RAINBOW HOSPICE CARE INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
RAINBOW HOSPICE CARE INC (EIN 39-1628298)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-14
IRS object ID
201333189349305268
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)
Timestamp2013-11-14T14:48:51-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN410746749EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line18215 GREENWAY BOULEVARD SUITE 600AddressLine1
CityMIDDLETONCity
StateWIState
ZIP Code53562ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN391628298EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1RAINBOW HOSPICE CARE INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlRAINNameControl
Phone9206746255Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1147 W ROCKWELL STAddressLine1
CityJEFFERSONCity
StateWIState
ZIP Code535492048ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameKAREN LACKE CARRIGName
TitlePRESIDENT/CEOTitle
Phone9206746255Phone
Date Signed2013-10-29DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameKARI JENSEN CPAName
PTINP01230655PTIN
Phone6086628600Phone
Date Prepared2013-10-29DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonKAREN LACKE CARRIGNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1147 W ROCKWELL STAddressLine1
CityJEFFERSONCity
StateWIState
ZIP Code53549ZIPCode
FieldValueIRS element (for citing)
Gross Receipts5683455GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteRAINBOWHOSPICECARE.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1988YearFormation
State Legal DomicileWIStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE COMFORT, CARE AND MEANING FOR PATIENTS WHO ARE AT THE END-OF-LIFE AND SUPPORT FOR THEIR FAMILY AND FRIENDS. SERVICES ARE PROVIDED REGARDLESS OF AGE, INCOME, RELIGION, ETHNICITY AND/OR CULTURAL BACKGROUND. CARE IS PROVIDED TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER THE ORGANIZATION'S COMMUNITY SUPPORT POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES. THIS DISCOUNT IS BASED UPON FINANCIAL INFORMATION OBTAINED FROM THE PATIENT AT THE TIMES THEY ENROLL IN THE PROGRAM OR WITH SUBSEQUENT CHANGES TO THEIR FINANCIAL CIRCUMSTANCES. BECAUSE THE ORGANIZATION DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS COMMUNITY SUPPORT, THEY ARE NOT REPORTED AS REVENUE.ActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees104TotalNbrEmployees
Total Nbr Volunteers159TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year83743ContributionsGrantsPriorYear
Contributions Grants Current Year122305ContributionsGrantsCurrentYear
Program Service Revenue Prior Year4250338ProgramServiceRevenuePriorYear
Program Service Revenue CY5484210ProgramServiceRevenueCY
Investment Income Prior Year1904InvestmentIncomePriorYear
Investment Income Current Year1748InvestmentIncomeCurrentYear
Other Revenue Prior Year41991OtherRevenuePriorYear
Other Revenue Current Year20247OtherRevenueCurrentYear
Total Revenue Prior Year4377976TotalRevenuePriorYear
Total Revenue Current Year5628510TotalRevenueCurrentYear
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 Year3073079SalariesEtcPriorYear
Salaries Etc Current Year3637537SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year71958TotalFundrsngExpCurrentYear
Other Expense Prior Year1604283OtherExpensePriorYear
Other Expenses Current Year1748410OtherExpensesCurrentYear
Total Expenses Prior Year4677362TotalExpensesPriorYear
Total Expenses Current Year5385947TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-299386RevenuesLessExpensesPriorYear
Revenues Less Expenses CY242563RevenuesLessExpensesCY
Total Assets BOY9367608TotalAssetsBOY
Total Assets EOY9218294TotalAssetsEOY
Total Liabilities BOY1870916TotalLiabilitiesBOY
Total Liabilities EOY1218065TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY7496692NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY8000229NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO PROVIDE COMFORT, CARE AND MEANING FOR PATIENTS WHO ARE AT THE END-OF-LIFE AND SUPPORT FOR THEIR FAMILY AND FRIENDS. SERVICES ARE PROVIDED REGARDLESS OF AGE, INCOME, RELIGION, ETHNICITY AND/OR CULTURAL BACKGROUND. CARE IS PROVIDED TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER THE ORGANIZATION'S COMMUNITY SUPPORT POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES. THIS DISCOUNT IS BASED UPON FINANCIAL INFORMATION OBTAINED FROM THE PATIENT AT THE TIMES THEY ENROLL IN THE PROGRAM OR WITH SUBSEQUENT CHANGES TO THEIR FINANCIAL CIRCUMSTANCES. BECAUSE THE ORGANIZATION DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS COMMUNITY SUPPORT, THEY ARE NOT REPORTED AS REVENUE.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense4791387Expense
Revenue5484210Revenue
DescriptionHOSPICE CARE:RAINBOW HOSPICE CARE OFFERS COMPREHENSIVE END-OF-LIFE CARE TO PATIENTS AND FAMILES. THIS EXPERT CARE IS PROVIDED BY A TEAM OF PROFESSIONALS INCLUDING NURSES, CERTIFIED NURSING ASSISTANTS, SOCIAL WORKERS, CHAPLAINS, GRIEF COUNSELORS, PHYSICIANS, PHARMACISTS AND VOLUNTEERS. OUR STAFF AND VOLUNTEERS FOCUS ON EACH PATIENT'S INDIVIDUAL NEEDS WITH AN EMPHASIS ON PROVIDING COMFORT AND DIGNITY DURING THIS LAST PART OF THEIR LIFE'S JOURNEY. FAMILIES ARE SUPPORTED WITH THEIR CARE GIVING OF THE PATIENT AND GRIEF SUPPORT IS PROVIDED FOR A MINIMUM OF THIRTEEN MONTHS FOLLOWING THE PATIENT'S PASSING. IN 2012, THE ORGANIZATION PROVIDED HOSPICE & PALLIATIVE CARE TO 512 INDIVIDUALS INCLUDING $38,367 OF UNCOMPENSATED SERVICES TO INDIVIDUALS WITH NO MEANS OF PAYMENT. APPROXIMATELY 159 COMMUNITY MEMBERS VOLUNTEERED OVER 6,000 HOURS DURING THE YEAR.Description
