2021-11-15T13:36:50-06:00 2020-12-31 390758449 WIPFLI LLP 403 EAST THIRD STREET STERLING IL 61081 990 2020-01-01 363378606 HOSPICE OF THE ROCK RIVER VALLEY HOSP 8156253858 2706 AVENUE E STERLING IL 61081 EMILY TAYLOR EXECUTIVE DIRECTOR 8156253858 2021-11-11 1 EMILY TAYLOR 999009999 MICHELLE L HELLER P00367347 8156261277 2021-11-11 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z X ROCK RIVER HOSPICE AND HOME EMILY TAYLOR 2706 AVENUE E STERLING IL 61081 2455053 0 X HOSPICEROCKRIVER.ORG X 1982 IL HOSPICE OF THE ROCK RIVER VALLEY AFFIRMS LIFE BY PROVIDING EXCEPTIONAL CARE AND SUPPORT TO THOSE TRANSITIONING THROUGH SERIOUS ILLNESS, DEATH AND GRIEF. 12 12 39 27 0 0 445652 743453 1337519 1618793 9479 5194 121126 64083 1913776 2431523 280906 318656 0 0 1421517 1373857 0 0 4008 565222 525493 2267645 2218006 -353869 213517 3995500 4126933 2272509 2172061 1722991 1954872 X HOSPICE IS THE CONCEPT AND PRACTICE OF COMPASSIONATE HEALTHCARE FOR PATIENTS AND FAMILIES DEALING WITH THE FINAL STAGES OF A LIFE LIMITING ILLNESS. WHEN A CURE IS NO LONGER A VIABLE OPTION, MUCH CAN STILL BE DONE. HOSPICE NEITHER PROLONGS LIFE NOR HASTENS DEATH. INSTEAD, HOSPICE FOCUSES ON QUALITY OF LIFE BY (1)KEEPING THE PATIENT COMFORTABLE IN HIS/HER OWN HOME OR PLACE OF RESIDENCE (2)HELPING THE PATIENT AND FAMILY GAIN A SENSE OF CONTROL AND COMPETENCE (3)PROMOTING THE PATIENT'S AND FAMILY'S DIGNITY, AUTONOMY AND RIGHT TO PRIVACY (4)ENHANCING THE TIME THE PATIENT AND FAMILY SHARE. 0 0 1192674 318656 1621727 HOSPICE CARE - TO PROVIDE FULLY-LICENSED HOSPICE CARE SERVICES FOR TERMINALLY ILL PATIENTS AND THEIR FAMILIES IN THE ROCK RIVER VALLEY. 5990 VOLUNTEER - VOLUNTEERS PROVIDE ONGOING SUPPORT AND REASSURANCE AS WELL AS A BROAD SPECTRUM OF SERVICES, INCLUDING DAILY HOUSEHOLD TASKS AND ACTIVITIES THAT CONTRIBUTE TO THE COMFORT OF THE PATIENT AND FAMILY. 45046 BEREAVEMENT - PROVIDE BEREAVEMENT SUPPORT TO FAMILIES TO HELP THEM WORK THROUGH THE ANXIETY, FEAR, DEPRESSION, SORROW AND ANGER THAT ARE OFTEN PRESENT AT THE TIME OF DEATH. 88460 SOCIAL SERVICES - PROVIDE SOCIAL SERVICES TO PATIENTS AND FAMILES TO HELP ENSURE THEY ARE INFORMED OF OTHER SERVICES AVAILABLE TO HELP THEM THROUGH LOCAL AGENCIES. 88460 1332170 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 39 1 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 IL X JODIE LARSON 8156253858 2706 AVENUE E STERLING IL 61081 PAT PETTENGER TREASURER 2.00 X X 0 0 0 DONNA ADAMS SECRETARY 2.00 X X 0 0 0 KRISTIE GEIL PRESIDENT 2.00 X X 0 0 0 NATHAN WELLS DIRECTOR 2.00 X 0 0 0 JIM EGGELSTON DIRECTOR 2.00 X 0 0 0 PAM FLUCK DIRECTOR 2.00 X 0 0 0 KARLA BURN DIRECTOR 2.00 X 0 0 0 JERRY BERANEK DIRECTOR 2.00 X 0 0 0 DAVE OSBORN DIRECTOR 2.00 X 0 0 0 MATT COLE