Civic Intelligence

Community Hospice Care

990 • Fiscal year 2016 • EIN 34-1392278

Jul 01, 2015 to Jun 30, 2016 • Filed on Sep 12, 2016

181 E Perry StreetTiffin, OH 44883

(419) 447-4040

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

41st percentile

0.05x

Higher debt load relative to assets than 41% of similar nonprofits.

2016 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2016

Liabilities / Revenue

37th percentile

0.05x

Higher debt load relative to revenue than 37% of similar nonprofits.

2016 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2016

Net Margin

29th percentile

-4.9%

Higher net margin than 29% of similar nonprofits.

2016 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2016

Top Officer Pay

35th percentile

$0

Higher top officer pay than 35% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

2016 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2016

Asset Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2016

Revenue Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2016

Assets

Down

$1,063,999

Down $257,333 (-19%) from 2012

Net Assets

Down

$1,009,305

Down $214,122 (-18%) from 2012

Liabilities

Down

$54,694

Down $43,211 (-44%) from 2012

Revenue

$1,008,126

No earlier filing loaded for comparison.

Expenses

Down

$1,057,787

Down $175,965 (-14%) from 2012

Net Income

-$49,661

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$1.5M$1.0M$500K$0Assets 2011: $1,373,455Liabilities 2011: $72,644Net Assets 2011: $1,300,8112011Assets 2012: $1,321,332Liabilities 2012: $97,905Net Assets 2012: $1,223,4272012Assets 2016: $1,063,999Liabilities 2016: $54,694Net Assets 2016: $1,009,3052016Assets 2017: $1,031,971Liabilities 2017: $100,134Net Assets 2017: $931,8372017Assets 2018: $827,856Liabilities 2018: $53,039Net Assets 2018: $774,8172018Assets 2019: $1,012,064Liabilities 2019: $100,677Net Assets 2019: $911,3872019

Highlighted filing

2016

Assets$1,063,999
Liabilities$54,694
Net Assets$1,009,305

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$1.5M$1.0M$500K$0-$500KExpenses 2011: $1,366,6682011Expenses 2012: $1,233,7522012Revenue 2016: $1,008,126Expenses 2016: $1,057,787Net Income 2016: -$49,6612016Revenue 2017: $1,102,783Expenses 2017: $1,170,199Net Income 2017: -$67,4162017Revenue 2018: $792,280Expenses 2018: $952,531Net Income 2018: -$160,2512018Revenue 2019: $1,244,980Expenses 2019: $1,112,138Net Income 2019: $132,8422019

Highlighted filing

2016

Revenue$1,008,126
Expenses$1,057,787
Net Income-$49,661
Jump To
Filing Snapshot
Filing Period
Jul 1, 2015 to Jun 30, 2016
Signed
Sep 12, 2016
Return Version
2015v2.1
Gross Receipts
$1,015,962
Mission and Program Overview

Mission

Help to meet on a daily basis all of the needs of our terminally ill patients and their families at no cost to the patient. These needs include physical, emotional, social & spiritual. Served 123 patients this year.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$274,930$265,640▼ $9,290
Investments in Publicly Traded Securities$231,924$223,739▼ $8,185
Accounts Receivable$160,990$167,335▲ $6,345
Savings and Temporary Cash Investments$99,803$93,284▼ $6,519
Pledges and Grants Receivable$30,342$24,716▼ $5,626
Prepaid Expenses and Deferred Charges-$3,237-
Cash and Non-Interest-Bearing Accounts$50$100▲ $50
Total Assets$1,116,421$1,063,999▼ $52,422
Other Assets Total$318,382$285,948▼ $32,434
Liabilities
Accounts Payable and Accrued Expenses$42,972$54,694▲ $11,722
Total Liabilities$42,972$54,694▲ $11,722
Net Assets / Fund Balance
Unrestricted Net Assets$692,633$680,040▼ $12,593
Temporarily Rstr Net Assets$380,816$329,265▼ $51,551
Total Net Assets Fund Balance$1,073,449$1,009,305▼ $64,144
Total Liabilities and Net Assets / Fund Balance$1,116,421$1,063,999▼ $52,422

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$203,280$228,563$431,843
Land$62,360-$62,360
Other Assets Org$3,980--
Compensation and Service Providers

