JOLIET AREA COMMUNITY HOSPICE CORPORATION: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- JOLIET AREA COMMUNITY HOSPICE CORPORATION (EIN 36-3191281)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-10-25
- IRS object ID
- 201722989349301307
- Schema version
- 2016v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-10-25T12:52:57-05:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 420714325 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RSM US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 S WACKER DRIVE STE 800 | AddressLine1Txt |
| City | CHICAGO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60606 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 363191281 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JOLIET AREA COMMUNITY HOSPICE CORP | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | JOLI | BusinessNameControlTxt |
| Phone | 8157404104 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 250 WATER STONE CIRCLE | AddressLine1Txt |
| City | JOLIET | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 604318313 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARY SHEEHAN | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 8157404104 | PhoneNum |
| Signature | 2017-10-19 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | WAYNE HARDER | PreparerPersonNm |
| PTIN | P00294296 | PTIN |
| Phone | 3126343400 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 108.171.131.188 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2017-10-19 | IPDt |
| IP Tm | 16:04:38 | IPTm |
| IP Timezone | CD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DF4CF14E49A62D8DBB20D8911D69718CC116CD32 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | AD15A3810732ABE718E69ACD65531973B45CBB59 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MARY SHEEHAN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 250 WATER STONE CIRCLE | AddressLine1Txt |
| City | JOLIET | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 604318313 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $18,306,167 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.JOLIETHOSPICE.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1982 | FormationYr |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Activity Or Mission | JOLIET AREA COMMUNITY HOSPICE PROVIDES COMPREHENSIVE, HOLISTIC, COMMUNITY BASED SERVICES AND CARE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 184 | TotalEmployeeCnt |
| Total Volunteers | 286 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $900,430 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,049,892 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $10,707,353 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $14,689,713 | CYProgramServiceRevenueAmt |
| PY Investment Income | $539,772 | PYInvestmentIncomeAmt |
| CY Investment Income | $457,084 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$467 | PYOtherRevenueAmt |
| CY Other Revenue | -$182 | CYOtherRevenueAmt |
| PY Total Revenue | $12,147,088 | PYTotalRevenueAmt |
| CY Total Revenue | $16,196,507 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $7,602,367 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $7,728,810 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $5,002,083 | PYOtherExpensesAmt |
| CY Other Expenses | $5,966,485 | CYOtherExpensesAmt |
| PY Total Expenses | $12,604,450 | PYTotalExpensesAmt |
| CY Total Expenses | $13,695,295 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$457,362 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $2,501,212 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $20,162,588 | TotalAssetsBOYAmt |
| Total Assets EOY | $22,171,405 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,960,863 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $2,067,766 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $17,201,725 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $20,103,639 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE MISSION OF JOLIET AREA COMMUNITY HOSPICE IS TO PROVIDE COMPREHENSIVE, HOLISTIC, COMMUNITY BASED SUPPORT SERVICES AND CARE FOR TERMINALLY ILL PERSONS, THEIR CAREGIVERS AND LOVED ONES WITHOUT REGARD TO ECONOMIC STATUS, TO ENABLE THE DYING PERSON TO LIVE PEACEFULLY, IN COMFORT, AND WITH DIGNITY TO THE LAST MOMENT OF LIFE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $10,800,049 | ExpenseAmt |
| Revenue | $14,689,713 | RevenueAmt |
| Desc | PROVIDING A COORDINATED PROGRAM OF SUPPORT, SERVICE AND CARE FOR TERMINALLY ILL PATIENTS AND THEIR CAREGIVERS BOTH THROUGHOUT THE SURROUNDING COUNTIES AND WITHIN OUR 16 BED HOSPICE HOME. JOLIET AREA COMMUNITY HOSPICE SERVED OVER 1,400 PATIENTS IN 2016. | Desc |
| Total Program Service Expenses | $10,800,049 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 42 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 184 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | IL | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | NANCY MUELLER | PersonNm |
| Phone | 8157404104 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 250 WATER STONE CIRCLE | AddressLine1Txt |
| City | JOLIET | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60431 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| CAROLYN DYSTRUP | ||||||||
| PRESIDENT (UNTIL 4/11/16) | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| CATHY SCHLEY | ||||||||
| VICE PRESIDENT (UNTIL 4/11/16) | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| TOM VANA | ||||||||
| VICE PRESIDENT | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| GEOFFREY TRYON | ||||||||