Total Program Service Expense4791387TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest1ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity1DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109624NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees104NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledWIStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1MICHAEL R MAIER IIBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number9206746255TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1147 W ROCKWELL STAddressLine1
CityJEFFERSONCity
StateWIState
ZIP Code535492048ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (15 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationAverage Hours Per Week RelatedAverageHoursPerWeekRelated
DENNIS MUDLER
CHAIRMAN4.00XX000
KAY WIPPERFURTH
DIRECTOR2.00X000
JAMES SHULKIN
DIRECTOR2.00X000
JOHN GRAF
DIRECTOR2.00X000
TINA CRAVE
DIRECTOR2.00X000
J THOMAS MACK
DIRECTOR2.00X0001.00
MARTIN HARRISON
DIRECTOR2.00X000
DIXIE STETSON
DIRECTOR2.00X000
JOHN UTTECH
DIRECTOR2.00X000
PHILIP MERTENS
VICE CHAIR4.00XX0001.00
DR FRED GREMMELS
DIRECTOR2.00X000
DEBRA RANGUETTE
DIRECTOR2.00X000
KAREN LACKE CARRIG
PRESIDENT/CEO40.00X1154980295364.00
MICHAEL R MAIER II
SECRETARY/TREASURER/CFO40.00X733020347714.00
CHARLES FRANDSON
VICE PRESIDENT8.00X8066102227532.00
FieldValueIRS element (for citing)
Total Reportable Comp From Org269461TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation86582TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1FORT HEALTHCARE INCBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1611 SHERMAN AVENUEAddressLine1
CityFORT ATKINSONCity
StateWIState
ZIP Code53538ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesHEALTHCARE SERVICESDescriptionOfServices
Compensation125025Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Federated Campaigns22403FederatedCampaigns
Fundraising Events32642FundraisingEvents
All Other Contributions67260AllOtherContributions
Noncash Contributions20542NoncashContributions
Total Contributions122305TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT SERVICESDescription
Business Code623000BusinessCode
Total Revenue Column5484210TotalRevenueColumn
Related Or Exempt Function Income5484210RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue5484210TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1748TotalRevenueColumn
Exclusion$1,748ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events75192GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events32642CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses54945FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column20247TotalRevenueColumn
Exclusion$20,247ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column5628510TotalRevenueColumn
Related Or Exempt Function Income5484210RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$21,995ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total268704Total
Management And General229519ManagementAndGeneral
Fundraising39185Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total2595482Total
Program Services2408761ProgramServices
Management And General183261ManagementAndGeneral
Fundraising3460Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total51202Total
Program Services47519ProgramServices
Management And General3615ManagementAndGeneral
Fundraising68Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total486319Total
Program Services451333ProgramServices
Management And General34338ManagementAndGeneral
Fundraising648Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total235830Total
Program Services218737ProgramServices
Management And General14484ManagementAndGeneral
Fundraising2609Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total6050Total
Program Services4840ProgramServices
Management And General1210ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total11300Total
Program Services9040ProgramServices
Management And General2260ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total144872Total
Program Services144872ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total33123Total
Program Services22576ProgramServices
Management And General5478ManagementAndGeneral
Fundraising5069Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total138734Total
Program Services132263ProgramServices
Management And General2318ManagementAndGeneral
Fundraising4153Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total41719Total
Program Services40086ProgramServices
Management And General1633ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total106448Total
Program Services99564ProgramServices
Management And General6884ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total177260Total
Program Services160182ProgramServices
Management And General13719ManagementAndGeneral
Fundraising3359Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total30492Total
Program Services25350ProgramServices
Management And General4735ManagementAndGeneral
Fundraising407Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total60197Total
Program Services60197ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total265540Total
Program Services252934ProgramServices
Management And General12606ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total25073Total
Program Services22991ProgramServices
Management And General2082ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
MEDICAL & TRANSPORTATIO604522604522
CONTINUING EDUCATION4272942729
DUES & SUBSCRIPTIONS1353513535

