2024-10-25T10:19:40-05:00 2023-12-31 351178661 BLUE & CO LLC 500 NORTH MERIDIAN ST SUITE 200 INDIANAPOLIS IN 46204 990 2023-01-01 351479425 OUR HOSPICE OF SOUTH CENTRAL INDIANA INC OURH 8123148000 2626 E 17TH STREET COLUMBUS IN 47201 STEPHANIE CAIN PRESIDENT 8123148000 2024-10-25 1 1 TYLER K GREENE CPA P00057872 3176334705 2024-10-25 2023 2024-10-15 13:58:12Z STEPHANIE CAIN 2626 E 17TH STREET COLUMBUS IN 47201 21016349 0 X WWW.OURHOSPICE.ORG X 1980 IN OUR 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. 14 14 240 89 0 0 1651128 1283940 17541478 18611943 -1182936 947002 67521 -2061 18077191 20840824 0 0 0 0 14083076 15693463 0 0 530360 4416838 4772998 18499914 20466461 -422723 374363 17764846 17432769 3051839 2360399 14713007 15072370 X OUR 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. 0 0 16956486 18739514 HOSPICE 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. 16956486 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 38 0 1 240 1 0 0 0 0 0 0 0 0 0 0 0 0 X 14 14 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 IN X X THE ORGANIZATION 8123148098 2626 E 17TH STREET COLUMBUS IN 47201 DAVID THOMPSON MD BOARD PRESIDENT 1.00 0.00 X X 0 0 0 REBECCA STENNER BOARD SEC./TREAS./IMM. PAS 1.00 0.00 X X 0 0 0 SCOTT BALLARD BOARD PRESIDENT-ELECT 1.00 0.00 X X 0 0 0 TOM DOWD IMM. PAST PRESIDENT 1.00 0.00 X X 0 0 0 SHARON ANDREWS BOARD MEMBER 1.00 0.00 X 0 0 0 ERIC NEAL BOARD MEMBER 1.00 0.00 X 0 0 0 JAMES BICKEL BOARD MEMBER 1.00 0.00 X 0 0 0 STACI GLICK BOARD MEMBER 1.00 0.00 X 0 0 0 REX MCKINNEY BOARD MEMBER 1.00 0.00 X 0 0 0 MICHAEL MCIVER BOARD MEMBER 1.00 0.00 X 0 0 0 NICK RITTMAN BOARD MEMBER 1.00 0.00 X 0 0 0 DAVID FINKEL BOARD MEMBER 1.00 0.00 X 0 0 0 DENNIS FOGLE BOARD MEMBER 1.00 0.00 X 0 0 0 LARRY OLSON BOARD MEMBER 1.00 0.00 X 0 0 0 STEPHANIE CAIN PRESIDENT 40.00 0.00 X 233413 0 21591 LEIGH ANDERSON MEDICAL DIRECTOR 40.00 0.00 X 238197 0 9520 KIMBERLY A NAPIER NURSE PRACTITONER 40.00 0.00 X 135168 0 11476 ROY L GOODE HOSPICE PHYSICIAN 32.00 0.00 X 137896 0 5434 DONNA L BUTLER NURSE PRACTITONER-PALLIATIVE CARE 40.00 0.00 X 127505 0 9967 ANITA K COLLINS NURSE PRACTITONER-PALLIATIVE CARE 40.00 0.00 X 125548 0 9408 997727 0 67396 20 0 1 0 ENCLARA PHARMACIA PO BOX 95000-7255 PHILADELPHIA PA 191957255 PHARMACY SERVICES 804820 WILLIAMS BROTHERS HEALTH CARE PHARMACY PO BOX 271 WASHINGTON IN 475014535 HOME INFUSION & FEEDING SERVICES 140031 HOMECARE HOMEBASE LLC PO BOX 678637 DALLAS TX 752678637 ELECTRONIC MEDICAL RECORDS 132528 EMCOR FACILITY SERVICES INC LOCATION NO 347 CINCINNATI OH 45264 FACILITIES MANAGEMENT SERVICES 102656 4 39023 358317 886600 2522 1283940 NET PATIENT SERVICE RE 624100 18611943 18611943 18611943 947328 947328 326 -326 -326 -326 38480 358317 173917 -135437 -135437 1282 -1282 -1282 SLEEP CENTER REVENUE 900099 127571 127571 MISCELLANEOUS REVENUE 900099 7087 7087 134658 20840824 18739514 0 817370 255003 219657 35346 11347866 9808238 