HOSPICE OF CENTRAL IOWA: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- HOSPICE OF CENTRAL IOWA (EIN 42-1093718)
- Tax period
- 2012-07-01 to 2013-06-30
- Filed
- 2014-04-15
- IRS object ID
- 201401059349301210
- Schema version
- 2012v2.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule I
- Schedule J
- Schedule L
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-04-15T19:00:08-05:00 | Timestamp |
| Tax Period End Date | 2013-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CROWE HORWATH LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 70 West Madison Street | AddressLine1 |
| Address Line2 | Suite 700 | AddressLine2 |
| City | Chicago | City |
| State | IL | State |
| ZIP Code | 606024903 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 421093718 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOSPICE OF CENTRAL IOWA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | HOSP | NameControl |
| Phone | 5152743400 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2910 Westown Parkway | AddressLine1 |
| City | West Des Moines | City |
| State | IA | State |
| ZIP Code | 502661332 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | NORENE MOSTKOFF | Name |
| Title | PRESIDENT AND CEO | Title |
| Date Signed | 2014-04-09 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Nicole Bencik | Name |
| PTIN | P00756195 | PTIN |
| Phone | 3128997000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HCI CARE SERVICES | BusinessNameLine1 |
Name Of Principal Officer Business NameOfPrincipalOfficerBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORENE MOSTKOFF | BusinessNameLine1 |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2910 Westown Parkway | AddressLine1 |
| City | West Des Moines | City |
| State | IA | State |
| ZIP Code | 502661332 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 20121586 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.HOSPICEOFCENTRALIOWA.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1978 | YearFormation |
| State Legal Domicile | IA | StateLegalDomicile |
| Activity Or Mission Description | HCI CARE SERVICES' MISSION IS "PROMOTING DIGNITY, INDEPENDENCE AND QUALITY OF LIFE THROUGH COMPASSIONATE AND EFFECTIVE COMMUNITY BASED CARE." DURING THE YEAR ENDED JUNE 30, 2013, HCI CARE SERVICES PROVIDED CHARITY CARE VALUED AT $371,600 TO PATIENTS WHO ARE UNABLE TO PAY FOR THE COST OF THEIR CARE. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 18 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 18 | NbrIndependentVotingMembers |
| Total Nbr Employees | 316 | TotalNbrEmployees |
| Total Nbr Volunteers | 640 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1099225 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1120124 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 19140361 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 17166087 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 310733 | InvestmentIncomePriorYear |
| Investment Income Current Year | 323471 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 278864 | OtherRevenuePriorYear |
| Other Revenue Current Year | 392117 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 20829183 | TotalRevenuePriorYear |
| Total Revenue Current Year | 19001799 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 22423 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 385067 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 12450322 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 11642532 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 54877 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 8579345 | OtherExpensePriorYear |
| Other Expenses Current Year | 8010715 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 21052090 | TotalExpensesPriorYear |
| Total Expenses Current Year | 20038314 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -222907 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -1036515 | RevenuesLessExpensesCY |
| Total Assets BOY | 22568057 | TotalAssetsBOY |
| Total Assets EOY | 22945392 | TotalAssetsEOY |
| Total Liabilities BOY | 2905354 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 3652533 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 19662703 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 19292859 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | HCI CARE SERVICES PROVIDES END-OF-LIFE CARE FOR INDIVIDUALS AND FAMILIES LIVING WITH A SERIOUS ILLNESS. THESE SERVICES PROVIDE PHYSICAL, EMOTIONAL, SOCIAL AND SPIRITUAL CARE FOR PATIENTS WITH A LIMITED LIFE EXPECTANCY. (CONTINUED IN SCHEDULE O) | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 16567152 | Expense |
| Grants | 385067 | Grants |
| Revenue | 17341644 | Revenue |
| Description | DONOR SUPPORT HELPS ENSURE ALL WHO NEED HCI CARE SERVICES' CARE RECEIVE IT; NO ONE IS TURNED AWAY DUE TO LACK OF INSURANCE OR INABILITY TO PAY. FROM JULY 1, 2012, THROUGH JUNE 30, 2013, QUALIFYING HCI CARE SERVICES PATIENTS IN NEED RECEIVED CHARITY CARE VALUED AT $371,600. THE COST OF THE CHARITY CARE, BASED ON HCI CARE SERVICES' COST-TO-CHARGE RATIO WAS APPROXIMATELY $316,000. HCI CARE SERVICES ALSO RECEIVES SIGNIFICANT IN-KIND DONATIONS OF TIME AND EFFORT THROUGH ITS VOLUNTEERS. IN THE YEAR ENDING JUNE 30, 2013, MORE THAN 600 VOLUNTEERS DONATED 25,397 VOLUNTEER HOURS, EQUAL TO $401,000 IN VALUE TO THE ORGANIZATION. (CONTINUED IN SCHEDULE O) | Description |
| Total Program Service Expense | 16567152 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | true | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | true | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | true | ReportOtherAssets |
| Report Other Liabilities | false | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | true | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | true | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | true | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | true | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | true | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 169 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 316 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 18 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 18 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | true | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | false | CompensationProcessCEO |