Board Members and Trustees

NameTitle
Gene ChintalaPresident
Amy SomodiDirector
Brett MightDirector
Dr Jeremy MashburnDirector
Fr Chris MileskiDirector
Geri HammerDirector
Jeff LanzerDirector
Nancy NusserDirector
Pam KelbleyDirector
Robb MackDirector
Steve ShulerDirector
Sister Janet HaySecretary
Bernie KirianTreasury
Dan KontakVice Preside
Revenue and Support

Revenue Composition

Contributions and Grants
$92,469
Program Service Revenue
$892,260
Investment Income
$7,668
Other Revenue
$15,729
All Other Contributions
$56,005
Change in Net Assets
$-49,661
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$558,401
Grants and Similar Amounts Paid$275,797
Other Expenses$223,589
Total Fundraising Expense$2,757
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$380,745$49,833$2,468$433,046
Grants to Domestic Individuals$275,797--$275,797
Current Officers, Directors, Trustees, and Key Employees$34,300$22,867-$57,167
Payroll Taxes$38,541$6,815$229$45,585
Fees for Services Other-$26,028-$26,028
Advertising$23,207--$23,207
Other Employee Benefits$17,140$5,403$60$22,603
Travel$21,837$612-$22,449
Fees for Services Accounting-$16,128-$16,128
Occupancy$12,974$2,290-$15,264
Insurance$11,684$2,921-$14,605
Office Expenses$10,955$2,739-$13,694
All Other Expenses$11,464$1,800-$13,264
Depreciation Depletion$7,897$1,393-$9,290
Other Expenses$8,187$4,390-$8,187
Conferences and Meetings$3,300$366-$3,666
Fees for Service Investment Mgmnt Fees-$1,123-$1,123
Fees for Services Legal-$389-$389
Total Functional Expenses$908,471$146,559$2,757$1,057,787
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Gross Income$49,621
Fundraising Direct Expenses$7,836
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Festival of Tre$32,944$32,944$2,922$30,022
Total Events$32,944$32,944$2,922$30,022
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
Yes
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Page 6, Part VI, Line 9

Sister janet hay 200 st. Francis avenue tiffin, oh 44883 dan kontak 166 w green meadow drive tiffin, oh 44883 fr. Chris mileski 323 n wood st. Fostoria , oh 44830 amy somodi 117 gibson st. Tiffin, oh 44883 bernie kirian 99 ashwood dr. Tiffin, oh 44883 robb mack 236 s washington st. Tiffin, oh 44883 jeff lanzer 125 hall st. Tiffin , oh 44883 gene chintala 347 benner st. Tiffin, oh 44883 dr. Jeremy mashburn 1100 neal zick rd. Willard, oh 44890 nancy nusser 541 n union st. Fostoria, oh 44830 steve shuler 161 greenfield st. Tiffin, oh 44883 pam kelbley 23400 twp rd 214 fostoria, oh 44830 geri hammer 38 e cherry st. Tiffin, oh 44883 brett might 304 n cr 43 republic, oh 44867

Form 990, Page 6, Part VI, Line 11B

All board members are provided a copy before filing. The 990 is then reviewed by the board of directors at their monthly meeting which may be before or after filing date.

Form 990, Page 6, Part VI, Line 12C

All are required to fill out and sign a form yearly disclosing any conflict

Form 990, Page 6, Part VI, Line 15A

The finance committee reviews the executive directors salary and makes comparisons with other similar hospices. The committee then makes a recomendation to the full board concerning any raises. All meetings of the finance committee are documented in writing. No members of the board of directors are compensated.

Form 990, Page 6, Part VI, Line 19

UPON REQUEST

Filing and Contact Details

Filer

Filer Name
Community Hospice Care
EIN
34-1392278
Phone
4194474040
Address
181 E PERRY STREET, TIFFIN, OH 44883

Signing Officer

Name
Mikki King
Title
Executive Director
Phone
4194474040
Signed
2016-09-12
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Mikki King
Formed
1983
Legal Domicile
Oh
Voting Board Members
14
Independent Board Members
14
Employees
25
Volunteers
119

Preparer

Firm
Linda S Ritzler CPA Inc
Address
266 NORTH WASHINGTON STREET, TIFFIN, OH 44883
Preparer
Linda S Ritzler
Phone
4194476413
Supplemental Narrative

Additional Explanations

Form 990, Page 1, Part I, Line 6

Volunteers do a variety of jobs including the following: office help, help with fundraising events, staying with patients, providing currier services, and many others.