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total46816Total
Program Services29356ProgramServices
Management And General4460ManagementAndGeneral
Fundraising13000Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total5385947Total
Program Services4791387ProgramServices
Management And General522602ManagementAndGeneral
Fundraising71958Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY126238BOY
EOY133087EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY240711BOY
EOY481112EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY4175BOY
EOY36175EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY632394BOY
EOY530733EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY20645BOY
EOY31126EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis6037985LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec592244LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY5626291BOY
EOY5445741EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY2717154BOY
EOY2560320EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY9367608BOY
EOY9218294EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY399916BOY
EOY418065EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY871000BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY600000BOY
EOY800000EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1870916BOY
EOY1218065EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY7496692BOY
EOY7967729EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
EOY32500EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7496692BOY
EOY8000229EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY9367608BOY
EOY9218294EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses242563ReconcilationRevenueExpenses
Reconcilation Other Changes260974ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee0AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years206725CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years698971CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years567126CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year83743CurrentTaxYearMinus1Year
Current Tax Year122305CurrentTaxYear
Total1678870Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2620851CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2647967CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3520549CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4250338CurrentTaxYearMinus1Year
Current Tax Year5484210CurrentTaxYear
Total18523915Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years71992CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years66488CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years79592CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year75913CurrentTaxYearMinus1Year
Current Tax Year75192CurrentTaxYear
Total369177Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2899568CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3413426CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4167267CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4409994CurrentTaxYearMinus1Year
Current Tax Year5681707CurrentTaxYear
Total20571962Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years115649CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years599174CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years543980CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year68959CurrentTaxYearMinus1Year
Current Tax Year87403CurrentTaxYear
Total1415165Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years115649CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years599174CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years543980CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year68959CurrentTaxYearMinus1Year
Current Tax Year87403CurrentTaxYear
Total1415165Total
FieldValueIRS element (for citing)
Public Support Total50919156797PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years19814CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years13237CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6399CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1904CurrentTaxYearMinus1Year
Current Tax Year1748CurrentTaxYear
Total43102Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years19814CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years13237CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6399CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1904CurrentTaxYearMinus1Year
Current Tax Year1748CurrentTaxYear
Total43102Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2919382CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3426663CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4173666CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4411898CurrentTaxYearMinus1Year
Current Tax Year5683455CurrentTaxYear
Total20615064Total
FieldValueIRS element (for citing)
Public Support Percentage5090.92930PublicSupportPercentage509
Prior Year Support Percentage0.89580PriorYearSupportPercentage
Investment Income Percentage0.00210InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00470PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