| Compensation Process Other | false | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| Own Website | X | OwnWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Kelly Dennis | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 5152743400 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2910 Westown Parkway Suite 200 | AddressLine1 |
| City | West Des Moines | City |
| State | IA | State |
| ZIP Code | 50266 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (23 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee |
|---|---|---|---|---|---|---|---|---|
| ANN M JEFFRIES | ||||||||
| TREASURER | 1.00 | 2.00 | X | X | 0 | 0 | 0 | |
| JOHN M PAULE | ||||||||
| PAST CHAIR | 1.00 | 2.00 | X | X | 0 | 0 | 0 | |
| KIM M WILLIS | ||||||||
| BOARD CHAIR | 1.00 | 2.00 | X | X | 0 | 0 | 0 | |
| MARK W BEERMAN | ||||||||
| SECRETARY | 1.00 | 2.00 | X | X | 0 | 0 | 0 | |
| BRAD WYCKOFF | ||||||||
| DIRECTOR | 1.00 | 2.00 | X | 0 | 0 | 0 | ||
| CHARLES E CUTLER | ||||||||
| DIRECTOR - PARTIAL YEAR (THROUGH SEPT 2012) | 1.00 | 2.00 | X | 0 | 0 | 0 | ||
| CONNIE L ISAACSON | ||||||||
| DIRECTOR | 1.00 | 2.00 | X | 0 | 0 | 0 | ||
| DEBRA MILLIGAN | ||||||||
| DIRECTOR | 1.00 | 2.00 | X | 0 | 0 | 0 | ||
| GARY L HOFF DO | ||||||||
| DIRECTOR | 1.00 | 2.00 | X | 0 | 0 | 0 | ||
| GEMECHISA M MOSA | ||||||||
| DIRECTOR | 1.00 | 2.00 | X | 0 | 0 | 0 | ||
| JOHN D PITTMAN | ||||||||
| DIRECTOR | 1.00 | 2.00 | X | 0 | 0 | 0 | ||
| JUDITH A RALSTON-HANSEN | ||||||||
| DIRECTOR | 1.00 | 2.00 | X | 0 | 0 | 0 | ||
| KENT W MAUCK | ||||||||
| DIRECTOR | 1.00 | 2.00 | X | 0 | 0 | 0 | ||
| MATTHEW J MEYER | ||||||||
| DIRECTOR | 1.00 | 2.00 | X | 0 | 0 | 0 | ||
| NICK J HENDERSON | ||||||||
| DIRECTOR | 1.00 | 2.00 | X | 0 | 0 | 0 | ||
| PRISCILLA L RUHE MD | ||||||||
| DIRECTOR | 1.00 | 2.00 | X | 0 | 0 | 0 | ||
| REBECCA L PURNELL | ||||||||
| DIRECTOR | 1.00 | 2.00 | X | 0 | 0 | 0 | ||
| RYAN L RILEY | ||||||||
| DIRECTOR | 1.00 | 2.00 | X | 0 | 0 | 0 | ||
| SALLY A REAVELY | ||||||||
| DIRECTOR | 1.00 | 2.00 | X | 0 | 0 | 0 | ||
| KELLY DENNIS | ||||||||
| VICE PRESIDENT AND CFO | 10.00 | 30.00 | X | 140918 | 0 | 15400 | ||
| NORENE MOSTKOFF | ||||||||
| PRESIDENT AND CEO | 10.00 | 30.00 | X | 286794 | 0 | 28429 | ||
| TRAY WADE | ||||||||
| SENIOR VICE PRESIDENT - PATIENT AND FAMILY CARE | 20.00 | 20.00 | X | 132778 | 0 | 14828 | ||
| THOMAS MOUSER | ||||||||
| CHIEF MEDICAL OFFICER | 40.00 | 0.00 | 196494 | 0 | 37273 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 756984 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 95930 | TotalOtherCompensation |
| Number Individuals GT100 K | 4 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (2 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| MAXIM HEALTHCARE SERVICES INC | |||||
| 12558 COLLECTIONS CENTER DRIVE | CHICAGO | IL | 60693 | CONTRACTED RN AND AIDE SERVICES | 264682 |
| CONSOLIDATED MANAGEMENT | |||||
| 2670 106TH ST STE 140 | DES MOINES | IA | 50322 | CONTRACTED FOOD SERVICE | 137192 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 2 | NumberOfContractorsGT100K |
| Federated Campaigns | 336783 | FederatedCampaigns |
| Related Organizations | 503317 | RelatedOrganizations |
| All Other Contributions | 280024 | AllOtherContributions |
| Noncash Contributions | 1050 | NoncashContributions |
| Total Contributions | 1120124 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| PATIENT SERVICE REVENUE | 621610 | 17166087 | 17166087 |
| 0 | |||
| 0 | |||
| 0 | |||
| 0 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 17166087 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 118906 | TotalRevenueColumn |
| Exclusion | $118,906 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
| Personal | 0 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1324352 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1119787 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 204565 | Securities |
| Other | 0 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 204565 | TotalRevenueColumn |
| Exclusion | $204,565 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | 212385 | GrossSalesOfInventory |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 212385 | TotalRevenueColumn |
| Exclusion | $212,385 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount |
|---|---|---|---|---|
| VNS PURCHASED SERVICES | 900999 | 170678 | 170678 | |
| EDUCATION/INSTITUTE REVENUE | 611710 | 4879 | 4879 | |
| REIMBURSEMENTS FOR COPY FEES | 561000 | 1527 | $1,527 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2648 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $2,648 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 179732 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 19001799 | TotalRevenueColumn |
| Related Or Exempt Function Income | 17341644 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $540,031 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 365360 | Total |
| Program Services | 365360 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19707 | Total |
| Program Services | 19707 | ProgramServices |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 746141 | Total |
| Program Services | 381373 | ProgramServices |
| Management And General | 364768 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8920891 | Total |
| Program Services | 7636060 | ProgramServices |
| Management And General | 1284831 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 238838 | Total |
| Program Services | 200988 | ProgramServices |
| Management And General | 37850 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1039933 | Total |
| Program Services | 840522 | ProgramServices |
| Management And General | 199411 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 696729 | Total |
| Program Services | 596969 | ProgramServices |