Raw XML AppendixShowing 400 of 480 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

Path#Value
IRS990/AccountantCompileOrReviewInd0true
IRS990/AccountsPayableAccrExpnssGrp/BOYAmt042972
IRS990/AccountsPayableAccrExpnssGrp/EOYAmt054694
IRS990/AccountsReceivableGrp/BOYAmt0160990
IRS990/AccountsReceivableGrp/EOYAmt0167335
IRS990/AcctCompileOrReviewBasisGrp/SeparateBasisFinclStmtInd0X
IRS990/ActivitiesConductedPrtshpInd0false
IRS990/ActivityOrMissionDesc0HELP TO MEET ON A DAILY BASIS ALL OF THE NEEDS OF OUR TERMINALLY ILL PATIENTS AND THEIR FAMILIES AT NO COST TO THE PATIENT. THESE NEEDS INCLUDE PHYSICAL, EMOTIONAL, SOCIAL & SPIRITUAL. SERVED 123 PATIENTS THIS YEAR.
IRS990/AdvertisingGrp/ProgramServicesAmt023207
IRS990/AdvertisingGrp/TotalAmt023207
IRS990/AllOtherContributionsAmt056005
IRS990/AllOtherExpensesGrp/ManagementAndGeneralAmt01800
IRS990/AllOtherExpensesGrp/ProgramServicesAmt011464
IRS990/AllOtherExpensesGrp/TotalAmt013264
IRS990/AnnualDisclosureCoveredPrsnInd0true
IRS990/AuditCommitteeInd0true
IRS990/BackupWthldComplianceInd0true
IRS990/BooksInCareOfDetail/PersonNm0MIKKI KING
IRS990/BooksInCareOfDetail/PhoneNum04194474040
IRS990/BooksInCareOfDetail/USAddress/AddressLine1Txt0181 E PERRY ST
IRS990/BooksInCareOfDetail/USAddress/CityNm0TIFFIN
IRS990/BooksInCareOfDetail/USAddress/StateAbbreviationCd0OH
IRS990/BooksInCareOfDetail/USAddress/ZIPCd044883
IRS990/BusinessRlnWithFamMemInd0false
IRS990/BusinessRlnWithOfficerEntInd0false
IRS990/BusinessRlnWithOrgMemInd0false
IRS990/CashNonInterestBearingGrp/BOYAmt050
IRS990/CashNonInterestBearingGrp/EOYAmt0100
IRS990/ChangeToOrgDocumentsInd0false
IRS990/CollectionsOfArtInd0false
IRS990/CompCurrentOfcrDirectorsGrp/ManagementAndGeneralAmt022867
IRS990/CompCurrentOfcrDirectorsGrp/ProgramServicesAmt034300
IRS990/CompCurrentOfcrDirectorsGrp/TotalAmt057167
IRS990/CompensationFromOtherSrcsInd0false
IRS990/CompensationProcessCEOInd0true
IRS990/CompensationProcessOtherInd0false
IRS990/ConferencesMeetingsGrp/ManagementAndGeneralAmt0366
IRS990/ConferencesMeetingsGrp/ProgramServicesAmt03300
IRS990/ConferencesMeetingsGrp/TotalAmt03666
IRS990/ConflictOfInterestPolicyInd0true
IRS990/ConservationEasementsInd0false
IRS990/ConsolidatedAuditFinclStmtInd0false
IRS990/CreditCounselingInd0false
IRS990/CYBenefitsPaidToMembersAmt00
IRS990/CYContributionsGrantsAmt092469
IRS990/CYGrantsAndSimilarPaidAmt0275797
IRS990/CYInvestmentIncomeAmt07668
IRS990/CYOtherExpensesAmt0223589
IRS990/CYOtherRevenueAmt015729
IRS990/CYProgramServiceRevenueAmt0892260
IRS990/CYRevenuesLessExpensesAmt0-49661
IRS990/CYSalariesCompEmpBnftPaidAmt0558401
IRS990/CYTotalExpensesAmt01057787
IRS990/CYTotalFundraisingExpenseAmt02757
IRS990/CYTotalProfFndrsngExpnsAmt00
IRS990/CYTotalRevenueAmt01008126
IRS990/DecisionsSubjectToApprovaInd0false
IRS990/DeductibleArtContributionInd0false
IRS990/DeductibleNonCashContriInd0false
IRS990/DelegationOfMgmtDutiesInd0false
IRS990/DepreciationDepletionGrp/ManagementAndGeneralAmt01393
IRS990/DepreciationDepletionGrp/ProgramServicesAmt07897
IRS990/DepreciationDepletionGrp/TotalAmt09290
IRS990/Desc0WE HELP TO MEET ON A DAILY BASIS ALL OF THE NEEDS OF OUR TERMINALLY ILL PATIENTS AND THEIR FAMILIES AT NO COST TO THE PATIENT. THESE NEEDS INCLUDE PHYSICAL,EMOTIONAL, SOCIAL AND SPIRITUAL.
IRS990/DescribedInSection501c3Ind0true
IRS990/DisregardedEntityInd0false
IRS990/DocumentRetentionPolicyInd0true
IRS990/DonorAdvisedFundInd0false
IRS990/ElectionOfBoardMembersInd0false
IRS990/EmployeeCnt025
IRS990/EmploymentTaxReturnsFiledInd0true
IRS990/EngagedInExcessBenefitTransInd0false
IRS990/ExpenseAmt0908471
IRS990/FamilyOrBusinessRlnInd0false
IRS990/FederalGrantAuditRequiredInd0false
IRS990/FederatedCampaignsAmt036464
