Midwest Palliative & Hospice CareCenter: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
Midwest Palliative & Hospice CareCenter (EIN 36-2996608)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-05
IRS object ID
201333099349300243
Schema version
2012v2.1
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

FieldValueIRS element (for citing)
Timestamp2013-11-05T10:00:04-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN362996608EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MIDWEST PALLIATIVE & HOSPICE CARECENTERBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMIDWNameControl
Phone8474677423Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12050 Claire CourtAddressLine1
CityGlenviewCity
StateILState
ZIP Code60025ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDAVID C BRUCEName
TitleCHIEF FINANCIAL OFFICERTitle
Date Signed2013-11-04DateSigned
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

Name Of Principal Officer Business NameOfPrincipalOfficerBusiness

FieldValueIRS element (for citing)
Business Name Line1JAMIE O'MALLEYBusinessNameLine1

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12050 Claire CourtAddressLine1
CityGlenviewCity
StateILState
ZIP Code60025ZIPCode
FieldValueIRS element (for citing)
Gross Receipts36693230GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.CARECENTER.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1978YearFormation
State Legal DomicileILStateLegalDomicile
Activity Or Mission DescriptionWITH A LONG HISTORY AS AN AWARD-WINNING PALLIATIVE CARE AND HOSPICE INNOVATOR, MIDWEST CARECENTER CONTINUALLY EVOLVES THE MEANING OF CARE, PERFECTING ALL THE WAYS IT CAN MAKE PEOPLE FEEL BETTER, AND ALSO BE BETTER. WE SUPPORT THE WHOLE PERSON - BODY, MIND AND SPIRIT - WITH TRULY INNOVATIVE WORLD-CLASS PALLIATIVE CARE, HOSPICE AND GRIEF SUPPORT. CHARITY CARE AND UNCOMPENSATED CARE PROVIDED IN 2012 = $3,187,000.ActivityOrMissionDescription
Nbr Voting Members Governing Body21NbrVotingMembersGoverningBody
Nbr Independent Voting Members20NbrIndependentVotingMembers
Total Nbr Employees378TotalNbrEmployees
Total Nbr Volunteers534TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year3365060ContributionsGrantsPriorYear
Contributions Grants Current Year5181796ContributionsGrantsCurrentYear
Program Service Revenue Prior Year26403067ProgramServiceRevenuePriorYear
Program Service Revenue CY28489500ProgramServiceRevenueCY
Investment Income Prior Year219851InvestmentIncomePriorYear
Investment Income Current Year364057InvestmentIncomeCurrentYear
Other Revenue Prior Year-105191OtherRevenuePriorYear
Other Revenue Current Year-75036OtherRevenueCurrentYear
Total Revenue Prior Year29882787TotalRevenuePriorYear
Total Revenue Current Year33960317TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year19898513SalariesEtcPriorYear
Salaries Etc Current Year20997901SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year750318TotalFundrsngExpCurrentYear
Other Expense Prior Year8759010OtherExpensePriorYear
Other Expenses Current Year9264284OtherExpensesCurrentYear
Total Expenses Prior Year28657523TotalExpensesPriorYear
Total Expenses Current Year30262185TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1225264RevenuesLessExpensesPriorYear
Revenues Less Expenses CY3698132RevenuesLessExpensesCY
Total Assets BOY33167715TotalAssetsBOY
Total Assets EOY39537880TotalAssetsEOY
Total Liabilities BOY6905219TotalLiabilitiesBOY
Total Liabilities EOY9339662TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY26262496NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY30198218NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO PROMOTE INDEPENDENCE, WELLNESS, COMFORT AND QUALITY OF LIFE FOR THE CHRONICALLY AND SERIOUSLY ILL, AGING AND DYING IN OUR REGION THROUGH THE DELIVERY OF A COMPASSIONATE MEDICALLY EXCELLENT CONTINUUM OF PALLIATIVE AND HOSPICE CARE, HOME HEALTH AND SUPPORTIVE SERVICES. THE COST OF CHARITY CARE AND UNCOMPENSATED CARE PROVIDED IN 2012 WAS $3,187,000.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense21342117Expense
Revenue26275328Revenue
DescriptionMIDWEST CARECENTER SERVES PATIENTS AND FAMILY MEMBERS IN 150 COMMUNITIES IN COOK AND LAKE COUNTIES THROUGH COMPREHENSIVE, COMPASSIONATE HOSPICE, PALLIATIVE CARE AND GRIEF SUPPORT SERVICES. IN 2012, 2,291 PATIENTS FACING THE END OF LIFE RECEIVED HOSPICE CARE, WHICH INVOLVES NURSING, MEDICAL MANAGEMENT, SOCIAL WORK, CHAPLAINCY AND VOLUNTEER SERVICES. BEREAVEMENT COUNSELING, IN THE FORM OF INDIVIDUALIZED AND GROUP SUPPORT, WAS PROVIDED TO 347 ADULTS AND 139 YOUTH WHO WERE GRIEVING THE DEATH OF A LOVED ONE. TO SUPPORT THESE PROGRAMS, 534 INDIVIDUALS PROVIDED 18,990 HOURS OF VOLUNTEER SERVICE THROUGH MIDWEST CARECENTER PATIENT CARE, OFFICE SUPPORT, FUNDRAISING, GOVERNANCE AND YOUTH OUTREACH SERVICES. (SEE SCHEDULE O)Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense3452713Expense
Revenue2214172Revenue
DescriptionPALLIATIVE CARE SERVICES PROVIDED MEDICAL CONSULTATIONS IN THE PALLIATION OF PAIN AND OTHER SYMPTOMS TO 2,332 PATIENTS.Description
FieldValueIRS element (for citing)
Total Program Service Expense24794830TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArttrueDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096102NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees378NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members21NbrVotingGoverningBodyMembers
Number Independent Voting Members20NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledILStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1David C BruceBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8474677423TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12050 Claire CourtAddressLine1
CityGlenviewCity
StateILState
ZIP Code60025ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (30 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
DAVID M TINGUE
SECRETARY/TREASURER1.30XX000
JAMIE M O'MALLEY
PRESIDENT & CEO - CURRENT YEAR40.00XX251193022701
PETER D MORRIS
CHAIRMAN2.80XX000
SCOTT F VENDER
VICE CHAIRMAN2.90XX000
ANN WEISER
DIRECTOR0.70X000
CAROL FITZGERALD
DIRECTOR0.60X000
DARLENE LANDSITTEL
DIRECTOR0.30X000
E DENNIS MURPHY MD FACP
DIRECTOR1.20X000
ELAINE R KURCZEWSKI
DIRECTOR0.80X000
ELIZABETH S FOLEY
DIRECTOR1.40X000
FRANK D CELLA
DIRECTOR0.60X000
HARRY JAFFE MD FACP
DIRECTOR0.60X000
JANICE K HARTWELL
DIRECTOR1.70X000
JULIA CORMIER
DIRECTOR0.80X000
KEVIN J SHRIER
DIRECTOR0.30X000
M MEAD MONTGOMERY
DIRECTOR1.90X000
THOMAS W HODSON
DIRECTOR0.80X000
TODD R MILLER
DIRECTOR0.30X000
WILLIAM A GIFFORD JR
DIRECTOR0.40X000
WILLIAM E RACINE
DIRECTOR0.90X000
WILLIAM GRAHAM
DIRECTOR1.10X000
DAVID C BRUCE
CHIEF FINANCIAL OFFICER40.00X166584029949
MARTHA L TWADDLE MD
CHIEF MEDICAL OFFICER40.00X266656025864
ALAN M SMOOKLER MD
ASSISTANT MEDICAL DIRECTOR40.00211088031632X
CATHLEEN ADAMS
VICE PRESIDENT OF CLINICAL SERVICES40.0016000003561X
CRAIG DRESANG
VICE PRESIDENT, COMMUNITY DEVELOPMENT40.00154620021252X
JASON SOBEL MD
ASSOCIATE MEDICAL DIRECTOR40.00161470026507X
LYNN KATTEN MD
ASSOCIATE MEDICAL DIRECTOR40.00159354019198X
SALLY KELLY MD
REGIONAL MEDICAL DIRECTOR40.0017150804705X
TIMOTHY SHORT MD
ASSISTANT MEDICAL DIRECTOR40.00165220010208X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1867693TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation195577TotalOtherCompensation
Number Individuals GT100 K20NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
NORTH SHORE UNIV HEALTH SYSTEM
9730 EAGLE WAYCHICAGOIL60678MEDICAL SERVICES486916
NORTHWEST COMMUNITY HOSPITAL
800 W CENTRAL ROADARLINGTON HEIGHTSIL60005MEDICAL SERVICES211364
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
Fundraising Events265382FundraisingEvents
All Other Contributions4916414AllOtherContributions
Noncash Contributions800973NoncashContributions
Total Contributions5181796TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
HOSPICE SERVICES PATIENT REVENUE6216102627532826275328
PALLIATIVE CARE SVCS PATIENT REVENUE62161022141722214172
0
0
0

