2025-09-22T10:18:53-05:00 2024-12-31 331498605 PLANTE & MORAN PLLC 250 S HIGH ST SUITE 100 COLUMBUS OH 43215 990 2024-01-01 463215586 OHIO'S HOSPICE INC OHIO 9372564490 7575 PARAGON ROAD DAYTON OH 45459 ROBERT MORRIS CFO 9372564490 2025-09-18 1 1 AMY CIMINELLO P00796388 6148493000 2025-09-01 2024 2025-03-06 01:10:19Z ROBERT MORRIS 7575 PARAGON ROAD DAYTON OH 45459 26138036 0 X N/A X 2013 OH SUPPORT THE TAX-EXEMPT PURPOSES OF AFFILIATED HOSPICE CARE PROVIDERS. 13 13 123 14 0 0 0 0 23266347 26084169 -519 35115 46876 18752 23312704 26138036 0 25000 0 0 16892572 19640650 0 0 0 6404589 6437290 23297161 26102940 15543 35096 27019776 27372100 29026397 29407365 -2006621 -2035265 TO BENEFIT AND SUPPORT AFFILIATED TAX-EXEMPT ORGANIZATIONS THAT ACCEPT OHIO'S HOSPICE, INC. AS THEIR SOLE MEMBER IN ORDER TO PROVIDE QUALITY HOSPICE SERVICES, PALLIATIVE CARE, AND RELATED PROGRAMS. 0 0 8376634 25000 26084169 TO SUPPORT, BENEFIT, AND CARRY OUT THE TAX-EXEMPT PURPOSES OF THE HOSPICE OF DAYTON, HOSPICE OF CENTRAL OHIO, HOSPICE OF MIAMI COUNTY, HOSPICE OF FAYETTE COUNTY, LOVING CARE HOSPICE, OHI HOSPICE, INC., AND LIFECARE HOSPICE, AND THE TAX-EXEMPT PURPOSE OF OTHER ORGANIZATIONS THAT PROMOTE AND PROVIDE HOSPICE AND PALLIATIVE CARE PROGRAMS. 8376634 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 490 0 1 123 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 1 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X ROBERT MORRIS 9372569507 7575 PARAGON RD DAYTON OH 45459 TONI SPRINKEL SECRETARY 2.00 14.00 X X 0 0 0 GENE THORN TREASURER 2.00 14.00 X X 0 0 0 GARY LEROY VICE CHAIR 2.00 14.00 X X 0 0 0 PETE HALEY CHAIR 2.00 16.00 X X 0 0 0 DOUG HELMAN BOARD MEMBER - PART YEAR 2.00 14.00 X 0 0 0 MICHAEL BOLAND BOARD MEMBER 2.00 16.00 X 0 0 0 PAM GERBER BOARD MEMBER 2.00 14.00 X 0 0 0 CHARLES BANE MD BOARD MEMBER 2.00 14.00 X 0 0 0 DAVID REYNOLDS MD BOARD MEMBER 2.00 14.00 X 0 0 0 KEVIN BLACK BOARD MEMBER 2.00 14.00 X 0 0 0 KEVIN HARLAN BOARD MEMBER 2.00 14.00 X 0 0 0 KIMBERLY MORRISON BOARD MEMBER 2.00 14.00 X 0 0 0 MARY JUSTICE BOARD MEMBER 2.00 14.00 X 0 0 0 THOMAS MANN BOARD MEMBER 2.00 16.00 X 0 0 0 KENT ANDERSON CHIEF EXECUTIVE OFFICER 42.00 18.00 X 600653 0 59881 ROBERT MORRIS CHIEF FINANCIAL OFFICER 42.00 18.00 X 383933 0 53196 LISA A MAURER CHIEF MEDICAL OFFICER 40.00 0.00 X 359640 0 71332 GAIL J STOKES EXECUTIVE REGIONAL VP 40.00 0.00 X 290957 0 52821 EDWARD RUFF CHIEF