2017-11-07T09:35:06-06:00 2016-12-31 270402452 WINKEL PARKER & FOSTER CPA PC 519 KIRKWOOD AVE IOWA CITY IA 52240 990 2016-01-01 421154098 IOWA CITY HOSPICE INC IOWA 3193515665 1025 WADE STREET IOWA CITY IA 52240 KARLA KAMAL EXECUTIVE DIRECTOR 3193515665 2017-10-30 true STEVEN J KUHL CPA P00099793 3193510231 2017-10-30 E999802B31CBE05EA8FF5E0381DA2C07B76CA20E CAC1E6D563E1C5D2391738252FE966F84F9D1673 2016 2021-01-29 14:40:06Z KARLA KAMAL 1025 WADE STREET IOWA CITY IA 52240 5578811 false X WWW.IOWACITYHOSPICE.COM X 1980 IA TO BE THE LEADERS IN PROVIDING EXCEPTIONAL PATIENT-CENTERED, END-OF-LIFE CARE AND GRIEF SUPPORT TO ANYONE AFFECTED BY A TERMINAL ILLNESS. 14 14 78 106 0 540157 526181 6272495 5012761 25663 37779 2000 2090 6840315 5578811 0 0 3708009 3554396 0 72708 3455188 3423372 7163197 6977768 -322882 -1398957 5046834 4273670 998376 1521870 4048458 2751800 X TO BE THE LEADERS IN PROVIDING EXCEPTIONAL PATIENT-CENTERED, END-OF-LIFE CARE AND GRIEF SUPPORT TO ANYONE AFFECTED BY A TERMINAL ILLNESS. false false 5637848 5012761 THE ORGANIZATION PROVIDES SERVICES TO THOSE FACING A LIFE LIMITING ILLNESS. IN 2016, 1,628 PATIENTS AND FAMILIES WERE SERVED IN OUR SEVEN COUNTY SERVICE AREA (CEDAR, IOWA, JOHNSON, LINN, LOUISA, MUSCATINE AND WASHINGTON COUNTIES) FOR A TOTAL OF 31,417 DAYS OF CARE. IN ADDITION TO OUR PROFESSIONAL STAFF, IOWA CITY HOSPICE VOLUNTEERS PROVIDE SERVICES THAT ARE AS VARIED AS THE PATIENTS, FAMILIES AND COMMUNITIES WE SERVE. PATIENT CARE VOLUNTEERS PROVIDE COMPANIONSHIP AND SUPPORT TO TERMINALLY ILL PATIENTS AND THEIR LOVED ONES. VOLUNTEERS PROVIDE MANY FORMS OF ASSISTANCE, AT ALL LEVELS OF SKILL. OUR 106 PATIENT CARE VOLUNTEERS PROVIDED 3,181 HOURS OF SUPPORTIVE SERVICES TO THOSE WE SERVED IN 2016. FOLLOWING A PATIENT'S DEATH, IOWA CITY HOSPICE BEREAVEMENT STAFF IS AVAILABLE TO SUPPORT FAMILY MEMBERS AND FRIENDS THROUGHOUT THE GRIEVING PROCESS. OUR SERVICES ARE ALSO AVAILABLE TO ANYONE WHO IS GRIEVING THE LOSS OF A LOVED ONE, REGARDLESS OF WHETHER THE PERSON WAS IN HOSPICE CARE. IOWA CITY HOSPICE OFFERS A VARIETY OF GRIEF SUPPORT SERVICES INCLUDING SUPPORT GROUPS, GRIEF EDUCATION, AND SPECIAL EVENTS. IOWA CITY HOSPICE STAFF MADE 162 HOME VISITS TO SURVIVORS AND HAD 241 ATTENDEES AT OUR SUPPORT GROUPS, BEREAVEMENT LUNCHEONS AND MEMORIAL SERVICES. INCLUDED IN OUR BEREAVEMENT SERVICES ARE SPECIALIZED CARE TO CHILDREN AND YOUTH. MANY CHILDREN AND YOUTH FIND COMFORT AND SECURITY THROUGH GRIEF- SUPPORT GROUPS WHERE EVERYONE PARTICIPATING SHARES ONE COMMON ELEMENT: SOMEONE THEY LOVE HAS DIED. IOWA CITY HOSPICE OFFERS THREE UNIQUE GROUPS FOR CHILDREN, YOUTH AND THEIR PARENTS/CAREGIVERS WHO HAVE EXPERIENCED THE LOSS OF A LOVED ONE. IN 2016, 6 CHILDREN, YOUTH AND ADULTS ATTENDED THESE GROUP MEETINGS. 5637848 true true false false false false false false false true true false false true true true true false false false false false false false true false false false false false false false false false false false false false false false false false false false false false false true 4 0 true 78 true false false false false false false false false false false false false X 14 14 false false false false false false false true true false false true true true true true true true true false X KARLA KAMAL 3196884212 1025 WADE STREET IOWA CITY IA 52240 JOSHUA