IRS990/FeesForServicesAccountingGrp/ManagementAndGeneralAmt016128
IRS990/FeesForServicesAccountingGrp/TotalAmt016128
IRS990/FeesForServicesLegalGrp/ManagementAndGeneralAmt0389
IRS990/FeesForServicesLegalGrp/TotalAmt0389
IRS990/FeesForServicesOtherGrp/ManagementAndGeneralAmt026028
IRS990/FeesForServicesOtherGrp/TotalAmt026028
IRS990/FeesForSrvcInvstMgmntFeesGrp/ManagementAndGeneralAmt01123
IRS990/FeesForSrvcInvstMgmntFeesGrp/TotalAmt01123
IRS990/ForeignActivitiesInd0false
IRS990/ForeignFinancialAccountInd0false
IRS990/ForeignOfficeInd0false
IRS990/Form8282PropertyDisposedOfInd0false
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd0X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd1X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd2X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd3X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd4X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd5X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd6X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd7X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd8X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd9X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd10X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd11X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd12X
IRS990/Form990PartVIISectionAGrp/IndividualTrusteeOrDirectorInd13X
IRS990/Form990PartVIISectionAGrp/OfficerInd0X
IRS990/Form990PartVIISectionAGrp/OfficerInd1X
IRS990/Form990PartVIISectionAGrp/OfficerInd2X
IRS990/Form990PartVIISectionAGrp/OfficerInd3X
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt00
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt10
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt20
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt30
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt40
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt50
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt60
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt70
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt80
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt90
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt100
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt110
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt120
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt130
IRS990/Form990PartVIISectionAGrp/PersonNm0SISTER JANET HAY
IRS990/Form990PartVIISectionAGrp/PersonNm1DAN KONTAK
IRS990/Form990PartVIISectionAGrp/PersonNm2FR CHRIS MILESKI
IRS990/Form990PartVIISectionAGrp/PersonNm3AMY SOMODI
IRS990/Form990PartVIISectionAGrp/PersonNm4BERNIE KIRIAN
IRS990/Form990PartVIISectionAGrp/PersonNm5ROBB MACK
IRS990/Form990PartVIISectionAGrp/PersonNm6JEFF LANZER
IRS990/Form990PartVIISectionAGrp/PersonNm7GENE CHINTALA
IRS990/Form990PartVIISectionAGrp/PersonNm8DR JEREMY MASHBURN
IRS990/Form990PartVIISectionAGrp/PersonNm9NANCY NUSSER
IRS990/Form990PartVIISectionAGrp/PersonNm10STEVE SHULER
IRS990/Form990PartVIISectionAGrp/PersonNm11PAM KELBLEY
IRS990/Form990PartVIISectionAGrp/PersonNm12GERI HAMMER
IRS990/Form990PartVIISectionAGrp/PersonNm13BRETT MIGHT
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt30
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt40
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt50
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt60
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt70
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt80
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt90
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt100
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt110