INFORMATION OFFICER 40.00 0.00 X 263007 0 49838 YVONNE MARIE TURNER SR. REGIONAL VP OF CLINICAL CARE 40.00 0.00 X 225932 0 41164 NORMAN MAST REGIONAL VICE PRESIDENT 40.00 0.00 X 223045 0 36170 ALYCE J CLARK CHIEF HUMAN RESOURCES OFFICER 40.00 0.00 X 222854 0 37456 KRISTY TOCKNELL SENIOR VP CLINICAL EXCELLENCE 20.00 20.00 X 219432 0 35404 CAREY SHORT VP OF CCC & PALLIATIVE CARE 40.00 0.00 X 195234 0 40993 ROXANNE M LANG VICE PRESIDENT OF FINANCE 40.00 0.00 X 192851 0 13788 JEFFREY W LYCAN PRESIDENT OF NCH - PART YEAR 40.00 0.00 X 159936 0 7002 ELIZABETH HELKE SENIOR VP OPERATIONAL EXCELLENCE 40.00 0.00 X 187557 0 55774 REBECCA SHAEFER BLEDSOE DIR. OF PHARMACY CARE & MISSION 40.00 0.00 X 197766 0 37982 TRECHIA E GROSS SR. DIR. OF MISSION EXCELLENCE 40.00 0.00 X 162248 0 22230 MICHAEL GRIESEN SR. DIR. OF FACILITIES/CARE TECH 40.00 0.00 X 154375 0 44065 JULIE WICKLINE SR. DIR. OF EDUCATION/STAFF DEVELOP. 40.00 0.00 X 154472 0 7702 MELISSA BAUER DIR. OF MISSION/BUSINESS INTEL 40.00 0.00 X 139110 0 48855 4333002 0 715653 37 0 1 0 MEDLINE HOD PHD 1398957 PO BOX 382075 PITTSBURGH PA 152518075 MEDICAL SERVICES 1849569 UNITED CHURCH HOMES INC 3218 INDIAN RIPPLE RD BEAVERCREEK OH 45440 HOUSING SERVICES 1228734 ARLINGTON CARE CENTER 98 SOUTH 30TH ST NEWARK OH 43055 HOUSING SERVICES 1026735 VANCREST OF EATON 1600 PARK AVE EATON OH 45320 HOUSING SERVICES 998949 KOESTER PAVILLION 3232 NORTH COUNTY RD 25A TROY OH 45373 HOUSING SERVICES 731305 107 MANAGEMENT SERVICES 624100 26084169 26084169 26084169 35115 35115 RESPONSIVE CARE SOLUTIONS 900099 18752 18752 18752 26138036 26084169 0 53867 25000 25000 4079852 4079852 11938581 6439082 5499499 625277 261038 364239 1906966 987415 919551 1089974 461765 628209 165203 165203 124454 124454 498511 8756 489755 662 662 256658 7659 248999 1609920 75803 1534117 535346 33592 501754 154419 19781 134638 169141 26394 142747 693623 693623 1633007 20860 1612147 DUES & SUBSCRIPTIONS 516472 3697 512775 EQUIPMENT RENTAL 74082 74082 PATIENT SERVICES 5792 5792 26102940 8376634 17726306 0 3447252 3868739 750 1130479 1130479 215586 198162 737405 562859 26328022 5218428 22550961 21109594 1299602 883818 240000 -3022996 39186 27019776 27372100 6170975 7842889 10473128 10187113 7137806 6844155 5244488 4533208 29026397 29407365 X -2006621 -2035265 -2006621 -2035265 27019776 27372100 X 35096 -450000 386260 X X 0 1 X 1 0 X X X 8 THE HOSPICE OF DAYTON INC 310933339 10 1 