DIRECTOR 2.00 X 0 0 0 CINDY WADSWORTH DIRECTOR 2.00 X 0 0 0 DIANE BAKER DIRECTOR 2.00 X 0 0 0 EMILY TAYLOR EXECUTIVE DIRECTOR 45.00 X 64016 0 6347 64016 0 6347 0 0 0 0 0 13092 371080 359281 13573 743453 NET PATIENT SERVICE 624100 1618793 1618793 1618793 5194 5194 84679 13092 23530 61149 61149 OTHER REVENUES AND SUP 900099 2934 2934 2934 2431523 1621727 0 66343 318656 318656 64016 43466 20550 1073753 729063 344690 236088 131249 104839 275 275 18700 18700 68700 30600 38100 16923 16923 5868 2558 3310 52540 32206 20334 26371 26371 126525 126525 160174 160174 17059 17059 COMMUNICATIONS 29075 18765 6966 3344 MISCELLANEOUS 10931 7236 3031 664 PATIENT ROOM AND BOARD 352 352 PROVISION FOR UNCOLLECT -8000 -8000 2218006 1332170 881828 4008 75804 439957 10000 111871 10240 8924 946 4087930 570820 3648586 3517110 140315 158680 3995500 4126933 132106 81308 2128495 2082932 11908 7821 2272509 2172061 X 1722991 1931743 23129 1722991 1954872 3995500 4126933 213517 18364 0 X X 0 1 X 1 0 X 562544 736864 405147 414790 743453 2862798 1247806 1587424 1537250 1337519 1618793 7328792 1810350 2324288 1942397 1752309 2362246 10191590 0 150000 25685 175685 150000 25685 175685 10015905 13090 11868 13644 34531 5194 78327 13090 11868 13644 34531 5194 78327 40642 40374 44651 42951 61149 229767 620 2934 3554 1864082 2377150 2000692 1829791 2431523 10503238 0.95360 0.94480 0.00750 0.02180 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 245000 245000 3292550 272789 3019761 550380 298031 252349 3517110 X 2473417 18364 23530 41894 2431523 0 2431523 2241536 23530 23530 2218006 0 2218006 PART X, LINE 2: AS STATED IN NOTE 1, THE ORGANIZATION IS ORGANIZED AS A NON-PROFIT CORPORATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE ORGANIZATION PAYS NO INCOME TAX ON ITS RELATED FUNCTION INCOME AS LONG AS IT STAYS WITHIN THE GUIDELINES OF SECTION 501(C)(3). THE ORGANIZATION IS SUBJECT TO INCOME TAX ON ITS "NON-RELATED" FUNCTION INCOME. FOR THE YEAR ENDING DECEMBER 31, 2020, THE ORGANIZATION DID NOT HAVE ANY "NON-RELATED" FUNCTION INCOME. ACCORDINGLY, THE ORGANIZATION HAD NO TAXABLE INCOME FOR THE YEAR. FORMS 990 FILED BY THE ORGANIZATION ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICES (IRS) UP TO THREE YEARS FROM THE EXTENDED DUE DATE OF EACH RETURN. FORMS 990 FILED BY THE ORGANIZATIN ARE NO LONGER SUBJECT TO EXAMINATION FOR TAX YEARS BEFORE DECEMBER 31, 2017. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA PROVIDES DETAILED GUIDANCE FOR THE FINANCIAL STATEMENT RECOGNITION, MEASUREMENT AND DISCLOSURE OF UNCERTAIN TAX POSITIONS RECOGNIZED IN AN ENTERPRISE'S FINANCIAL STATEMENTS. GENERALLY ACCEPTED ACCOUNTING PRINCIPLES REQUIRE AN ENTITY TO RECOGNIZE THE FINANCIAL STATEMENT IMPACT OF A TAX POSITION WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION. PART XI, LINE 2D - OTHER ADJUSTMENTS: RECLASS FUNDRAISING DIRECT BENEFIT TO DONORS 23,530. PART XII, LINE 2D - OTHER ADJUSTMENTS: RECLASS FUNDRAISING DIRECT BENEFIT TO DONORS 23,530. FESTIVAL OF TREES 82744 12782 69962 20233 GOLF OUTING 13171 310 12861 2846 2 1856 1856 19 97771 13092 84679 23098 23098 61581 1 ASSISTANCE TO PATIENTS INCLUDES MEDICATIONS, ROOM AND BOARD, EQUIPMENT 318656 ORGANIZATION PAYS FOR THE PATIENTS' MEDICATIONS, ROOM AND BOARD, AND BRINGS IN MEDICAL EQUIPMENT TO BE USED IN THE PATIENTS' HOMES, AS DESIGNATED IN THE CARE PLAN BASED ON THE PATIENT NEEDS AND ORDERED BY A PHYSICIAN. PART I, LINE 2: THE PATIENT MUST MEET THE CRITERIA DESIGNATED BY MEDICARE, TERMINAL DIAGNOSIS AND A LIFE EXPECTANCY OF 6 MONTHS OR LESS. A PHYSICIAN MUST CERTIFY THE PATIENT'S MEDICAL CONDITION AND WRITE THE ORDER TO ADMIT TO HOSPICE CARE. PATIENTS ARE NEVER DENIED ADMISSION UNLESS THEY DO NOT MEET THE CRITERIA OR THE PHYSICIAN DOES NOT CERTIFY THE DIAGNOSIS. THE ORGANIZATION MONITORS THEIR REFERRALS AND ADMISSIONS TO ASSURE EVERY REFERRAL RECEIVES PROMPT ATTENTION. FORM 990, PART VI, SECTION B, LINE 11B ONCE THE 990 IS PREPARED BY AN ACCOUNTING FIRM, THE BOARD CHAIRMAN AND TREASURER REVIEW THE 990 COMPARING IT TO THE AUDITED F/S BEFORE SIGNATURE FORM 990, PART VI, SECTION B, LINE 12C MEMBERS OF THE BOARD OF DIRECTORS AND HOSPICE STAFF MUST DISCLOSE PERSONAL OR FINANCIAL INTERESTS THAT COULD POTENTIALLY INTERFERE WITH THEIR DUTIES AND RESPONSIBILITIES TO HOSPICE OF THE ROCK RIVER VALLEY. DISCLOSURE FORMS ARE SUBMITTED AT THE TIME OF HIRE OR BOARD APPOINTMENT, ANNUALLY, AND WHENEVER A POTENTIAL CONFLICT ARISES. POTENTIAL CONFLICTS OF INTEREST ARE REVIEWED BY THE BOARD OF DIRECTORS AND/OR BY THE EXECUTIVE DIRECTOR TO DETERMINE APPROPRIATE ACTION. INFORMATION REGARDING THE HOSPICE'S POLICY ON CONFLICTS OF INTEREST IS PROVIDED DURING ORIENTATION OF NEW STAFF, VOLUNTEERS, AND BOARD MEMBERS. FAILURE TO DISCLOSE EXISTING OR POTENTIAL CONFLICTS OF INTEREST IS GROUNDS FOR TERMINATION OF EMPLOYMENT OR BOARD APPOINTMENT. FORM 990, PART VI, SECTION B, LINE 15A COMPENSATION IS DETERMINED BY THE BOARD OF DIRECTORS. THE PERSONNEL COMMITTEE OF THE BOARD IS RESPONSIBLE FOR ASSESSING THE PERFORMANCE OF THE EXECUTIVE DIRECTOR AND COMMUNICATING THIS TO THE EXECUTIVE DIRECTOR. A SALARY RECOMMENDATION IS MADE TO THE BOARD AND THEY APPROVE IT. FORM 990, PART VI, SECTION C, LINE 19 ALL OF THE ORGANIZATIONS FORMS AND GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AT HOSPICE OF THE ROCK RIVER VALLEY DURING NORMAL BUSINESS HOURS. FORM 990, PART XI, LINE 2C THERE WAS NO CHANGE IN AUDIT COMMITTEE OVERSIGHT REVIEW FROM THE PRIOR YEAR.