2015-07-22T14:41:37-05:00 2014-12-31 420714325 MCGLADREY LLP 20 N MARTINGALE RD STE 500 SCHAUMBURG IL 60173 990 2014-01-01 363191281 JOLIET AREA COMMUNITY HOSPICE CORP JOLI 8157404104 250 WATER STONE CIRCLE JOLIET IL 604318313 DUANE KRIEGER INTERIM CEO 8157404104 2015-07-20 1 BRIANNA COOPER P00956450 8475177070 2014 2016-02-25 16:41:14Z DUANE KRIEGER 250 WATER STONE CIRCLE JOLIET IL 604318313 13866918 0 X WWW.JOLIETHOSPICE.ORG X 1982 IL JOLIET AREA COMMUNITY HOSPICE PROVIDES COMPREHENSIVE, HOLISTIC, COMMUNITY BASED SERVICES AND CARE 12 12 163 250 0 0 856035 879069 10667431 10579780 817010 502949 -400 0 12340076 11961798 0 0 0 0 8456471 7865737 0 0 0 4429380 4947521 12885851 12813258 -545775 -851460 19506849 20176401 751619 2023874 18755230 18152527 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 10429353 10579780 PROVIDING A COORDINATED PROGRAM OF SKILLED PALLIATIVE AND SUPPORTING SERVICES INCLUDING HOME HEALTH SERVICES FOR TERMINALLY ILL PATIENTS AND THEIR FAMILIES. 10429353 1 0 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 24 0 1 163 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 KEVIN J KRISTIN 8157404104 250 WATER STONE CIRCLE JOLIET IL 60431 WILLIAM C BENOIT DIRECTOR 1.00 X 0 0 0 CAROLYN DYSTRUP VICE PRESIDENT 1.00 X 0 0 0 JEFFREY A BONNAR DIRECTOR 1.00 X 0 0 0 GEORGE RYDMAN PRESIDENT 1.00 X 0 0 0 CATHY SCHLEY SECRETARY 1.00 X 0 0 0 ROBERT FUNK DIRECTOR 1.00 X 0 0 0 LORRAINE LUCENTA DIRECTOR 1.00 X 0 0 0 JAMES J GALLIGAN TREASURER 1.00 X 0 0 0 DUANE KRIEGER 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 RICK KASPER CHIEF EXECUTIVE OFFICER 40.00 X 111157 0 24987 RAYMOND ORENIC CHIEF MEDICAL OFFICER 40.00 X 174138 0 17612 JUDY MILITELLO ZIMMERMAN VICE PRESIDENT OF OPERATIONS 40.00 X 85876 0 17713 KEVIN KRISTIN CHIEF FINANCIAL OFFICER 40.00 X 79788 0 23166 GRETA JONES REGISTERED NURSE 40.00 X 127945 0 8574 SAM PATEL PATIENT COORDINATOR 40.00 X 134956 0 832 713860 0 92884 4 0 1 0 0 59256 72701 747112 879069 MEDICARE 623000 7964775 7964775 MEDICAID 623000 1737409 1737409 INSURANCE 623000 479290 479290 HOSPICE HOME RESIDENTIAL 621610 398306 398306 10579780 547745 547745 1823216 1868012 -44796 -44796 -44796 37108 72701 37108 0 11961798 10579780 0 502949 450959 174138 276821 5698710 4937846 760864 1229605 1007472 222133 486463 398582 87881 7594 7594 43656 43656 337023 323329 13694 193978 11918 182060 219817 115822 103995 236157 97819 138338 226892 215515 11377 38172 20827 17345 326207 178653 147554 70316 22795 47521 NURSING HOME ROOM & BOA 1630594 1630594 0 MEDICAL SUPPLIES 581029 581029 0 PHARMACY 499459 499459 0 CONTRACTUAL SERVICES 143348 143348 0 393279 70207 323072 12813258 10429353 2383905 0 2393515 532256 1403323 2961274 23500 0 209283 76048 9184688 4040895 5368433 5143793 10108737 11463030 58 0 19506849 20176401 751619 2023874 751619 2023874 X 18754230 18152102 1000 425 18755230 18152527 19506849 20176401 -851460 248757 0 X X 0 1 X 1 0 X 714297 920320 1531547 856035 879069 4901268 714297 920320 1531547 856035 879069 4901268 4901268 164636 248074 287243 426389 547745 1674087 6575355 58177792 0.74540 0.78250 X 187500 187500 7693289 2926892 4766397 1303899 1114003 189896 5143793 X 12247663 248757 37108 285865 11961798 0 11961798 12850366 37108 37108 12813258 0 12813258 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 (UBIT). 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, 2014 AND 2013, 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 2011. PART XI, LINE 2D - OTHER ADJUSTMENTS: EXPENSES RELATED TO SPECIAL EVENTS 37,108. PART XII, LINE 2D - OTHER ADJUSTMENTS: EXPENSES RELATED TO SPECIAL EVENTS 37,108. GOLF OUTING 37386 21444 15942 11985 3957 ANNUAL DINNER 39796 29840 9956 8257 1699 3 32627 21417 11210 3500 7710 109809 72701 37108 23742 13366 37108 0 X X 0 0 0 0 0 0 0 0 0 RAYMOND ORENIC CHIEF MEDICAL OFFICER 174138 0 0 0 0 0 0 0 17612 0 191750 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 15A THE BOARD OF DIRECTORS WORK WITHIN THE GUIDELINES THAT WERE ESTABLISHED IN 2006 BY AN OUTSIDE CONTRACTOR. THIS CONTRACTOR HELPED US ESTABLISH JOB GRADES FOR EACH POSITION HELD IN OUR ORGANIZATION. WITHIN EACH JOB GRADE IS A MINIMUM, MIDPOINT, AND MAXIMUM PAY GRADE. FORM 990, PART VI, SECTION C, LINE 19 IT IS THE PROCESS OF JOLIET AREA COMMUNITY HOSPICE TO MAKE AVAILABLE OUR GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS TO THE GENERAL PUBLIC VIA PROVIDING COPIES ON REQUEST AND THEY ARE AVAILABLE AT OUR OFFICE FOR INSPECTION. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.