0 0 HOSPICE OF MIAMI COUNTY INC 311031277 7 1 0 0 OHI HOSPICE INC 371495725 7 1 0 0 HOSPICE OF CENTRAL OHIO 311059756 10 1 0 0 LIFECARE HOSPICE 341352875 7 1 0 0 LOVING CARE HOSPICE INC 311370625 10 1 0 0 HOSPICE OF FAYETTE COUNTY 311243376 7 1 0 0 HOSPICE OF TUSCARAWAS COUNTY INC 341522329 7 1 0 0 8 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 X 1 1 PART I, LINE G OHIO'S HOSPICE, INC. SUPPORTS ITS SUPPORTED ORGANIZATIONS BY PROVIDING MANAGERIAL AND EXECUTIVE SUPPORT. ACTUAL SUPPORT PROVIDED TO THE SUPPORTING ORGANIZATIONS COMES FROM OHIO'S HOSPICE FOUNDATION, A RELATED TAX-EXEMPT FOUNDATION. SCHEDULE A, PART IV, SECTION D, LINE 1: OHIO'S HOSPICE INC. AND THEIR SUPPORTED ORGANIZATIONS ARE ALL OPERATING UNDER THE SAME MANAGEMENT TEAM. SCHEDULE A, PART IV, SECTION D, LINE 3: THE OHIO'S HOSPICE BOARD OF DIRECTORS IS COMPRISED OF MEMBERS OF THE SEPARATE REGIONAL ADVISORY BOARDS, WHICH REPRESENT THE LOCAL COMMUNITIES IN WHICH EACH AFFILIATE OPERATES. THE FINANCE COMMITTEE, A SUBCOMMITTEE OF THE OHI BOARD OF DIRECTORS, IS CHARGED WITH FIDUCIARY OVERSIGHT OF THE ORGANIZATION AND REPORTS TO THE FULL BOARD OF DIRECTORS. THE INVESTMENT COMMITTEE IS GOVERNED BY THE OHIO'S HOSPICE FOUNDATION BOARD OF DIRECTORS. SCHEDULE A, PART IV, SECTION E, LINE 3A: EACH OF THESE ENTITIES HAVE ONE MEMBER, OHIO'S HOSPICE INC (OHI), THAT IS ALSO A RELATED TAX-EXEMPT ORGANIZATION. THE SOLE MEMBER HAS AUTHORITY OVER THE FOLLOWING: 1. GENERAL OPERATIONAL ACTIVITIES AND MANAGEMENT DECISIONS 2. STRATEGIC PLANNING 3. CAPITAL EXPENDITURES AND OPERATING BUDGETS 4. BUSINESS PLANS 5. TECHNOLOGY 6. PROGRAM DEVELOPMENT 7. MANAGED CARE/PAYOR RELATIONSHIPS AND CONTRACTING 8. DEBT INCURRENCE 9. NEW OR EXPANDED AFFILIATIONS 10. SALE OR DISPOSAL OF ASSETS 11. AUTHORIZATION OF ALL CONTRACTS 12. REGULATORY COMPLIANCE 13. ORGANIZATIONAL DOCUMENTS (I.E, ARTICLES OF INCORPORATION AND CODE OF REGULATIONS) SCHEDULE A, PART IV, SECTION E, LINE 3B: SEE NARRATIVE FOR SCHEDULE A, PART IV, SECTION E, LINE 3A. 754000 754000 18034377 1973413 16060964 6907144 3182355 3724789 632501 62660 569841 21109594 LEASE LIABILITY 39077 RELATED PARTY PAYABLE 3610313 RETIREMENT PLAN LIABILITY 883818 4533208 1 UNITED CHURCH HOMES-ADVANCEMENT 170 E CENTER ST MARION OH 43302 344429276 501(C)(3) 25000 0 N/A N/A GENERAL SUPPORT 1 0 PART I, LINE 2: THE GRANT WRITER WORKS WITH THE DIRECTOR OF DEVELOPMENT OPERATIONS TO ENSURE ANY GRANT