| Management And General | 99760 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10496 | Total |
| Management And General | 10496 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 71071 | Total |
| Management And General | 71071 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1101376 | Total |
| Program Services | 934694 | ProgramServices |
| Management And General | 166682 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 163733 | Total |
| Program Services | 58234 | ProgramServices |
| Management And General | 105499 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 330035 | Total |
| Program Services | 234154 | ProgramServices |
| Management And General | 95881 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 626000 | Total |
| Program Services | 411395 | ProgramServices |
| Management And General | 199038 | ManagementAndGeneral |
| Fundraising | 15567 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 745462 | Total |
| Program Services | 709199 | ProgramServices |
| Management And General | 36263 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 27583 | Total |
| Program Services | 23280 | ProgramServices |
| Management And General | 4303 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 49377 | Total |
| Management And General | 49377 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 834160 | Total |
| Program Services | 587885 | ProgramServices |
| Management And General | 246275 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| CONTRACTED FACILITY AND ROOM AND BOARD | 1923639 | 1923639 | |
| BAD DEBT EXPENSE | 90016 | 90016 | |
| MEMBERSHIP DUES | 32490 | 10397 | 22093 |
| PHARMACY AND DIRECT PATIENT SUPPLIES | 1517098 | 1509660 | 7438 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 488179 | Total |
| Program Services | 33620 | ProgramServices |
| Management And General | 415249 | ManagementAndGeneral |
| Fundraising | 39310 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20038314 | Total |
| Program Services | 16567152 | ProgramServices |
| Management And General | 3416285 | ManagementAndGeneral |
| Fundraising | 54877 | Fundraising |
Total Joint Costs TotalJointCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1425 | BOY |
| EOY | 1525 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 144066 | BOY |
| EOY | 200187 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 165962 | BOY |
| EOY | 127795 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1751901 | BOY |
| EOY | 2106225 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 11538 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 289015 | BOY |
| EOY | 118717 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 14067114 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 5710256 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9470928 | BOY |
| EOY | 8356858 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4152429 | BOY |
| EOY | 4479248 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5414566 | BOY |
| EOY | 5870661 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1177765 | BOY |
| EOY | 1672638 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22568057 | BOY |
| EOY | 22945392 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1926910 | BOY |
| EOY | 1535318 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 978444 | BOY |
| EOY | 2117215 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2905354 | BOY |
| EOY | 3652533 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14082168 | BOY |
| EOY | 12971663 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5580535 | BOY |
| EOY | 6321196 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19662703 | BOY |
| EOY | 19292859 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22568057 | BOY |
| EOY | 22945392 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -1036515 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 165829 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 500842 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Both | X | FinancialStatementBoth |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1156581 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 963858 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 996722 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1099225 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1120124 | CurrentTaxYear |
| Total | 5336510 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 19418740 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 19633210 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 20396394 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 19140361 | CurrentTaxYearMinus1Year |
| Current Tax Year | 17166087 | CurrentTaxYear |
| Total | 95754792 | Total |
Gross Receipts From Non UBI GrossReceiptsFromNonUBI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 7448 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 900 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 224169 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 359255 | CurrentTaxYearMinus1Year |
| Current Tax Year | 216560 | CurrentTaxYear |
| Total | 808332 | Total |
Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 20582769 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 20597968 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 21617285 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 20598841 | CurrentTaxYearMinus1Year |
| Current Tax Year | 18502771 | CurrentTaxYear |
| Total | 101899634 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 0 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 0 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 0 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 0 | CurrentTaxYearMinus1Year |
| Current Tax Year | 0 | CurrentTaxYear |
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 0 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 0 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 0 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 0 | CurrentTaxYearMinus1Year |
| Current Tax Year | 0 | CurrentTaxYear |
