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← NATIONAL CHURCH RESIDENCES AT HOME HOSPICE CENTRAL OHIO

Form 990 for tax year 2022

Filed by NATIONAL CHURCH RESIDENCES AT HOME HOSPICE CENTRAL OHIO.

Totals

Total revenue
$6,061,161
Total expenses
$4,924,384
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$6,061,161
Investment income
$0
Other revenue
$0
Total assets, end of year
$2,536,431
Total liabilities, end of year
$457,728
Net assets or fund balances, end of year
$2,078,703
Program services expenses (Part IX)
$4,204,483
Management and general expenses
$719,901
Fundraising expenses
$0
Program service expenses (Part III)
$4,204,483

Program services were 85.4% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 2a · Program service revenue: HOSPICE SERVICE FEES

    total $6,060,904 · related or exempt $6,060,904

  • 2b · Program service revenue: PROVIDER RELIEF FUNDS

    total $257 · related or exempt $257

  • 3 · Investment income

    total $0

  • 4 · Income from investment of tax-exempt bond proceeds

    total $0

  • 5 · Royalties

    total $0

  • 6c · Rental income or loss

    real property $0 · personal property $0

  • 6d · Net rental income or loss

    total $0

  • 7d · Net gain or loss

    total $0

  • 8a · Fundraising events: gross income

    $0

  • 8b · Fundraising events: direct expenses

    $0

  • 8c · Net income from fundraising events

    total $0

  • 9a · Gaming: gross income

    $0

  • 9b · Gaming: direct expenses

    $0

  • 9c · Net income from gaming

    total $0

  • 10a · Gross sales of inventory

    $0

  • 10b · Cost of goods sold

    $0

  • 10c · Net income from sales of inventory

    total $0

  • 11e · Other revenue, total

    $0

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $0

  • 2 · Grants to domestic individuals

    total $0

  • 3 · Grants to foreign organizations and individuals

    total $0

  • 4 · Benefits paid to or for members

    total $0

  • 5 · Compensation of officers, directors and key employees

    total $0

  • 6 · Compensation of disqualified persons

    total $0

  • 7 · Other salaries and wages

    total $2,357,162 · program services $2,315,140 · management and general $42,022

  • 8 · Pension plan contributions

    total $136,306 · program services $133,876 · management and general $2,430

  • 9 · Other employee benefits

    total $332,204 · program services $325,737 · management and general $6,467

  • 10 · Payroll taxes

    total $184,457 · program services $181,169 · management and general $3,288

  • 11a · Fees: management

    total $394,249 · management and general $394,249

  • 11b · Fees: legal

    total $1,432 · management and general $1,432

  • 11c · Fees: accounting

    total $0

  • 11d · Fees: lobbying

    total $0

  • 11e · Fees: professional fundraising services

    total $0

  • 11f · Fees: investment management

    total $0

  • 11g · Fees: other

    total $191,023 · program services $183,067 · management and general $7,956

  • 12 · Advertising and promotion

    total $65,592 · management and general $65,592

  • 13 · Office expenses

    total $29,935 · management and general $29,935

  • 14 · Information technology

    total $150,778 · program services $150,778

  • 15 · Royalties

    total $0

  • 16 · Occupancy

    total $42,156 · program services $7,647 · management and general $34,509

  • 17 · Travel

    total $138,091 · program services $135,497 · management and general $2,594

  • 18 · Travel or entertainment for public officials

    total $0

  • 19 · Conferences, conventions and meetings

    total $0

  • 20 · Interest

    total $137 · management and general $137

  • 21 · Payments to affiliates

    total $0

  • 22 · Depreciation, depletion and amortization

    total $16,424 · management and general $16,424

  • 23 · Insurance

    total $5,592 · management and general $5,592

  • 24a · Other expenses: DRUGS & ANCILLARY SERVICES

    total $529,369 · program services $529,369

  • 24b · Other expenses: PROGRAM

    total $99,237 · program services $99,237

  • 24c · Other expenses: SUPPLIES

    total $86,224 · program services $84,687 · management and general $1,537

  • 24d · Other expenses: BAD DEBT

    total $85,361 · management and general $85,361

  • 24e · All other expenses

    total $78,655 · program services $58,279 · management and general $20,376

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $716,720 · end of year $1,265,156

  • 2 · Savings and temporary cash investments

    beginning of year $0 · end of year $0

  • 3 · Pledges and grants receivable

    beginning of year $0 · end of year $0

  • 4 · Accounts receivable

    beginning of year $846,504 · end of year $1,236,231

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 7 · Other notes and loans receivable

    beginning of year $0 · end of year $0

  • 8 · Inventories for sale or use

    beginning of year $0 · end of year $0

  • 9 · Prepaid expenses and deferred charges

    beginning of year $0 · end of year $107

  • 10a · Land, buildings and equipment: cost or other basis

    $139,241

  • 10b · Land, buildings and equipment: accumulated depreciation

    $104,304

  • 10c · Land, buildings and equipment, net

    beginning of year $51,361 · end of year $34,937

  • 11 · Investments: publicly traded securities

    beginning of year $0 · end of year $0

  • 12 · Investments: other securities

    beginning of year $0 · end of year $0

  • 13 · Investments: program-related

    beginning of year $0 · end of year $0

  • 14 · Intangible assets

    beginning of year $0 · end of year $0

  • 15 · Other assets

    beginning of year $0 · end of year $0

  • 17 · Accounts payable and accrued expenses

    beginning of year $338,491 · end of year $390,538

  • 18 · Grants payable

    beginning of year $0 · end of year $0

  • 19 · Deferred revenue

    beginning of year $0 · end of year $0

  • 20 · Tax-exempt bond liabilities

    beginning of year $0 · end of year $0

  • 21 · Escrow or custodial account liability

    beginning of year $0 · end of year $0

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 23 · Secured mortgages and notes payable

    beginning of year $0 · end of year $0

  • 24 · Unsecured notes and loans payable

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $84,168 · end of year $67,190

  • 27 · Net assets without donor restrictions

    beginning of year $1,191,926 · end of year $2,078,703

  • 28 · Net assets with donor restrictions

    beginning of year $0 · end of year $0

Mission and programs · 2022

Mission

ORIGINATING FROM A CHRISTIAN COMMITMENT OF SERVICE, OUR MISSION IS TO PROVIDE HIGH QUALITY CARE, SERVICES AND RESIDENTIAL COMMUNITIES FOR ALL SENIORS.

  • OPERATEs A HOSPICE HOME HEALTH CARE AGENCY IN CENTRAL OHIO.

    Expenses $4,204,483 · Revenue $6,061,161

As filed on the 2022 return.

Listed in Part VII

  • Susan M DiMickele

    President

    Total calculated
    $560,368
    From this org
    $0
    From related orgs
    $517,356
    Other
    $43,012
    Hours/week
    0.1 + 49.9 related

    Schedule J breakdown matched by us

    Base
    $0 + $397,356 related
    Bonus
    $0 + $120,000 related
    Other
    $0
    Deferred
    $0 + $24,400 related
    Nontaxable benefits
    $0 + $18,612 related
    Filer's total
    $0 + $560,368 related

  • Julie M Woolley

    Secretary

    Total calculated
    $290,848
    From this org
    $0
    From related orgs
    $268,146
    Other
    $22,702
    Hours/week
    0.1 + 49.9 related

    Schedule J breakdown matched by us

    Base
    $0 + $242,296 related
    Bonus
    $0 + $25,850 related
    Other
    $0
    Deferred
    $0 + $20,746 related
    Nontaxable benefits
    $0 + $1,956 related
    Filer's total
    $0 + $290,848 related

  • Julia A Fratianne

    Treasurer

    Total calculated
    $286,378
    From this org
    $0
    From related orgs
    $242,814
    Other
    $43,564
    Hours/week
    0.1 + 49.9 related

    Schedule J breakdown matched by us

    Base
    $0 + $208,814 related
    Bonus
    $0 + $34,000 related
    Other
    $0
    Deferred
    $0 + $25,691 related
    Nontaxable benefits
    $0 + $17,873 related
    Filer's total
    $0 + $286,378 related

  • Brianna Mettler

    Vice President

    Total calculated
    $251,396
    From this org
    $0
    From related orgs
    $219,245
    Other
    $32,151
    Hours/week
    0.1 + 49.9 related

