2025-10-31T12:51:47-05:00 2024-12-31 310796034 FLAGEL HUBER FLAGEL 3400 SOUTH DIXIE DRIVE DAYTON OH 45439 990 2024-01-01 743131974 HOSPICE CARE OF MIDDLETOWN INC HOSP 5134242273 4418 LEWIS STREET SUITE B MIDDLETOWN OH 450446183 KEITH CLEMENTS PRESIDENT/CEO 5134242273 2025-10-30 1 1 CHRISTOPHER C MCCASKEY P00183788 9372993400 2024 2025-03-06 01:10:19Z KEITH CLEMENTS 4418 LEWIS STREET SUITE B MIDDLETOWN OH 450446183 5938217 0 X WWW.HOSPICECAREOFMIDDLETOWN.ORG X 2005 OH HOSPICE CARE OF MIDDLETOWN CARES FOR TERMINALLY ILL PATIENTS. THE DAILY AVERAGE NUMBER OF PATIENTS RECEIVING CARE IN 2024 WAS ABOUT 53 PATIENTS PER DAY. 12 12 42 49 0 0 129372 73930 4526012 4895224 171385 941801 8675 9555 4835444 5920510 0 0 0 0 2285882 2405963 0 0 0 2119545 2420747 4405427 4826710 430017 1093800 5457605 6079806 302444 362032 5155161 5717774 HOSPICE CARE OF MIDDLETOWN CARES FOR TERMINALLY ILL PATIENTS. THE DAILY AVERAGE NUMBER OF PATIENTS RECEIVING CARE IN 2024 WAS 53 PATIENTS PER DAY. 0 0 4283684 4895224 HOSPICE CARE OF MIDDLETOWN CARES FOR TERMINALLY ILL PATIENTS. THE DAILY AVERAGE NUMBER OF PATIENTS RECEIVING CARE IN 2024 WAS 53 PATIENTS PER DAY. 4283684 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 24 0 1 42 1 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 OH X X THE ORGANIZATION 5134242273 4418 LEWIS STREET SUITE B MIDDLETOWN OH 450446183 ANNA PRUETT CHAIR 1.00 X X 0 0 0 BETSY ROSSI TREASURER 1.00 X X 0 0 0 SARAH KAUP TRUSTEE 1.00 X 0 0 0 RAY KIEFHABER SECRETARY 1.00 X X 0 0 0 KENT BRADSHAW VICE CHAIR 1.00 X X 0 0 0 CHUCK INWOOD TRUSTEE 1.00 X 0 0 0 JOE MULLIGAN TRUSTEE 1.00 X 0 0 0 JON SULENTIC TRUSTEE 1.00 X 0 0 0 MIKE SCORTI TRUSTEE 1.00 X 0 0 0 VERLENA STEWART TRUSTEE 1.00 X 0 0 0 CHRISTOPHER MACK TRUSTEE 1.00 X 0 0 0 WILLIAM BROCK TRUSTEE 1.00 X 0 0 0 KEITH CLEMENTS PRESIDENT/CEO 40.00 X 94463 0 4365 94463 0 4365 0 0 0 0 OPTUM HOSPICE PHARMACY SERVICES LLC PO BOX 847222 LOS ANGELES CA 90084 PHARMACEUTICAL SUPPLIER 136738 PATRIOT MEDICAL 651 BEAR RUN LANE LEWIS CENTER OH 43035 SUPPLIER OF DURABLE MEDICAL EQUIPMENT 113255 2 10000 63930 73930 PATIENT SERVICES--MEDI 624100 4881165 4881165 PATIENT SERVICES--PRIV 624100 14059 14059 4895224 116874 116874 824927 0 824927 824927 824927 27262 10000 17707 9555 9555 5920510 4895224 0 951356 94463 37785 56678 1878949 1646750 232199 269275 217886 51389 163276 140629 22647 88333 88333 21853 21853 135837 77942 57895 43632 43632 18403 18403 49422 44717 4705 40885 34900 5985 68694 63528 5166 8479 4879 3600 11365 9701 1664 14421 14421 PATIENT ROOM CHARGES 1527433 1527433 MEDICAL SUPPLIES 215611 215611 EQUIPMENT RENTAL AND MA 114572 114572 MISCELLANEOUS 51238 49996 1242 10569 9022 1547 4826710 4283684 543026 0 100109 64087 190415 295237 942809 1143525 144514 107495 39700 37019 4173065 4523235 11507 16703 5457605 6079806 302444 362032 302444 362032 X 5146881 5708994 8280 8780 5155161 5717774 5457605 6079806 1093800 -531187 0 X 0 0 0 X 158473 78093 240259 129372 73930 680127 158473 78093 240259 129372 73930 680127 680127 52163 97397 67420 109011 116874 442865 12148 3962 3930 7175 9555 36770 1159762 19961240 0.58640 0.61480 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: FUNDRAISING - 2020 AMOUNT: $ 12,148. 2021 AMOUNT: $ 3,962. 2022 AMOUNT: $ 3,930. 2023 AMOUNT: $ 7,175. 2024 AMOUNT: $ 9,555. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 144514 107495 37019 37019 5407030 -531187 17707 -513480 5920510 0 5920510 4844417 17707 17707 4826710 0 4826710 PART XI, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENTS COSTS RECLASSIFIED ON FORM 990 PART XII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENTS COSTS RECLASSIFIED ON FORM 990 MOTHER'S DAY WALK/RUN 24357 5000 19357 15122 SEASON TO REMEMBER 12905 5000 7905 2585 0 37262 10000 27262 17707 17707 9555 FORM 990, PART VI, SECTION B, LINE 11B THE ENTIRE BOARD REVIEWS FORM 990 PRIOR TO ITS FILING. FORM 990, PART VI, SECTION B, LINE 12C A DISCLOSURE FORM MUST BE SIGNED ANNUALLY AND THE BOARD REVIEWS NEW SITUATIONS IN LIGHT OF THE CONFLICT OF INTEREST POLICY. FORM 990, PART VI, SECTION B, LINE 15A THE BOARD REVIEWS AND DETERMINES THE COMPENSATION PACKAGE. THE BOARD USES COMPARABILITY DATA. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION HAS ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS, AND TAX RETURNS AVAILABLE FOR PUBLIC INSPECTION UPON THE REQUEST OF THIS INFORMATION.