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt120
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt130
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt30
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt40
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt50
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt60
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt70
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt80
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt90
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt100
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt110
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt120
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt130
IRS990/Form990PartVIISectionAGrp/TitleTxt0SECRETARY
IRS990/Form990PartVIISectionAGrp/TitleTxt1VICE PRESIDE
IRS990/Form990PartVIISectionAGrp/TitleTxt2DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt3DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt4TREASURY
IRS990/Form990PartVIISectionAGrp/TitleTxt5DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt6DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt7PRESIDENT
IRS990/Form990PartVIISectionAGrp/TitleTxt8DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt9DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt10DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt11DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt12DIRECTOR
IRS990/Form990PartVIISectionAGrp/TitleTxt13DIRECTOR
IRS990/Form990ProvidedToGvrnBodyInd0true
IRS990/FormationYr01983
IRS990/FormerOfcrEmployeesListedInd0false
IRS990/FSAuditedInd0false
IRS990/FundraisingActivitiesInd0true
IRS990/FundraisingDirectExpensesAmt07836
IRS990/FundraisingGrossIncomeAmt049621
IRS990/GainOrLossGrp/OtherAmt03399
IRS990/GamingActivitiesInd0false
IRS990/GoverningBodyVotingMembersCnt014
IRS990/GrantAmt0275797
IRS990/GrantsToDomesticIndividualsGrp/ProgramServicesAmt0275797
IRS990/GrantsToDomesticIndividualsGrp/TotalAmt0275797
IRS990/GrantsToIndividualsInd0true
IRS990/GrantsToOrganizationsInd0false
IRS990/GrantToRelatedPersonInd0false
IRS990/GrossAmountSalesAssetsGrp/OtherAmt03399
IRS990/GrossReceiptsAmt01015962
IRS990/GroupReturnForAffiliatesInd0false
IRS990/IncludeFIN48FootnoteInd0false
IRS990/IndependentAuditFinclStmtInd0false
IRS990/IndependentVotingMemberCnt014
IRS990/IndoorTanningServicesInd0false
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InsuranceGrp/ManagementAndGeneralAmt02921
IRS990/InsuranceGrp/ProgramServicesAmt011684
IRS990/InsuranceGrp/TotalAmt014605
IRS990/InvestmentIncomeGrp/RelatedOrExemptFuncIncomeAmt04269
IRS990/InvestmentIncomeGrp/TotalRevenueColumnAmt04269
IRS990/InvestmentInJointVentureInd0false
IRS990/InvestmentsPubTradedSecGrp/BOYAmt0231924
IRS990/InvestmentsPubTradedSecGrp/EOYAmt0223739
IRS990/IRPDocumentCnt01
IRS990/IRPDocumentW2GCnt01
IRS990/LandBldgEquipAccumDeprecAmt0228563
IRS990/LandBldgEquipBasisNetGrp/BOYAmt0274930
IRS990/LandBldgEquipBasisNetGrp/EOYAmt0265640
IRS990/LandBldgEquipCostOrOtherBssAmt0494203
IRS990/LegalDomicileStateCd0OH
IRS990/LoanOutstandingInd0false
IRS990/LobbyingActivitiesInd0false
IRS990/LocalChaptersInd0false
IRS990/MaterialDiversionOrMisuseInd0false
IRS990/MembersOrStockholdersInd0false
IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd0true
IRS990/MinutesOfGoverningBodyInd0true
IRS990/MissionDesc0HELP TO MEET ON A DAILY BASIS ALL OF THE NEEDS OF OUR TERMINALLY ILL PATIENTS AND THEIR FAMILIES AT NO COST TO THE PATIENT. THESE NEEDS INCLUDE PHYSICAL, EMOTIONAL, SOCIAL & SPIRITUAL. SERVED 123 PATIENTS THIS YEAR.
IRS990/MoreThan5000KToIndividualsInd0false
IRS990/MoreThan5000KToOrgInd0false
