STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

ELEA INSTITUTE: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
ELEA INSTITUTE (EIN 36-3305643)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-08-29
IRS object ID
201202429349300120
Schema version
2011v1.2
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-08-29T16:31:34-05:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN363168081EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1SIKICH LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11415 W DIEHL RD SUITE 400AddressLine1
CityNAPERVILLECity
StateILState
ZIP Code605632349ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN363305643EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1HOSPICE OF NORTHEASTERN ILLINOIS INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlHOSPNameControl
Phone8473815599Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1405 LAKE ZURICH RDAddressLine1
CityBARRINGTONCity
StateILState
ZIP Code60010ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSARAH BEALLESName
TitlePRESIDENT & CEOTitle
Phone8473815599Phone
Date Signed2012-08-27DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameANDREW TWARDOWSKIName
PTINP00377357PTIN
Phone6305668400Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonSARAH BEALLESNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1405 LAKE ZURICH RDAddressLine1
CityBARRINGTONCity
StateILState
ZIP Code60010ZIPCode
FieldValueIRS element (for citing)
Gross Receipts22581860GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.HOSPICEANSWERS.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1984YearFormation
State Legal DomicileILStateLegalDomicile
Activity Or Mission DescriptionMEDICAL AND BEREAVEMENT SERVICES FOR INDIVIDUALS FACING A TERMINAL ILLNESS, AND THEIR FAMILIES.ActivityOrMissionDescription
Nbr Voting Members Governing Body21NbrVotingMembersGoverningBody
Nbr Independent Voting Members21NbrIndependentVotingMembers
Total Nbr Employees302TotalNbrEmployees
Total Nbr Volunteers432TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year4691544ContributionsGrantsPriorYear
Contributions Grants Current Year2592157ContributionsGrantsCurrentYear
Program Service Revenue Prior Year13773586ProgramServiceRevenuePriorYear
Program Service Revenue CY19533930ProgramServiceRevenueCY
Investment Income Prior Year30583InvestmentIncomePriorYear
Investment Income Current Year-26992InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year18495713TotalRevenuePriorYear
Total Revenue Current Year22099095TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year9087112SalariesEtcPriorYear
Salaries Etc Current Year11992839SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year4831127OtherExpensePriorYear
Other Expenses Current Year6712190OtherExpensesCurrentYear
Total Expenses Prior Year13918239TotalExpensesPriorYear
Total Expenses Current Year18705029TotalExpensesCurrentYear
Revenues Less Expenses Prior Year4577474RevenuesLessExpensesPriorYear
Revenues Less Expenses CY3394066RevenuesLessExpensesCY
Total Assets BOY24420678TotalAssetsBOY
Total Assets EOY26509257TotalAssetsEOY
Total Liabilities BOY7447544TotalLiabilitiesBOY
Total Liabilities EOY6149502TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY16973134NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY20359755NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE HOSPICE OF NORTHEASTERN ILLINOIS, INC. PROVIDES COMPREHENSIVE HOLISTIC, COMMUNITY BASED SUPPORT SERVICES AND CARE FOR TERMINALLY ILL PERSONS, THEIR CAREGIVERS, AND LOVED ONES, WITHOUT REGARD TO ECONOMIC STATUS, TO ENABLE THE DYING PERSON TO LIVE PEACEFULLY, IN COMFORT, AND WITH DIGNITY TO THE LAST MOMENT OF LIFE.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense10277983Expense
Revenue15238988Revenue
DescriptionHOSPICE PROGRAM - PROVIDES COMPREHENSIVE HOLISTIC, COMMUNITY BASED SUPPORT SERVICES AND CARE FOR TERMINALLY ILL PERSONS, THEIR CAREGIVERS, AND LOVED ONES, WITHOUT REGARD TO ECONOMIC STATUS, TO ENABLE THE DYING PERSON TO LIVE PEACEFULLY, IN COMFORT, AND WITH DIGNITY TO THE LAST MOMENT OF LIFE.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense3467464Expense
Revenue3318226Revenue
DescriptionTHE HOSPICE HAS IN-PATIENT UNITS IN BOTH BARRINGTON, IL AND WOODSTOCK, IL. THE IN-PATIENT UNIT IS A SHORT-TERM CARE FACILITY, DESIGNED TO MANAGE ACUTE SYMPTOMS AND EASE THE BURDEN THAT FAMILIES EXPERIENCE WHILE CARING FOR A LOVED ONE WITH A TERMINAL ILLNESS. PATIENTS RECEIVE CONTINUOUS SKILLED 24-HOUR CARE THAT FOCUSES ON PAIN AND SYMPTOM MANAGEMENT. THE BARRINGTON IN-PATIENT UNIT HAS SIXTEEN BEDS AND THE WOODSTOCK IN-PATIENT UNIT HAS TEN BEDS.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense754973Expense
Revenue809910Revenue
DescriptionPEDIATRIC PROGRAM - THE PEDIATRIC PROGRAM OFFERS HOSPICE AND PALLIATIVE CARE SERVICES SUPPORTING FAMILIES AND CHILDREN FACING A LIFE-LIMITING ILLNESS.Description

Activity Other ActivityOther (4 entries)

ExpenseExpenseDescriptionDescriptionRevenueRevenue
211550BEREAVEMENT PROGRAM - BEREAVEMENT PROGRAM PROVIDES BEREAVEMENT SUPPORT AND COUNSELING THROUGH INDIVIDUAL AND GROUP SESSIONS FOR FAMILIES WHO HAVE SUFFERED A LOSS.
