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Nonprofiteer
← OHI HOSPICE INC

Form 990 for tax year 2022

Filed by OHI HOSPICE INC.

Totals

Total revenue
$1,678,950
Total expenses
$1,693,292
Contributions and grants received
$8,168
Grants paid
$0
Program service revenue
$1,670,735
Investment income
$47
Other revenue
$0
Total assets, end of year
$1,266,778
Total liabilities, end of year
$253,241
Net assets or fund balances, end of year
$1,013,537
Program services expenses (Part IX)
$1,180,123
Management and general expenses
$513,169
Fundraising expenses
$0
Program service expenses (Part III)
$1,180,123

Program services were 69.7% 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.

  • 1e · Government grants (contributions)

    $8,168

  • 2a · Program service revenue: PATIENT SERVICE REVENU

    total $1,670,735 · related or exempt $1,670,735

  • 3 · Investment income

    total $47 · excluded $47

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $54,366 · management and general $54,366

  • 7 · Other salaries and wages

    total $838,612 · program services $741,555 · management and general $97,057

  • 8 · Pension plan contributions

    total $25,575 · program services $23,074 · management and general $2,501

  • 9 · Other employee benefits

    total $89,113 · program services $83,934 · management and general $5,179

  • 10 · Payroll taxes

    total $67,284 · program services $55,339 · management and general $11,945

  • 11c · Fees: accounting

    total $7,500 · management and general $7,500

  • 11g · Fees: other

    total $10,980 · program services $1,200 · management and general $9,780

  • 12 · Advertising and promotion

    total $2,719 · management and general $2,719

  • 13 · Office expenses

    total $11,874 · program services $4,063 · management and general $7,811

  • 14 · Information technology

    total $9,693 · management and general $9,693

  • 16 · Occupancy

    total $24,224 · program services $10,080 · management and general $14,144

  • 17 · Travel

    total $59,819 · program services $43,388 · management and general $16,431

  • 19 · Conferences, conventions and meetings

    total $4,779 · program services $1,218 · management and general $3,561

  • 24a · Other expenses: ALLOCATION EXPENSES

    total $265,106 · management and general $265,106

  • 24b · Other expenses: MEDICAL SUPPLIES

    total $100,204 · program services $100,204

  • 24c · Other expenses: ROOM & BOARD

    total $66,867 · program services $66,867

  • 24d · Other expenses: PATIENT SERVICES

    total $9,497 · program services $9,497

  • 24e · All other expenses

    total $45,080 · program services $39,704 · management and general $5,376

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $1,143,530 · end of year $1,020,103

  • 4 · Accounts receivable

    beginning of year $324,026 · end of year $214,109

  • 9 · Prepaid expenses and deferred charges

    beginning of year $2,602

  • 15 · Other assets

    beginning of year $557,363 · end of year $32,566

  • 17 · Accounts payable and accrued expenses

    beginning of year $167,267 · end of year $131,004

  • 25 · Other liabilities

    beginning of year $832,375 · end of year $122,237

  • 27 · Net assets without donor restrictions

    beginning of year $1,027,879 · end of year $1,013,537

Mission and programs · 2022

Mission

OHI HOSPICE, INC. IS COMMITTED TO MAKING QUALITY HOSPICE CARE AVAILABLE AND ACCESSIBLE TO TERMINALLY ILL PERSONS AND THEIR FAMILIES REGARDLESS OF ABILITY TO PAY, AND IN A MANNER CONSISTENT WITH THE HIGHEST HOSPICE STANDARDS. OUR COMMITMENT TO THE HOSPICE PHILOSOPHY OF CARE INCLUDES A COMPASSIONATE STAFF PLEDGED TO CONTINUOUSLY IMPROVE AND ENHANCE THE CARE WE PROVIDE3, REPSECT THE PATIENTS' CHOICE OF CARE, RESPOND TO CHANGING COMMUNITY NEEDS, AND SERVE AS A RESOURCE TO OTHERS FOR IMPROVING THE AVAILABILTY OF QUALITY HOSPICE CARE.

Activities or mission (Part I)

TO PROVIDE HOSPICE AND PALLATIVE CARE FOR THE TERMINALLY ILL AND SUPPORT FOR THEIR FAMILIES.

  • 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.

    Expenses $1,180,123 · Revenue $1,670,735

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • ROBERT MORRIS

    CHIEF FINANCIAL OFFICER/TREASURER

    Total calculated
    $339,348
    From this org
    $0
    From related orgs
    $304,009
    Other
    $35,339
    Hours/week
    2 + 38 related

    Schedule J breakdown matched by us

    Base
    $0 + $292,759 related
    Bonus
    $0 + $11,250 related
    Other
    $0
    Deferred
    $0 + $8,336 related
    Nontaxable benefits
    $0 + $27,003 related
    Filer's total
    $0 + $339,348 related

  • AMY WAGNER

    CHAIR

    Total calculated
    $355,967
    From this org
    $0
    From related orgs
    $326,566
    Other
    $29,401
    Hours/week
    2 + 8 related