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 0 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 0 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 0 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 0 | CurrentTaxYearMinus1Year |
| Current Tax Year | 0 | CurrentTaxYear |
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 101899634 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 189645 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 152787 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 145103 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 136899 | CurrentTaxYearMinus1Year |
| Current Tax Year | 118904 | CurrentTaxYear |
| Total | 743338 | Total |
Post1975 UBTI Post1975UBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 189645 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 152787 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 145103 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 136899 | CurrentTaxYearMinus1Year |
| Current Tax Year | 118904 | CurrentTaxYear |
| Total | 743338 | Total |
Net Income From Other UBI NetIncomeFromOtherUBI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 0 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 26986 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 33737 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 31059 | CurrentTaxYearMinus1Year |
| Current Tax Year | 175557 | CurrentTaxYear |
| Total | 267339 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 20772414 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 20777741 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 21796125 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 20766799 | CurrentTaxYearMinus1Year |
| Current Tax Year | 18797232 | CurrentTaxYear |
| Total | 102910311 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.99020 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.99110 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00720 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.00810 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
| General Explanation | OTHER INCOME, SCHEDULE A, PART III, LINE 12, DESCRIPTION - EDUCATION/INSTITUTE REVENUE, COLUMN A - 0, COLUMN B - 23684, COLUMN C - 31904, COLUMN D - 31009, COLUMN E - 4879, COLUMN F - 91476; DESCRIPTION - MISCELLANEOUS REVENUE, COLUMN A - 0, COLUMN B - 3302, COLUMN C - 1833, COLUMN D - 50, COLUMN E - 0, COLUMN F - 5185; DESCRIPTION - VNS PURCHASED SERVICES, COLUMN A - 0, COLUMN B - 0, COLUMN C - 0, COLUMN D - 0, COLUMN E - 170678, COLUMN F - 170678;, | GeneralExplanation |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | Volunteers |
| Paid Staff Or Management | false | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | false | GrantsOtherOrganizations |
| Direct Contact Legislators | false | DirectContactLegislators |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | true | OtherActivities |
| Other Activities | $1,100 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 1100 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Description of the activities reported on Lines 1a through 1i | Identifier |
| Return Reference | Schedule C, Part II-B, Line 1 | ReturnReference |
| Explanation | A PORTION OF THE ORGANIZATION'S ANNUAL DUES PAID TO THE NATIONAL HOSPICE AND PALLIATIVE CARE ORGANIZATION AND THE HOSPICE AND PALLIATIVE CARE ASSOCIATION OF IOWA ARE USED FOR LOBBYING PURPOSES. THE TOTAL AMOUNT FOR THE YEAR ENDED JUNE 30, 2013, WAS $1,100 | Explanation |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 4855151 | BeginningOfYearBalance |
| Contributions | 148694 | Contributions |
| Investment Earnings Or Losses | 494232 | InvestmentEarningsOrLosses |
| Other Expenditures | 118592 | OtherExpenditures |
| End Of Year Balance | 5379485 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 4425852 | BeginningOfYearBalance |
| Contributions | 441614 | Contributions |
| Investment Earnings Or Losses | 164926 | InvestmentEarningsOrLosses |
| Other Expenditures | 177241 | OtherExpenditures |
| End Of Year Balance | 4855151 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 3067985 | BeginningOfYearBalance |
| Contributions | 944366 | Contributions |
| Investment Earnings Or Losses | 720857 | InvestmentEarningsOrLosses |
| Other Expenditures | 307356 | OtherExpenditures |
| End Of Year Balance | 4425852 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 2425658 | BeginningOfYearBalance |
| Contributions | 369223 | Contributions |
| Investment Earnings Or Losses | 296439 | InvestmentEarningsOrLosses |
| Other Expenditures | 23335 | OtherExpenditures |
| End Of Year Balance | 3067985 | EndOfYearBalance |
Current Year Minus4 Years CurrentYearMinus4Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 2974936 | BeginningOfYearBalance |
| Contributions | 31715 | Contributions |
| Investment Earnings Or Losses | -580993 | InvestmentEarningsOrLosses |
| End Of Year Balance | 2425658 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.92850 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.02750 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.04400 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | true | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 999532 | OtherCostOrOtherBasis |
| Book Value | 999532 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 9660263 | OtherCostOrOtherBasis |
| Depreciation | 3138535 | Depreciation |
| Book Value | 6521728 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 136585 | OtherCostOrOtherBasis |
| Depreciation | 106619 | Depreciation |
| Book Value | 29966 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3270734 | OtherCostOrOtherBasis |
| Depreciation | 2465102 | Depreciation |
| Book Value | 805632 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Book Value | 0 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 8356858 | TotalOfBookValueLandBuildings |
Financial Derivatives FinancialDerivatives
| Field | Value | IRS element (for citing) |
|---|---|---|
| Book Value | 0 | BookValue |
Closely Held Equity Interests CloselyHeldEquityInterests
| Field | Value | IRS element (for citing) |