IRS990/NetAssetsOrFundBalancesBOYAmt01073449
IRS990/NetAssetsOrFundBalancesEOYAmt01009305
IRS990/NetGainOrLossInvestmentsGrp/RelatedOrExemptFuncIncomeAmt03399
IRS990/NetGainOrLossInvestmentsGrp/TotalRevenueColumnAmt03399
IRS990/NetIncmFromFundraisingEvtGrp/ExclusionAmt041785
IRS990/NetIncmFromFundraisingEvtGrp/TotalRevenueColumnAmt041785
IRS990/NetUnrlzdGainsLossesInvstAmt0-14483
IRS990/NoListedPersonsCompensatedInd0X
IRS990/NondeductibleContributionsInd0false
IRS990/OccupancyGrp/ManagementAndGeneralAmt02290
IRS990/OccupancyGrp/ProgramServicesAmt012974
IRS990/OccupancyGrp/TotalAmt015264
IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt02739
IRS990/OfficeExpensesGrp/ProgramServicesAmt010955
IRS990/OfficeExpensesGrp/TotalAmt013694
IRS990/OfficerMailingAddressInd0true
IRS990/OperateHospitalInd0false
IRS990/Organization501c3Ind0X
IRS990/OrganizationFollowsSFAS117Ind0X
IRS990/OtherAssetsTotalGrp/BOYAmt0318382
IRS990/OtherAssetsTotalGrp/EOYAmt0285948
IRS990/OtherEmployeeBenefitsGrp/FundraisingAmt060
IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt05403
IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt017140
IRS990/OtherEmployeeBenefitsGrp/TotalAmt022603
IRS990/OtherExpensesGrp/Desc0MEDICAL SUPPLIES
IRS990/OtherExpensesGrp/Desc1TELEPHONE
IRS990/OtherExpensesGrp/Desc2LEASED EQUIPMENT & AUTO
IRS990/OtherExpensesGrp/Desc3DURABLE MEDICAL EQUIPMENT
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt01462
IRS990/OtherExpensesGrp/ManagementAndGeneralAmt14390
IRS990/OtherExpensesGrp/ProgramServicesAmt030699
IRS990/OtherExpensesGrp/ProgramServicesAmt113160
IRS990/OtherExpensesGrp/ProgramServicesAmt26584
IRS990/OtherExpensesGrp/ProgramServicesAmt38187
IRS990/OtherExpensesGrp/TotalAmt030699
IRS990/OtherExpensesGrp/TotalAmt114622
IRS990/OtherExpensesGrp/TotalAmt210974
IRS990/OtherExpensesGrp/TotalAmt38187
IRS990/OtherRevenueMiscGrp/Desc0CHANGE IN BENEFICIAL INTEREST
IRS990/OtherRevenueMiscGrp/RelatedOrExemptFuncIncomeAmt0-26056
IRS990/OtherRevenueMiscGrp/TotalRevenueColumnAmt0-26056
IRS990/OtherRevenueTotalAmt0-26056
IRS990/OtherSalariesAndWagesGrp/FundraisingAmt02468
IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt049833
IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt0380745
IRS990/OtherSalariesAndWagesGrp/TotalAmt0433046
IRS990/PartialLiquidationInd0false
IRS990/PayPremiumsPrsnlBnftCntrctInd0false
IRS990/PayrollTaxesGrp/FundraisingAmt0229
IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt06815
IRS990/PayrollTaxesGrp/ProgramServicesAmt038541
IRS990/PayrollTaxesGrp/TotalAmt045585
IRS990/PledgesAndGrantsReceivableGrp/BOYAmt030342
IRS990/PledgesAndGrantsReceivableGrp/EOYAmt024716
IRS990/PoliticalCampaignActyInd0false
IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt03237
IRS990/PrincipalOfficerNm0MIKKI KING
IRS990/ProfessionalFundraisingInd0false
IRS990/ProgramServiceRevenueGrp/Desc0PATIENT FEES - MEDICARE/MEDIC
IRS990/ProgramServiceRevenueGrp/Desc1PATIENT FEES -PRIVATE INSURAN
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt0883949
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt18311
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt0883949
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt18311
IRS990/ProhibitedTaxShelterTransInd0false
IRS990/PYContributionsGrantsAmt0112442
IRS990/PYExcessBenefitTransInd0false
IRS990/PYGrantsAndSimilarPaidAmt0242940
IRS990/PYInvestmentIncomeAmt015811
IRS990/PYOtherExpensesAmt0229490
IRS990/PYOtherRevenueAmt024463
IRS990/PYProgramServiceRevenueAmt01012143
IRS990/PYRevenuesLessExpensesAmt0110124
IRS990/PYSalariesCompEmpBnftPaidAmt0582305
IRS990/PYTotalExpensesAmt01054735
IRS990/PYTotalRevenueAmt01164859
IRS990/QuidProQuoContributionsInd0false
