2016-11-03T08:35:42-05:00 2015-12-31 420714325 RSM US LLP 1 S WACKER DRIVE STE 800 CHICAGO IL 60606 990 2015-01-01 363191281 JOLIET AREA COMMUNITY HOSPICE CORP JOLI 8157404104 250 WATER STONE CIRCLE JOLIET IL 604318313 MARY SHEEHAN CEO 8157404104 2016-10-31 1 WAYNE HARDER P00294296 3126343400 2015 2017-02-10 21:41:12Z MARY SHEEHAN 250 WATER STONE CIRCLE JOLIET IL 604318313 13227413 0 X WWW.JOLIETHOSPICE.ORG X 1982 IL JOLIET AREA COMMUNITY HOSPICE PROVIDES COMPREHENSIVE, HOLISTIC, COMMUNITY BASED SERVICES AND CARE. 12 11 163 290 0 0 879069 900430 10579780 10707353 502949 539772 0 -467 11961798 12147088 0 0 0 0 7865737 7602367 0 0 0 4947521 5002083 12813258 12604450 -851460 -457362 20176401 20162588 2023874 2960863 18152527 17201725 X 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. 0 0 10213042 10707353 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 1,100 PATIENTS IN 2015. 10213042 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 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 25 0 1 163 1 0 0 0 0 0 1 1 0 0 0 0 X 12 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 IL X NANCY MUELLER 8157404104 250 WATER STONE CIRCLE JOLIET IL 60431 CAROLYN DYSTRUP PRESIDENT 1.00 X X 0 0 0 GEORGE RYDMAN PRESIDENT (UNTIL 4/13) 1.00 X X 0 0 0 CATHY SCHLEY VICE PRESIDENT 1.00 X X 0 0 0 JAMES J GALLIGAN TREASURER 1.00 X X 0 0 0 WILLIAM C BENOIT SECRETARY 1.00 X X 0 0 0 DUANE KRIEGER DIRECTOR/INTERIM CEO 40.00 X X 17200 0 0 JEFFREY A BONNAR DIRECTOR 1.00 X 0 0 0 ROBERT FUNK DIRECTOR 1.00 X 0 0 0 LORRAINE LUCENTA DIRECTOR 1.00 X 0 0 0 MARK TURK DIRECTOR 1.00 X 0 0 0 TOM VANA DIRECTOR 1.00 X 0 0 0 CARMEN ROXANNE QUARLES DIRECTOR 1.00 X 0 0 0 CHRISTOPHER WARD DIRECTOR 1.00 X 0 0 0 RICK KASPER CHIEF EXECUTIVE OFFICER(UNTIL 4/14) 40.00 X 63756 0 8205 KEVIN KRISTIN CHIEF FINANCIAL OFFICER 40.00 X 78408 0 21168 MARY SHEEHAN INTERIM CEO 40.00 X 105999 0 0 DR JAMES D WRIGHT MEDICAL DIRECTOR 40.00 X 197957 0 2399 SAM PATEL PATIENT COORDINATOR 40.00 X 121782 0 832 GRETA JONES REGISTERED NURSE 40.00 X 111035 0 9331 696137 0 41935 4 0 1 0 0 56626 110835 732969 900430 HOSPICE CARE SERVICES 621610 10707353 10707353 10707353 521224 521224 1061498 1042950 18548 18548 18548 36908 110835 37375 -467 -467 12147088 10707353 0 539305 495093 200356 294737 5557433 4878506 678927 1083216 837033 246183 466625 351304 115321 64804 64804 117136 117136 380370 364800 15570 127339 3675 123664 368696 87600 281096 131935 95273 36662 227195 219761 7434 44561 10279 34282 333656 189527 144129 120673 63414 57259 NURSING HOME ROOM & BOA 1456405 1456405 MEDICAL SUPPLIES 671153 671153 PHARMACY 551532 551532 BAD DEBT EXPENSE 163653 163653 242975 68771 174204 12604450 10213042 2391408 0 1417 1199 530839 1394567 2961274 2377512 76048 97885 9189696 4374550 5143793 4815146 11463030 11476279 20176401 20162588 1570651 1666797 453223 1294066 2023874 2960863 X 18152102 17195559 425 6166 18152527 17201725 20176401 20162588 -457362 -493440 0 X 0 1 X 1 0 X 920320 1531547 856035 879069 900430 5087401 11975146 12491013 10708629 10616888 10744261 56535937 12895466 14022560 11564664 11495957 11644691 61623338 0 0 0 61623338 248074 287243 426389 547745 521224 2030675 248074 287243 426389 547745 521224 2030675 13143540 14309803 11991053 12043702 12165915 63654013 0.96810 0.97410 0.03190 0.02590 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 187500 187500 7693289 3193938 4499351 1308907 1180612 128295 4815146 X 11691023 -493440 37375 -456065 12147088 0 12147088 12641825 37375 37375 12604450 0 12604450 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, 2015 AND 2014, 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 2012. PART XI, LINE 2D - OTHER ADJUSTMENTS: EXPENSES RELATED TO SPECIAL EVENTS 37,375. PART XII, LINE 2D - OTHER ADJUSTMENTS: EXPENSES RELATED TO SPECIAL EVENTS 37,375. ANNUAL DINNER 53293 42163 11130 250 12631 GOLF OUTING 41655 27756 13899 13140 4 52795 40916 11879 3000 8354 147743 110835 36908 3250 34125 37375 -467 X 0 0 0 0 0 0 0 0 0 DR JAMES D WRIGHT MEDICAL DIRECTOR 197755 0 0 0 202 0 0 0 2399 0 200356 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 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 POLICY STATEMENTS ARE REVIEWED ANNUALLY BY THE BOARD OF DIRECTORS AND NEW STATEMENTS ARE SIGNED ANNUALLY BY THE BOARD OF DIRECTORS. OUR CONFLICT OF INTEREST POLICY COVERS ALL BOARD OF DIRECTOR MEMBERS, ALL STAFF, AND ALL VOLUNTEERS. TO DATE WE HAVE NOT HAD TO IMPOSE ANY RESTRICTIONS ON ANYONE, BUT IT WOULD BE A BOARD OF DIRECTORS DECISION AS TO ANY RESTRICTIONS THAT MAY BE IMPOSED. POSSIBILITIES INCLUDE PROHIBITING VOTES ON VENDORS USED, PARTICIPATING IN DISCUSSION HELD, OR DECISIONS MADE. 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. 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.