FUNDING IS CODED FOR ITS SPECIFIC PURPOSE WHEN IT IS PLEDGED AND/OR DEPOSITED. THE DIRECTOR OF DEVELOPMENT OPERATIONS AND HER TEAM MAINTAINS OUR DEVELOPMENT DATABASE, BLACKBAUD RAISER'S EDGE, TO TRACK ALL GIFTS, DONATIONS AND GRANTS. THE DIRECTOR OF DEVELOPMENT OPERATIONS WILL ALSO COMMUNICATE WITH FINANCE TO RECONCILE ALL GIFTS TO ENSURE ACCURACY BETWEEN BOTH DEPARTMENTS. IF THE GRANT IS FOR THE PURCHASE OF SPECIFIC ITEMS LIKE SUPPLIES OR EQUIPMENT (A RESTRICTED GRANT), THE GRANT WRITER WILL AGAIN COMMUNICATE WITH THE DIR. OF DEV. OPERATIONS TO ENSURE THE GIFT IS CODED ACCORDINGLY. THE GRANT WRITER WILL ALSO COMMUNICATE WITH THE PROGRAM, CLINICAL, OR FACILITY DIRECTORS TO ALERT THEM TO THE GRANT AWARD AND TO REMIND THEM IT IS TO BE USED FOR A SPECIFIC PURPOSE THAT THEY REQUESTED. THE GRANT WRITER WILL ALSO COMMUNICATE WITH THE ORGANIZATION'S STAFF ACCOUNTANT AND (IF NEEDED) THE VP OF PURCHASING, TO ENSURE THAT THE PURCHASE WILL USE RESTRICTED GRANT FUNDS. ONCE THE PURCHASE IS MADE THE VP OF PURCHASING AND/OR ACCOUNTS PAYABLE WILL SEND INVOICES TO THE GRANT WRITER. THESE ARE SHARED WITH THE STAFF ACCOUNTANT WHO WILL RELEASE THE FUNDS FROM THE RESTRICTED GRANT ACCOUNTS. TO CLOSE OUT A GRANT, IF NEEDED, THE GRANT WRITER WILL COMMUNICATE WITH THE DIRECTOR OF FINANCIAL REPORTING TO GAIN ACCESS TO FINANCIAL REPORTS OF EXPENSES INCURRED BY THE ORGANIZATION'S PROGRAMS. THE GRANT WRITER WILL ALSO ATTACH INVOICES OR RECEIPTS TO GRANT REPORTS IF NEEDED. IF THERE IS A POTENTIAL CHANGE IN THE USE OF FUNDS OR A CHANGE IN THE AMOUNT NEEDED AS A GRANT PROJECT PROGRESSES, THE GRANT WRITER WILL COMMUNICATE THAT CHANGE TO THE FUNDER'S EXECUTIVE DIRECTOR OR PROGRAM OFFICER TO SEEK FURTHER GUIDANCE. X 1 0 0 0 0 0 0 1 0 KENT ANDERSON CHIEF EXECUTIVE OFFICER 468653 0 132000 0 0 0 28750 0 31131 0 660534 0 0 0 ROBERT MORRIS CHIEF FINANCIAL OFFICER 307854 0 76079 0 0 0 18965 0 34231 0 437129 0 0 0 LISA A MAURER CHIEF MEDICAL OFFICER 289777 0 69863 0 0 0 27952 0 43380 0 430972 0 0 0 GAIL J STOKES EXECUTIVE REGIONAL VP 235067 0 55890 0 0 0 26470 0 26351 0 343778 0 0 0 EDWARD RUFF CHIEF INFORMATION OFFICER 213097 0 49910 0 0 0 19331 0 30507 0 312845 0 0 0 YVONNE MARIE TURNER SR. REGIONAL VP OF CLINICAL CARE 189603 0 36329 0 0 0 10913 0 30251 0 267096 0 0 0 ALYCE J CLARK CHIEF HUMAN RESOURCES OFFICER 178608 0 44246 0 0 0 8919 0 28537 0 260310 0 0 0 NORMAN MAST REGIONAL VICE PRESIDENT 188793 0 34252 