IRS990/RcvFndsToPayPrsnlBnftCntrctInd0false
IRS990/ReconcilationRevenueExpnssAmt0-49661
IRS990/RegularMonitoringEnfrcInd0true
IRS990/RelatedEntityInd0false
IRS990/RelatedOrganizationCtrlEntInd0false
IRS990/ReportInvestmentsOtherSecInd0false
IRS990/ReportLandBuildingEquipmentInd0true
IRS990/ReportOtherAssetsInd0true
IRS990/ReportOtherLiabilitiesInd0false
IRS990/ReportProgramRelatedInvstInd0false
IRS990/SavingsAndTempCashInvstGrp/BOYAmt099803
IRS990/SavingsAndTempCashInvstGrp/EOYAmt093284
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt0OTHER REIMBURSEMENTS 11,002 FUNDRAISING EVENTS 196,030 CHANGE IN VALUE BENEFICIAL INTEREST 9,144
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc0PART II, LINE 10
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearAmt092469
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus1YearAmt0112442
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus2YearsAmt0113908
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus3YearsAmt0112001
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus4YearsAmt0145853
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/TotalAmt0576673
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearAmt07668
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus1YearAmt022259
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus2YearsAmt0180240
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus3YearsAmt0103129
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus4YearsAmt017731
IRS990ScheduleA/GrossInvestmentIncome170Grp/TotalAmt0331027
IRS990ScheduleA/GrossReceiptsRltdActivitiesAmt04524462
IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearAmt015729
IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearMinus1YearAmt024463
IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearMinus2YearsAmt0-6277
IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearMinus3YearsAmt052888
IRS990ScheduleA/OtherIncome170Grp/CurrentTaxYearMinus4YearsAmt0129373
IRS990ScheduleA/OtherIncome170Grp/TotalAmt0216176
IRS990ScheduleA/PublicOrganization170Ind0X
IRS990ScheduleA/PublicSupportCY170Pct00.51310
IRS990ScheduleA/PublicSupportPY170Pct00.49420
IRS990ScheduleA/PublicSupportTotal170Amt0576673
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY170Ind0X
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearAmt092469
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus1YearAmt0112442
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus2YearsAmt0113908
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus3YearsAmt0112001
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus4YearsAmt0145853
IRS990ScheduleA/TotalCalendarYear170Grp/TotalAmt0576673
IRS990ScheduleA/TotalSupportAmt01123876
IRS990ScheduleB/ContributorInformationGrp/ContributorBusinessName/BusinessNameLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorNum0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine20RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/City0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/ZIPCode0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt0RESTRICTED
IRS990/ScheduleBRequiredInd0true
IRS990ScheduleD/EquipmentGrp/BookValueAmt0203280
IRS990ScheduleD/EquipmentGrp/DepreciationAmt0228563
IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt0431843
IRS990ScheduleD/LandGrp/BookValueAmt062360
IRS990ScheduleD/LandGrp/OtherCostOrOtherBasisAmt062360
IRS990ScheduleD/OtherAssetsOrgGrp/BookValueAmt0281968
IRS990ScheduleD/OtherAssetsOrgGrp/BookValueAmt13980
IRS990ScheduleD/OtherAssetsOrgGrp/Desc0BENEFICIAL INTEREST CHARITABLE TRUST
IRS990ScheduleD/OtherAssetsOrgGrp/Desc1CEMETERY PLOTS
IRS990ScheduleD/OtherAssetsOrgGrp/Desc2WORKERS COMP DEPOSIT
IRS990ScheduleD/TotalBookValueLandBuildingsAmt0265640
IRS990ScheduleD/TotalBookValueOtherAssetsAmt0285948
IRS990ScheduleG/FundraisingEventInformationGrp/DirectExpenseSummaryEventsAmt02922
IRS990ScheduleG/FundraisingEventInformationGrp/Event1Nm0FESTIVAL OF TRE
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsEvent1Amt032944
IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsTotalAmt032944
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueEvent1Amt032944
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueTotalEventsAmt032944
IRS990ScheduleG/FundraisingEventInformationGrp/NetIncomeSummaryAmt030022
IRS990ScheduleG/FundraisingEventInformationGrp/OthDirectExpnssTotalEventsAmt02922
IRS990ScheduleG/FundraisingEventInformationGrp/OtherDirectExpensesEvent1Amt02922
IRS990ScheduleI/GrantRecordsMaintainedInd0false
IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/CashGrantAmt0275797
IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/GrantTypeTxt0PATIENT EXPENSES
IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/NonCashAssistanceDesc0PATIENT EXPENSE
IRS990ScheduleI/GrantsOtherAsstToIndivInUSGrp/RecipientCnt0176
IRS990/ScheduleJRequiredInd0false
IRS990/ScheduleORequiredInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0VOLUNTEERS DO A VARIETY OF JOBS INCLUDING THE FOLLOWING: OFFICE HELP, HELP WITH FUNDRAISING EVENTS, STAYING WITH PATIENTS, PROVIDING CURRIER SERVICES, AND MANY OTHERS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1SISTER JANET HAY 200 ST. FRANCIS AVENUE TIFFIN, OH 44883 DAN KONTAK 166 W GREEN MEADOW DRIVE TIFFIN, OH 44883 FR. CHRIS MILESKI 323 N WOOD ST. FOSTORIA , OH 44830 AMY SOMODI 117 GIBSON ST. TIFFIN, OH 44883 BERNIE KIRIAN 99 ASHWOOD DR. TIFFIN, OH 44883 ROBB MACK 236 S WASHINGTON ST. TIFFIN, OH 44883 JEFF LANZER 125 HALL ST. TIFFIN , OH 44883 GENE CHINTALA 347 BENNER ST. TIFFIN, OH 44883 DR. JEREMY MASHBURN 1100 NEAL ZICK RD. WILLARD, OH 44890 NANCY NUSSER 541 N UNION ST. FOSTORIA, OH 44830 STEVE SHULER 161 GREENFIELD ST. TIFFIN, OH 44883 PAM KELBLEY 23400 TWP RD 214 FOSTORIA, OH 44830 GERI HAMMER 38 E CHERRY ST. TIFFIN, OH 44883 BRETT MIGHT 304 N CR 43 REPUBLIC, OH 44867
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2ALL BOARD MEMBERS ARE PROVIDED A COPY BEFORE FILING. THE 990 IS THEN REVIEWED BY THE BOARD OF DIRECTORS AT THEIR MONTHLY MEETING WHICH MAY BE BEFORE OR AFTER FILING DATE.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3ALL ARE REQUIRED TO FILL OUT AND SIGN A FORM YEARLY DISCLOSING ANY CONFLICT
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4THE FINANCE COMMITTEE REVIEWS THE EXECUTIVE DIRECTORS SALARY AND MAKES COMPARISONS WITH OTHER SIMILAR HOSPICES. THE COMMITTEE THEN MAKES A RECOMENDATION TO THE FULL BOARD CONCERNING ANY RAISES. ALL MEETINGS OF THE FINANCE COMMITTEE ARE DOCUMENTED IN WRITING. NO MEMBERS OF THE BOARD OF DIRECTORS ARE COMPENSATED.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5UPON REQUEST
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990, PAGE 1, PART I, LINE 6
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PAGE 6, PART VI, LINE 9
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PAGE 6, PART VI, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PAGE 6, PART VI, LINE 12C
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4FORM 990, PAGE 6, PART VI, LINE 15A
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5FORM 990, PAGE 6, PART VI, LINE 19
IRS990/SchoolOperatingInd0false
IRS990/SignificantChangeInd0false

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Peer Organizations

Similar nonprofits based on the same Siviq industry and scale cohort. 2016 filings • 501(c)3 • $1M-$5M nonprofits