| PRESIDENT | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| WILLIAM BENOIT | ||||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JAMES GALLIGAN | ||||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JEFFREY BONNAR | ||||||||
| DIRECTOR (UNTIL 4/11/16) | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| THOMAS DOHM | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| BOB FUNK | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| DUANE KRIEGER | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| LORRAINE LUCENTA | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| CARMEN ROXANNE QUARLES | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MICHAEL RITTOF | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MARK TURK | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| CHRISTOPHER WARD | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MARY SHEEHAN | ||||||||
| CEO | 40.00 | Yes (X) | $140,315 | $0 | $1,660 | |||
| KEVIN KRISTIN | ||||||||
| CFO (UNTIL 2/29/16) | 40.00 | Yes (X) | $28,663 | $0 | $3,789 | |||
| NANCY MUELLER | ||||||||
| DIRECTOR OF FINANCE | 40.00 | Yes (X) | $55,301 | $0 | $956 | |||
| DR JAMES D WRIGHT | ||||||||
| MEDICAL DIRECTOR | 40.00 | $200,214 | $0 | $1,677 | Yes (X) | |||
| GRETA JONES | ||||||||
| REGISTERED NURSE | 40.00 | $102,968 | $0 | $11,342 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $527,461 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $19,424 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 3 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $52,704 | FederatedCampaignsAmt |
| Fundraising | $111,800 | FundraisingAmt |
| All Other Contributions | $885,388 | AllOtherContributionsAmt |
| Total Contributions | $1,049,892 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | HOSPICE CARE SERVICES | Desc |
| Business | 621610 | BusinessCd |
| Total Revenue Column | $14,689,713 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $14,689,713 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $14,689,713 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $396,794 | TotalRevenueColumnAmt |
| Exclusion | $396,794 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,134,642 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,074,352 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $60,290 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $60,290 | TotalRevenueColumnAmt |
| Exclusion | $60,290 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $35,126 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $111,800 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $35,308 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$182 | TotalRevenueColumnAmt |
| Exclusion | -$182 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $16,196,507 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $14,689,713 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $456,902 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $424,493 | TotalAmt |
| Program Services | $200,214 | ProgramServicesAmt |
| Management And General | $224,279 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,880,489 | TotalAmt |
| Program Services | $4,784,417 | ProgramServicesAmt |
| Management And General | $1,096,072 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $959,966 | TotalAmt |
| Program Services | $758,936 | ProgramServicesAmt |
| Management And General | $201,030 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $463,862 | TotalAmt |
| Program Services | $366,723 | ProgramServicesAmt |
| Management And General | $97,139 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,691 | TotalAmt |
| Management And General | $20,691 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $93,246 | TotalAmt |
| Management And General | $93,246 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,751 | TotalAmt |
| Management And General | $31,751 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $888,093 | TotalAmt |
| Program Services | $642,106 | ProgramServicesAmt |
| Management And General | $245,987 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $81,939 | TotalAmt |
| Management And General | $81,939 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $479,733 | TotalAmt |
| Program Services | $123,710 | ProgramServicesAmt |
| Management And General | $356,023 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $143,179 | TotalAmt |
| Program Services | $109,510 | ProgramServicesAmt |
| Management And General | $33,669 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $220,538 | TotalAmt |
| Program Services | $195,247 | ProgramServicesAmt |
| Management And General | $25,291 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,926 | TotalAmt |
| Program Services | $1,285 | ProgramServicesAmt |
| Management And General | $17,641 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $330,459 | TotalAmt |
| Program Services | $178,923 | ProgramServicesAmt |
| Management And General | $151,536 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $117,339 | TotalAmt |
| Program Services | $35,239 | ProgramServicesAmt |
| Management And General | $82,100 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| NURSING HOME ROOM & BOA | $1,687,778 | $1,687,778 | |
| MEDICAL SUPPLIES | $851,572 | $851,572 | |
| PHARMACY | $794,591 | $794,591 | |
| REPAIRS & MAINTENANCE | $82,281 | $69,067 | $13,214 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $124,369 | TotalAmt |
| Program Services | $731 | ProgramServicesAmt |
| Management And General | $123,638 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,695,295 | TotalAmt |
| Program Services | $10,800,049 | ProgramServicesAmt |