    Schedule J breakdown matched by us

    Base
    $0 + $186,778 related
    Bonus
    $0 + $32,467 related
    Other
    $0
    Deferred
    $0 + $21,925 related
    Nontaxable benefits
    $0 + $10,226 related
    Filer's total
    $0 + $251,396 related

  • Jacob Swint

    Vice President

    Total calculated
    $220,632
    From this org
    $0
    From related orgs
    $207,167
    Other
    $13,465
    Hours/week
    0.1 + 49.9 related

    Schedule J breakdown matched by us

    Base
    $0 + $175,536 related
    Bonus
    $0 + $31,631 related
    Other
    $0
    Deferred
    $0 + $12,430 related
    Nontaxable benefits
    $0 + $1,035 related
    Filer's total
    $0 + $220,632 related

  • Peter Pavarini

    Chair

    Total calculated
    $0
    Hours/week
    0.1 + 2 related

  • Jim Moats

    Director

    Total calculated
    $0
    Hours/week
    0.1 + 2 related

  • Jennifer Spalding

    Director

    Total calculated
    $0
    Hours/week
    0.1 + 2 related

  • Lori Kaiser

    Director

    Total calculated
    $0
    Hours/week
    0.1 + 2 related

  • Suzanne Kunkel

    Director at Large

    Total calculated
    $0
    Hours/week
    0.1 + 2 related

  • Almeta Cooper

    Director at Large

    Total calculated
    $0
    Hours/week
    0.1 + 2 related

  • Barb Smoot

    Director (Term 5/2022)

    Total calculated
    $0
    Hours/week
    0.1 + 2 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 3:
NATIONAL CHURCH RESIDENCES, A RELATED ORGANIZATION, ESTABLISHES THE TOP MANAGEMENT OFFICIAL'S COMPENSATION. THE FOLLOWING METHODS WERE USED BY NATIONAL CHURCH RESIDENCES TO ESTABLISH COMPENSATION LEVELS: COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, FORM 990 OF OTHER ORGANIZATIONS, WRITTEN EMPLOYMENT CONTRACT, COMPENSATION SURVEY OR STUDY, APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
PART I, LINE 4B:
DURING THE CURRENT YEAR, NATIONAL CHURCH RESIDENCES, A RELATED ORGANIZATION, MADE CONTRIBUTIONS TO A 457(F) NONQUALIFIED DEFERRED COMPENSATION PLAN FOR THE FOLLOWING INDIVIDUALS LISTED ON PART VII OF THE FORM 990: SUSAN M. DIMICKELE: $6,660 JULIA A. FRATIANNE: $11,834 BRIANNA METTLER: $8,727 Jacob Swint: $2,698 Julie M. Woolley: $2,817 THE 457(F) NONQUALIFIED DEFERRED COMPENSATION PLAN IS AVAILABLE TO KEY EMPLOYEES OF THE ORGANIZATION, AS DEFINED BY THE ORGANIZATION AND NOT PART VII OF THE FORM 990. THE 457(F) NONQUALIFIED DEFERRED COMPENSATION PLAN WILL VEST UPON TRIGGERING SEVERANCE WITH THE ORGANIZATION. TRIGGERING SEVERANCE, AS DEFINED IN THE PLAN DOCUMENT, MEANS A PARTICIPANT'S SEVERANCE OF SERVICE, (1) AT ANY TIME ON OR AFTER THE PARTICIPANT'S ENTITLEMENT DATE OR (2) IF EARLIER, (A) BECAUSE OF DEATH OR DISABILITY, (B) BY THE EMPLOYER FOR REASONS OTHER THAN CAUSE, OR (C) BY THE PARTICIPANT FOR GOOD REASON. FOR THIS PURPOSE, SEVERANCE OF SERVICE SHALL BE CONSTRUED CONSISTENTLY WITH THE DEFINITION OF SEPARATION OF SERVICE UNDER CODE SECTION 409A. NONE OF THE CONTRIBUTIONS INTO THE PLAN VESTED DURING THE CURRENT YEAR. WHEN CONTRIBUTIONS VEST THEY WILL BE REPORTED ON SCHEDULE J, PART II, COLUMN B(III).

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

Provenance

Return type
form_990
Tax year
2022
Filed
16 November 2023
IRS schema version
2022v5.0
Source object
202343189349316954

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