|---|---|---|
| Book Value | 0 | BookValue |
Other Securities OtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | BENEFICIAL INTEREST IN NET ASSETS HELD BY HCI FOUNDATION | Description |
| Book Value | 5870661 | BookValue |
| Method Of Valuation | F | MethodOfValuation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 5870661 | TotalOfBookValueSecurities |
Other Assets OtherAssets (3 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| DUE FROM AFFILIATES | 1458616 |
| UNEMPLOYMENT TRUST | 200963 |
| ACCRUED INTEREST RECEIVABLE | 13059 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 1672638 | TotalBookValueOtherAssets |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
| Total Of Amounts | 0 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 19318368 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 165829 | NetUnrealizedGainsInvestments |
| Donated Srvc And Use Of Facilities | 15258 | DonatedSrvcAndUseOfFacilities |
| Other Revenues | 778828 | OtherRevenues |
| Revenue Not Rptd F990 | 959915 | RevenueNotRptdF990 |
| Revenue Subtotal | 18358453 | RevenueSubtotal |
| Other Revenues Not Included | 643346 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 643346 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 19001799 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 19672954 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 0 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 19672954 | ExpensesSubtotal |
| Other Expenses Not Included | 365360 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 365360 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 20038314 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (5 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Intended uses of endowment funds | Schedule D, Part V, Line 4 | HCI FOUNDATION HOLDS ENDOWMENT FUNDS FOR THE BENEFIT OF THE ORGANIZATION; THESE ENDOWMENT FUNDS CONSIST OF NUMEROUS GIFTS ESTABLISHED TO FUND AND SUPPORT THE ORGANIZATION'S MISSION. |
| FIN 48 (ASC 740) footnote | Schedule D, Part X, Line 2 | THE ORGANIZATION IS EXEMPT FROM INCOME TAXES ON INCOME FROM RELATED ACTIVITIES UNDER SECTION 501(C)(3) OF THE U.S. INTERNAL REVENUE CODE AND CORRESPONDING STATE TAX LAW. ACCORDINGLY, NO PROVISION HAS BEEN MADE FOR FEDERAL OR STATE INCOME TAXES. U.S. GAAP REQUIRES THAT A TAX POSITION IS RECOGNIZED AS A BENEFIT ONLY IF IT IS "MORE LIKELY THAN NOT" THAT THE TAX POSITION WOULD BE SUSTAINED IN A TAX EXAMINATION, WITH A TAX EXAMINATION BEING PRESUMED TO OCCUR. THE AMOUNT RECOGNIZED IS THE LARGEST AMOUNT OF TAX BENEFIT THAT IS GREATER THAN 50% LIKELY OF BEING REALIZED ON EXAMINATION. FOR TAX POSITIONS NOT MEETING THE "MORE LIKELY THAN NOT" TEST, NO TAX BENEFIT IS RECORDED. DUE TO ITS TAX EXEMPT STATUS, THE ORGANIZATION IS NOT SUBJECT TO U.S. FEDERAL INCOME TAX OR STATE INCOME TAX. THE ORGANIZATION'S FORM 990 HAS NOT BEEN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE OR THE STATE OF IOWA FOR THE LAST THREE YEARS. THE ORGANIZATION DOES NOT EXPECT THE TOTAL AMOUNT OF UNRECOGNIZED TAX BENEFITS TO SIGNIFICANTLY CHANGE IN THE NEXT 12 MONTHS. THE ORGANIZATION RECOGNIZES INTEREST AND/OR PENALTIES RELATED TO INCOME TAX MATTERS IN INCOME TAX EXPENSE. THE ORGANIZATION DID NOT HAVE ANY AMOUNTS ACCRUED FOR INTEREST AND PENALTIES AT JUNE 30, 2013 OR 2012. |
| Other revenues in audited financial statements not in form 990 | Schedule D, Part XI, Line 2d | CHANGE IN BENEFICIAL INTEREST IN NET ASSETS OF HCI FOUNDATION - 751575; CHANGE IN VALUE OF CHARITABLE REMAINDER TRUSTS - 27253; |
| Other revenues in form 990 not in audited financial statements | Schedule D, Part XI, Line 4b | GRANTS TO OTHER ORGANIZATIONS - 365360; ALLOWANCE FOR UNCOLLECTIBLE CONTRIBUTIONS - 277986; |
| Other expenses in form 990 not in audited financial statements | Schedule D, Part XII, Line 4b | GRANTS TO OTHER ORGANIZATIONS - 365360; |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | false | RecordsMaintained |
Recipient Table RecipientTable
Recipient Name Business RecipientNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AMANDA CARES | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 73RD STREET NO 12 | AddressLine1 |
| City | WINDSOR HEIGHTS | City |
| State | IA | State |
| ZIP Code | 50324 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN Of Recipient | 421166117 | EINOfRecipient |
| IRC Section | 501(C)(3) | IRCSection |
| Amount Of Cash Grant | 0 | AmountOfCashGrant |
| Amount Of Non Cash Assistance | 365360 | AmountOfNonCashAssistance |
| Method Of Valuation | BOOK VALUE | MethodOfValuation |
| Description Of Non Cash Assistance | PROPERTY & BUILDING | DescriptionOfNonCashAssistance |
| Purpose Of Grant | GENERAL SUPPORT | PurposeOfGrant |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 1 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part III Form990ScheduleIPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Grant | QUALITY OF LIFE GRANTS | TypeOfGrant |
| Number Of Recipients | 446 | NumberOfRecipients |
| Amount Of Cash Grant | 0 | AmountOfCashGrant |
| Amount Of Non Cash Assistance | 19707 | AmountOfNonCashAssistance |
| Method Of Valuation | COST | MethodOfValuation |
| Description Of Non Cash Assistance | MISCELLANEOUS NON-CARE ITEMS | DescriptionOfNonCashAssistance |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Procedures for monitoring use of grant funds | Identifier |
| Return Reference | Schedule I, Part I, Line 2 | ReturnReference |