BREWSTER CHAIR 1.00 X X 0 0 0 DEAN CARRINGTON TREASURER 1.00 X X 0 0 0 TODD MEANS SECRETARY 1.00 X X 0 0 0 MIKE MESSIER PAST CHAIR 1.00 X X 0 0 0 TERESA WEINER DIRECTOR 1.00 X 0 0 0 ELIZABETH COULTER DIRECTOR 1.00 X 0 0 0 BOYD CROSBY DIRECTOR 1.00 X 0 0 0 ELI WYNES DIRECTOR 1.00 X 0 0 0 JIM PRATT DIRECTOR 1.00 X 0 0 0 MIKE LEBSACK DIRECTOR 1.00 X 0 0 0 JULIE JOHNSTON DIRECTOR 1.00 X 0 0 0 ARLEEN CLARK-CAIN DIRECTOR 1.00 X 0 0 0 MAHMOODA AHMAD DIRECTOR 1.00 X 0 0 0 DR STEPHEN SCHECKEL DIRECTOR 1.00 X 0 0 0 KARLA KAMAL EXECUTIVE DI 40.00 X 108257 0 0 108257 1 false false false ANN MARIE MACHALB 2680 GLEN HOLLOW COURT CORALVILLE IA 52241 MEDICAL 115425 1 271579 254602 526181 MEDICARE/MEDICAID PAYMENTS 4710159 4710159 PRIVATE INSURANCE 302602 302602 5012761 37779 37779 271579 OTHER INCOME 2090 2090 2090 5578811 5014851 37779 X 2997268 2130574 815720 50974 328940 235100 88324 5516 228188 162196 62113 3879 51554 51554 32856 1872 30984 90570 47680 42890 10211 10211 31785 31696 89 40389 40389 217253 176915 40338 MEDICAL SUPPLIES 786392 786392 HOSPITAL INPATIENT 510280 510280 NURSING HOME FEES 438148 438148 MEDICATIONS 387825 387825 826109 688781 124989 12339 6977768 5637848 1267212 72708 1089598 4600 656361 867803 13790 25068 1873630 688111 1216405 1185519 2070680 2190680 5046834 4273670 376151 508388 344665 622225 668817 998376 1521870 X 4033715 2735202 14743 16598 4048458 2751800 5046834 4273670 -1398957 102299 X false true X true false X 661362 557494 685222 540157 526181 2970416 661362 557494 685222 540157 526181 2970416 2970416 39721 36663 32133 37074 37779 183370 3153786 5014851 0.94190 0.94470 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2070680 7795 155883 25976 2190680 1828150 262720 275853 23737 2070680 1716804 9865 138500 21450 1828150 1456262 14120 268864 22442 1716804 1089029 244364 140828 17959 1456262 1.00000 true false 140000 140000 1001564 333109 668455 732066 355002 377064 1185519 BENEFICIAL INTEREST IN ENDOWMENT 2190680 2190680 LEASE PAYABLE 445699 ACCRUED PTO 199622 ACCRUED WAGES 23496 668817 X 5681110 102299 102299 5578811 5578811 6977768 6977768 6977768 SCHEDULE D, PAGE 3, PART X GENERALLY ACCEPTED ACCOUNTING PRINCIPLES PRESCRIBE RULES FOR THE RECOGNITION, MEASUREMENT, CLASSIFICATION, AND DISCLOSURE IN THE FINANCIAL STATEMENTS OF UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN THE ORGANIZATION'S INCOME TAX RETURNS. MANAGEMENT IS NOT AWARE OF ANY TAX POSITIONS THAT WOULD HAVE A MATERIAL EFFECT ON THE FINANCIAL STATEMENTS THAT ARE MORE LIKELY THAN NOT TO CHANGE IN THE NEXT TWELVE MONTHS, OR THAT WOULD NOT SUSTAIN AN EXAMINATION BY APPLICABLE TAXING AUTHORITIES WITH FULL KNOWLEDGE OF THE POSITION AND ALL RELEVANT FACTS. SINCE TAX MATTERS ARE SUBJECT TO SOME DEGREE OF UNCERTAINTY, THERE CAN BE NO ASSURANCE THAT THE ORGANIZATION'S INCOME TAX RETURNS WILL NOT BE CHALLENGED BY THE TAXING AUTHORITIES AND THAT THE ORGANIZATION WILL NOT BE SUBJECT TO ADDITIONAL TAX, PENALTIES, AND INTEREST AS A RESULT OF SUCH CHALLENGE. THE ORGANIZATION RECOGNIZES PENALTIES AND INTEREST ARISING FROM UNCERTAIN TAX POSITIONS AS INCURRED IN MANAGEMENT AND GENERAL EXPENSES. NO SUCH PENALTIES OR INTEREST WERE RECOGNIZED DURING THE YEARS ENDED DECEMBER 31, 2016 AND 2015. THE ORGANIZATION IS EXEMPT FROM INCOME TAXES UNDER PROVISIONS OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. AS SUCH, THE ORGANIZATION IS TAXED ONLY ON ITS UNRELATED BUSINESS INCOME. MANAGEMENT HAS DETERMINED THE ORGANIZATION DID NOT RECEIVE ANY UNRELATED BUSINESS INCOME FOR THE YEARS ENDED DECEMBER 31, 2016 AND 2015. THE ORGANIZATION IS NOT A PRIVATE FOUNDATION UNDER PROVISIONS OF SECTION 509(A)(3) OF THE INTERNAL REVENUE CODE. THE ORGANIZATION IS NO LONGER SUBJECT TO FEDERAL OR STATE INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2013. SCHEDULE D, PAGE 4, PART XI, LINE 2D CHANGE IN BENEFICIAL INTEREST IN ASSETS HELD BY COMM FOUND 102,299 990PTVIII1C 271579 271579 271579 271579 FORM 990, PAGE 2, PART III, LINE 4A AVAILABLE TO SUPPORT FAMILY MEMBERS AND FRIENDS THROUGHOUT THE GRIEVING PROCESS. OUR SERVICES ARE ALSO AVAILABLE TO ANYONE WHO IS GRIEVING THE LOSS OF A LOVED ONE, REGARDLESS OF WHETHER THE PERSON WAS IN HOSPICE CARE. IOWA CITY HOSPICE OFFERS A VARIETY OF GRIEF SUPPORT SERVICES INCLUDING SUPPORT GROUPS, GRIEF EDUCATION, AND SPECIAL EVENTS. IOWA CITY HOSPICE STAFF MADE 162 HOME VISITS TO SURVIVORS AND HAD 241 ATTENDEES AT OUR SUPPORT GROUPS, BEREAVEMENT LUNCHEONS AND MEMORIAL SERVICES. INCLUDED IN OUR BEREAVEMENT SERVICES ARE SPECIALIZED CARE TO CHILDREN AND YOUTH. MANY CHILDREN AND YOUTH FIND COMFORT AND SECURITY THROUGH GRIEF- SUPPORT GROUPS WHERE EVERYONE PARTICIPATING SHARES ONE COMMON ELEMENT: SOMEONE THEY LOVE HAS DIED. IOWA CITY HOSPICE OFFERS THREE UNIQUE GROUPS FOR CHILDREN, YOUTH AND THEIR PARENTS/CAREGIVERS WHO HAVE EXPERIENCED THE LOSS OF A LOVED ONE. IN 2016, 6 CHILDREN, YOUTH AND ADULTS ATTENDED THESE GROUP MEETINGS. FORM 990, PAGE 6, PART VI, LINE 11B THE EXECUTIVE DIRECTOR EMAILS THE FINAL COPY OF THE FORM 990 TO THE EXECUTIVE COMMITTEE TO REVIEW BEFORE IT IS FILED. FORM 990, PAGE 6, PART VI, LINE 12C ALL BOARD MEMBERS AND EMPLOYEES ARE REQUIRED TO DECLARE ALL CONFLICTS AT LEAST ANNUALLY. FORM 990, PAGE 6, PART VI, LINE 15A THE ORGANIZATION'S HUMAN RESOURCE SPECIALIST EVALUATES THE PAY RANGE OF THE EXECUTIVE DIRECTOR ANNUALLY USING COMPARATIVE DATA. PAY RANGES FOR THE ORGANIZATION ARE APPROVED BY IOWA CITY HOSPICE'S PERSONNEL COMMITTEE. THIS INFORMATION IS TAKEN INTO ACCOUNT WHEN THE EXECUTIVE DIRECTOR IS EVALUATED ANNUALLY BY THE ENTIRE BOARD OF DIRECTORS. ANY CHANGES TO THE COMPENSATION ARE APPROVED THROUGH THE BUDGETING PROCESS; REVIEWED AND APPROVED BY FIRST THE FINANCE COMMITTEE AND THEN THE IOWA CITY HOSPICE BOARD OF DIRECTORS. COMMITTEE WORK HAPPENS THE SECOND HALF OF THE YEAR FOR IMPLEMENTATION IN THE SUBSEQUENT JANUARY. FORM 990, PAGE 6, PART VI, LINE 15B THERE ARE NO OTHER OFFICERS OR BOARD MEMBERS THAT ARE COMPENSATED. FORM 990, PAGE 6, PART VI, LINE 19 IOWA CITY HOSPICE MAKES THEIR GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS, AND FORM 990 AVAILABLE TO THE PUBLIC THROUGH REQUEST DURING NORMAL OPERATING HOURS. FORM 990, PART IX, LINE 24E BAD DEBT 325,753 0 0 CONTRACTUAL SERVICES 164,200 5,752 0 EQUIPMENT RENTAL AND MAIN 69,527 13,337 0 INSURANCE 41,150 27,010 984 MISCELLANEOUS 0 49,094 0 DONATIONS AND GIFTS 41,134 0 1,976 PRINTING AND PRODUCTION 5,058 14,079 9,379 ENDOWMENT FEES 25,976 0 0 EDUCATION 15,983 4,349 0 DUES AND SUBSCRIPTIONS 0 11,368 0 TOTAL 688,781 124,989 12,339 FORM 990, PART XI, LINE 9 CHANGE IN BENEFICIAL INTEREST IN ASSETS HELD BY COMM FOUND 102,299