HOSPICE OF CENTRAL IOWA: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- HOSPICE OF CENTRAL IOWA (EIN 42-1093718)
- Tax period
- 2010-07-01 to 2011-06-30
- Filed
- 2011-12-20
- IRS object ID
- 201123549349300012
- Schema version
- 2010v3.2
- 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
- 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 | 2011-12-20T11:00:36-06:00 | Timestamp |
| Tax Period End Date | 2011-06-30 | 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 | 2010-07-01 | 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 | Title |
| Date Signed | 2011-12-19 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3128997000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | 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 Suite 200 | AddressLine1 |
| City | West Des Moines | City |
| State | IA | State |
| ZIP Code | 50266 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 23359844 | 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." | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 20 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 18 | NbrIndependentVotingMembers |
| Total Nbr Employees | 296 | TotalNbrEmployees |
| Total Nbr Volunteers | 773 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 963858 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 996722 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 19633210 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 20396394 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 150380 | InvestmentIncomePriorYear |
| Investment Income Current Year | 122033 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 27886 | OtherRevenuePriorYear |
| Other Revenue Current Year | 135836 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 20775334 | TotalRevenuePriorYear |
| Total Revenue Current Year | 21650985 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 35598 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 28327 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 12419703 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 12244332 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 158844 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 9784103 | OtherExpensePriorYear |
| Other Expenses Current Year | 9808777 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 22239404 | TotalExpensesPriorYear |
| Total Expenses Current Year | 22081436 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -1464070 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -430451 | RevenuesLessExpensesCY |
| Total Assets BOY | 21608937 | TotalAssetsBOY |
| Total Assets EOY | 23287878 | TotalAssetsEOY |
| Total Liabilities BOY | 3491616 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 3458451 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 18117321 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 19829427 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | HCI CARE SERVICES (HCI) PROVIDES END-OF-LIFE CARE FOR INDIVIDUALS AND FAMILIES LIVING WITH AN END-STAGE 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 | 18170484 | Expense |
| Grants | 28327 | Grants |
| Revenue | 20430131 | Revenue |
| Description | HOSPICE OF CENTRAL IOWA, DOING BUSINESS AS HCI CARE SERVICES, PROVIDES EXCEPTIONAL END-OF-LIFE CARE TO PATIENTS WHEREVER THEY LIVE: AT HOME, IN NURSING CARE FACILITIES, IN HOSPITALS, OR AT OUR DES MOINES-BASED RESIDENTIAL HOSPICE CARE FACILITIES, THE KAVANAGH HOUSES. WE OFFER OUR SERVICES THROUGHOUT A 35-COUNTY SERVICE AREA FROM LOCALLY-STAFFED OFFICES IN CENTERVILLE, DES MOINES, KNOXVILLE, MOUNT AYR, MOUNT PLEASANT, OSCEOLA, AND PERRY. IN THE YEAR ENDING JUNE 30, 2011, HCI CARE SERVICES PROVIDED HOSPICE CARE TO 1,589 PATIENTS - A TOTAL OF 108,432 DAYS OF PATIENT CARE. (CONTINUED IN SCHEDULE O) | Description |
| Total Program Service Expense | 18170484 | 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 | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | true | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | false | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | true | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | false | 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 | false | 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 | false | 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 | true | 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 | false | 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 | 177 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 296 | 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 | 20 | 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 | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | true | LocalChapters |
| Policies Reference Chapters | false | PoliciesReferenceChapters |
| 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 | true | 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (24 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer |
|---|---|---|---|---|---|---|
| ANN M JEFFRIES | ||||||
| DIRECTOR | 1 | X | 0 | 0 | 0 | |
| KIM M GILLESPIE | ||||||
| DIRECTOR | 1 | X | 0 | 0 | 0 | |
| NORMA HIRSCH | ||||||
| CHIEF MEDICAL OFFICER | 40 | 168856 | 0 | 10698 | X | |
| TRAY WADE | ||||||
| VP PATIENT FAMILY CARE | 40 | 129043 | 0 | 12175 | X | |
| NORENE MOSTKOFF | ||||||
| PRESIDENT AND CEO | 35 | 263937 | 0 | 20451 | X | |
| SARAH BETTS SUSANIN | ||||||
| DIRECTOR | 1 | X | 0 | 0 | 0 | |
| MARY H STUART MD | ||||||
| DIRECTOR | 1 | X | 0 | 0 | 0 | |
| PRISCILLA L RUHE MD | ||||||
| DIRECTOR | 1 | X | 0 | 0 | 0 | |
| WESTON R RITCHIE | ||||||
| DIRECTOR | 1 | X | 0 | 0 | 0 | |
| JUDITH A RALSTON-HANSEN | ||||||
| DIRECTOR | 1 | X | 0 | 0 | 0 | |
| REBECCA L PURNELL | ||||||
| DIRECTOR | 1 | X | 0 | 0 | 0 | |
| JOHN M PAULE | ||||||
| CHAIR-ELECT | 1 | X | 0 | 0 | 0 | X |
| CHERYL L MCCULLOUGH | ||||||
| DIRECTOR | 1 | X | 0 | 0 | 0 | |
| GARY L HOFF DO | ||||||
| DIRECTOR | 1 | X | 0 | 0 | 0 | |
| CHARLES E CUTLER | ||||||
| CHAIR | 1 | X | 0 | 0 | 0 | X |
| MARK W BEERMAN | ||||||
| DIRECTOR | 1 | X | 0 | 0 | 0 | |
| DAVID M WINGERT | ||||||
| TREASURER | 1 | X | 0 | 0 | 0 | X |
| ROBERT H WOOTTEN | ||||||
| DIRECTOR | 1 | X | 0 | 0 | 0 | |
| NICK J HENDERSON | ||||||
| PAST CHAIR | 1 | X | 0 | 0 | 0 | X |
| KELLY DENNIS | ||||||
| VP OF FINANCE AND CFO | 40 | 127929 | 0 | 12644 | X | |
| SALLY A REAVELY | ||||||
| SECRETARY | 1 | X | 0 | 0 | 0 | X |
| CONNIE L ISAACSON | ||||||
| DIRECTOR | 1 | X | 0 | 0 | 0 | |
| KENT W MAUCK | ||||||
| DIRECTOR | 1 | X | 0 | 0 | 0 | |
| GEMECHISA M MOSA | ||||||
| DIRECTOR | 1 | X | 0 | 0 | 0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 689765 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 55968 | 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 | 160402 |
| CONSOLIDATED MANAGEMENT | |||||
| 2670 106TH ST STE 140 | DES MOINES | IA | 50322 | CONTRACTED FOOD SERVICE | 140244 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 2 | NumberOfContractorsGT100K |
| Federated Campaigns | 185470 | FederatedCampaigns |
| All Other Contributions | 811252 | AllOtherContributions |
| Noncash Contributions | 4404 | NoncashContributions |
| Total Contributions | 996722 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PATIENT SERVICE REVENUE | Description |
| Total Revenue Column | 20396394 | TotalRevenueColumn |
| Related Or Exempt Function Income | 20396394 | RelatedOrExemptFunctionIncome |
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 | 20396394 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 145103 | TotalRevenueColumn |
| Exclusion | $145,103 | 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 | 1563719 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1586789 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -23070 | Securities |
| Other | 0 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -23070 | TotalRevenueColumn |
| Exclusion | -$23,070 | 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 | 222317 | GrossSalesOfInventory |
| Cost Of Goods Sold | 122070 | CostOfGoodsSold |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 100247 | TotalRevenueColumn |
| Exclusion | $100,247 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount |
|---|---|---|---|
| EDUCATION/INSTITUTE REVENUE | 31904 | 31904 | |
| MISCELLANEOUS REVENUE | 3685 | 1833 | $1,852 |
Miscellaneous Revenue MiscellaneousRevenue
| 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 Other Revenue | 35589 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 21650985 | TotalRevenueColumn |
| Related Or Exempt Function Income | 20430131 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $224,132 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 28327 | Total |
| Program Services | 28327 | 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 | 771650 | Total |
| Program Services | 615321 | ProgramServices |
| Management And General | 150576 | ManagementAndGeneral |
| Fundraising | 5753 | Fundraising |
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 | 9292311 | Total |
| Program Services | 7400183 | ProgramServices |
| Management And General | 1825381 | ManagementAndGeneral |
| Fundraising | 66747 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 227877 | Total |
| Program Services | 184944 | ProgramServices |
| Management And General | 40381 | ManagementAndGeneral |
| Fundraising | 2552 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1119257 | Total |
| Program Services | 908384 | ProgramServices |
| Management And General | 198335 | ManagementAndGeneral |
| Fundraising | 12538 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 833237 | Total |
| Program Services | 685765 | ProgramServices |
| Management And General | 142078 | ManagementAndGeneral |
| Fundraising | 5394 | Fundraising |
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 | 13257 | Total |
| Management And General | 13257 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 40608 | Total |
| Management And General | 40608 | 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 | 1259182 | Total |
| Program Services | 957737 | ProgramServices |
| Management And General | 301445 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 168243 | Total |
| Program Services | 2096 | ProgramServices |
| Management And General | 166147 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2335442 | Total |
| Program Services | 2042670 | ProgramServices |
| Management And General | 285088 | ManagementAndGeneral |
| Fundraising | 7684 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 66749 | Total |
| Program Services | 36058 | ProgramServices |
| Management And General | 28600 | ManagementAndGeneral |
| Fundraising | 2091 | Fundraising |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 489795 | Total |
| Program Services | 264585 | ProgramServices |
| Management And General | 209865 | ManagementAndGeneral |
| Fundraising | 15345 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 750631 | Total |
| Program Services | 694576 | ProgramServices |
| Management And General | 56055 | 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 | 84743 | Total |
| Program Services | 71694 | ProgramServices |
| Management And General | 13049 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 63157 | Total |
| Management And General | 63157 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1005297 | Total |
| Program Services | 879167 | ProgramServices |
| Management And General | 126130 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| CONTRACTED FACILITY AND ROOM AND BOARD | 3301641 | 3301641 | |
| BAD DEBT EXPENSE | 83291 | 83291 | |
| MEMBERSHIP DUES | 59315 | 3926 | 55389 |
| VOLUNTEER VACCINATIONS | 5076 | 5076 | |
| VOLUNTEER RECOGNITION | 4584 | 4584 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 77766 | Total |
| Program Services | 459 | ProgramServices |
| Management And General | 36567 | ManagementAndGeneral |
| Fundraising | 40740 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 22081436 | Total |
| Program Services | 18170484 | ProgramServices |
| Management And General | 3752108 | ManagementAndGeneral |
| Fundraising | 158844 | 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 | 975 | BOY |
| EOY | 1325 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 139244 | BOY |
| EOY | 108745 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 158514 | BOY |
| EOY | 235547 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2121433 | BOY |
| EOY | 1990229 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 222956 | BOY |
| EOY | 219333 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 14161476 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 3968182 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10777816 | BOY |
| EOY | 10193294 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3978340 | BOY |
| EOY | 4613484 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3542573 | BOY |
| EOY | 5135626 | 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 | 667086 | BOY |
| EOY | 790295 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21608937 | BOY |
| EOY | 23287878 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2139267 | BOY |
| EOY | 2161205 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1352349 | BOY |
| EOY | 1297246 | 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 | 3491616 | BOY |
| EOY | 3458451 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14400144 | BOY |
| EOY | 14458247 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3717177 | BOY |
| EOY | 5371180 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18117321 | BOY |
| EOY | 19829427 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21608937 | BOY |
| EOY | 23287878 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -430451 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 2142557 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| 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 | 926403 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 4891941 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1156581 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 963858 | CurrentTaxYearMinus1Year |
| Current Tax Year | 996722 | CurrentTaxYear |
| Total | 8935505 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 19989420 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 24846083 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 19418740 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 19633210 | CurrentTaxYearMinus1Year |
| Current Tax Year | 20396394 | CurrentTaxYear |
| Total | 104283847 | Total |
Gross Receipts From Non UBI GrossReceiptsFromNonUBI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 5947 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 166 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 7448 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 900 | CurrentTaxYearMinus1Year |
| Current Tax Year | 224169 | CurrentTaxYear |
| Total | 238630 | 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 | 20921770 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 29738190 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 20582769 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 20597968 | CurrentTaxYearMinus1Year |
| Current Tax Year | 21617285 | CurrentTaxYear |
| Total | 113457982 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | 113457982 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 280216 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 296190 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 189645 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 152787 | CurrentTaxYearMinus1Year |
| Current Tax Year | 145103 | CurrentTaxYear |
| Total | 1063941 | 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 | 280216 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 296190 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 189645 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 152787 | CurrentTaxYearMinus1Year |
| Current Tax Year | 145103 | CurrentTaxYear |
| Total | 1063941 | 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 | 0 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 0 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 26986 | CurrentTaxYearMinus1Year |
| Current Tax Year | 33737 | CurrentTaxYear |
| Total | 60723 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 21201986 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 30034380 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 20772414 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 20777741 | CurrentTaxYearMinus1Year |
| Current Tax Year | 21796125 | CurrentTaxYear |
| Total | 114582646 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.99020 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.99034 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00930 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.00965 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
| General Explanation | OTHER INCOME, SCHEDULE A, PART III, LINE 12, MISCELLANEOUS INCOME RECEIVED IN FURTHERANCE OF THE ORGANIZATION'S EXEMPT PURPOSE: 2006 - $0 2007 - $0 2008 - $0 2009 - $26,986 2010 - $33,737 , | 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) |
|---|---|---|
| Total Exmpt Function Expenditures | 0 | TotalExmptFunctionExpenditures |
| 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 | $2,028 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 2028 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
| Non Ded Lobby Political Total | 0 | NonDedLobbyPoliticalTotal |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Description of other lobbying activities | Identifier |
| Return Reference | Schedule C, Part II-B, Line 1i | ReturnReference |
| Explanation | A PORTION OF THE ORGANIZATION'S ANNUAL DUES PAID TO THE NATIONAL HOSPICE AND PALLIATIVE CARE ORGANIZATION (4% OF 2010 DUES AND 8.1% OF 2011 DUES) AND THE HOSPICE AND PALLIATIVE CARE ASSOCIATION OF IOWA (20%) ARE USED FOR LOBBYING PURPOSES. THE TOTAL AMOUNT FOR THE YEAR ENDED JUNE 30, 2011, WAS $2,028. | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1067032 | OtherCostOrOtherBasis |
| Book Value | 1067032 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 9912906 | OtherCostOrOtherBasis |
| Depreciation | 2384945 | Depreciation |
| Book Value | 7527961 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 136585 | OtherCostOrOtherBasis |
| Depreciation | 92795 | Depreciation |
| Book Value | 43790 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3043419 | OtherCostOrOtherBasis |
| Depreciation | 1490442 | Depreciation |
| Book Value | 1552977 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1534 | OtherCostOrOtherBasis |
| Book Value | 1534 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 10193294 | 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 (2 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| BENEFICIAL INTEREST IN NET ASSETS HELD BY HCI FOUNDATION | 4847569 | F |
| INTEREST IN CHARITABLE REMAINDER TRUSTS | 288057 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 5135626 | TotalOfBookValueSecurities |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
| Total Of Amounts | 0 | TotalOfAmounts |
| Total Revenue | 21650985 | TotalRevenue |
| Total Expenses | 22081436 | TotalExpenses |
| Excess Or Deficit For Year | -430451 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 549497 | NetUnrealizedGLOnInvestments |
| Other | $1,593,060 | OtherAmount |
| Total Adjustments | 2142557 | TotalAdjustments |
| Excess Or Deficit Per FS | 1712106 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 23816221 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 549497 | NetUnrealizedGainsInvestments |
| Donated Srvc And Use Of Facilities | 22679 | DonatedSrvcAndUseOfFacilities |
| Other Revenues | 1593060 | OtherRevenues |
| Revenue Not Rptd F990 | 2165236 | RevenueNotRptdF990 |
| Revenue Subtotal | 21650985 | RevenueSubtotal |
| Other Revenues Not Included | 0 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 21650985 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 22104115 | TotExpensesEtcAuditedFinclStmt |
| Donated Services Use Of Facilities | 22679 | DonatedServicesUseOfFacilities |
| Other Expenses Included | 0 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 22679 | ExpensesNotRptdF990 |
| Expenses Subtotal | 22081436 | ExpensesSubtotal |
| Other Expenses Not Included | 0 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 22081436 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| 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, 2011 OR 2010. |
| Other changes in net assets | Schedule D, Part XI, Line 8 | CHANGE IN VALUE OF CHARITABLE REMAINDER TRUSTS - 28665; CHANGE IN BENEFICIAL INTEREST IN NET ASSETS OF HCI FOUNDATION - 1564395; |
| Other revenues in audited financial statements not in form 990 | Schedule D, Part XII, Line 2d | CHANGE IN VALUE OF CHARITABLE REMAINDER TRUSTS - 28665; CHANGE IN BENEFICIAL INTEREST IN NET ASSETS OF HCI FOUNDATION - 1564395; |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | false | RecordsMaintained |
Form990 Schedule I Part III Form990ScheduleIPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Grant | QUALITY OF LIFE GRANTS | TypeOfGrant |
| Number Of Recipients | 654 | NumberOfRecipients |
| Amount Of Cash Grant | 0 | AmountOfCashGrant |
| Amount Of Non Cash Assistance | 28327 | 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'S BOARD OF DIRECTORS WITHIN THE ANNUAL BUDGET. REPORTS OF FUND EXPENDITURES ARE SUBMITTED TO THE BOARD OF DIRECTORS 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. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| 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 | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NORMA HIRSCH | |||||||||||||
| 168856 | 0 | 0 | 0 | 0 | 0 | 5976 | 0 | 4722 | 0 | 179554 | 0 | 0 | 0 |
| NORENE MOSTKOFF | |||||||||||||
| 210345 | 0 | 44000 | 0 | 9592 | 0 | 7271 | 0 | 13180 | 0 | 284388 | 0 | 0 | 0 |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| HOLMES MURPHY | |||
| NICK HENDERSON (BOARD MEMBER) IS AN OFFICER OF HOLMES MURPHY. | 135006 | HCI CARE SERVICES PURCHASES INSURANCE COVERAGE THROUGH HOLMES MURPHY. | false |
| WELLMARK BLUE CROSS AND BLUE SHIELD (WELLMARK) | |||
| CHERYL MCCULLOUGH (BOARD MEMBER) IS AN OFFICER OF WELLMARK BLUE CROSS AND BLUE SHIELD | 1614848 | HCI CARE SERVICES RECEIVED PAYMENTS FOR CLAIMS RELATED TO PATIENT CARE SERVICES IN THE AMOUNT OF $307,132 FROM WELLMARK. IN ADDITION, HCI CARE SERVICES PURCHASED EMPLOYEE HEALTH INSURANCE THROUGH WELLMARK IN THE AMOUNT OF $1,307,716 DURING THE YEAR. | false |
Schedule M IRS990ScheduleM
Books And Publications BooksAndPublications
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Noncash Contribs Rptd F990 | 2712 | 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 | 96171 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | RESALE VALUE | MethodOfDeterminingRevenues |
Other Non Cash Contributions Table OtherNonCashContributionsTable (2 entries)
| Non Cash CheckboxNonCashCheckbox | DescriptionDescription | Number Of ContributionsNumberOfContributions | Noncash Contribs Rptd F990NoncashContribsRptdF990 | Method Of Determining RevenuesMethodOfDeterminingRevenues |
|---|---|---|---|---|
| X | MISCELLANEOUS | 6 | 4404 | MARKET VALUE |
| X | MISCELLANEOUS | 342 | 1364 | RESALE 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 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (12 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| New program services | Form 990, Part III, Line 2 | THE ORGANIZATION OPENED HOSPICE OF CENTRAL IOWA THRIFT STORE, LLC (D/B/A HCI GIVING TREE) DURING THE CURRENT YEAR. HCI GIVING TREE SELLS GENTLY USED FURNITURE, HOUSEHOLD ITEMS AND CLOTHING TO THE PUBLIC. ALL ITEMS SOLD ARE DONATED AND THE STORE IS STAFFED WITH VOLUNTEERS. HCI EXTRA CARE SERVICES, LLC WAS ALSO OPENED IN THE CURRENT YEAR. HCI EXTRA CARE SERVICES OFFERS A RANGE OF PATIENT CARE SERVICES INCLUDING PRIVATE NURSING CARE AND COMPANION SERVICES. |
| ORGANIZATION'S MISSION | FORM 990, PART III, LINE 1 | (CONTINUED FROM PART III) FOUNDED IN 1978, HCI CARE SERVICES (HCI) IS THE STATE'S OLDEST HOSPICE CARE PROVIDER. AN INDEPENDENT, NOT-FOR-PROFIT, COMMUNITY-BASED ORGANIZATION, HCI'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: - PURSUE EXCELLENCE; - ACT WITH INTEGRITY, RESPECT AND DIGNITY; - FOCUS ON SERVICE; AND - HONOR TEAMWORK. |
| PROGRAM SERVICE ACCOMPLISHMENTS | FORM 990, PART III, LINE 4A | (CONTINUED FROM PART III) 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, 2010, THROUGH JUNE 30, 2011, QUALIFYING HCI CARE SERVICES PATIENTS IN NEED RECEIVED OVER $436,000 IN CHARITY CARE. HCI CARE SERVICES ALSO RECEIVES SIGNIFICANT IN-KIND DONATIONS OF TIME AND EFFORT THROUGH ITS VOLUNTEERS. IN THE YEAR ENDING JUNE 30, 2011, VOLUNTEERS DONATED 20,085 VOLUNTEER HOURS, EQUAL TO $493,000 IN VALUE TO THE ORGANIZATION. HCI CARE SERVICES OFFERS THE FOLLOWING SERVICES. HCI HOSPICE CARE SERVICES, WHICH OFFERS: - IN-HOME HOSPICE SERVICES, INCLUDING VISITS FROM NURSES, SOCIAL WORKERS, HOSPICE AIDES, SPIRITUAL CARE COUNSELORS, BEREAVEMENT COUNSELORS, VOLUNTEERS AND THERAPISTS. - 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 PRACTITIONER 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. 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. - NURSES, HOME HEALTH AIDES AND TRAINED HOMEMAKERS OFFER EXPERTISE AND COMPANIONSHIP RANGING FROM ONE HOUR/DAY TO 24-HOUR ASSISTANCE. - EXAMPLES OF SERVICES INCLUDE ASSISTANCE WITH BATHING, GROOMING, DRESSING, TOILETING, LAUNDRY, LIGHT HOUSEKEEPING, CHRONIC DISEASE CASE MANAGEMENT AND SKILLED SERVICES. - 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 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 STAFF 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, 2011, APPROXIMATELY 85 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, 2011, 1,620 PEOPLE WERE TOUCHED BY HCI CARE SERVICES' GRIEF SUPPORT SERVICES EDUCATIONAL SERVICES: THE HOSPICE OF CENTRAL IOWA INSTITUTE IS THE PROFESSIONAL OUTREACH ARM OF HCI CARE SERVICES. WITH ITS MISSION TO "COMMUNICATE, COLLABORATE AND EDUCATE FOR QUALITY END-OF-LIFE CARE," THE INSTITUTE ENHANCES THE WAY PEOPLE ARE CARED FOR AT END OF LIFE BY: - RAISING PUBLIC AWARENESS. - PROVIDING EDUCATIONAL OPPORTUNITIES FOR HOSPICE AND OTHER HEALTH CARE PROFESSIONALS. THE INSTITUTE OFFERED 1,210 CONTACT HOURS, INCLUDING CONTINUING MEDICAL EDUCATION (CMES) TO 249 PARTICIPANTS. TRAINED HCI CARE SERVICES STAFF ALSO DELIVERED FREE CONTINUING EDUCATION UNIT (CEU) PRESENTATIONS TO 528 STAFF AT LONG-TERM, ASSISTED LIVING AND HOSPITAL FACILITIES IN THE YEAR ENDING JUNE 30, 2011. - PARTICIPATING IN RESEARCH TO BROADEN AND STRENGTHEN SERVICES FOR INDIVIDUALS IN THE FINAL MONTHS OF LIFE. BOTH HCI CARE SERVICES AND THE HOSPICE OF CENTRAL IOWA INSTITUTE ALSO PROVIDE COMMUNITY EDUCATION OPPORTUNITIES TO THE PUBLIC. TOPICS RANGE FROM CAREGIVER SUPPORT TO PREPARING ADVANCE DIRECTIVES AND LIVING WITH SERIOUS ILLNESS. MANY OF THESE PROGRAMS ARE PROVIDED AT NO COST TO PARTICIPANTS. |
| Significant changes to organizational documents | Form 990, Part VI, Section A, Line 4 | THE ORGANIZATION'S ARTICLES OF INCORPORATION AND BYLAWS WERE AMENDED AND RESTATED DURING THE FISCAL YEAR TO STATE THAT THE ORGANIZATION IS NO LONGER A MEMBERSHIP ORGANIZATION. AFTER RESTATEMENT, THE CORPORATION SHALL HAVE NO MEMBERS. THE BYLAWS WERE ALSO AMENDED TO ALLOW FOR CHANGES IN THE COMMITTEE STRUCTURE. |
| Monitoring compliance of local unit's activities | Form 990, Part VI, Section B, Line 10b | ALTHOUGH THE ORGANIZATION DOES NOT HAVE WRITTEN POLICIES OR PROCEDURES GOVERNING THE ACTIVITIES OF ITS DISREGARDED ENTITIES, THE ORGANIZATION'S MANAGEMENT IS ACTIVELY INVOLVED IN BOTH ENTITIES' OPERATIONS TO ENSURE THEIR OPERATIONS ARE CONSISTENT WITH THE MISSION AND TAX-EXEMPT PURPOSE OF HCI CARE SERVICES. |
| 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, 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 BOARD TRUSTEES ARE REQUIRED TO PROMPTLY REPORT ANY ONGOING OR INCIDENTAL MATERIAL INTERESTS OR AFFILIATIONS WHICH COULD RESULT IN A POTENTIAL CONFLICT OF INTEREST; BOARD TRUSTEES ARE ALSO REQUIRED TO SIGN AN ANNUAL CONFLICT OF INTEREST DECLARATION. BOARD TRUSTEES AND OFFICERS ALSO COMPLETE AN ANNUAL AUTOMATED CONFLICT OF INTEREST QUESTIONNAIRE. THE DECLARATIONS AND QUESTIONNAIRE RESPONSES ARE REVIEWED BY THE PRESIDENT TO DETERMINE IF ANY POTENTIAL OR ACTUAL CONFLICTS OF INTEREST EXIST. ANY BOARD TRUSTEE 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, Section B, 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 USING FISCAL YEAR 2009 AND FISCAL YEAR 2011 COMPENSATION DATA. THE FINDINGS OF THE SURVEYS ARE PRESENTED TO THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE MEMBERS USE THE SURVEYS TO REVIEW AND ESTABLISH THE AMOUNT OF COMPENSATION FOR THE PRESIDENT. THE REVIEW PROCESS IS DOCUMENTED IN THE EXECUTIVE COMITTEE MEETING MINUTES, AND WAS LAST COMPLETED IN NOVEMBER 2010. |
| Public Disclosure | 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. |
| PROCESS USED TO ESTABLISH COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES | FORM 990, PART VI, SECTION B, 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 USING FISCAL YEAR 2009 AND FISCAL YEAR 2011 COMPENSATION DATA. THE PRESIDENT USES THE SURVEYS TO REVIEW AND ESTABLISH THE AMOUNT OF COMPENSATION FOR THE ORGANIZATION'S OTHER OFFICERS. OTHER OFFICERS' COMPENSATION WAS LAST REVIEWED IN NOVEMBER 2010. |
| AVERAGE HOURS PER WEEK | FORM 990, PART VII, SECTION A | NORENE MOSTKOFF, HCI CARE SERVICES' PRESIDENT AND CEO, ALSO DEVOTES APPROXIMATELY FIVE HOURS PER WEEK AS THE PRESIDENT AND CEO OF HCI FOUNDATION, AN UNRELATED TAX-EXEMPT ORGANIZATION. |
| Other changes in net assets or fund balances | Form 990, Part XI, Line 5 | NET UNREALIZED GAINS (LOSSES) ON INVESTMENTS - 549497; CHANGE IN VALUE OF CHARITABLE REMAINDER TRUSTS - 28665; CHANGE IN BENEFICIAL INTEREST IN NET ASSETS OF HCI FOUNDATION - 1564395; |
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 | 100247 | 6770 | NA |
| HCI EXTRACARE LLC | |||||||||
| 2910 WESTOWN PARKWAY SUITE 200 | WEST DES MOINES | IA | 50266 | 300661072 | PRIVATE DUTY NURSING AND COMPANION SERVICES | IA | 47356 | 0 | NA |