121386INTEGRATIVE THERAPY PROGRAM - THE INTEGRATIVE THERAPY IS A SPECIALIZED PROGRAM PROVIDED TO HOSPICE PATIENTS BY CERTIFIED THERAPISTS AS A COMPLEMENT TO A MEDICAL CARE PLAN TO PROVIDE PAIN REDUCTION AND STRESS MANAGEMENT. THE PROGRAM INCLUDES MASSAGE, ART THERAPY, MUSIC THERAPY, REIKI AND PET VISITS.
5392SUPPLEMENTAL CARE PROGRAM - SUPPLEMENTAL CARE REPRESENTS PAYMENTS FOR THIRD-PARTY SERVICE PROVIDERS WHICH ARE NOT REIMBURSED THROUGH SERVICE REVENUES.
428873PALLIATIVE CARE - PALLIATIVE CARE IS A MEDICAL SPECIALTY THAT HELPS PEOPLE OF ANY AGE WHO ARE COPING WITH SERIOUS ILLNESSESS. IT IS APPROPRIATE AT ANY POINT IN AN ILLNESS AND CAN BE DELIVERED ALONG WITH CURATIVE TREATMENTS.166806
FieldValueIRS element (for citing)
Total Of Other Program Service Exp767201TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev166806TotalOfOtherProgramServiceRev
Total Program Service Expense15267621TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109628NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees302NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members21NbrVotingGoverningBodyMembers
Number Independent Voting Members21NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledILStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1ANNE VAN OOSTBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8473815599TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1405 LAKE ZURICH RDAddressLine1
CityBARRINGTONCity
StateILState
ZIP Code60010ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (25 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
JOHN W STRONG
VICE CHAIR2.00XX000
ANNE B MILLER
CHAIR2.00XX000
W BRADLEY STETSON
TREASURER2.00XX000
DAVID VAN DAM
SECRETARY2.00XX000
DALE E BEATTY
BOARD2.00X000
ELIZABETH HAYDEN
BOARD2.00X000
JEFFREY T BOUNDY
BOARD2.00X000
BRUCE CARLSON MD
BOARD2.00X000
REV ROBERT DEKKER
BOARD2.00X000
WILLIAM KESLER
BOARD2.00X000
THOMAS C LIEBMAN
BOARD2.00X000
MARIANNE ARAUJO
BOARD2.00X000
KATHY RENO
BOARD2.00X000
JASON SCIARRO
BOARD2.00X000
JOHN W COX
BOARD2.00X000
SYLVIA BOEDER
BOARD2.00X000
GEORGE YAPP
BOARD2.00X000
AARON SHEPLEY
BOARD2.00X000
HAL STINESPRING
BOARD2.00X000
JUDY BALCITIS
BOARD2.00X000
ALISON HARKINS
BOARD2.00X000
CINDY MUSIKANTOW
PRESIDENT/ CEO32.00X215740013966
ANNE VAN OOST
CHIEF FINANCIAL OFFICER40.00X112689022467
DENISE SAMPLE
CHIEF NURSING OFFICER40.00X78682019295
SARAH BEALLES
CHIEF OPERATING OFFICER40.00X16830707273
FieldValueIRS element (for citing)
Total Reportable Comp From Org575418TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation63001TotalOtherCompensation
Number Individuals GT100 K3NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Related Organizations2535712RelatedOrganizations
All Other Contributions56445AllOtherContributions
Total Contributions2592157TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICARE/MEDICAID PAYM6230001751888917518889
INSURANCE62300020150412015041
FieldValueIRS element (for citing)
Total Program Service Revenue19533930TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column4113TotalRevenueColumn
Exclusion$4,113ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities448760Securities
Other2900Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities438686Securities
Other44079Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities10074Securities
Other-41179Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-31105TotalRevenueColumn
Exclusion-$31,105ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column22099095TotalRevenueColumn
Related Or Exempt Function Income19533930RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion-$26,992ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total638419Total
Management And General638419ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total11354420Total
Program Services10027784ProgramServices
Management And General1326636ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total15946Total
Management And General15946ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total25542Total
Management And General25542ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total128731Total
Management And General128731ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total11666Total
Management And General11666ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total395543Total
Program Services166737ProgramServices
Management And General228806ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total294489Total
Program Services251966ProgramServices
Management And General42523ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total434577Total
Program Services431298ProgramServices