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue28489500TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column233484TotalRevenueColumn
Exclusion$233,484ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities2739974Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities2609401Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities130573Securities
Other0Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column130573TotalRevenueColumn
Exclusion$130,573ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events44561GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events265382CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses123464FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-78903TotalRevenueColumn
Exclusion-$78,903ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Gaming3915GrossIncomeGaming
Gaming Direct Expenses48GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column3867TotalRevenueColumn
Exclusion$3,867ExclusionAmount

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

Total Revenue ColumnTotalRevenueColumn
0
0
0

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column33960317TotalRevenueColumn
Related Or Exempt Function Income28489500RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$289,021ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1169228Total
Program Services701537ProgramServices
Management And General467691ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total16228486Total
Program Services14576988ProgramServices
Management And General1186259ManagementAndGeneral
Fundraising465239Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total413107Total
Program Services329806ProgramServices
Management And General71756ManagementAndGeneral
Fundraising11545Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1908919Total
Program Services1479069ProgramServices
Management And General394024ManagementAndGeneral
Fundraising35826Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1278161Total
Program Services1020428ProgramServices
Management And General225505ManagementAndGeneral
Fundraising32228Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total62496Total
Management And General62496ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total52418Total
Program Services9305ProgramServices
Management And General43113ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total21183Total
Management And General21183ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total2346618Total
Program Services2117594ProgramServices
Management And General222609ManagementAndGeneral
Fundraising6415Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total322251Total
Program Services451ProgramServices
Management And General321800ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total602798Total
Program Services370307ProgramServices
Management And General170039ManagementAndGeneral
Fundraising62452Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total368188Total
Program Services79698ProgramServices
Management And General250651ManagementAndGeneral
Fundraising37839Fundraising

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1176600Total
Program Services899615ProgramServices
Management And General276985ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total355479Total
Program Services336833ProgramServices
Management And General15696ManagementAndGeneral
Fundraising2950Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total32735Total
Program Services14966ProgramServices
Management And General16471ManagementAndGeneral
Fundraising1298Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total61784Total
Program Services54296ProgramServices
Management And General7488ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total988680Total
Program Services162102ProgramServices
Management And General826578ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total435408Total
Program Services308972ProgramServices
Management And General126436ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
BAD DEBT2693122622527060
DRUGS AND MEDICAL SUPPLIES20588842058884
OTHER10945011727319794526

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total30262185Total
Program Services24794830ProgramServices
Management And General4717037ManagementAndGeneral
Fundraising750318Fundraising

Total Joint Costs TotalJointCosts

FieldValueIRS element (for citing)
Total0Total

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY90BOY
EOY90EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1308693BOY
EOY3051763EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY2627986BOY
EOY3180137EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY3953715BOY
EOY4387150EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY830117BOY
EOY502232EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis30338643LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec7239401LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY18763640BOY
EOY23099242EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY5683474BOY
EOY5317266EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY33167715BOY
EOY39537880EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY6225404BOY
EOY5610785EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
EOY3174713EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY304464BOY
EOY246585EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY375351BOY
EOY307579EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY6905219BOY
EOY9339662EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY16742582BOY
EOY26475951EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY6389612BOY
EOY517724EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY3130302BOY
EOY3204543EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY26262496BOY
EOY30198218EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY33167715BOY
EOY39537880EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses3698132ReconcilationRevenueExpenses
Reconciliation Unrealized Invest242006ReconciliationUnrealizedInvest
Reconcilation Invest Expenses0ReconcilationInvestExpenses
Reconcilation Prior Adjustment-4416ReconcilationPriorAdjustment
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2745944CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4214126CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3051922CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3365060CurrentTaxYearMinus1Year
Current Tax Year5181796CurrentTaxYear
Total18558848Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years25855676CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years23809355CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years24273061CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year26403067CurrentTaxYearMinus1Year
Current Tax Year28489500CurrentTaxYear
Total128830659Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Total0Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