0 0 0 11052 0 25118 0 259215 0 0 0 KRISTY TOCKNELL SENIOR VP CLINICAL EXCELLENCE 177514 0 41918 0 0 0 20492 0 14912 0 254836 0 0 0 ELIZABETH HELKE SENIOR VP OPERATIONAL EXCELLENCE 150297 0 37260 0 0 0 21459 0 34315 0 243331 0 0 0 CAREY SHORT VP OF CCC & PALLIATIVE CARE 164274 0 30960 0 0 0 13086 0 27907 0 236227 0 0 0 REBECCA SHAEFER BLEDSOE DIR. OF PHARMACY CARE & MISSION 174013 0 23753 0 0 0 9046 0 28936 0 235748 0 0 0 ROXANNE M LANG VICE PRESIDENT OF FINANCE 162964 0 29887 0 0 0 12520 0 1268 0 206639 0 0 0 MICHAEL GRIESEN SR. DIR. OF FACILITIES/CARE TECH 134387 0 19988 0 0 0 7529 0 36536 0 198440 0 0 0 MELISSA BAUER DIR. OF MISSION/BUSINESS INTEL 118964 0 20146 0 0 0 7500 0 41355 0 187965 0 0 0 TRECHIA E GROSS SR. DIR. OF MISSION EXCELLENCE 136466 0 25782 0 0 0 8368 0 13862 0 184478 0 0 0 JEFFREY W LYCAN PRESIDENT OF NCH - PART YEAR 159936 0 0 0 0 0 5101 0 1901 0 166938 0 0 0 JULIE WICKLINE SR. DIR. OF EDUCATION/STAFF DEVELOP. 134386 0 20086 0 0 0 7702 0 0 0 162174 0 0 0 PART I, LINE 4A JEFFREY LYCAN RECEIVED SEVERANCE OF $45,459. 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. A COUNTY OF MONTGOMERY OHIO 316000172 2020-04-23 3822694 SEE PART VI 0 0 0 B COUNTY OF MONTGOMERY OHIO 316000172 2021-08-31 12350000 SEE PART VI 0 0 0 A 315915 3822694 45694 3777000 2022 0 1 1 1 B 731268 12350113 247000 12103117 2022 0 0 1 1 A 0 0 0 0 0.00000 0.00000 0.00000 1 0 1 B 0 0 0 0 0.00000 0.00000 0.00000 1 0 1 A 0 0 0 1 1 0 0 0 1 B 0 0 0 1 1 0 0 0 1 A 1 B 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: COUNTY OF MONTGOMERY, OHIO DATE THE REBATE COMPUTATION WAS PERFORMED: 11/06/2023 ISSUER NAME: COUNTY OF MONTGOMERY, OHIO DATE THE REBATE COMPUTATION WAS PERFORMED: 11/06/2023 PART I, LINE A, (F), COLUMN A THE PROCEEDS OF THE SERIES 2020 BONDS WERE USED TO REFINANCE CERTAIN TAXABLE INDEBTEDNESS THAT WAS USED TO FINANCE THE ACQUISITION, CONSTRUCTION, IMPROVEMENT, RENOVATION AND/OR EQUIPPING OF THE CORPORATION'S CORPORATE HEADQUARTERS. PART I AND II, COLUMN A THE SERIES 2020 BONDS WERE ISSUED FOR THE BENEFIT OF OHIO'S HOSPICE, INC., THE HOSPICE OF DAYTON, INCORPORATED, PURE HEALTHCARE, LLC (A DISREGARDED ENTITY OF THE HOSPICE OF DAYTON, INC.), HOSPICE OF MIAMI COUNTY, INC. AND LIFECARE HOSPICE. ONLY A PORTION OF THE PROCEEDS OF THE SERIES 2020 BONDS ARE ALLOCABLE TO OHIO'S HOSPICE INC. AND THE AMOUNTS IN PART I AND PART II LINES 1-15 REFLECT SUCH ALLOCATION. THE PORTION