| Explanation | HCI CARE SERVICES' (HCI) QUALITY OF LIFE FUND IS MAINTAINED TO PROVIDE SERVICES AND/OR ITEMS NOT COVERED UNDER PER DIEM REIMBURSEMENT FOR HOSPICE CARE TO PATIENTS IN NEED AND TO PROVIDE OCCASIONAL SMALL LIFE AMENITIES THAT ENHANCE THE PATIENTS' AND FAMILIES' QUALITY OF LIFE. ALL HCI PATIENTS ARE ELIGIBLE FOR QUALITY OF LIFE FUND BENEFITS, AND ALL ATTEMPTS ARE MADE TO UTILIZE COMMUNITY RESOURCES PRIOR TO USING THE QUALITY OF LIFE FUND. BEST EFFORTS ARE USED TO ENSURE THAT ASSISTANCE IS PROVIDED FOR PATIENTS IN NEED AND WITHOUT OTHER MEANS OF ASSISTANCE OR ACCESS TO OTHER BENEFACTORS, AND THAT USE AND CIRCUMSTANCES FOR THE FUNDS IS CONSISTENT. THE AMOUNT OF FUNDS PROVIDED IS DETERMINED BY HCI FOUNDATION BOARD OF TRUSTEES WITHIN THE ANNUAL BUDGET. REPORTS OF FUND EXPENDITURES ARE SUBMITTED TO THE BOARD OF TRUSTEES ON THE STATEMENT OF REVENUE AND EXPENSE. ANY STAFF MEMBER MAY SUBMIT A WRITTEN OR VERBAL REQUEST FOR UTILIZATION OF QUALITY OF LIFE FUNDS. REQUESTS LESS THAN $100 ARE APPROVED BY THE PATIENT'S TEAM DIRECTOR. REQUESTS MORE THAN $100 ARE APPROVED BY A MEMBER OF THE EXECUTIVE TEAM, WHO ALSO ENSURES THAT APPROPRIATE OVERSIGHT AND REVIEW ARE CONDUCTED. DURING THE YEAR, THE ORGANIZATION GRANTED A BUILDING AND PROPERTY TO AMANDA CARES, A TAX-EXEMPT ORGANIZATION THAT PROVIDES GRIEF SUPPORT SERVICES TO CHILDREN, TEENS, AND ADULTS THROUGHOUT THE STATE OF IOWA. HCI CARE SERVICES DOES NOT MONITOR THE USE OF THIS GRANT, AS IT WAS UNRESTRICTED FOR THE ORGANIZATION'S USE IN SUPPORTING ITS MISSION AND TAX-EXEMPT PURPOSE. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Independent Consultant | X | IndependentConsultant |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | true | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NORENE MOSTKOFF | ||||||||||||||
| PRESIDENT AND CEO | 225650 | 0 | 44100 | 0 | 17044 | 0 | 7796 | 0 | 20633 | 0 | 315223 | 0 | 0 | 0 |
| KELLY DENNIS | ||||||||||||||
| VICE PRESIDENT AND CFO | 130425 | 0 | 10493 | 0 | 0 | 0 | 4710 | 0 | 10690 | 0 | 156318 | 0 | 0 | 0 |
| THOMAS MOUSER | ||||||||||||||
| CHIEF MEDICAL OFFICER | 168726 | 0 | 15124 | 0 | 12644 | 0 | 6176 | 0 | 31097 | 0 | 233767 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Non-fixed payments | Identifier |
| Return Reference | Schedule J, Part I, Line 7 | ReturnReference |
| Explanation | DISCRETIONARY BONUSES WERE PAID TO THE CEO, CFO, VICE PRESIDENT OF PATIENT AND FAMILY CARE AND MEDICAL DIRECTOR. THE CEO'S INCENTIVES ARE BASED ON STANDARDS AND GOALS SET FORTH BY, AND ARE APPROVED BY, THE BOARD OF DIRECTORS. THE OTHER OFFICERS' INCENTIVES ARE BASED ON STANDARDS AND GOALS SET FORTH BY, AND ARE APPROVED BY, THE CEO. | Explanation |
Schedule L IRS990ScheduleL
Loan Table LoanTable
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THOMAS MOUSER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship With Organization | MEDICAL DIRECTOR | RelationshipWithOrganization |
| Purpose Of Loan | SIGNING BONUS | PurposeOfLoan |
| Loan From Organization | X | LoanFromOrganization |
| Original Principal | $30,000 | OriginalPrincipalAmount |
| Balance Due | 11538 | BalanceDue |
| Default | false | Default |
| Approved By Board | true | ApprovedByBoard |
| Written Agreement | true | WrittenAgreement |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | 11538 | TotalBalanceDue |
Schedule M IRS990ScheduleM
Books And Publications BooksAndPublications
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Noncash Contribs Rptd F990 | 4227 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | RESALE VALUE | MethodOfDeterminingRevenues |
Clothing And Household Goods ClothingAndHouseholdGoods
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Noncash Contribs Rptd F990 | 205192 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | RESALE VALUE | MethodOfDeterminingRevenues |
Other Non Cash Contributions Table OtherNonCashContributionsTable (3 entries)
| Non Cash CheckboxNonCashCheckbox | DescriptionDescription | Number Of ContributionsNumberOfContributions | Noncash Contribs Rptd F990NoncashContribsRptdF990 | Method Of Determining RevenuesMethodOfDeterminingRevenues |
|---|---|---|---|---|
| X | SPECIALTY/MISCELLANEOUS | 159 | 1571 | RESALE VALUE |
| X | MISCELLANEOUS | 242 | 1395 | RESALE VALUE |
| X | DECORATIONS AND SUPPLIES | 4 | 1050 | MARKET VALUE |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of8283 Received | 0 | NumberOf8283Received |
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | true | ReviewProcessUnusualNCGifts |
| Third Parties Used | false | ThirdPartiesUsed |
Form990 Schedule M Part II Form990ScheduleMPartII (5 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Explanations of reporting method for number of contributions | Schedule M, Part I | BOOKS AND PUBLICATIONS: N/A CLOTHING AND HOUSEHOLD GOODS: N/A OTHER: NUMBER OF ITEMS RECEIVED AND THEN RESOLD IN THE THRIFT STORE OTHER: NUMBER OF ITEMS RECEIVED AND THEN RESOLD IN THE THRIFT STORE OTHER: NUMBER OF DONATIONS |
| Number of contributions or items contributed. | Schedule M, part I, column (b), Line 4 | N/A |
| Number of contributions or items contributed. | Schedule M, part I, column (b), Line 5 | N/A |
| Number of contributions or items contributed. | Schedule M, part I, column (b), Line other=SPECIALTY/MISCELLANEOUS | NUMBER OF ITEMS RECEIVED AND THEN RESOLD IN THE THRIFT STORE |
| Number of contributions or items contributed. | Schedule M, part I, column (b), Line other=MISCELLANEOUS | NUMBER OF ITEMS RECEIVED AND THEN RESOLD IN THE THRIFT STORE |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (19 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ORGANIZATION'S MISSION | FORM 990, PART III, LINE 1 | FOUNDED IN 1978, HCI CARE SERVICES IS THE STATE'S OLDEST HOSPICE CARE PROVIDER. AN INDEPENDENT, NOT-FOR-PROFIT, COMMUNITY-BASED ORGANIZATION, THE ORGANIZATION'S MISSION IS: "PROMOTING DIGNITY, INDEPENDENCE AND QUALITY OF LIFE THROUGH COMPASSIONATE AND EFFECTIVE COMMUNITY BASED CARE." THE ORGANIZATION IS ALSO GUIDED BY ITS VALUES: WE ACT WITH INTEGRITY AND RESPECT. WE SERVE WITH COMPASSION. WE LEAD THROUGH EXCELLENCE. WE UNITE THROUGH TEAMWORK. |