| Management And General | $2,895,246 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,199 | BOYAmt |
| EOY | $867 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,394,567 | BOYAmt |
| EOY | $3,402,177 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,377,512 | BOYAmt |
| EOY | $3,440,266 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $97,885 | BOYAmt |
| EOY | $175,490 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $9,273,726 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $4,705,009 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,815,146 | BOYAmt |
| EOY | $4,568,717 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,476,279 | BOYAmt |
| EOY | $10,583,888 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,162,588 | BOYAmt |
| EOY | $22,171,405 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,666,797 | BOYAmt |
| EOY | $2,038,901 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,294,066 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $28,865 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,960,863 | BOYAmt |
| EOY | $2,067,766 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,195,559 | BOYAmt |
| EOY | $20,089,836 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,166 | BOYAmt |
| EOY | $13,803 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,201,725 | BOYAmt |
| EOY | $20,103,639 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,162,588 | BOYAmt |
| EOY | $22,171,405 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $2,501,212 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $400,702 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,531,547 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $856,035 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $879,069 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $900,430 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,049,892 | CurrentTaxYearAmt |
| Total | $5,216,973 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $12,491,013 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $10,708,629 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $10,616,888 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $10,744,261 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $14,724,839 | CurrentTaxYearAmt |
| Total | $59,285,630 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $14,022,560 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $11,564,664 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $11,495,957 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $11,644,691 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $15,774,731 | CurrentTaxYearAmt |
| Total | $64,502,603 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $64,502,603 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $287,243 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $426,389 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $547,745 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $521,224 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $396,794 | CurrentTaxYearAmt |
| Total | $2,179,395 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $287,243 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $426,389 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $547,745 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $521,224 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $396,794 | CurrentTaxYearAmt |
| Total | $2,179,395 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $14,309,803 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $11,991,053 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $12,043,702 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $12,165,915 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $16,171,525 | CurrentTaxYearAmt |
| Total | $66,681,998 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.96730 | PublicSupportCY509Pct |
| Public Support PY509 | 0.96810 | PublicSupportPY509Pct |
| Investment Income CY | 0.03270 | InvestmentIncomeCYPct |
| Investment Income PY | 0.03190 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| 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) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $187,500 | OtherCostOrOtherBasisAmt |
| Book Value | $187,500 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,693,289 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,460,986 | DepreciationAmt |
| Book Value | $4,232,303 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,392,937 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,244,023 | DepreciationAmt |
| Book Value | $148,914 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $4,568,717 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | CAPITAL LEASE PAYABLE | Desc |
| Amt | $28,865 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $28,865 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $16,632,517 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $400,702 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $35,308 | OtherRevenueAmt |
| Revenue Not Reported | $436,010 | RevenueNotReportedAmt |
| Revenue Subtotal | $16,196,507 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $16,196,507 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $13,730,603 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $35,308 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $35,308 | ExpensesNotReportedAmt |