Management And General3279ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1213927Total
Program Services713784ProgramServices
Management And General500143ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total83197Total
Program Services60116ProgramServices
Management And General23081ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PHARMACY,MEDICAL SUPPLI19701581970158
MEDICAL CONTRACTUAL SER1281637120492476713
REPAIRS & MAINTENANCE24570115018895513
PROGRAM EXPENSES15743134940122491

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total453645Total
Program Services255726ProgramServices
Management And General197919ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total18705029Total
Program Services15267621ProgramServices
Management And General3437408ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1004666BOY
EOY961803EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2422766BOY
EOY4867877EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY75910BOY
EOY115515EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis22593533LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec3256613LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY19819329BOY
EOY19336920EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY352477BOY
EOY243421EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY745530BOY
EOY983721EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY24420678BOY
EOY26509257EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1900608BOY
EOY2649502EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY5500000BOY
EOY3500000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY46936BOY
EOY0EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY7447544BOY
EOY6149502EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY16973134BOY
EOY20359755EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY16973134BOY
EOY20359755EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY24420678BOY
EOY26509257EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses3394066ReconcilationRevenueExpenses
Reconcilation Other Changes-7445ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1170863CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3180771CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7414694CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4691544CurrentTaxYearMinus1Year
Current Tax Year2592157CurrentTaxYear
Total19050029Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1170863CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3180771CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7414694CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4691544CurrentTaxYearMinus1Year
Current Tax Year2592157CurrentTaxYear
Total19050029Total
FieldValueIRS element (for citing)
Public Support Total17019050029PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years42576CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years31096CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years15187CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year19748CurrentTaxYearMinus1Year
Current Tax Year4113CurrentTaxYear
Total112720Total
FieldValueIRS element (for citing)
Total Support19162749TotalSupport
Gross Receipts From Admissions Etc64100660GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.99410PublicSupportPertcentage170
Public Support Pertcent Prior Year0.99030PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1768425OtherCostOrOtherBasis
Book Value1768425BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis16453108OtherCostOrOtherBasis
Depreciation1027622Depreciation
Book Value15425486BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis435111OtherCostOrOtherBasis
Depreciation197540Depreciation
Book Value237571BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis3824797OtherCostOrOtherBasis
Depreciation2031451Depreciation
Book Value1793346BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis112092OtherCostOrOtherBasis
Book Value112092BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings19336920TotalOfBookValueLandBuildings
Total Revenue22099095TotalRevenue
Total Expenses18705029TotalExpenses
Excess Or Deficit For Year3394066ExcessOrDeficitForYear
Net Unrealized GL On Investments-7445NetUnrealizedGLOnInvestments
Other-$890,958OtherAmount
Total Adjustments-898403TotalAdjustments
Excess Or Deficit Per FS2495663ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt22172350TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-7445NetUnrealizedGainsInvestments
Other Revenues2616412OtherRevenues
Revenue Not Rptd F9902608967RevenueNotRptdF990
Revenue Subtotal19563383RevenueSubtotal
Other Revenues Not Included2535712OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt2535712RevenueNotRptdOnFinStmt
Total Revenue Per Form99022099095TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt19676687TotExpensesEtcAuditedFinclStmt
Other Expenses Included3507370OtherExpensesIncluded
Expenses Not Rptd F9903507370ExpensesNotRptdF990
Expenses Subtotal16169317ExpensesSubtotal
Other Expenses Not Included2535712OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt2535712ExpensesNotRptdOnFinStmt
Total Expenses Per Form99018705029TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X:PURSUANT TO AN INTERNAL REVENUE SERVICE DETERMINATION LETTER ISSUED IN APRIL 1985, HOSPICE IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, EXCEPT FOR ANY UNRELATED BUSINESS INCOME. HOSPICE HAD NO UNRELATED BUSINESS INCOME DURING THE YEARS ENDED DECEMBER 31, 2011 AND 2010. HOSPICE IS ALSO EXEMPT FROM STATE INCOME TAXES UNDER SIMILAR PROVISIONS OF STATE TAX REGULATIONS. HOSPICE FOLLOWS AUTHORITATIVE GUIDANCE ISSUED BY THE FASB THAT CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ENTITYS FINANCIAL STATEMENTS AND PRESCRIBES A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD HAS NOT BEEN MET. THIS GUIDANCE ALSO ADDRESSES DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, DISCLOSURE, AND TRANSITION. HOSPICE CONDUCTS BUSINESS SOLELY IN THE U.S. AND, AS A RESULT, FILES INFORMATION RETURNS FOR U.S. AND ILLINOIS. IN THE NORMAL COURSE OF BUSINESS, HOSPICE IS SUBJECT TO EXAMINATION BY TAXING AUTHORITIES. HOSPICE'S INFORMATION RETURNS FOR YEARS SUBSEQUENT TO FISCAL 2007 ARE OPEN, BY STATUTE, FOR REVIEW BY AUTHORITIES. HOWEVER, AT PRESENT, THERE ARE NO ONGOING INCOME TAX AUDITS OR UNRESOLVED DISPUTES WITH THE VARIOUS TAX AUTHORITIES THAT HOSPICE CURRENTLY FILES OR HAS FILED WITH.
PART XI, LINE 8 - OTHER ADJUSTMENTS:CHANGE IN NET ASSETS ATTRIBUTABLE TO HOSPICE FOUNDATION OF NORTHEASTERN IL -890,958.
PART XII, LINE 2D - OTHER ADJUSTMENTS:REVENUE ATTRIBUTABLE TO HOSPICE FOUNDATION OF NORTHEASTERN ILLINOIS 2,616,412.
PART XII, LINE 4B - OTHER ADJUSTMENTS:ELIMINATIONS PER COMBINING FINANCIAL STATEMENTS 2,535,712.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:EXPENSES ATTRIBUTABLE TO HOSPICE FOUNDATION OF NORTHEASTERN ILLINOIS 3,507,370.
PART XIII, LINE 4B - OTHER ADJUSTMENTS:ELIMINATIONS PER COMBINING FINANCIAL STATEMENTS 2,535,712.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
CINDY MUSIKANTOW
18948802625200000139660229706000
SARAH BEALLES
1583070100000000072730175580000

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1ILLINOIS FINANCE AUTHORITYBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN861091967IssuerEIN
CUSIP Number45200FYB9CUSIPNumber
Date Issued2009-07-16DateIssued
Issue Price8500000IssuePrice
Description Of PurposeSEE SCHEDULE ODescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer
Pool Financing0PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Total Proceeds8500000TotalProceeds
Amount In Reserve Fund553173AmountInReserveFund
Issuance Costs From Proceeds237532IssuanceCostsFromProceeds
Capital Expenditures7709295CapitalExpenditures
Year Of Subst Completion2010YearOfSubstCompletion
Current Refunding0CurrentRefunding
Advance Refunding0AdvanceRefunding
Final Allocation Made0FinalAllocationMade
Adequate Books And Recds Maintaind0AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements0AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty0MngmentCntrctBondFinancdPrprty
Any Research Agreements0AnyResearchAgreements
Post Issuance Compliance Procdrs0PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T Filed0Form8038TFiled
Variable Rate Issue0VariableRateIssue
Hedge Identified In Books And Recds0HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Gross Proceeds Invested0GrossProceedsInvested
Exception To Rebate0ExceptionToRebate

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11A COPY OF THE 990 IS SENT TO EACH BOARD MEMBER PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CCONFLICT OF INTEREST IS REVIEWED WITH EACH EMPLOYEE DURING ORIENTATION, AND ON ANNUAL TRAINING. THE POLICY IS REVIEWED ANNUALLY DURING POLICY REVIEW. IT WOULD ALSO BE REVIEWED DURING ANY SITUATION THAT MAY ARISE INVOLVING CONFLICT OF INTEREST. THE BOARD HAS ACCESS TO ALL POLICIES & PROCEDURES, BUT TO ANYONE OUTSIDE THE AGENCY, THE POLICY WOULD BE AVAILABLE UPON REQUEST. BOARD MEMBERS, DURING ORIENTATION, REVIEW THE CONFLICT OF INTEREST POLICY AND SIGN THE DISCLOSURE FORM. ALSO, ALL BOARD MEMBERS ANNUALLY SIGN CONFLICT DISCLOSURE FORMS. THESE ARE REVIEWED AND MONITORED BY THE CEO.
FORM 990, PART VI, SECTION B, LINE 15PROCESS USED TO DETERMINE CEO & EXECUTIVE DIRECTOR COMPENSATION: INDEPENDENT THIRD-PARTY CONSULTANT MET WITH HR DIRECTOR TO DETERMINE JOB SCOPE AND BOARD REQUIREMENTS. CONSULTANT GATHERED APPROPRIATE MARKET DATA FOR BASE PAY AND TOTAL CASH COMPENSATION, BASED ON THE SIZE AND TYPE OF THE ORGANIZATION, AS WELL AS OTHER CONSTRAINING FACTORS; CONSULTANT ALSO INCORPORATED RELEVANT 990 ORGANIZATIONAL INFORMATION IN THE ANALYSIS. CONSULTANT CREATED RECOMMENDATIONS FOR REVIEW WITH THE BOARD COMMITTEE. HR DIRECTOR REVIEWED DATA WITH THE BOARD COMMITTEE FOR FINAL APPROVAL OF PAY PROGRAM. PROCESS USED TO DETERMINE COMPENSATION OF KEY EMPLOYEES: SAME PROCESS IS USED AS ABOVE. HOWEVER, CEO HAS FINAL APPROVAL AND AUTHORITY.
FORM 990, PART VI, SECTION C, LINE 19FINANCIAL STATEMENTS AND ORGANIZATIONAL DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART VII, COLUMN (B)CINDY MUSIKANTOWS TIME IS SPLIT BETWEEN HOSPICE OF NORTHEASTERN ILLINOIS AND HOSPICE FOUNDATION OF NORTHEASTERN ILLINOIS. APPROXIMATELY 8 HOURS PER WEEK ARE SPENT ON HOSPICE FOUNDATION OF NORTHEASTERN ILLINOIS AND 32 HOURS PER WEEK ARE SPENT ON HOSPICE OF NORTHEASTERN ILLINOIS.
FORM 990, PART XI, LINE 5:NET UNREALIZED LOSSES ON INVESTMENTS: -7,445.CHANGES IN NET ASSETS OR FUND BALANCES:
SCHEDULE K, PAGE 1, PART 1, A(F)CONSTRUCTION OF AND EQUIPPING A FREE STANDING, 16-BED, INPATIENT HOSPICE HOME LOCATED IN BARRINGTON, ILLINOIS.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1HOSPICE FOUNDATION OF NORTHEASTERN ILLINOISBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1410 S HAGER RDAddressLine1
CityBARRINGTONCity
StateILState
ZIP Code60010ZIPCode
FieldValueIRS element (for citing)
EIN363820916EIN
Primary ActivitiesSUPPORT ACTIVITIES OF HOSPICE OF NORTHEASTERN ILLINOISPrimaryActivities
Legal Domicile StateILLegalDomicileState
Exempt Code Section501(C)(3)ExemptCodeSection
Public Charity Status509(A)(1)PublicCharityStatus
Direct Controlling Entity NAN/ADirectControllingEntityNA
Controlled Org0ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1HOSPICE FOUNDATION OF NORTHEASTERN ILLINOISBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeCTransactionType
Method Of Amt DeterminationCASH AMOUNTMethodOfAmtDetermination