OF THE SERIES 2020 BONDS ALLOCABLE TO THE OTHER ENTITIES IS BEING REPORTED ON SCHEDULE K TO EACH OTHER ENTITY'S FORM 990. PART II, LINE 3, COLUMN B THE AMOUNT OF PROCEEDS OF THE ISSUE DIFFERS FROM THE ISSUE PRICE OF THE ISSUE AS A RESULT OF $117.42 OF INTEREST EARNINGS ON THE INVESTMENT OF BOND PROCEEDS. PART I, LINE B, COLUMN B: THE PROCEEDS OF THE 2021 BONDS WERE TO FINANCE THE ACQUISITION, CONSTRUCTION, IMPROVEMENT AND/OR EQUIPPING OF THE CORPORATION'S CORPORATE HEADQUARTERS. PART I AND II, COLUMN B: THE SERIES 2021 BONDS WERE ISSUED FOR THE BENEFIT OF OHIO'S HOSPICE, INC. FORM 990, PART VI, SECTION A, LINE 4 ON JANUARY 1, 2024, OHIO'S HOSPICE, INC ACQUIRED HOSPICE OF TUSCARAWAS COUNTY ("HOTC") AND BECAME ITS SOLE MEMBER, ASSUMING FULL OPERATING CONTROL. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS PREPARED BY AN OUTSIDE ACCOUNTING FIRM AND REVIEWED BY THE CFO PRIOR TO BEING FILED WITH THE INTERNAL REVENUE SERVICE. THE FORM 990 IS SENT VIA EMAIL TO THE FULL BOARD AND WILL BE REVIEWED IN SESSION BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS AT THEIR NEXT MEETING. FORM 990, PART VI, SECTION B, LINE 12C IN THE EVENT ANY DIRECTOR, OFFICER OR EXECUTIVE OF THE ORGANIZATION SHALL HAVE ANY DIRECT OR INDIRECT INTEREST IN OR RELATIONSHIP WITH ANY INDIVIDUAL OR ORGANIZATION THAT PROPOSES TO ENTER INTO ANY TRANSACTION WITH THE ORGANIZATION FOR THE SALE, PURCHASE, LEASE OR RENTAL OF PROPERTY OR TO RENDER OR EMPLOY SERVICES, PERSONAL OR OTHERWISE, SUCH DIRECTOR, OFFICER OR EXECUTIVE SHALL FORTHWITH GIVE THE BOARD OF DIRECTORS, CHAIR OF THE BOARD OR PRESIDENT OF THE ORGANIZATION NOTICE OF SUCH INTEREST OR RELATIONSHIP AND SHALL THEREAFTER NOT BE COUNTED FOR THE PURPOSE OF DETERMINING A QUORUM AND SHALL REFRAIN FROM VOTING OR OTHERWISE ATTEMPTING TO AFFECT ITS DECISION TO PARTICIPATE IN SUCH TRANSACTION. IN THE EVENT THAT A CHALLENGE OR QUESTION IS RAISED WHETHER CONFLICT OR DUALITY OF INTEREST EXISTS, THE BOARD OR CHAIR OF THE BOARD OF THE ORGANIZATION SHALL DETERMINE THAT A DUALITY OF INTEREST EXISTS (BY A 2/3 VOTE OF THE BODY). MINUTES OF APPROPRIATE MEETINGS SHOULD REFLECT THAT SUCH DISCLOSURE WAS MADE, AND THAT SUCH DIRECTOR REMOVED HIMSELF/HERSELF FROM THE ROOM AND DID NOT PARTICIPATE IN THE FINAL DISCUSSION, AND WAS NOT COUNTED FOR THE PURPOSE OF DETERMINING A QUORUM.THE CONFLICT OF INTEREST STATEMENT SHALL BE REVIEWED ANNUALLY FOR THE INFORMATION AND GUIDANCE OF DIRECTORS, OFFICERS OR EXECUTIVES AND THAT ANY NEW DIRECTORS, OFFICERS OR EXECUTIVES BE ADVISED OF THE POLICY UPON UNDERTAKING THE DUTIES OF SUCH OFFICE. FORM 990, PART VI, SECTION B, LINE 15 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. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST. FORM 990, PART XI, LINE 9: GAIN ON MINORITY MEMBER DISSOLUTION 386,260. FORM 990, PART XII, LINE 2C: OHI'S FINANCE COMMITTEE HAS RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE CONSOLIDATED FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. OHI HOSPICE INC 7575 PARAGON ROAD DAYTON OH 45459 371495725 TO PROVIDE HOSPICE CARE OH 501(C)(3) LINE 7 OHIO'S HOSPICE INC 1 HOSPICE OF CENTRAL OHIO 2269 CHERRY VALLEY ROAD NEWARK OH 43055 311059756 TO PROVIDE HOSPICE CARE OH 501(C)(3) LINE 10 OHIO'S HOSPICE INC 1 OHIO'S HOSPICE FOUNDATION 7575 PARAGON ROAD DAYTON OH 45459 311769696 TO PROVIDE FINANCIAL SUPPORT TO ITS PARENT, OHIO'S HOSPICE, INC. OH 501(C)(3) LINE 7 OHIO'S HOSPICE INC 1 HOSPICE OF DAYTON INC 324 WILMINGTON AVENUE DAYTON OH 45420 310933339 TO PROVIDE HOSPICE CARE OH 501(C)(3) LINE 10 OHIO'S HOSPICE INC 1 HOSPICE OF MIAMI COUNTY INC 3230 N COUNTY RD 25A TROY OH 45373 311031277 TO PROVIDE HOSPICE CARE OH 501(C)(3) LINE 7 OHIO'S HOSPICE INC 1 LIFECARE HOSPICE 1900 AKRON ROAD WOOSTER OH 44691 341352875 TO PROVIDE HOSPICE CARE OH 501(C)(3) LINE 7 OHIO'S HOSPICE INC 1 LOVING CARE HOSPICE 779 LONDON AVENUE MARYSVILLE OH 43040 311370625 TO PROVIDE HOSPICE CARE OH 501(C)(3) LINE 10 OHIO'S HOSPICE INC 1 HOSPICE OF FAYETTE COUNTY 222 N OAKLAND AVE WASHINGTON COURTHOUSE OH 43160 311243376 TO PROVIDE HOSPICE CARE OH 501(C)(3) LINE 7 OHIO'S HOSPICE INC 1 HOSPICE OF TUSCARAWAS COUNTY INC 716 COMMERCIAL AVENUE SW NEW PHILADELPHIA OH 44663 341522329 TO PROVIDE HOSPICE CARE OH 501(C)(3) LINE 7 OHIO'S HOSPICE INC 1 NATIONAL HOSPICE COOPERATIVE 7575 PARAGON ROAD DAYTON OH 45459 832087147 BUSINESS SUPPORT OH OHIO'S HOSPICE INC C -35184 5727 1.00000 1 CENTRAL OHIO GERIATRICS 7575 PARAGON ROAD DAYTON OH 45459 264273198 PHYSICIAN OFFICE OH N/A S 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 1 1 1 HOSPICE OF DAYTON INC L 15210528 CASH VALUE LIFECARE HOSPICE L 4943898 CASH VALUE HOSPICE OF CENTRAL OHIO CORPORATION L 4335125 CASH VALUE HOSPICE OF MIAMI COUNTY L 1013548 CASH VALUE HOSPICE OF FAYETTE COUNTY L 413062 CASH VALUE OHI HOSPICE INC L 163756 CASH VALUE