| PROGRAM SERVICE ACCOMPLISHMENTS | FORM 990, PART III, LINE 4A | HCI CARE SERVICES OFFERS THE FOLLOWING SERVICES. HCI HOSPICE CARE SERVICES: - HCI HOSPICE CARE SERVICES IS A NON-PROFIT, COMMUNITY-BASED SERVICE SERVING 35 COUNTIES. - IN-HOME HOSPICE SERVICES, INCLUDING VISITS FROM NURSES, SOCIAL WORKERS, HOSPICE AIDES, SPIRITUAL CARE COUNSELORS, BEREAVEMENT COUNSELORS, VOLUNTEERS AND THERAPISTS. FOR THE FISCAL YEAR ENDING JUNE 30, 2013, HCI HOSPICE CARE SERVICES PROVIDED END OF LIFE CARE TO APPROXIMATELY 1,400 PATIENTS. - ACCESS TO CLINICIANS WHO HAVE RECEIVED SPECIALIZED TRAINING IN END-OF-LIFE CARE; MANY ARE CERTIFIED IN HOSPICE AND PALLIATIVE CARE. - TEAM PHYSICIANS AND NURSE PRACTITIONERS ON STAFF. - EXPERT PAIN AND SYMPTOM MANAGEMENT. - INTERDISCIPLINARY CARE TEAMS WHO PROVIDE PERSONALIZED, COORDINATED CARE. - DEDICATED HOSPICE ROOMS WITHIN HOSPITALS AND CARE FACILITIES IN OUR SERVICE AREA. - GRIEF SUPPORT GROUPS AND EDUCATIONAL RESOURCES. - ACCESS TO HIGHLY-SKILLED CLINICAL STAFF 24 HOURS A DAY, SEVEN DAYS A WEEK. - MEDICAL EQUIPMENT, SUPPLIES AND MEDICATIONS RELATED TO THE LIFE-LIMITING ILLNESS. - TWO RESIDENTIAL HOSPICE CARE FACILITIES IN DES MOINES, IOWA -- KAVANAGH HOUSE ON 56TH STREET OFFERS 15 PRIVATE PATIENTS ROOMS, AND BRIGHT KAVANAGH HOUSE HAS 24 PRIVATE ROOMS. - SPECIALIZED SERVICES FOR PATIENTS WHO ARE MILITARY VETERANS AND FOR PATIENTS WHO OWN PETS. -IN 2012 HCI CARE SERVICES RECEIVED A 2012 IOWA'S TOP WORKPLACES AWARD. THE AWARD WAS BASED SOLELY ON EMPLOYEE FEEDBACK THROUGH A SURVEY CONDUCTED BY AN INDEPENDENT THIRD PARTY. HCI EXTRACARE SERVICES: - HCI EXTRACARE SERVICES IS A NON-PROFIT, PRIVATE DUTY SERVICE WHICH SUPPORTS INDIVIDUALS' EFFORTS TO CONTINUE LIVING AT THEIR CURRENT PLACE OF RESIDENCE. IN THE FISCAL YEAR ENDING JUNE 30, 2013, HCI EXTRA CARE PROVIDED OVER 16,661 HOURS OF CARE TO PATIENTS. - NURSES, HOME HEALTH AIDES AND TRAINED HOMEMAKERS OFFER EXPERTISE AND COMPANIONSHIP RANGING FROM ONE HOUR/DAY TO 24-HOUR ASSISTANCE. - EXAMPLES OF SERVICES INCLUDE SKILLED NURSING SERVICES, ASSISTANCE WITH BATHING, GROOMING, DRESSING, TOILETING, LAUNDRY, LIGHT HOUSEKEEPING AND CHRONIC DISEASE CASE MANAGEMENT. - HCI EXTRACARE SERVICES IS A PRIVATE PAY SERVICE. CLIENTS PAY ONLY FOR THE SERVICES THEY SELECT. HCI GIVING TREE: - HCI GIVING TREE IS A NON-PROFIT THRIFT STORE, LOCATED AT 3330 100TH ST. IN URBANDALE, IOWA. - THE STORE SELLS AND ACCEPTS DONATIONS OF GENTLY-USED FURNITURE, CLOTHING AND HOME FURNISHINGS. - ALL PROCEEDS FROM STORE SALES SUPPORT SERVICES PROVIDED TO PATIENTS OF HCI HOSPICE CARE SERVICES, ENSURING CARE IS AVAILABLE TO ALL WHO NEED HOSPICE CARE SERVICES - REGARDLESS OF THEIR ABILITY TO PAY. - WITH THE EXCEPTION OF TWO PAID STAFF, THE STORE IS OPERATED BY A DEDICATED CORE OF UNPAID VOLUNTEERS. - HCI GIVING TREE VOLUNTEERS PROVIDED 6,633 HOURS OF SERVICE TO THE STORE - A VALUE OF $146,900. HCI CARE SERVICES ALSO OFFERS: - CAREGIVER TRAINING AND SUPPORT; - EDUCATIONAL CONFERENCES, SEMINARS AND RESOURCES; - FREE ADVANCE CARE PLANNING RESOURCES; AND - GRIEF SUPPORT GROUPS, WHICH ARE FREE OF CHARGE AND ARE OPEN TO THE PUBLIC STRUCTURE: HCI CARE SERVICES IS COMMITTED TO THE COMMUNITIES IT SERVES AND TAKES ADVANTAGE OF EXPERT RESOURCES WITHIN THOSE COMMUNITIES FOR GUIDANCE, ADVOCACY AND ASSISTANCE. HCI CARE SERVICES EMPLOYEES ARE GUIDED BY A VOLUNTEER BOARD OF DIRECTORS. THE ORGANIZATION'S FUNDRAISING SUPPORT COMES FROM THE HCI FOUNDATION, WHICH RECEIVES OVERSIGHT FROM ITS VOLUNTEER BOARD OF TRUSTEES. IN RURAL IOWA, EACH HCI CARE SERVICES OFFICE SERVES A MULTI-COUNTY AREA AND IS GUIDED BY A VOLUNTEER ADVISORY BOARD. SOURCES OF FUNDING: HCI CARE SERVICES IS SUPPORTED PRIMARILY THROUGH THIRD PARTY REIMBURSEMENTS. FOR THE FISCAL YEAR ENDING JUNE 30, 2013, APPROXIMATELY 80 PERCENT OF THE ORGANIZATION'S NET PATIENT REVENUE WAS DERIVED FROM MEDICARE AND MEDICAID PROGRAMS. HOWEVER, HCI CARE SERVICES ALSO RECEIVES SIGNIFICANT SUPPORT FROM DONOR CONTRIBUTIONS, BEQUESTS, GRANTS AND FUNDRAISING ACTIVITIES CONDUCTED THROUGH THE HCI FOUNDATION. DONORS MAY DESIGNATE THEIR GIFTS TO SPECIFIC AREAS SERVED BY HCI CARE SERVICES, WHICH REFLECTS THE ORGANIZATION'S COMMITMENT TO COMMUNITY-BASED CARE. HCI CARE SERVICE'S ADVISORY BOARDS HELP DETERMINE HOW LOCALLY-DESIGNATED DONATIONS ARE SPENT - BENEFITING THE ORGANIZATION AND THE COMMUNITY BY FUNDING, FOR EXAMPLE, BOOK DONATIONS ON END-OF-LIFE CARE TO LOCAL LIBRARIES OR HELPING ESTABLISH HOSPICE ROOMS IN LOCAL HOSPITALS AND NURSING CARE FACILITIES. GRIEF SUPPORT SERVICES: THROUGHOUT ITS SERVICE AREA, HCI CARE SERVICES OFFERS BEREAVEMENT CARE FOR PATIENTS, THEIR FAMILIES AND THE COMMUNITY AT LARGE. GRIEF SUPPORT GROUPS ARE OFFERED IN THE COMMUNITIES WE SERVE AT NO COST TO PARTICIPANTS, AND ARE OPEN TO ALL WHO HAVE LOST A LOVED ONE - REGARDLESS OF WHETHER THEY HAVE BEEN SERVED BY HCI CARE SERVICES. GRIEF EDUCATION AND SPECIAL SUPPORT GROUPS ARE ALSO OFFERED TO YOUTHS AND TO NURSING CARE FACILITY STAFF. IN THE YEAR ENDING JUNE 30, 2013, BEREAVEMENT COUNSELORS HELD 255 SUPPORT GROUP MEETINGS, MADE 1,023 VISITS AND 4,896 CALLS TO SURVIVORS SERVED BY HCI CARE SERVICES, AND PROVIDED 1,108 SERVICES TO NON-SERVED SURVIVORS. |
| Delegate broad authority to a committee | Form 990, Part VI, Section A, Line 1a | THE BOARD OF DIRECTORS MAY ESTABLISH ONE OR MORE COMMITTEES OF THE BOARD, INCLUDING AN EXECUTIVE COMMITTEE, AND APPOINT MEMBERS OF THE BOARD TO SERVE ON THEM. EACH COMMITTEE SHALL HAVE THE POWERS AND DUTIES DELEGATED TO IT BY THE BOARD OF DIRECTORS. EACH COMMITTEE SHALL HAVE A SEPARATE CHARTER ESTABLISHED BY THE BOARD OF DIRECTORS SPECIFYING THE SCOPE OF THE COMMITTEE'S AUTHORITY. THE CURRENT COMMITTEES CONSIST OF AN EXECUTIVE, GOVERNANCE, FINANCE, AUDIT, QUALITY AND COMPLIANCE. |
| Significant changes to organizational documents | Form 990, Part VI, Section A, Line 4 | THE ARTICLES AND BYLAWS WERE AMENDED IN THE CURRENT YEAR WHEN HCI VNS CARE SERVICES WAS ADDED AS A SUPPORTING ORGANIZATION AND BECAME THE SOLE MEMBER OF HCI CARE SERVICES. |
| Classes of members or stockholders | Form 990, Part VI, Section A, Line 6 | THE ORGANIZATION'S SOLE MEMBER IS HCI VNS CARE SERVICES, AN IOWA NONPROFIT CORPORATION. |
| Members or stockholders electing members of governing body | Form 990, Part VI, Section A, Line 7a | ALL CORPORATION DIRECTORS ARE APPOINTED BY HCI VNS CARE SERVICES, THE ORGANIZATION'S SOLE MEMBER; ANY DIRECTOR OF THE ORGANIZATION MAY BE REMOVED EITHER FOR OR WITHOUT CAUSE BY HCI VNS CARE SERVICES. |
