2011-12-20T11:00:36-06:00 2011-06-30 CROWE HORWATH LLP 70 West Madison Street Suite 700 Chicago IL 606024903 990 2010-07-01 421093718 HOSPICE OF CENTRAL IOWA HOSP 5152743400 2910 Westown Parkway West Des Moines IA 502661332 NORENE MOSTKOFF 2011-12-19 true 3128997000 2010 2016-02-24 21:20:13Z HCI CARE SERVICES NORENE MOSTKOFF 2910 Westown Parkway Suite 200 West Des Moines IA 50266 23359844 false X WWW.HOSPICEOFCENTRALIOWA.ORG X 1978 IA HCI CARE SERVICES' MISSION IS "PROMOTING DIGNITY, INDEPENDENCE AND QUALITY OF LIFE THROUGH COMPASSIONATE AND EFFECTIVE COMMUNITY BASED CARE." 20 18 296 773 0 0 963858 996722 19633210 20396394 150380 122033 27886 135836 20775334 21650985 35598 28327 0 0 12419703 12244332 0 0 158844 9784103 9808777 22239404 22081436 -1464070 -430451 21608937 23287878 3491616 3458451 18117321 19829427 X 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) false false 18170484 28327 20430131 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) 18170484 true true false true false false false false false true true false false false true true false false false false false false false false false false false true true false false false false false false false true true false false false true false false false false false true 177 0 true 296 true false false false false false false false false false false X 20 18 false false true false false false false true true false true false true true true true true true true false false X X Kelly Dennis 5152743400 2910 Westown Parkway Suite 200 West Des Moines IA 50266 X ANN M JEFFRIES 1 X 0 0 0 KIM M GILLESPIE 1 X 0 0 0 NORMA HIRSCH 40 X 168856 0 10698 TRAY WADE 40 X 129043 0 12175 NORENE MOSTKOFF 35 X 263937 0 20451 SARAH BETTS SUSANIN 1 X 0 0 0 MARY H STUART MD 1 X 0 0 0 PRISCILLA L RUHE MD 1 X 0 0 0 WESTON R RITCHIE 1 X 0 0 0 JUDITH A RALSTON-HANSEN 1 X 0 0 0 REBECCA L PURNELL 1 X 0 0 0 JOHN M PAULE 1 X X 0 0 0 CHERYL L MCCULLOUGH 1 X 0 0 0 GARY L HOFF DO 1 X 0 0 0 CHARLES E CUTLER 1 X X 0 0 0 MARK W BEERMAN 1 X 0 0 0 DAVID M WINGERT 1 X X 0 0 0 ROBERT H WOOTTEN 1 X 0 0 0 NICK J HENDERSON 1 X X 0 0 0 KELLY DENNIS 40 X 127929 0 12644 SALLY A REAVELY 1 X X 0 0 0 CONNIE L ISAACSON 1 X 0 0 0 KENT W MAUCK 1 X 0 0 0 GEMECHISA M MOSA 1 X 0 0 0 689765 0 55968 4 false true false 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 2 185470 811252 4404 996722 PATIENT SERVICE REVENUE 20396394 20396394 0 0 0 0 20396394 145103 145103 0 0 0 0 0 1563719 1586789 -23070 0 -23070 -23070 0 0 222317 122070 100247 100247 EDUCATION/INSTITUTE REVENUE 31904 31904 MISCELLANEOUS REVENUE 3685 1833 1852 0 0 0 0 35589 21650985 20430131 0 224132 0 28327 28327 0 0 771650 615321 150576 5753 0 9292311 7400183 1825381 66747 227877 184944 40381 2552 1119257 908384 198335 12538 833237 685765 142078 5394 0 13257 13257 40608 40608 0 0 0 1259182 957737 301445 168243 2096 166147 2335442 2042670 285088 7684 66749 36058 28600 2091 0 489795 264585 209865 15345 750631 694576 56055 0 84743 71694 13049 63157 63157 0 1005297 879167 126130 0 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 77766 459 36567 40740 22081436 18170484 3752108 158844 0 975 1325 139244 108745 158514 235547 2121433 1990229 222956 219333 14161476 3968182 10777816 10193294 3978340 4613484 3542573 5135626 0 0 667086 790295 21608937 23287878 2139267 2161205 1352349 1297246 0 0 3491616 3458451 X 14400144 14458247 3717177 5371180 18117321 19829427 21608937 23287878 X -430451 2142557 X false true true X false X 926403 4891941 1156581 963858 996722 8935505 19989420 24846083 19418740 19633210 20396394 104283847 5947 166 7448 900 224169 238630 0 0 20921770 29738190 20582769 20597968 21617285 113457982 0 0 0 0 0 0 0 0 113457982 280216 296190 189645 152787 145103 1063941 0 280216 296190 189645 152787 145103 1063941 0 0 0 0 26986 33737 60723 21201986 30034380 20772414 20777741 21796125 114582646 0.99020 0.99034 0.00930 0.00965 X 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 , RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 false false false false false false false false true 2028 2028 false 0 Description of other lobbying activities Schedule C, Part II-B, Line 1i 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. 1067032 1067032 9912906 2384945 7527961 136585 92795 43790 3043419 1490442 1552977 1534 1534 10193294 0 0 BENEFICIAL INTEREST IN NET ASSETS HELD BY HCI FOUNDATION 4847569 F INTEREST IN CHARITABLE REMAINDER TRUSTS 288057 F 5135626 0 0 21650985 22081436 -430451 549497 1593060 2142557 1712106 23816221 549497 22679 1593060 2165236 21650985 0 0 21650985 22104115 22679 0 22679 22081436 0 0 22081436 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; false QUALITY OF LIFE GRANTS 654 0 28327 COST MISCELLANEOUS NON-CARE ITEMS Procedures for monitoring use of grant funds Schedule I, Part I, Line 2 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. X X X X X false false false false false false false false false 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 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 X 2712 RESALE VALUE X 96171 RESALE VALUE X MISCELLANEOUS 6 4404 MARKET VALUE X MISCELLANEOUS 342 1364 RESALE VALUE 0 false true false 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; 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