OF THE BOARD TO APPROVE THE FORM 990. THE FINANCE COMMITTEE OF THE BOARD WILL REVIEW THE ENTIRE FORM 990. ONCE APPROVED BY THE FINANCE COMMITTEE OF THE BOARD, A FULL COPY OF THE FORM 990 WAS MADE AVAILABLE TO EVERY BOARD MEMBER FOR REVIEW PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CEFFECTIVE 2006, BOARD MEMBERS, KEY EMPLOYEES, DIRECTORS AND OFFICERS SIGNED A CONFLICT OF INTEREST STATEMENT, STATING THAT THEY HAVE READ AND UNDERSTOOD THE STATEMENT. SINCE THAT TIME, ORIENTATION FOR NEW BOARD MEMBERS, KEY EMPLOYEES, OFFICERS AND DIRECTORS, INCLUDES REVIEW AND SIGNATURE OF A CONFLICT OF INTEREST STATEMENT. THE CONFLICT OF INTEREST STATEMENTS ARE REVIEWED BY THE COMPLIANCE OFFICER WITH FOLLOW-UP BY THE COMPLIANCE COMMITTEE IF ANY POTENTIAL CONFLICTS ARE IDENTIFIED.
FORM 990, PART VI, SECTION B, LINE 15EACH POSITION HAS A SALARY RANGE. COMPENSATION AT HIRE IS DETERMINED BY SEVERAL FACTORS, INCLUDING THE APPLICANT'S EXPERIENCE, EDUCATION, APPLICANT'S SALARY AT THEIR MOST RECENT EMPLOYMENT AND WHERE THE PROPOSED SALARY WOULD FALL WITHIN THE SALARY RANGE OF OTHER MEMBERS OF THE HOSPICE TEAM WHO ARE IN SIMILAR POSITIONS. INCREASES IN SALARY DURING THE YEAR WERE MADE DUE TO MARKET WAGE ADJUSTMENTS, OR BASED ON PERFORMANCE. IN 2011, HOSPICE DEVELOPED A PRESIDENT'S COMPENSATION POLICY. THE POLICY STIPULATED THAT INCREASES FOR THE PRESIDENT'S POSITION WOULD NEED TO BE APPROVED BY THE BOARD PRESIDENT. IN 2015 THE COMPENSATION COMMITTEE OF THE BOARD WAS ESTABLISHED.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST STATEMENT, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 9:PRIOR YEAR BALANCE ADJUSTMENT -15,000.
FORM 990, PART XII, LINE 2CTHE PROCESS OF SELECTING AN INDEPENDENT ACCOUNTANT AND OVERSIGHT OF THE AUDIT HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1PALLIATIVE SUPPORT CENTERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12626 E 17TH STREETAddressLine1Txt
CityCOLUMBUSCityNm
State AbbreviationINStateAbbreviationCd
ZIP47201ZIPCd
FieldValueIRS element (for citing)
EIN472160334EIN
Primary ActivitiesPROVIDE SYMPTOM MANAGEMENT FOR ADVANCED ILLNESSPrimaryActivitiesTxt
Legal Domicile StateINLegalDomicileStateCd
Total Income$485,935TotalIncomeAmt
End Of Year Assets$632,515EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1OUR HOSPICE OF SOUTH CENTRAL INDIANA INCBusinessNameLine1Txt