| Expenses Subtotal | $13,695,295 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $13,695,295 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | THE HOSPICE IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE EXCEPT FOR UNRELATED BUSINESS INCOME. IN ACCORDANCE WITH THE ACCOUNTING STANDARD ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, THE HOSPICE ADDRESSES THE DETERMINATION OF WHETHER TAX BENEFITS CLAIMED OR EXPECTED TO BE CLAIMED ON A TAX RETURN SHOULD BE RECORDED IN THE FINANCIAL STATEMENTS. UNDER THIS GUIDANCE, THE HOSPICE MAY RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. EXAMPLES OF TAX POSITIONS INCLUDE THE TAX-EXEMPT STATUS OF THE HOSPICE AND VARIOUS POSITIONS RELATED TO THE POTENTIAL SOURCES OF UNRELATED BUSINESS TAXABLE INCOME (UBTI). THE TAX BENEFITS RECOGNIZED IN THE FINANCIAL STATEMENTS FROM SUCH A POSITION ARE MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50 PERCENT LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. AT DECEMBER 31, 2016 AND 2015, THERE WERE NO UNRECOGNIZED TAX BENEFITS IDENTIFIED OR RECORDED AS LIABILITIES. THE HOSPICE FILES FORMS 990 IN THE U.S. FEDERAL JURISDICTION AND THE STATE OF ILLINOIS. THE HOSPICE IS GENERALLY NO LONGER SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE FOR YEARS BEFORE 2013. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | EXPENSES RELATED TO SPECIAL EVENTS 35,308. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | EXPENSES RELATED TO SPECIAL EVENTS 35,308. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | ANNUAL DINNER | Event1Nm |
| Gross Receipts Event1 | $57,156 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $43,134 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $14,022 | GrossRevenueEvent1Amt |
| Rent Facility Costs Event1 | $300 | RentFacilityCostsEvent1Amt |
| Other Direct Expenses Event1 | $13,722 | OtherDirectExpensesEvent1Amt |
| Event2 | GOLF OUTING | Event2Nm |
| Gross Receipts Event2 | $43,425 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $30,628 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $12,797 | GrossRevenueEvent2Amt |
| Other Direct Expenses Event2 | $12,979 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 3 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $46,345 | GrossReceiptsOtherEventsAmt |
| Charitable Contri Other Events | $38,038 | CharitableContriOtherEventsAmt |
| Gross Revenue Other Events | $8,307 | GrossRevenueOtherEventsAmt |
| Rent Fclty Costs Other Events | $4,000 | RentFcltyCostsOtherEventsAmt |
| Oth Direct Expnss Other Events | $4,307 | OthDirectExpnssOtherEventsAmt |
| Gross Receipts Total | $146,926 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $111,800 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $35,126 | GrossRevenueTotalEventsAmt |
| Rent Fclty Costs Total Events | $4,300 | RentFcltyCostsTotalEventsAmt |
| Oth Direct Expnss Total Events | $31,008 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $35,308 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$182 | NetIncomeSummaryAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DR JAMES D WRIGHT | PersonNm |
| Title | MEDICAL DIRECTOR | TitleTxt |
| Base Compensation Filing Org | $199,985 | BaseCompensationFilingOrgAmt |
| Compensation Based On Rltd Orgs | $0 | CompensationBasedOnRltdOrgsAmt |
| Bonus Filing Organization | $0 | BonusFilingOrganizationAmount |
| Bonus Related Organizations | $0 | BonusRelatedOrganizationsAmt |
| Other Compensation Filing Org | $229 | OtherCompensationFilingOrgAmt |
| Other Compensation Rltd Orgs | $0 | OtherCompensationRltdOrgsAmt |
| Deferred Compensation Flng Org | $0 | DeferredCompensationFlngOrgAmt |
| Deferred Comp Rltd Orgs | $0 | DeferredCompRltdOrgsAmt |
| Nontaxable Benefits Filing Org | $1,677 | NontaxableBenefitsFilingOrgAmt |
| Nontaxable Benefits Rltd Orgs | $0 | NontaxableBenefitsRltdOrgsAmt |
| Total Compensation Filing Org | $201,891 | TotalCompensationFilingOrgAmt |
| Total Compensation Rltd Orgs | $0 | TotalCompensationRltdOrgsAmt |
| Comp Report Prior990 Filing Org | $0 | CompReportPrior990FilingOrgAmt |
| Comp Report Prior990 Rltd Orgs | $0 | CompReportPrior990RltdOrgsAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 4A | FormAndLineReferenceDesc |
| Explanation | KEVIN KRISTIN RECEIVED A $6,970 SEVERANCE PAYMENT DURING 2016. THIS PAYMENT WAS INCLUDED ON HIS 2016 FORM W-2 AS REPORTABLE COMPENSATION. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | IT IS THE PROCESS OF JOLIET AREA COMMUNITY HOSPICE TO HAVE THE AUDIT COMMITTEE REVIEW THE COMPLETED FORM 990. ONCE THIS HAS BEEN DONE, THE AUDIT COMMITTEE SHARES THE COMPLETED FORM 990 WITH THE BOARD OF DIRECTORS FOR REVIEW, PRIOR TO SIGNATURE BY THE PRESIDENT. |
| FORM 990, PART VI, SECTION B, LINE 12C | OUR CONFLICT OF INTEREST POLICIES ARE SIGNED BY EVERY BOARD MEMBER AT THE START OF EACH NEW OR RENEWAL TERM. ADDITIONALLY, ALL STAFF AT DIRECTOR LEVEL AND ABOVE SIGN CONFLICT OF INTEREST POLICIES. THE POLICY IS THEN REVIEWED ANNUALLY WITH STATEMENTS SIGNED ANNUALLY. TO DATE, WE HAVE NOT HAD TO IMPOSE ANY RESTRICTIONS. THE BOARD OF DIRECTORS WOULD DETERMINE RESTRICTIONS. POSSIBILITIES INCLUDE PROHIBITING VOTES ON VENDORS USED OR PARTICIPATING IN DISCUSSIONS HELD, OR DECISIONS MADE. THE CURRENT PROCEDURE BEFORE EACH BOARD MEETING BEGINS IS FOR THE PRESIDENT OF THE BOARD OF DIRECTORS TO INQUIRE OF ALL BOARD MEMBERS PRESENT AS TO WHETHER THEY HAVE ANY CONFLICTS OF INTEREST TO DISCLOSE. |
| FORM 990, PART VI, SECTION B, LINE 15 | THERE IS NO WRITTEN POLICY. THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS MEETS TO DISCUSS COMPENSATION FOR THE CEO OF THE ORGANIZATION. A COMPENSATION SURVEY WAS USED DURING THE PROCESS TO DETERMINE THE COMPENSATION. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN IRC SECTION 6104(D). THEY ARE ALSO AVAILABLE UPON REQUEST AND AT OUR OFFICE FOR INSPECTION. |
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