2013-07-09T14:13:33-05:00 2012-12-31 WINKEL PARKER & FOSTER CPA PC 1301 19TH AVE NW CLINTON IA 52732 990 2012-01-01 421154098 IOWA CITY HOSPICE INC IOWA 3193515665 1025 WADE STREET IOWA CITY IA 52240 MARGRET ELLIOTT 3193515665 2013-06-28 true PATRICK W PARKER CPA 5632423440 2013-07-01 2012 2016-02-25 16:41:14Z MARGRET ELLIOTT 1025 WADE STREET IOWA CITY IA 52240 7109892 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. 13 13 81 200 0 548653 661362 6509182 6408809 29705 39721 0 7087540 7109892 0 0 3189506 3313414 0 149415 3280321 3506012 6469827 6819426 617713 290466 4119267 4361298 1171160 1009648 2948107 3351650 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 5536577 6408809 THE ORGANIZATION PROVIDES SERVICES TO THOSE FACING A LIFE LIMITING ILLNESS. IN 2012, 638 PATIENTS AND FAMILIES WERE SERVED IN OUR SEVEN COUNTY SERVICE AREA (CEDAR, IOWA, JOHNSON, LINN, LOUISA, MUSCATINE AND WASHINGTON COUNTIES) FOR A TOTAL OF 37,132 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 200 PATIENT CARE VOLUNTEERS PROVIDED 10,000 HOURS OF SUPPORTIVE SERVICES TO THOSE WE SERVED IN 2012. 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 155 HOME VISITS TO SURVIVORS; MADE 872 PHONE CONNECTIONS; AND, HAD 369 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. OVER THE 10 MONTH PERIOD THESE GROUPS MET IN 2012, 85 CHILDREN, YOUTH AND ADULTS ATTENDED. 5536577 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 3 0 true 81 true false false false false false false false false false false false false X 13 13 false false false false false false false true true false false true true true true true true true true false X MARGRET ELLIOTT 3196884212 1025 WADE STREET IOWA CITY IA 52240 MARY ADAMEK 1.00 X 0 0 0 TARA CLARK 1.00 X 0 0 0 DEAN CARRINGTON 1.00 X 0 0 0 ALLISON LAW 1.00 X 0 0 0 ELIZABETH COULTER 1.00 X X 0 0 0 BRAD LANGGUTH 1.00 X 0 0 0 ELI WYNES 1.00 X 0 0 0 LORI LEGGINS 1.00 X X 0 0 0 CINDY PENNEY 1.00 X X 0 0 0 STEVE ROE 1.00 X X 0 0 0 DOUG RUPPERT 1.00 X 0 0 0 BRUCE VANHOUWELING 1.00 X 0 0 0 MIKE MESSIER 1.00 X X 0 0 0 MAGGIE ELLIOT 40.00 X 87501 0 10409 87501 10409 false false false 279829 381533 661362 MEDICARE/MEDICAID PAYMENTS 5951380 5951380 PRIVATE INSURANCE 457429 457429 6408809 39721 39721 279829 7109892 6408809 39721 97910 14686 78328 4896 2660933 1975955 628148 56830 328606 245697 76033 6876 225965 163534 57399 5032 10950 10950 37387 37387 108230 53336 54894 202404 68928 133476 18532 18532 151648 143024 8624 36691 36691 175212 145912 29300 MEDICAL SUPPLIES 852160 852160 NURSING HOME FEES 695474 695474 HOSPITAL INPATIENT 508891 508891 MEDICATIONS 431431 431431 277002 163471 37750 75781 6819426 5536577 1133434 149415 1410 1711 1284818 1236129 619747 687489 5184 14340 1845801 880434 1119079 965367 1089029 1456262 4119267 4361298 434706 374074 736454 635574 1171160 1009648 X 2925438 3339374 22669 12276 2948107 3351650 4119267 4361298 290466 113077 X false true true false X 900918 624865 607518 548653 661362 3343316 900918 624865 607518 548653 661362 3343316 3343316 28704 25090 24591 29705 39721 147811 3491127 6408809 0.95770 0.96290 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1089029 244364 140828 17959 1456262 718262 368748 14848 12829 1089029 632184 13860 81806 9588 718262 522800 620 117575 8811 632184 1.00000 true false 140000 140000 500401 211354 289047 1205400 669080 536320 965367 BENEFICIAL INTEREST IN ENDOWMENT 1456262 1456262 LEASE PAYABLE 483834 ACCRUED PTO 135358 ACCRUED WAGES 16382 635574 X 7222969 113077 113077 7109892 7109892 6819426 6819426 6819426 INTENDED USES FOR ENDOWMENT FUNDS SCHEDULE D, PAGE 2, PART V, LINE 4 THE ENDOWMENT FUND WAS ESTABLISHED TO SERVE AS THE REPOSITORY OF GIFTS SPECIFICALLY DESIGNATED TO SUCH FUND. THE FUND IS MAINTAINED IN PERPETUITY. ANNUALLY THE BOARD OF DIRECTORS DETERMINE WHAT PORTION OF THE NET APPRECIATION OF THE ENDOWMENT FUND WILL BE MADE AVAILABLE TO THE ORGANIZATION FOR OPERATIONAL PURPOSES. LIABILITY UNDER FIN 48 FOOTNOTE SCHEDULE D, PAGE 3, PART X THE ORGANIZATION ADOPTED THE FASB'S REQUIREMENTS FOR ACCOUNTING FOR UNCERTAIN TAX POSITIONS ON JANUARY 1, 2009. THE ORGANIZATION DETERMINED THAT IT WAS NOT REQUIRED TO RECORD A LIABILITY RELATED TO CERTAIN TAX POSITIONS AS A RESULT OF IMPLEMENTING THE NEW REQUIREMENTS. REVENUE AMOUNTS INCLUDED IN FINANCIALS - OTHER SCHEDULE D, PAGE 4, PART XI, LINE 2D CHANGE IN BENEFICIAL INTEREST IN ASSETS HELD BY COMM FOUND 113,077 990PTVIII1C 279829 279829 279829 279829 FIRST ACCOMPLISHMENT DESCRIPTION FORM 990, PAGE 2, PART III, LINE 4A 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 155 HOME VISITS TO SURVIVORS; MADE 872 PHONE CONNECTIONS; AND, HAD 369 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. OVER THE 10 MONTH PERIOD THESE GROUPS MET IN 2012, 85 CHILDREN, YOUTH AND ADULTS ATTENDED. ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 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. ENFORCEMENT OF CONFLICTS POLICY FORM 990, PAGE 6, PART VI, LINE 12C ALL BOARD MEMBERS AND EMPLOYEES ARE REQUIRED TO DECLARE ALL CONFLICTS AT LEAST ANNUALLY. COMPENSATION PROCESS FOR TOP OFFICIAL 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. COMPENSATION PROCESS FOR OFFICERS FORM 990, PAGE 6, PART VI, LINE 15B THERE ARE NO OTHER OFFICERS OR BOARD MEMBERS THAT ARE COMPENSATED. GOVERNING DOCUMENTS DISCLOSURE EXPLANATION 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. RECONCILIATION OF CHANGES - OTHER FORM 990, PART XI, LINE 9 CHANGE IN BENEFICIAL INTEREST IN ASSETS HELD BY COMM FOUND 113,077