SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
Open to Public
Inspection
Name of the organization
HOSPICE OF NORTHWEST OHIO
 
Employer identification number

34-1283188
Return Reference Explanation
FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS REVIEWED WITH BOARD MEMBERS. THE BOARD APPROVED FILING THE 990 WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12C IF A TRANSACTION INVOLVES A CONFLICT OF INTEREST, A BOARD MEMBER MAY DISCLOSE ANY KNOWN SIGNIFICANT REASONS WHY THE TRANSACTION MIGHT NOT BE IN THE BEST INTERESTS OF THE AGENCY. HOWEVER, THE BOARD MEMBER SHALL NOT PARTICIPATE IN DISCUSSION UNLESS REQUESTED TO DO SO, NOR VOTE ON THE TRANSACTION. HIS/HER ABSTENTION AND THE REASON FOR IT SHALL BE RECORDED IN THE MINUTES.
FORM 990, PART VI, SECTION B, LINE 15 MARKET DATA INCLUDED IN REGIONAL AND NATIONAL SALARY SURVEYS IS UTILIZED TO ESTABLISH SALARY RANGES. RANGES ARE RECOMMENDED BY HUMAN RESOURCES AND APPROVED BY THE PERSONNEL COMMITTEE AND THE BOARD.
FORM 990, PART VI, SECTION C, LINE 18 DOCUMENTS FOR PUBLIC INSPECTION ARE AVAILABLE ONLINE THROUGH GUIDESTAR AND BY REQUEST.
FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND AUDITED FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART VII CONTACT ADDRESSES FOR OFFICERS, DIRECTORS, ETC DAVID SCHLAUDECKER - 6612 REGENTS PARK BOULEVARD, TOLEDO, OH 43615. ANN BAKER - 3933 DEER VALLEY LANE, MAUMEE, OH 43537. LINDA HILLSTROM - 2649 EDGEHILL ROAD, OTTAWA HILLS, OH 43615. SR. ANN CARMEN BARONE - 5111 FRANCISCAN BOULEVARD, SYLVANIA, OH 43560. GARY L BYERS - 224 EAST HARRISON STREET, MAUMEE, OH 43537. BECCA GORMAN - 4215 RIVER ROAD, TOLEDO, OH 43614. BARBARA EIKOST - 9878 FORD ROAD, PERRYSBURG, OH 43551. DIANA FRENCH - 304 N. RIVER ROAD, WATERVILLE, OH 43566. SUSAN MORGAN - 7955 QUARRY ROAD, MAUMEE, OH 43537. KEITH WALKER - 5055 HIGHPOINT DRIVE, TOLEDO, OH 43615. ANTHONY R. CLARK - 444 EAST FRONT STREET, PERRYSBURG, OH 43551. JAMES HOLZEMER - 4355 NORTH WATERCREST DRIVE, TOLEDO, OH 43614. KAY RASMUS - 6548 CARRIETOWNE COURT, TOLEDO, OH 43615. BRADLEY L. BLANDIN - FOUR SEAGATE, NORTH FL., TOLEDO, OH 43604. MARY LOUISE BOWE - 28589 EAST RIVER ROAD, PERRYSBURG, OH 43551. LORRIE A. ELCHERT - 29200 PEMBERVILLE ROAD, MILLBURY, OH 43447. WILLIAM P. JENKS - 1662 CREEK RUN DRIVE, TOLEDO, OH 43614. CYNTHIA RERUCHA - 1000 JACKSON ST, TOLEDO, OH 43604.
PART XII, LINE 2C EXPLANATION: THERE HAS BEEN NO CHANGE FROM THE PRIOR YEAR.
FORM 990, PART I, LINE 6: WE HAVE A LARGE GROUP OF VERY ACTIVE VOLUNTEERS AND WE MAINTAIN A DATABASE OF VOLUNTEER INFORMATION. TO COMPLY WITH MEDICARE CONDITIONS OF PARTICIPATION, 5% OF OUR PROGRAM SERVICE HOURS MUST BE PROVIDED BY VOLUNTEERS.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2018


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