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

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis500000OtherCostOrOtherBasis
Book Value500000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis4062992OtherCostOrOtherBasis
Depreciation171313Depreciation
Book Value3891679BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis7296OtherCostOrOtherBasis
Depreciation1834Depreciation
Book Value5462BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1315445OtherCostOrOtherBasis
Depreciation325058Depreciation
Book Value990387BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis152252OtherCostOrOtherBasis
Depreciation94039Depreciation
Book Value58213BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings5445741TotalOfBookValueLandBuildings

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
DescriptionINVESTMENT IN RAINBOW HOSPICARE AFFILIATESDescription
Book Value2560320BookValue
Method Of ValuationCMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Program Related2560320TotalOfBookValueProgramRelated

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionNOTE PAYABLE TO HOSPICE FOUNDATIONDescription
Amount$800,000Amount
FieldValueIRS element (for citing)
Total Of Amounts800000TotalOfAmounts

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GOLF OUTINGNameOfEvent1
Gross Receipts Event182326GrossReceiptsEvent1
Charitable Contributions Event132642CharitableContributionsEvent1
Gross Revenue Event149684GrossRevenueEvent1
Non Cash Prizes Event120809NonCashPrizesEvent1
Rent Facility Costs Event14740RentFacilityCostsEvent1
Food And Beverage Event15449FoodAndBeverageEvent1
Other Direct Expenses Event15758OtherDirectExpensesEvent1
Name Of Event2END OF LIFE CONFERENCENameOfEvent2
Gross Receipts Event222331GrossReceiptsEvent2
Gross Revenue Event222331GrossRevenueEvent2
Rent Facility Costs Event22557RentFacilityCostsEvent2
Food And Beverage Event25573FoodAndBeverageEvent2
Entertainment Event27988EntertainmentEvent2
Other Direct Expenses Event21416OtherDirectExpensesEvent2
Gross Receipts Total104657GrossReceiptsTotal
Charitable Contributions Total32642CharitableContributionsTotal
Gross Revenue Total Events72015GrossRevenueTotalEvents
Non Cash Prizes Total Events20809NonCashPrizesTotalEvents
Rent Facility Costs Total Events7297RentFacilityCostsTotalEvents
Food And Beverage Total Events11022FoodAndBeverageTotalEvents
Entertainment Total Events7988EntertainmentTotalEvents
Other Direct Expenses Total Events7174OtherDirectExpensesTotalEvents
Direct Expense Summary Events54290DirectExpenseSummaryEvents
Net Income Summary17725NetIncomeSummary