FieldValueIRS element (for citing)
Total0Total

Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt

FieldValueIRS element (for citing)
Total0Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years28601620CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years28023481CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years27324983CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year29768127CurrentTaxYearMinus1Year
Current Tax Year33671296CurrentTaxYear
Total147389507Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total
FieldValueIRS element (for citing)
Public Support Total509147389507PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years173773CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years110298CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years220677CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year178947CurrentTaxYearMinus1Year
Current Tax Year233484CurrentTaxYear
Total917179Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years173773CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years110298CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years220677CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year178947CurrentTaxYearMinus1Year
Current Tax Year233484CurrentTaxYear
Total917179Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years56245CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years57580CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years43028CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year51203CurrentTaxYearMinus1Year
Current Tax Year48476CurrentTaxYear
Total256532Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years28831638CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years28191359CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years27588688CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year29998277CurrentTaxYearMinus1Year
Current Tax Year33953256CurrentTaxYear
Total148563218Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99200PublicSupportPercentage509
Prior Year Support Percentage0.99260PriorYearSupportPercentage
Investment Income Percentage0.00620InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00590PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
General ExplanationOTHER INCOME, SCHEDULE A, PART III, LINE 12, DESCRIPTION - GROSS RECEIPTS FROM FUNDRAISING EVENTS, COLUMN A - 56245, COLUMN B - 57580, COLUMN C - 43028, COLUMN D - 51203, COLUMN E - 48476, COLUMN F - 256532;,GeneralExplanation

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance3521498BeginningOfYearBalance
Contributions74241Contributions
Investment Earnings Or Losses350974InvestmentEarningsOrLosses
Other Expenditures126452OtherExpenditures
End Of Year Balance3820261EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance3444525BeginningOfYearBalance
Contributions215254Contributions
Investment Earnings Or Losses-19801InvestmentEarningsOrLosses
Other Expenditures118480OtherExpenditures
End Of Year Balance3521498EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance3188719BeginningOfYearBalance
Contributions21997Contributions
Investment Earnings Or Losses289373InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures55564OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance3444525EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance2727523BeginningOfYearBalance
Contributions216410Contributions
Investment Earnings Or Losses271623InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures26837OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance3188719EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance2154865BeginningOfYearBalance
Contributions708159Contributions
Investment Earnings Or Losses-90133InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures45368OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance2727523EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.06200BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.83900PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.09900TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1762927OtherCostOrOtherBasis
Book Value1762927BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis20219825OtherCostOrOtherBasis
Depreciation1728764Depreciation
Book Value18491061BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis506472OtherCostOrOtherBasis
Depreciation506472Depreciation
Book Value0BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis7774102OtherCostOrOtherBasis
Depreciation5004165Depreciation
Book Value2769937BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis75317OtherCostOrOtherBasis
Book Value75317BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings23099242TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionSUPPLEMENTAL RETIREMENT LIABILITYDescription
Amount$307,579Amount
FieldValueIRS element (for citing)
Total Of Amounts307579TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt34228051TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments242006NetUnrealizedGainsInvestments
Other Revenues123512OtherRevenues
Revenue Not Rptd F990365518RevenueNotRptdF990
Revenue Subtotal33862533RevenueSubtotal
Investment Expenses Not Included21183InvestmentExpensesNotIncluded
Other Revenues Not Included76601OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt97784RevenueNotRptdOnFinStmt
Total Revenue Per Form99033960317TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt30294063TotExpensesEtcAuditedFinclStmt
Other Expenses Included129662OtherExpensesIncluded
Expenses Not Rptd F990129662ExpensesNotRptdF990
Expenses Subtotal30164401ExpensesSubtotal
Investment Expenses Not Included221183InvestmentExpensesNotIncluded2
Other Expenses Not Included76601OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt97784ExpensesNotRptdOnFinStmt
Total Expenses Per Form99030262185TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Intended uses of endowment fundsSchedule D, Part V, Line 4THE ORGANIZATION USES THE ENDOWMENT FUNDS TO FUND A PORTION OF THE CHIEF MEDICAL DIRECTOR'S SALARY (ALLOWING TIME TO BE SPENT ON EDUCATIONAL PROGRAMS), FUND PALLIATIVE CARE EDUCATION PROGRAMS, FUND THE DEVELOPMENT AND BUILDING OF A HOSPICE INPATIENT PAVILION, FUND GRIEF SUPPORT SERVICES AND FUND VARIOUS OTHER PROGRAMS DESIGNATED BY THE DONORS (CHILDREN'S PROGRAMS, MUSIC THERAPY, MASSAGE THERAPY, ETC.)
FIN 48 (ASC 740) footnoteSchedule D, Part X, Line 2CARECENTER HAS BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC) AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED ACTIVITIES PURSUANT TO SECTION 501 (A) OF THE IRC. A TAX POSITION IS RECOGNIZED AS A BENEFIT ONLY IF IT IS "MORE LIKELY THAN NOT" THAT THE TAX POSITION WOULD BE SUSTAINED IN A TAX EXAMINATION, WITH A TAX EXAMINATION BEING PRESUMED TO OCCUR. THE AMOUNT RECOGNIZED IS THE LARGEST AMOUNT OF TAX BENEFIT THAT IS GREATER THAN 50% LIKELY OF BEING REALIZED ON EXAMINATION. FOR TAX POSITIONS NOT MEETING THE "MORE LIKELY THAN NOT" TEST, NO TAX BENEFIT IS RECORDED. DUE TO ITS TAX-EXEMPT STATUS, CARECENTER IS NOT SUBJECT TO U.S. FEDERAL INCOME TAX OR STATE INCOME TAX. CARECENTER'S FORM 990 HAS NOT BEEN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE OR THE STATE OF ILLINOIS FOR THE LAST THREE YEARS. CARECENTER DOES NOT EXPECT THE TOTAL AMOUNT OF UNRECOGNIZED TAX BENEFITS TO SIGNIFICANTLY CHANGE IN THE NEXT 12 MONTHS. CARECENTER RECOGNIZES INTEREST AND/OR PENALTIES RELATED TO INCOME TAX MATTERS IN INCOME TAX EXPENSE. CARECENTER DID NOT HAVE ANY AMOUNTS ACCRUED FOR INTEREST AND PENALTIES AT DECEMBER 31, 2012 OR 2011.
Other revenues in audited financial statements not in form 990Schedule D, Part XI, Line 2dSPECIAL EVENT EXPENSES - 123464; GAMING EXPENSES - 48;
Other revenues in form 990 not in audited financial statementsSchedule D, Part XI, Line 4bMEDICAID INTEREST - 76601;
Other expenses in audited financial statements not in form 990Schedule D, Part XII, Line 2dPCCNS PRIVATE CARE, INC. EXPENSES - 6150; SPECIAL EVENT EXPENSES - 123464; GAMING EXPENSES - 48;
Other expenses in form 990 not in audited financial statementsSchedule D, Part XII, Line 4bMEDICAID INTEREST - 76601;

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1CARE AFFAIRNameOfEvent1
Gross Receipts Event1188927GrossReceiptsEvent1
Charitable Contributions Event1170195CharitableContributionsEvent1
Gross Revenue Event118732GrossRevenueEvent1
Non Cash Prizes Event132553NonCashPrizesEvent1
Rent Facility Costs Event12500RentFacilityCostsEvent1
Food And Beverage Event123023FoodAndBeverageEvent1
Entertainment Event15000EntertainmentEvent1
Other Direct Expenses Event14112OtherDirectExpensesEvent1
Name Of Event2GOLF OUTINGNameOfEvent2
Gross Receipts Event281446GrossReceiptsEvent2
Charitable Contributions Event260091CharitableContributionsEvent2
Gross Revenue Event221355GrossRevenueEvent2
Non Cash Prizes Event25770NonCashPrizesEvent2
Rent Facility Costs Event225500RentFacilityCostsEvent2
Food And Beverage Event22257FoodAndBeverageEvent2
Other Direct Expenses Event21063OtherDirectExpensesEvent2
Total Number Of Other Events2TotalNumberOfOtherEvents
Gross Receipts Other Events39570GrossReceiptsOtherEvents
Charitable Contrib Other Events35096CharitableContribOtherEvents
Gross Revenue Other Events4474GrossRevenueOtherEvents
Non Cash Prizes Other Events600NonCashPrizesOtherEvents
Rent Facility Costs Other Events9394RentFacilityCostsOtherEvents
Food And Beverage Other Events10052FoodAndBeverageOtherEvents
Other Direct Expenses Other Events1640OtherDirectExpensesOtherEvents
Gross Receipts Total309943GrossReceiptsTotal
Charitable Contributions Total265382CharitableContributionsTotal
Gross Revenue Total Events44561GrossRevenueTotalEvents
Cash Prizes Total Events0CashPrizesTotalEvents
Non Cash Prizes Total Events38923NonCashPrizesTotalEvents
Rent Facility Costs Total Events37394RentFacilityCostsTotalEvents
Food And Beverage Total Events35332FoodAndBeverageTotalEvents
Entertainment Total Events5000EntertainmentTotalEvents
Other Direct Expenses Total Events6815OtherDirectExpensesTotalEvents
Direct Expense Summary Events123464DirectExpenseSummaryEvents
Net Income Summary-78903NetIncomeSummary

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
JAMIE M O'MALLEY
PRESIDENT & CEO - CURRENT YEAR25119300000100000127010273894000
SALLY KELLY MD
REGIONAL MEDICAL DIRECTOR171508000002248024570176213000
TIMOTHY SHORT MD
ASSISTANT MEDICAL DIRECTOR1652200000000102080175428000
JASON SOBEL MD
ASSOCIATE MEDICAL DIRECTOR1614700000018010247060187977000
ALAN M SMOOKLER MD
ASSISTANT MEDICAL DIRECTOR2110880000088360227960242720000
DAVID C BRUCE
CHIEF FINANCIAL OFFICER1665840000071300228190196533000
MARTHA L TWADDLE MD
CHIEF MEDICAL OFFICER26665600000100000158640292520000
LYNN KATTEN MD
ASSOCIATE MEDICAL DIRECTOR1593540000062710129270178552000
CATHLEEN ADAMS
VICE PRESIDENT OF CLINICAL SERVICES1500000100000002508010530163561000
CRAIG DRESANG
VICE PRESIDENT, COMMUNITY DEVELOPMENT14462001000000064130148390175872000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierNon-fixed paymentsIdentifier
Return ReferenceSchedule J, Part I, Line 7ReturnReference
ExplanationDURING 2012 THE ORGANIZATION PAID PERFOMANCE BONUSES TO THE COO AND VICE PRESIDENT, COMMUNITY DEVELOPMENT. THESE PAYMENTS WERE MADE AFTER REVIEW BY THE CHAIRMAN AND OTHER MEMBERS OF THE BOARD OF DIRECTORS.Explanation

Schedule M IRS990ScheduleM

Works Of Art WorksOfArt

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions29NumberOfContributions
Noncash Contribs Rptd F99095185NoncashContribsRptdF990
Method Of Determining RevenuesMARKET VALUEMethodOfDeterminingRevenues

Books And Publications BooksAndPublications

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Noncash Contribs Rptd F9906990NoncashContribsRptdF990
Method Of Determining RevenuesMARKET VALUEMethodOfDeterminingRevenues

Clothing And Household Goods ClothingAndHouseholdGoods

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Noncash Contribs Rptd F99033483NoncashContribsRptdF990
Method Of Determining RevenuesMARKET VALUEMethodOfDeterminingRevenues

Securities Publicly Traded SecuritiesPubliclyTraded

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions25NumberOfContributions
Noncash Contribs Rptd F990627728NoncashContribsRptdF990
Method Of Determining RevenuesMARKET VALUEMethodOfDeterminingRevenues

Food Inventory FoodInventory

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions17NumberOfContributions
Noncash Contribs Rptd F9909174NoncashContribsRptdF990
Method Of Determining RevenuesMARKET VALUEMethodOfDeterminingRevenues

Drugs And Medical Supplies DrugsAndMedicalSupplies

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions7NumberOfContributions
Noncash Contribs Rptd F9903387NoncashContribsRptdF990
Method Of Determining RevenuesMARKET VALUEMethodOfDeterminingRevenues

Other Non Cash Contributions Table OtherNonCashContributionsTable

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
DescriptionGIFT CERTIFICATES AND MISCELLANEOUSDescription
Number Of Contributions43NumberOfContributions
Noncash Contribs Rptd F99025026NoncashContribsRptdF990
Method Of Determining RevenuesMARKET VALUEMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Number Of8283 Received0NumberOf8283Received
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftstrueReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Explanations of reporting method for number of contributionsSchedule M, Part IART - WORKS OF ART: NUMBER OF CONTRIBUTIONS BOOKS AND PUBLICATIONS: NUMBER OF CONTRIBUTIONS CLOTHING AND HOUSEHOLD GOODS: NUMBER OF CONTRIBUTIONS SECURITIES - PUBLICLY TRADED: NUMBER OF CONTRIBUTIONS FOOD INVENTORY: NUMBER OF CONTRIBUTIONS DRUGS AND MEDICAL SUPPLIES: NUMBER OF CONTRIBUTIONS OTHER: NUMBER OF CONTRIBUTIONS
Number of contributions or items contributed.Schedule M, part I, column (b), Line 1NUMBER OF CONTRIBUTIONS
Number of contributions or items contributed.Schedule M, part I, column (b), Line 4NUMBER OF CONTRIBUTIONS
Number of contributions or items contributed.Schedule M, part I, column (b), Line 5NUMBER OF CONTRIBUTIONS
Number of contributions or items contributed.Schedule M, part I, column (b), Line 9NUMBER OF CONTRIBUTIONS

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (17 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
PROGRAM SERVICE ACCOMPLISHMENTS - GENERAL INFORMATIONFORM 990, PART III, LINE 4A(CONTINUED FROM FORM 990, PART III, LINE 4A) THE ORGANIZATION STRIVES TO ENSURE CONTINUED ACCESS TO SERVICES FOR ANYONE IN THE COMMUNITY. IN 2012, $3,187,000 OF FREE AND SUBSIDIZED CARE WAS PROVIDED THROUGH CHARITY CARE AND COMMUNITY-FUNDED, COMPLEMENTARY PROGRAMMING, WHICH INCLUDED MUSIC SERVICES AND CULTURALLY SENSITIVE INITIATIVES. MUSIC-THANATOLOGISTS HELD 614 VIGILS AND MUSIC THERAPISTS PROVIDED 1,311 MUSIC THERAPY SESSIONS TO BENEFIT PATIENTS AND FAMILIES. ADDITIONALLY, THROUGH THE ORGANIZATION'S JEWISH CARE SERVICES PROGRAM, 554 PATIENTS RECEIVED HOSPICE CARE WITH AN EMPHASIS ON JEWISH CUSTOMS AND TRADITIONS. MIDWEST PALLIATIVE & HOSPICE CARECENTER, A COMMUNITY-BASED PROVIDER OF HOSPICE, PALLIATIVE CARE AND GRIEF SUPPORT SERVICES, IS ORGANIZED AND OPERATED EXCLUSIVELY FOR CHARITABLE, EDUCATIONAL AND SCIENTIFIC PURPOSES WITHIN THE MEANING OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. MIDWEST CARECENTER PROVIDES SERVICES TO ALL PATIENTS REGARDLESS OF RACE, COLOR, NATIONAL ANCESTRY, RELIGION, AGE, HANDICAPPING CONDITION, GENDER, SEXUAL ORIENTATION OR SOURCE OF PAYMENT. IN 2012, THE ORGANIZATION SERVED PATIENTS AND FAMILIES IN 150 COMMUNITIES IN COOK AND LAKE COUNTIES. MIDWEST CARECENTER OPERATES THE LARGEST NONPROFIT, NON-HOSPITAL-AFFILIATED HOSPICE IN THE CHICAGO AREA, AND IS RECOGNIZED AS A LEADER IN THE PROVISION OF HOSPICE CARE, PALLIATIVE MEDICINE, BEREAVEMENT SERVICES, AND EDUCATION IN END-OF-LIFE ISSUES AND PRACTICE BOTH LOCALLY AND NATIONALLY. IN RECOGNITION OF ITS LEADERSHIP ROLE, MIDWEST CARECENTER WAS AWARDED THE PRESTIGIOUS CIRCLE OF LIFE AWARD (2001) BY THE AMERICAN HOSPITAL ASSOCIATION FOR EXCELLENCE IN END-OF-LIFE CARE. MIDWEST CARECENTER OFFERS HOSPICE SERVICES FOR THE BENEFIT OF PATIENTS AND FAMILIES WHO ARE COPING WITH THE CHALLENGES OF A TERMINAL ILLNESS. THE ORGANIZATION'S GOALS ARE TO CARE FOR THE PATIENT AND FAMILY AS A WHOLE AND TO PROMOTE THE PATIENT'S DIGNITY AND QUALITY OF LIFE BY MANAGING SYMPTOMS, RELIEVING PAIN AND PROVIDING TOTAL PATIENT CARE. IN 2012, 2,291 PATIENTS RECEIVED HOSPICE CARE FROM MIDWEST CARECENTER PHYSICIANS, NURSES, SOCIAL WORKERS, CHAPLAINS AND VOLUNTEERS. THE ORGANIZATION FIRST EARNED ACCREDITATION FROM THE JOINT COMMISSION IN 1996, AND ITS HOSPICE SERVICES HAVE CONTINUOUSLY RECEIVED FULL ACCREDITATION IN SUBSEQUENT SURVEY VISITS, MOST RECENTLY IN JUNE 2011. IN ADDITION TO THE CORE HOSPICE SERVICES REQUIRED BY THE FEDERAL GOVERNMENT UNDER THE MEDICARE HOSPICE BENEFIT-NURSING, MEDICAL MANAGEMENT, SOCIAL WORK, SPIRITUAL CARE AND VOLUNTEER SERVICES-THE MIDWEST CARECENTER PATIENT BASE BENEFITED FROM ADDITIONAL COMPLEMENTARY THERAPIES, INCLUDING, MUSIC AND MUSIC-THANATOLOGY. THESE SERVICES ARE PROVIDED AT NO ADDITIONAL COST TO THE PATIENT. THROUGH THE ORGANIZATION'S JEWISH CARE SERVICES PROGRAM, 554 PATIENTS RECEIVED HOSPICE CARE WITH AN EMPHASIS ON JEWISH CUSTOMS AND TRADITIONS. A PARTNERSHIP WITH THE JEWISH HEALING NETWORK OF CHICAGO HAS MADE IT POSSIBLE FOR MIDWEST CARECENTER TO OFFER MORE INFORMATION AND SUPPORT FOR THOSE WITH ADVANCED ILLNESS IN THE JEWISH COMMUNITY. ADDITIONALLY, TO IMPROVE ACCESS TO HOSPICE CARE AND PALLIATIVE MEDICINE FOR NON-ENGLISH-SPEAKING IMMIGRANT POPULATIONS, MIDWEST CARECENTER PROVIDES BI-LINGUAL MATERIALS TO POPULATIONS IN ITS SERVICE AREA. THROUGH ITS PALLIATIVE CARE SERVICES PROGRAM, MIDWEST CARECENTER SUPPORTS THE EFFECTIVE MEDICAL PRACTICE OF AREA PHYSICIANS BY PROVIDING CONSULTATIONS ON PAIN AND SYMPTOM MANAGEMENT FOR PATIENTS FACING SERIOUS, COMPLEX ILLNESS. IN 2012, 2,332 PATIENTS RECEIVED PALLIATIVE CARE CONSULTATIONS TO DEFINE, MANAGE AND COORDINATE HEALTHCARE GOALS AND PLANS. ON-SITE PALLIATIVE CARE CONSULTATIONS WERE PROVIDED TO PATIENTS WHO WERE HOSPITALIZED IN EIGHT AREA HOSPITALS. MIDWEST CARECENTER OFFERS COMMUNITY BEREAVEMENT SERVICES AT NO CHARGE TO THE PUBLIC. IN ADDITION TO INDIVIDUAL COUNSELING, GROUP SUPPORT, ARTISTIC AND EXPRESSIVE THERAPIES AND OTHER COUNSELOR-FACILITATED MODALITIES FOR FAMILY MEMBERS OF HOSPICE PATIENTS, THE ORGANIZATION OFFERS GRIEF SUPPORT SERVICES FREE TO ANY GRIEVING PERSON IN ITS SERVICE AREA. IN 2012, 347 ADULTS AND 139 YOUTH RECEIVED BEREAVEMENT SERVICES. MIDWEST CARECENTER ALSO CONTINUED ITS "NAVIGATING GRIEF" WORKSHOP IN 2012 TO HELP GRIEVING ADULTS FIND THEIR BEARINGS IMMEDIATELY AFTER A LOSS. THROUGH ITS FAMILIES WITH CHILDREN PROGRAM, MIDWEST CARECENTER COUNSELORS PROVIDED BEREAVEMENT COUNSELING TO 139 GRIEVING CHILDREN AND TEENS IN 2012. CAMPCARE, THE ORGANIZATION'S GRIEF SUPPORT SUMMER PROGRAM FOR YOUTH, OFFERED A FOUR-DAY OVERNIGHT CAMP AND A FOUR-DAY ADVENTURE CANOE TRIP, SERVING A TOTAL OF 50 CHILDREN AND TEENS (4TH- 12TH GRADE) WHO WERE IMPACTED BY LOSS. AS PART OF THE ORGANIZATION'S EDUCATIONAL OUTREACH PROGRAMS IN 2012, FWC CONDUCTED SEVERAL EDUCATION PROGRAMS AT AREA SCHOOLS ON CHILDREN'S GRIEF AND ASSISTED THE SCHOOLS OF THE ARCHDIOCESE OF CHICAGO WHEN DEATH IMPACTED THEIR COMMUNITIES. VOLUNTEERS ARE AN INTEGRAL FORCE IN ADVANCING THE MISSION OF THE ORGANIZATION THROUGH DIRECT CARE OR ADMINISTRATIVE SUPPORT. IN 2012, 534 VOLUNTEERS PROVIDED 18,990 HOURS OF SERVICE THROUGH MIDWEST CARECENTER PATIENT CARE, OFFICE SUPPORT, FUNDRAISING, GOVERNANCE AND YOUTH OUTREACH SERVICES. DIRECT PATIENT CARE WAS PROVIDED TO 422 PATIENTS BY 220 VOLUNTEERS. THROUGH MIDWEST CARECENTER CHARITY CARE AND SUBSIDIZED PROGRAMS, SERVICES ARE PROVIDED TO ALL INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY. BECAUSE MIDWEST CARECENTER SERVES AN OLDER PATIENT BASE AS AN END-OF-LIFE PROVIDER, MOST OF ITS PATIENT SERVICES ARE PAID FOR BY MEDICARE. NONETHELESS, WHILE OVER 90% OF PATIENTS WHO SOUGHT SERVICES FROM MIDWEST CARECENTER IN 2012 WERE COVERED BY GOVERNMENTAL PLANS OR BY PRIVATE INSURANCE, PATIENTS RECEIVED $3,187,000 OF FREE CARE OR SUBSIDIZED CARE UNDER THE PROGRAM. PATIENTS SEEKING HOSPICE AND PALLIATIVE CARE SERVICES WITHOUT GOVERNMENTAL OR PRIVATE INSURANCE QUALIFY FOR CHARITY CARE AND RECEIVE SERVICES FREE OF CHARGE. PATIENTS WITH INADEQUATE INSURANCE OR WITH OTHER FINANCIAL NEED RECEIVE CARE AT REDUCED RATES, BASED ON A SLIDING SCALE. DETERMINATION OF NEED IS BASED ON INDIVIDUALIZED ASSESSMENT OF ASSETS AND TOTAL COSTS FOR CARE; PRIMARY RESIDENCES ARE EXCLUDED FROM ASSETS.
PROGRAM SERVICE ACCOMPLISHMENTS - GENERAL INFORMATIONFORM 990, PART III, LINE 4APATIENTS ARE INFORMED OF THE AVAILABILITY OF FREE AND SUBSIDIZED CARE AT THEIR INITIAL REFERRAL FOR SERVICES; APPLICATION FORMS ARE INCLUDED WITH ADMISSIONS FORMS; AND ADMISSIONS STAFF ARE AVAILABLE TO ASSIST PATIENTS OR FAMILIES WITH COMPLETING THE APPLICATIONS. MIDWEST CARECENTER PROMOTES ITS CHARITY CARE AND SUBSIDIZED CARE PROGRAMS AGGRESSIVELY THROUGH ADVERTISING AND PROMOTIONAL MATERIALS. MIDWEST CARECENTER BUILDS RELATIONSHIPS WITH OTHER PROVIDERS TO ENHANCE HEALTHCARE SERVICES FOR PATIENTS AND FAMILIES IN ITS SERVICE AREA. THE ORGANIZATION CONTRACTED WITH EIGHT AREA HOSPITALS TO DELIVER HOSPICE CARE IN THE HOSPITAL SETTING AND PROVIDED CARE TO RESIDENTS OF MORE THAN 100 SENIOR CARE FACILITIES IN ITS SERVICE AREA. IN ADDITION, OUTREACH ACTIVITIES INCLUDED COLLABORATIONS WITH HOWARD BROWN HEALTH CENTER, CJE SENIORLIFE, HEARTLAND ALLIANCE AND RUSH UNIVERSITY MEDICAL CENTER TO PROVIDE HEALTHCARE AND RESOURCES FOR LESBIAN, GAY, BISEXUAL AND TRANSGENDERED OLDER ADULTS IN CHICAGO THROUGH "AGING AS WE ARE." CENTRAL TO THE MIDWEST CARECENTER MISSION ARE EDUCATION, TRAINING AND RESEARCH. THE ORGANIZATION SPONSORS AND CONDUCTS SEMINARS AND TRAINING SESSIONS, FREE OF CHARGE, ON A VARIETY OF TOPICS RELATED TO END-OF-LIFE CARE FOR MEDICAL PROFESSIONALS AND FOR MEMBERS OF THE GENERAL PUBLIC. OVER 3,000 HEALTHCARE PROFESSIONALS, STUDENTS AND COMMUNITY MEMBERS LEARNED ABOUT HOSPICE, ADVANCE DIRECTIVES, HOW TO HELP GRIEVING CHILDREN AND ADULTS, AND OTHER RELATED HEALTHCARE TOPICS IN 2012. EDUCATION AND RESEARCH IS LARGELY SUPPORTED THROUGH PATIENT REVENUES, WITH SOME GRANT SUPPORT. MIDWEST CARECENTER ALSO PARTICIPATES IN AN INTEGRATED FELLOWSHIP PROGRAM WITH RUSH UNIVERSITY MEDICAL CENTER AND JOHN H. STROGER, JR. HOSPITAL OF COOK COUNTY TO TRAIN PHYSICIANS TO DEMONSTRATE COMPETENCE IN SPECIALIST-LEVEL EXPERTISE IN PALLIATIVE CARE. IN 2009, THE PROGRAM WAS ACCREDITED BY THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION. MIDWEST CARECENTER ASSUMED THE COST FOR THREE FELLOWS AND CONTRIBUTED ONE-THIRD OF SALARY AND BENEFITS FOR EACH. FINALLY, TO ENSURE THAT ALL PATIENTS HAVE ACCESS TO AN EXCEPTIONAL LEVEL OF CARE NOW AND IN THE YEARS AHEAD, MIDWEST CARECENTER LAUNCHED THE KEEPING OUR PROMISE CAMPAIGN IN 2009. IN 2012 THE MARSHAK FAMILY INPATIENT PAVILION AND THE WAUD FAMILY HEALING GARDEN, A $12-MILLION CAPITAL AND ENDOWMENT CAMPAIGN, WAS COMPLETED AND MIDWEST CARECENTER BEGAN SERVICING PATIENTS ON ITS GLENVIEW CAMPUS. IN ADDITION, IN 2012 MIDWEST CARECENTER PARTNERED WITH NORTHWEST COMMUNITY HOSPITAL TO PROVIDE HOSPICE INPATIENT SERVICES TO PATIENTS IN THEIR COMMUNITY.
Review of form 990 by governing bodyForm 990, Part VI, Section B, Line 11bPRIOR TO FILING THE RETURN WITH THE IRS, A DRAFT OF THE COMPLETED FORM 990 IS REVIEWED BY THE ORGANIZATION'S FINANCE COMMITTEE. AFTER REVIEW, COPIES OF THE FINAL FORM 990 ARE DISTRIBUTED TO THE FULL BOARD FOR REVIEW. SUBSEQUENT TO THE BOARD'S REVIEW THE RETURN IS FILED WITH THE IRS.
Conflict of interest policyForm 990, Part VI, Section B, Line 12cANNUALLY, THE ORGANIZATION REQUIRES ALL INTERESTED PERSONS TO DISCLOSE ANY POTENTIAL OR ACTUAL CONFLICTS OF INTEREST. THE CHIEF FINANCIAL OFFICER THEN REVIEWS THE POTENTIAL OR ACTUAL CONFLICTS TO DETERMINE IF AN ACTUAL CONFLICT OF INTEREST EXISTS. ADDITIONALLY, ANY POSSIBLE CONFLICT OF INTEREST OF ANY DIRECTOR (OR MEMBER OF THE DIRECTOR'S IMMEDIATE FAMILY) SHALL BE FULLY DISCLOSED TO THE OTHER DIRECTORS AND MADE A MATTER OF RECORD. WHEN ANY POSSIBLE CONFLICT OF INTEREST BECOMES RELEVANT TO ANY MATTER REQUIRING BOARD OF DIRECTORS OR COMMITTEE ACTION, THE DIRECTOR SHALL NOT VOTE ON THE MATTER, SHALL NOT USE PERSONAL INFLUENCE IN CONNECTION WITH THE MATTER, AND SHALL NOT BE COUNTED IN DETERMINING THE QUORUM FOR THE MEETING. HOWEVER, THE DIRECTOR MAY BRIEFLY STATE THE DIRECTOR'S POSITION IN THE MATTER AND ANSWER PERTINENT QUESTIONS WHEN THE DIRECTOR'S KNOWLEDGE OF THE MATTER WILL ASSIST THE BOARD OR COMMITTEE. THE MINUTES OF THE MEETING SHALL REFLECT THAT A DISCLOSURE WAS MADE, AND THAT THE INTERESTED DIRECTOR ABSTAINED FROM VOTING AND WAS NOT COUNTED IN DETERMINING THE QUORUM FOR THE MEETING. THIS POLICY SHALL ALSO APPLY TO ANY PERSON, OTHER THAN A DIRECTOR, WHO IS SERVING AS A MEMBER OF A BOARD COMMITTEE. A CONFLICT OF INTEREST ARISES WHEN A DIRECTOR, OFFICER, OR MANAGEMENT EMPLOYEE HOLDS A DIRECT OR INDIRECT FINANCIAL INTEREST IN OR WILL RECEIVE A BENEFIT FROM A BUSINESS FURNISHING GOODS OR SERVICES TO MIDWEST CARECENTER. A DIRECT FINANCIAL INTEREST IS THE RECEIPT OF REMUNERATION OF ANY SORT. AN INDIRECT FINANCIAL INTEREST EXISTS IF A DIRECTOR, OFFICER, OR MANAGEMENT EMPLOYEE, OR A MEMBER OF HIS/HER IMMEDIATE FAMILY, HAS A MATERIAL FINANCIAL INTEREST IN, OR A SUBSTANTIAL BUSINESS RELATIONSHIP WITH, OR IS AN OFFICER, DIRECTOR, OR GENERAL PARTNER OF A PERSON OR ENTITY TRANSACTING BUSINESS WITH MIDWEST CARECENTER. IT IS PERMISSIBLE FOR A DIRECTOR, OFFICER, OR STAFF TO BE A DIRECT OR INDIRECT PARTY TO A TRANSACTION WHICH MIGHT CREATE THE APPEARANCE OF A CONFLICT OF INTEREST IF THE ABOVE DISCLOSURE AND OTHER REQUIREMENTS ARE MET AND IF THE TRANSACTION IS FAIR AS DETERMINED BY THE BOARD.
Process used to establish compensation of top management officialForm 990, Part VI, Section B, Line 15aTHE HUMAN RESOURCES COMMITTEE (AN INDEPENDENT GROUP OF BOARD MEMBERS) REVIEWS AND APPROVES THE COMPENSATION OF THE CHIEF EXECUTIVE OFFICER, THE CHIEF FINANCIAL OFFICER AND THE CHIEF MEDICAL OFFICER ON AN ANNUAL BASIS. THE LAST REVIEW WAS CONDUCTED IN JANUARY 2013 AND THE PRIOR REVIEW WAS CONDUCTED IN DECEMBER OF 2011. THE REVIEW AND APPROVAL OF COMPENSATION BY THE HUMAN RESOURCES COMMITTEE INCLUDES COMPARABILITY DATA AND SURVEYS PROVIDED BY INDEPENDENT COMPENSATION CONSULTANTS. THE PROCESS FOR DETERMINING, REVIEWING AND APPROVING COMPENSATION IS DOCUMENTED ON A TIMELY BASIS. THE COMPENSATION ARRANGEMENT FOR THE TOP MANAGEMENT OFFICIAL IS DOCUMENTED IN A WRITTEN EMPLOYMENT CONTRACT.
Process used to establish compensation of other officers/key employeesForm 990, Part VI, Section B, Line 15bUSING THE DATA PROVIDED BY A COMPENSATION CONSULTANT AND INPUT FROM THE ORGANIZATION'S DIRECTOR OF HUMAN RESOURCES, THE CEO CONDUCTED ANNUAL PERFORMANCE REVIEWS OF THE ORGANIZATION'S OTHER OFFICERS AND KEY EMPLOYEES. THE RESULTS OF THE PERFORMANCE REVIEWS ARE THE BASIS FOR THE DETERMINATION OF THE OTHER OFFICERS AND KEY EMPLOYEES' COMPENSATION PACKAGES AND ANY ADJUSTMENTS TO ESTABLISHED AMOUNTS. IN 2012 AN INDEPENDENT SUBCOMMITTEE OF THE ORGANIZATION'S BOARD OF DIRECTORS REVIEWED AND APPROVED THE COMPENSATION PACKAGES OF THE ORGANIZATION'S OTHER OFFICERS AND KEY EMPLOYEES.
Governing documents, conflict of interest policy and financial statements available to the publicForm 990, Part VI, Section C, Line 19FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND CONFLICT OF INTEREST POLICIES ARE NOT REQUIRED DISCLOSURES PURSUANT TO INTERNAL REVENUE CODE (IRC) SECTION 6104. THESE DOCUMENTS ARE NOT AVAILABLE TO THE PUBLIC AT THIS TIME. THE ORGANIZATION INCLUDES ITS ANNUAL REPORT ON ITS WEBSITE THAT IS AVAILABLE TO THE PUBLIC.
Number of contributions or items contributed.Schedule M, part I, column (b), Line 19NUMBER OF CONTRIBUTIONS
Number of contributions or items contributed.Schedule M, part I, column (b), Line 20NUMBER OF CONTRIBUTIONS
Number of contributions or items contributed.Schedule M, part I, column (b), Line other=GIFT CERTIFICATES AND MISCELLANEOUSNUMBER OF CONTRIBUTIONS
Number of contributions or items contributed.Schedule M, part I, column (b), Line 1NUMBER OF CONTRIBUTIONS
Number of contributions or items contributed.Schedule M, part I, column (b), Line 4NUMBER OF CONTRIBUTIONS
Number of contributions or items contributed.Schedule M, part I, column (b), Line 5NUMBER OF CONTRIBUTIONS
Number of contributions or items contributed.Schedule M, part I, column (b), Line 9NUMBER OF CONTRIBUTIONS
Number of contributions or items contributed.Schedule M, part I, column (b), Line 19NUMBER OF CONTRIBUTIONS
Number of contributions or items contributed.Schedule M, part I, column (b), Line 20NUMBER OF CONTRIBUTIONS
Number of contributions or items contributed.Schedule M, part I, column (b), Line other=GIFT CERTIFICATES AND MISCELLANEOUSNUMBER OF CONTRIBUTIONS

Schedule R IRS990ScheduleR

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1PCCNS PRIVATE CARE INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12050 CLAIRE COURTAddressLine1
CityGLENVIEWCity
StateILState
ZIP Code60025ZIPCode
FieldValueIRS element (for citing)
EIN364218039EIN
Primary ActivityPRIVATE CARE SERVICESPrimaryActivity
Legal Domicile StateILLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityC CORPORATIONTypeOfEntity
Share Of Total Income-6149ShareOfTotalIncome
Share Of EOY Assets4439ShareOfEOYAssets
Percentage Ownership1PercentageOwnership
Controlled OrgfalseControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

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