1254826 284802 314685 265881 38326 10478 2928137 2474013 382495 71629 847772 716291 106234 25247 236231 3675 150262 82294 32015 29204 2037 774 156359 32413 103349 20597 368687 108914 241640 18133 469322 342199 125683 1440 297097 294022 2298 777 44981 16009 28972 10461 10461 338853 69385 268757 711 120035 120035 PATIENT SERVICE EXPENSE 2524781 2524781 DUES & SUBSCRIPTIONS 35095 11603 23113 379 RECOGNITION & AWARDS 27284 27284 BAD DEBT EXPENSE 1952 1952 109845 504 96242 13099 20466461 16956486 2979615 530360 400 400 4895731 3942950 2111760 1892933 110861 96694 49858 130506 10134416 5728528 4719389 4405888 5876847 6963398 17764846 17432769 2799763 2136736 252076 223663 3051839 2360399 X 13533528 13803219 1179479 1269151 14713007 15072370 17764846 17432769 X 374363 -15000 X X 0 1 X 1 0 X 1177587 3086158 1672578 1333645 1283940 8553908 1177587 3086158 1672578 1333645 1283940 8553908 132555 8421353 914758 731890 865072 -1307517 947328 2151531 141574 210770 184708 518650 173138 1228840 11934279 81246048 0.70560 0.77060 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2019 AMOUNT: $ 141,574. 2020 AMOUNT: $ 210,770. 2021 AMOUNT: $ 184,708. 2022 AMOUNT: $ 518,650. 2023 AMOUNT: $ 173,138. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 961599 24669 43732 1030000 974900 99030 -112331 961599 302051 615252 57597 974900 281393 20658 302051 255370 26023 281393 0.00000 0.47340 0.52660 1 0 7750149 3822426 3927723 23349 9475 13874 1644474 1439788 204686 716444 456839 259605 4405888 OTHER ASSETS 176530 ASSETS HELD BY COLUMBUS REGIONAL HEALTH FOUNDATION 6786868 6963398 LEASE LIABILITY NONCURRENT 223663 223663 X 21082839 60000 60000 21022839 -182015 -182015 20840824 20708476 60000 182015 242015 20466461 0 20466461 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. CONCERT 275375 249315 26060 11075 150 10000 35000 100674 JENNINGS GALA 81682 73162 8520 300 1350 7680 2293 1 39740 35840 3900 653 3881 660 201 396797 358317 38480 12028 150 15231 8340 35000 103168 173917 -135437 IN 1 0 0 0 1.00000 LOUIS TOWNSEND 2626 E 17TH STREET COLUMBUS IN 47201 0 STEPHANIE CAIN OVERALL RESPONSIBILITY FOR THE OPERATION AND CONDUCT OF THE GAMING EVENT. X 0 X 0 0 0 0 0 0 0 0 0 STEPHANIE CAIN PRESIDENT 188357 0 44250 0 806 0 14948 0 6643 0 255004 0 0 0 LEIGH ANDERSON MEDICAL DIRECTOR 233013 0 5000 0 184 0 9520 0 0 0 247717 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE 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 12C EFFECTIVE 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 15 EACH 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 19 THE 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 2C THE PROCESS OF SELECTING AN INDEPENDENT ACCOUNTANT AND OVERSIGHT OF THE AUDIT HAS NOT CHANGED FROM THE PRIOR YEAR. PALLIATIVE SUPPORT CENTER 2626 E 17TH STREET COLUMBUS IN 47201 472160334 PROVIDE SYMPTOM MANAGEMENT FOR ADVANCED ILLNESS IN 485935 632515 OUR HOSPICE OF SOUTH CENTRAL INDIANA INC