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11A COPY OF THE FORM 990 IS EITHER PRESENTED TO OR E-MAILED TO ALL MEMBERS OF THE BOARD OF DIRECTORS. THE MEMBERS OF THE FINANCE & AUDIT COMMITTEE REVIEW THE FORMS WITH THE CFO AND CEO AT A REGULARLY SCHEDULED MEETING. AN OVERVIEW IS THEN GIVEN TO THE FULL BOARD AT A REGULAR MEETING.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION REQUIRES OFFICERS, DIRECTORS AND KEY EMPLOYEES TO DOCUMENT AND SIGN THE CONFLICT OF INTEREST POLICY ANNUALLY DURING A REGULAR MEETING. THE CEO REVIEWS THE STATEMENTS FOR ANY DISCLOSURES AND WOULD BRING ANY LISTED CONFLICTS TO THE FULL BOARDS ATTENTION. IF ANY CONFLICTS EXIST THAN THAT PERSON WOULD NOT BE ALLOWED TO VOTE OR NEGOTIATE CONTRACTS RELATED TO THE CONFLICT.
FORM 990, PART VI, SECTION B, LINE 15ALL DIRECTORS ARE ASKED TO COMPLETE AN ANNUAL PERFORMANCE REVIEW OF THE CEO. THE PERSONNEL COMMITTEE REVIEWS THE COMPLETED EVALUATIONS AND DISCUSSES CHANGES IN COMPENSATION. INDUSTRY SPECIFIC BENCHMARK DATA COMPLILED ANNUALLY BY A THIRD PARTY AGENCY IS USED FOR COMPARABILITY. THE CHAIRMAN OF THE BOARDS MEETS WITH THE CEO TO DISCUSS THE RESULTS OF THE REVIEWS AND TO OUTLINE ANY SALARY CHANGES. THE REVIEWS AND A SALARY CHANGE FORM ARE MAINTAINED IN THE CEO'S PERSONNEL FOLDER. THE CEO PERFORMS ANNUAL PERFORMANCE REVIEWS OF THE OTHER OFFICERS WHICH ARE DOCUMENTED AT KEPT IN THE EMPLOYEE'S PERSONNEL FILE. ANNUAL WAGE ADJUSTMENTS ARE DETERMINED BY THE PERSONNEL COMMITTEE AND APPROVED AS PART OF THE OPERATING BUDGET FOR ALL EMPLOYEES. ANY DEVIATION FROM THE STANDARD INCREASE WOULD BE REVIEWED BY THE BOARD AS PART OF THE BUDGET PROCESS. INDUSTRY SPECIFIC BENCKMARK DATA COMPILED BY A THIRD PARTY AGENCY IS USED FOR COMPARABILITY.
FORM 990, PART VI, SECTION C, LINE 18THE ORGANIZATION MAKES ITS DOCUMENTS AVAILABLE FOR PUBLIC INSPECTION ON GUIDESTAR.COM
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS DOCUMENTS AVAILABLE FOR PUBLIC INSPECTION ON GUIDESTAR.COM
FORM 990, PART XI, LINE 9:EQUITY TRANSFERRED FROM RAINBOW HOSPICE FOUNDATION 417,808. CHANGES IN INVESTMNET IN RHI SUBSIDIARIES -156,834.CHANGES IN NET ASSETS OR FUND BALANCES:

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1RAINBOW HOSPICE CARE HOLDING LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1147 W ROCKWELL STAddressLine1
CityJEFFERSONCity
StateWIState
ZIP Code53549ZIPCode
FieldValueIRS element (for citing)
Primary ActivitiesSUB-DIVISION DEVELOPMENT RELATED TO THE NEW INPATIENT FACILITYPrimaryActivities
Legal Domicile StateWILegalDomicileState
Total Income0TotalIncome
EOY Assets798682EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1RAINBOW HOSPICE CARE INCBusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1RAINBOW HOSPICE FOUNDATION INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1147 W ROCKWELL STAddressLine1
CityJEFFERSONCity
StateWIState
ZIP Code53549ZIPCode
FieldValueIRS element (for citing)
EIN260229434EIN
Primary ActivitiesFUNDRAISING/SUPPORTING RAINBOW HOSPICE CARE INC.PrimaryActivities
Legal Domicile StateWILegalDomicileState
Exempt Code Section501(C)(3)ExemptCodeSection
Public Charity Status509(A)(3)PublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1RAINBOW HOSPICE CARE INCBusinessNameLine1
FieldValueIRS element (for citing)
Controlled Org1ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org1LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (6 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
RAINBOW HOSPICE FOUNDATION INC
C500001CASH
RAINBOW HOSPICE FOUNDATION INC
E200000CASH
RAINBOW HOSPICE FOUNDATION INC
O82192CASH
RAINBOW HOSPICE FOUNDATION INC
Q23007CASH
RAINBOW HOSPICE FOUNDATION INC
S59098CASH
RAINBOW HOSPICE FOUNDATION INC
P48566CASH

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