| Decisions requiring approval by members or stockholders | Form 990, Part VI, Section A, Line 7b | NONE OF THE CORPORATION'S ASSETS OR ANY OTHER RIGHTS THERETO, WHETHER REAL, PERSONAL OR INTANGIBLE, SHALL BE SOLD, CONVEYED, ASSIGNED, TRANSFERRED, MORTGAGED, ENCUMBERED, EXCHANGED, ALIENATED, OR LEASED WITHOUT THE PRIOR APPROVAL OF HCI VNS CARE SERVICES, THE CORPORATION'S SOLE CORPORATE MEMBER. THE CORPORATION SHALL NOT BE A PARTY TO ANY MERGER, ACQUISITION, CONSOLIDATION, JOINT VENTURE, REORGANIZATION, RESTRUCTURING OR SIMILAR EVENT, NOR SHALL IT BECOME A MEMBER, PARTNER, SHAREHOLDER, TRUSTEE OR OTHER FIDUCIARY OF ANY OTHER ORGANIZATION OR ENTITY, WITHOUT THE PRIOR APPROVAL OF HCI VNS CARE SERVICES, THE CORPORATION'S SOLE CORPORATE MEMBER. NO AMENDMENT, ALTERATION OR REPEAL OF ANY OF THE PROVISIONS OF THE CORPORATION'S BYLAWS SHALL BE ADOPTED WITHOUT THE PRIOR APPROVAL OF HCI VNS CARE SERVICES, THE CORPORATION'S SOLE CORPORATE MEMBER. |
| Review of form 990 by governing body | Form 990, Part VI, Section B, Line 11b | THE FULL FORM 990 IS PROVIDED TO THE ORGANIZATION'S PRESIDENT AND CEO, CFO, AND AUDIT COMMITTEE FOR INITIAL REVIEW. AFTER ALL QUESTIONS HAVE BEEN ADDRESSED AND ANY CHANGES HAVE BEEN MADE, THE ORGANIZATION'S TAX ADVISORS PRESENT A FINAL DRAFT OF THE FULL FORM 990 TO THE FULL BOARD OF DIRECTORS FOR FINAL REVIEW AND APPROVAL PRIOR TO SUBMISSION TO THE IRS. |
| Conflict of interest policy | Form 990, Part VI, Section B, Line 12c | ALL MEMBERS OF THE BOARD OF DIRECTORS ARE REQUIRED TO PROMPTLY REPORT ANY ONGOING OR INCIDENTAL MATERIAL INTERESTS OR AFFILIATIONS WHICH COULD RESULT IN A POTENTIAL CONFLICT OF INTEREST; MEMBERS OF THE BOARD OF DIRECTORS ARE ALSO REQUIRED TO SIGN AN ANNUAL CONFLICT OF INTEREST DECLARATION. THE BOARD OF DIRECTORS AND OFFICERS ALSO COMPLETE AN ANNUAL AUTOMATED CONFLICT OF INTEREST QUESTIONNAIRE AS PART OF THE 990 COMPLETION PROCESS. THE DECLARATIONS AND QUESTIONNAIRE RESPONSES ARE REVIEWED BY THE PRESIDENT AND CEO AND CFO TO DETERMINE IF ANY POTENTIAL OR ACTUAL CONFLICTS OF INTEREST EXIST. ANY BOARD MEMBER DETERMINED TO HAVE A CONFLICT OF INTEREST IS REQUIRED TO ABSTAIN FROM ANY DECISION OR VOTING PROCESS RELATED TO THE CONFLICTING ISSUE. |
| PROCESS USED TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL | FORM 990, PART VI, LINE 15A | EVERY TWO YEARS, THE ORGANIZATION'S BOARD OF DIRECTORS ENGAGES AN INDEPENDENT COMPENSATION CONSULTANT TO PERFORM A COMPENSATION SURVEY FOR THE ORGANIZATION'S OFFICERS. VERISIGHT COMPLETED THE ORGANIZATION'S COMPENSATION SURVEYS IN 2009, 2011 AND 2013. THE FINDINGS OF THE SURVEYS ARE PRESENTED TO THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE MEMBERS USE THE SURVEY TO REVIEW AND ESTABLISH THE AMOUNT OF COMPENSATION FOR THE PRESIDENT. THE REVIEW PROCESS IS DOCUMENTED IN THE EXECUTIVE COMMITTEE MEETING MINUTES AND WAS COMPLETED IN OCTOBER 2013. |
| PROCESS USED TO ESTABLISH COMPENSATION OF OTHER OFFICERS/KEY EMPLOYEES | FORM 990, PART VI, LINE 15B | EVERY TWO YEARS, THE ORGANIZATION'S BOARD OF DIRECTORS ENGAGES AN INDEPENDENT COMPENSATION CONSULTANT TO PERFORM A COMPENSATION SURVEY FOR THE ORGANIZATION'S OFFICERS. VERISIGHT COMPLETED THE ORGANIZATION'S COMPENSATION SURVEYS IN 2009, 2011 AND 2013. THE RESULTS OF THE SURVEY ARE USED BY THE PRESIDENT AND CEO TO ESTABLISH COMPENSATION FOR THE FOLLOWING OFFICERS AND KEY EMPLOYEES, CHIEF FINANCIAL OFFICER, SENIOR VICE PRESIDENT OF PATIENT AND FAMILY CARE, AND CHIEF MEDICAL DIRECTOR. |
| Governing documents, conflict of interest policy and financial statements available to the public | Form 990, Part VI, Section C, Line 19 | THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| Other changes in net assets or fund balances | Form 990 , Part XI, Line 9 | CHANGE IN BENEFICIAL INTEREST IN NET ASSETS OF HCI FOUNDATION - 751575; CHANGE IN VALUE OF CHARITABLE REMAINDER TRUSTS - 27253; ALLOWANCE FOR UNCOLLECTIBLE CONTRIBUTIONS - -277986; |
| Number of contributions or items contributed. | Schedule M, part I, column (b), Line other=DECORATIONS AND SUPPLIES | NUMBER OF DONATIONS |
| Number of contributions or items contributed. | Schedule M, part I, column (b), Line 4 | N/A |
| Number of contributions or items contributed. | Schedule M, part I, column (b), Line 5 | N/A |
| Number of contributions or items contributed. | Schedule M, part I, column (b), Line other=SPECIALTY/MISCELLANEOUS | NUMBER OF ITEMS RECEIVED AND THEN RESOLD IN THE THRIFT STORE |
| Number of contributions or items contributed. | Schedule M, part I, column (b), Line other=MISCELLANEOUS | NUMBER OF ITEMS RECEIVED AND THEN RESOLD IN THE THRIFT STORE |
| Number of contributions or items contributed. | Schedule M, part I, column (b), Line other=DECORATIONS AND SUPPLIES | NUMBER OF DONATIONS |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Total IncomeTotalIncome | EOY AssetsEOYAssets | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| HOSPICE OF CENTRAL IOWA THRIFT STORE LLC DBA HCI GIVING TREE | |||||||||
| 3330 100TH STREET | URBANDALE | IA | 503223854 | 273099690 | RESALE OF DONATED MERCHANDISE TO THE PUBLIC | IA | 212385 | 17700 | HOSPICE OF CENTRAL IOWA |
| HCI EXTRACARE LLC | |||||||||
| 2910 WESTOWN PARKWAY SUITE 200 | WEST DES MOINES | IA | 50266 | 300661072 | PRIVATE DUTY NURSING AND COMPANION SERVICES | IA | 462455 | 0 | HOSPICE OF CENTRAL IOWA |
Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|
| HOSPICE OF CENTRAL IOWA FOUNDATION DBA HCI FOUNDATION | |||||||||
| 2910 WESTOWN PARKWAY SUITE 200 | WEST DES MOINES | IA | 502661332 | FUNDRAISING TO SUPPORT HOSPICE OF CENTRAL IOWA AND VISITING NURSE SERVICES OF IOWA | IA | 501(C)(3) | 7 | HCI VNS CARE SERVICES | false |
| HCI VNS CARE SERVICES | |||||||||
| 2910 WESTOWN PARKWAY SUITE 200 | WEST DES MOINES | IA | 50266 | ADMINISTRATIVE AND MANAGEMENT SERVICES (MSO) | IA | 501(C)(3) | 11 - Type II | NA | false |
| VISITING NURSE SERVICES OF IOWA | |||||||||
| 1111 9TH STREET SUITE 320 | DES MOINES | IA | 50314 | HEALTH AND HEALTH RELATED SERVICES | IA | 501(C)(3) | 7 | HCI VNS CARE SERVICES | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | true | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | false | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | true | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | true | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |