2013-11-05T10:00:04-06:00 2012-12-31 990 2012-01-01 362996608 MIDWEST PALLIATIVE & HOSPICE CARECENTER MIDW 8474677423 2050 Claire Court Glenview IL 60025 DAVID C BRUCE 2013-11-04 2012 2016-03-07 17:11:31Z JAMIE O'MALLEY 2050 Claire Court Glenview IL 60025 36693230 false X WWW.CARECENTER.ORG X 1978 IL WITH 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. 21 20 378 534 0 0 3365060 5181796 26403067 28489500 219851 364057 -105191 -75036 29882787 33960317 0 0 0 0 19898513 20997901 0 0 750318 8759010 9264284 28657523 30262185 1225264 3698132 33167715 39537880 6905219 9339662 26262496 30198218 X TO 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. false false 21342117 26275328 MIDWEST 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) 3452713 2214172 PALLIATIVE CARE SERVICES PROVIDED MEDICAL CONSULTATIONS IN THE PALLIATION OF PAIN AND OTHER SYMPTOMS TO 2,332 PATIENTS. 24794830 true true false false false false false false true true false false false true true false true false false false false false false true false false false false true false false false false false false false false true true false false false true true false false false true 102 0 true 378 true false false false false false true true false false false false X 21 20 false false false false false false false true true false false true true true true true true true true false IL X David C Bruce 8474677423 2050 Claire Court Glenview IL 60025 DAVID M TINGUE 1.30 X X 0 0 0 JAMIE M O'MALLEY 40.00 X X 251193 0 22701 PETER D MORRIS 2.80 X X 0 0 0 SCOTT F VENDER 2.90 X X 0 0 0 ANN WEISER 0.70 X 0 0 0 CAROL FITZGERALD 0.60 X 0 0 0 DARLENE LANDSITTEL 0.30 X 0 0 0 E DENNIS MURPHY MD FACP 1.20 X 0 0 0 ELAINE R KURCZEWSKI 0.80 X 0 0 0 ELIZABETH S FOLEY 1.40 X 0 0 0 FRANK D CELLA 0.60 X 0 0 0 HARRY JAFFE MD FACP 0.60 X 0 0 0 JANICE K HARTWELL 1.70 X 0 0 0 JULIA CORMIER 0.80 X 0 0 0 KEVIN J SHRIER 0.30 X 0 0 0 M MEAD MONTGOMERY 1.90 X 0 0 0 THOMAS W HODSON 0.80 X 0 0 0 TODD R MILLER 0.30 X 0 0 0 WILLIAM A GIFFORD JR 0.40 X 0 0 0 WILLIAM E RACINE 0.90 X 0 0 0 WILLIAM GRAHAM 1.10 X 0 0 0 DAVID C BRUCE 40.00 X 166584 0 29949 MARTHA L TWADDLE MD 40.00 X 266656 0 25864 ALAN M SMOOKLER MD 40.00 X 211088 0 31632 CATHLEEN ADAMS 40.00 X 160000 0 3561 CRAIG DRESANG 40.00 X 154620 0 21252 JASON SOBEL MD 40.00 X 161470 0 26507 LYNN KATTEN MD 40.00 X 159354 0 19198 SALLY KELLY MD 40.00 X 171508 0 4705 TIMOTHY SHORT MD 40.00 X 165220 0 10208 1867693 0 195577 20 false true false NORTH SHORE UNIV HEALTH SYSTEM 9730 EAGLE WAY CHICAGO IL 60678 MEDICAL SERVICES 486916 NORTHWEST COMMUNITY HOSPITAL 800 W CENTRAL ROAD ARLINGTON HEIGHTS IL 60005 MEDICAL SERVICES 211364 2 265382 4916414 800973 5181796 HOSPICE SERVICES PATIENT REVENUE 621610 26275328 26275328 PALLIATIVE CARE SVCS PATIENT REVENUE 621610 2214172 2214172 0 0 0 0 0 0 0 28489500 233484 233484 0 0 0 0 0 2739974 2609401 130573 0 130573 130573 44561 265382 123464 -78903 -78903 3915 48 3867 3867 0 0 0 0 0 0 0 0 0 33960317 28489500 0 289021 0 0 0 0 1169228 701537 467691 0 16228486 14576988 1186259 465239 413107 329806 71756 11545 1908919 1479069 394024 35826 1278161 1020428 225505 32228 0 62496 62496 52418 9305 43113 0 0 21183 21183 2346618 2117594 222609 6415 322251 451 321800 0 602798 370307 170039 62452 368188 79698 250651 37839 0 1176600 899615 276985 355479 336833 15696 2950 0 32735 14966 16471 1298 61784 54296 7488 0 988680 162102 826578 435408 308972 126436 BAD DEBT 269312 262252 7060 DRUGS AND MEDICAL SUPPLIES 2058884 2058884 OTHER 109450 11727 3197 94526 0 0 0 0 30262185 24794830 4717037 750318 0 90 90 1308693 3051763 2627986 3180137 3953715 4387150 0 0 0 0 830117 502232 30338643 7239401 18763640 23099242 5683474 5317266 0 0 0 0 0 0 33167715 39537880 6225404 5610785 0 3174713 304464 246585 375351 307579 6905219 9339662 X 16742582 26475951 6389612 517724 3130302 3204543 26262496 30198218 33167715 39537880 3698132 242006 0 -4416 0 X false true X true false X 2745944 4214126 3051922 3365060 5181796 18558848 25855676 23809355 24273061 26403067 28489500 128830659 0 0 0 28601620 28023481 27324983 29768127 33671296 147389507 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 147389507 173773 110298 220677 178947 233484 917179 0 173773 110298 220677 178947 233484 917179 0 0 56245 57580 43028 51203 48476 256532 28831638 28191359 27588688 29998277 33953256 148563218 0.99200 0.99260 0.00620 0.00590 X OTHER 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;, RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3521498 74241 350974 126452 3820261 3444525 215254 -19801 118480 3521498 3188719 21997 289373 0 55564 0 3444525 2727523 216410 271623 0 26837 0 3188719 2154865 708159 -90133 0 45368 0 2727523 0.06200 0.83900 0.09900 false false 1762927 1762927 20219825 1728764 18491061 506472 506472 0 7774102 5004165 2769937 75317 75317 23099242 0 SUPPLEMENTAL RETIREMENT LIABILITY 307579 307579 X 34228051 242006 123512 365518 33862533 21183 76601 97784 33960317 30294063 129662 129662 30164401 21183 76601 97784 30262185 Intended uses of endowment funds Schedule D, Part V, Line 4 THE 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) footnote Schedule D, Part X, Line 2 CARECENTER 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 990 Schedule D, Part XI, Line 2d SPECIAL EVENT EXPENSES - 123464; GAMING EXPENSES - 48; Other revenues in form 990 not in audited financial statements Schedule D, Part XI, Line 4b MEDICAID INTEREST - 76601; Other expenses in audited financial statements not in form 990 Schedule D, Part XII, Line 2d PCCNS PRIVATE CARE, INC. EXPENSES - 6150; SPECIAL EVENT EXPENSES - 123464; GAMING EXPENSES - 48; Other expenses in form 990 not in audited financial statements Schedule D, Part XII, Line 4b MEDICAID INTEREST - 76601; CARE AFFAIR 188927 170195 18732 32553 2500 23023 5000 4112 GOLF OUTING 81446 60091 21355 5770 25500 2257 1063 2 39570 35096 4474 600 9394 10052 1640 309943 265382 44561 0 38923 37394 35332 5000 6815 123464 -78903 X X X X X false false false false false false false true false JAMIE M O'MALLEY 251193 0 0 0 0 0 10000 0 12701 0 273894 0 0 0 SALLY KELLY MD 171508 0 0 0 0 0 2248 0 2457 0 176213 0 0 0 TIMOTHY SHORT MD 165220 0 0 0 0 0 0 0 10208 0 175428 0 0 0 JASON SOBEL MD 161470 0 0 0 0 0 1801 0 24706 0 187977 0 0 0 ALAN M SMOOKLER MD 211088 0 0 0 0 0 8836 0 22796 0 242720 0 0 0 DAVID C BRUCE 166584 0 0 0 0 0 7130 0 22819 0 196533 0 0 0 MARTHA L TWADDLE MD 266656 0 0 0 0 0 10000 0 15864 0 292520 0 0 0 LYNN KATTEN MD 159354 0 0 0 0 0 6271 0 12927 0 178552 0 0 0 CATHLEEN ADAMS 150000 0 10000 0 0 0 2508 0 1053 0 163561 0 0 0 CRAIG DRESANG 144620 0 10000 0 0 0 6413 0 14839 0 175872 0 0 0 Non-fixed payments Schedule J, Part I, Line 7 DURING 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. X 29 95185 MARKET VALUE X 6990 MARKET VALUE X 33483 MARKET VALUE X 25 627728 MARKET VALUE X 17 9174 MARKET VALUE X 7 3387 MARKET VALUE X GIFT CERTIFICATES AND MISCELLANEOUS 43 25026 MARKET VALUE 0 false true false Explanations of reporting method for number of contributions Schedule M, Part I ART - 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 1 NUMBER OF CONTRIBUTIONS Number of contributions or items contributed. Schedule M, part I, column (b), Line 4 NUMBER OF CONTRIBUTIONS Number of contributions or items contributed. Schedule M, part I, column (b), Line 5 NUMBER OF CONTRIBUTIONS Number of contributions or items contributed. Schedule M, part I, column (b), Line 9 NUMBER OF CONTRIBUTIONS PROGRAM SERVICE ACCOMPLISHMENTS - GENERAL INFORMATION FORM 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 INFORMATION FORM 990, PART III, LINE 4A PATIENTS 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 body Form 990, Part VI, Section B, Line 11b PRIOR 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 policy Form 990, Part VI, Section B, Line 12c ANNUALLY, 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 official Form 990, Part VI, Section B, Line 15a THE 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 employees Form 990, Part VI, Section B, Line 15b USING 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 public Form 990, Part VI, Section C, Line 19 FINANCIAL 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 19 NUMBER OF CONTRIBUTIONS Number of contributions or items contributed. Schedule M, part I, column (b), Line 20 NUMBER OF CONTRIBUTIONS Number of contributions or items contributed. Schedule M, part I, column (b), Line other=GIFT CERTIFICATES AND MISCELLANEOUS NUMBER OF CONTRIBUTIONS Number of contributions or items contributed. Schedule M, part I, column (b), Line 1 NUMBER OF CONTRIBUTIONS Number of contributions or items contributed. Schedule M, part I, column (b), Line 4 NUMBER OF CONTRIBUTIONS Number of contributions or items contributed. Schedule M, part I, column (b), Line 5 NUMBER OF CONTRIBUTIONS Number of contributions or items contributed. Schedule M, part I, column (b), Line 9 NUMBER OF CONTRIBUTIONS Number of contributions or items contributed. Schedule M, part I, column (b), Line 19 NUMBER OF CONTRIBUTIONS Number of contributions or items contributed. Schedule M, part I, column (b), Line 20 NUMBER OF CONTRIBUTIONS Number of contributions or items contributed. Schedule M, part I, column (b), Line other=GIFT CERTIFICATES AND MISCELLANEOUS NUMBER OF CONTRIBUTIONS PCCNS PRIVATE CARE INC 2050 CLAIRE COURT GLENVIEW IL 60025 364218039 PRIVATE CARE SERVICES IL NA C CORPORATION -6149 4439 1 false false false false false false false false false false false false false false true true false true false true