    Schedule J breakdown matched by us

    Base
    $0 + $314,941 related
    Bonus
    $0 + $11,625 related
    Other
    $0
    Deferred
    $0 + $8,628 related
    Nontaxable benefits
    $0 + $20,773 related
    Filer's total
    $0 + $355,967 related

  • DAN FAGAN

    VICE CHAIR

    Total calculated
    $0
    Hours/week
    2

  • RICHIE DIBLE

    SECRETARY

    Total calculated
    $0
    Hours/week
    2

  • JESSICA CONGER

    BOARD MEMBER/EXEC DIR (PART YEAR)

    Total calculated
    $54,366
    From this org
    $45,670
    From related orgs
    $0
    Other
    $8,696
    Hours/week
    2 + 2 related

  • KERRY HAMILTON

    BOARD MEMBER

    Total calculated
    $387,668
    From this org
    $0
    From related orgs
    $346,296
    Other
    $41,372
    Hours/week
    2 + 2 related

    Schedule J breakdown matched by us

    Base
    $0 + $335,586 related
    Bonus
    $0 + $10,710 related
    Other
    $0
    Deferred
    $0 + $15,250 related
    Nontaxable benefits
    $0 + $26,122 related
    Filer's total
    $0 + $387,668 related

  • KENT ANDERSON

    CHIEF EXECUTIVE OFFICER

    Total calculated
    $581,878
    From this org
    $0
    From related orgs
    $522,223
    Other
    $59,655
    Hours/week
    2 + 58 related

    Schedule J breakdown matched by us

    Base
    $0 + $455,023 related
    Bonus
    $0 + $67,200 related
    Other
    $0
    Deferred
    $0 + $35,750 related
    Nontaxable benefits
    $0 + $23,905 related
    Filer's total
    $0 + $581,878 related

  • KRISTY TOCKNELL

    EXECUTIVE DIRECTOR

    Total calculated
    $132,228
    From this org
    $75,700
    From related orgs
    $39,705
    Other
    $16,823
    Hours/week
    40

  • JENNIFER FIELDS

    APRN HOSPICE & PALLIATIVE CARE

    Total calculated
    $112,409
    From this org
    $106,967
    From related orgs
    $0
    Other
    $5,442
    Hours/week
    40

  • TONIA WORLEY

    TEAM LEADER

    Total calculated
    $124,471
    From this org
    $102,267
    From related orgs
    $0
    Other
    $22,204
    Hours/week
    40

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

  • 7 · Other non-fixed payments

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 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
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

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.
PART I, LINE 7
THE BOARD OF DIRECTORS CONDUCTS AN ANNUAL PERFORMANCE REVIEW TO DETERMINE THE COMPENSATION AND BENEFITS OF THE CEO. IN ADDITION TO NORMAL COMPENSATION AND BENEFITS, THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS MAY ALSO AWARD BONUS COMPENSATION TO THE CEO BASED UPON THE ANNUAL PERFORMANCE REVIEW. THE CEO CONDUCTS AN ANNUAL PERFORMANCE REVIEW OF THE OTHER OFFICERS AND EMPLOYEES TO DETERMINE THEIR COMPENSATION AND BENEFITS. IN ADDITION TO NORMAL COMPENSATION AND BENEFITS, THE CEO, WITH THE APPROVAL OF THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS, MAY ALSO AWARD BONUS COMPENSATION TO THE OTHER OFFICERS AND EMPLOYEES BASED UPON THEIR ANNUAL PERFORMANCE REVIEW.

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.

  • HOSPICE OF CENTRAL OHIO

    501(C)(3) · TO PROVIDE HOSPICE CARE · OH · controlled entity

    Directly controlled by OHIO'S HOSPICE INC

  • OHIO'S HOSPICE FOUNDATION

    501(C)(3) · TO PROVIDE FINANCIAL SUPPORT TO ITS PARENT, OHIO'S HOSPICE INC. · OH · controlled entity

    Directly controlled by OHIO'S HOSPICE INC

  • HOSPICE OF DAYTON INC

    501(C)(3) · TO PROVIDE HOSPICE CARE · OH · controlled entity

    Directly controlled by OHIO'S HOSPICE INC

  • HOSPICE OF MIAMI COUNTY INC

    501(C)(3) · TO PROVIDE HOSPICE CARE · OH · controlled entity

    Directly controlled by OHIO'S HOSPICE INC

  • LIFECARE HOSPICE

    501(C)(3) · TO PROVIDE HOSPICE CARE · OH · controlled entity

    Directly controlled by OHIO'S HOSPICE INC

  • OHIO'S HOSPICE INC

    501(C)(3) · TO PROVIDE MANAGEMENT SERVICES AS A SUPPORTING ORGANIZATION · OH

  • LOVING CARE HOSPICE

    501(C)(3) · TO PROVIDE HOSPICE CARE · OH · controlled entity

    Directly controlled by OHIO'S HOSPICE INC

  • HOSPICE OF FAYETTE COUNTY

    501(C)(3) · TO PROVIDE HOSPICE CARE · OH · controlled entity

    Directly controlled by OHIO'S HOSPICE INC

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 corporations and trusts

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

Provenance

Return type
form_990
Tax year
2022
Filed
21 September 2023
IRS schema version
2022v5.0
Source object
202322699349300607

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