2012-11-15T16:37:00-06:00 2011-12-31 410746749 CLIFTONLARSONALLEN LLP 8215 GREENWAY BOULEVARD SUITE 600 MIDDLETON WI 53562 990 2011-01-01 391628298 RAINBOW HOSPICE CARE INC RAIN 9206746255 147 W ROCKWELL ST JEFFERSON WI 535492048 KAREN LACKE CARRIG 9206746255 2012-11-14 1 KIMBERLY ANDERSON CPA P00188889 6086628600 2011 2016-02-24 21:20:13Z KAREN LACKE CARRIG 147 W ROCKWELL ST JEFFERSON WI 53549 4411898 0 X RAINBOWHOSPICECARE.ORG X 1988 WI HOSPICE CARE FOR THE TERMINALLY ILL AND SUPPORT FOR THE FAMILIES OF THE TERMINALLY ILL. 12 12 94 84 0 0 567126 83743 3520549 4250338 -1644 1904 41908 41991 4127939 4377976 0 0 0 0 2222080 3073079 0 0 54071 910356 1604283 3132436 4677362 995503 -299386 8202371 9367608 905908 1870916 7296463 7496692 HOSPICE CARE FOR THE TERMINALLY ILL AND SUPPORT FOR THE FAMILIES OF THE TERMINALLY ILL. 0 0 4089819 4250338 HOSPICE CARE FOR TERMINALLY ILL INDIVIDUALS, INCLUDING SUPPORT SERVICES FOR THEIR FAMILIES. 4089819 1 1 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 1 29 0 1 94 1 0 0 0 0 0 1 1 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 WI X MICHAEL R MAIER II 9206746255 147 W ROCKWELL ST JEFFERSON WI 535492048 X KAREN LACKE CARRIG 40.00 X X 104359 0 33546 MICHAEL R MAIER II 40.00 X X 74140 0 34509 CHARLES FRANDSON 8.00 X X 81501 0 22090 DENNIS MUDLER 4.00 X X 0 0 0 KAY WIPPERFURTH 2.00 X 0 0 0 JAMES SHULKIN 2.00 X 0 0 0 JOHN GRAF 2.00 X 0 0 0 TINA CRAVE 2.00 X 0 0 0 J THOMAS MACK 2.00 X 0 0 0 MARTIN HARRISON 2.00 X 0 0 0 DIXIE STETSON 2.00 X 0 0 0 JOHN UTTECH 2.00 X 0 0 0 PHILIP MERTENS 4.00 X X 0 0 0 FRED GREMMELS 2.00 X 0 0 0 DEBRA RANGUETTE 2.00 X 0 0 0 260000 0 90145 1 0 0 0 MAAS BROTHERS CONSTRUCTION CO INC 410 WATER TOWER CT WATERTOWN WI 53094 CONSTRUCTION & CONTRACTOR SERVICES 458936 FORT HEALTHCARE INC 611 SHERMAN AVENUE FORT ATKINSON WI 53538 HEALTHCARE SERVICES 136971 2 23959 7235 52549 83743 PATIENT SERVICE REVENU 623000 4250338 4250338 4250338 1904 1904 75913 7235 33922 41991 41991 4377976 4250338 0 43895 279471 236998 42473 2164401 1937712 219571 7118 33957 30400 3445 112 403145 360921 40898 1326 192105 156503 32560 3042 10831 10831 12225 12225 27431 27431 236775 236775 82178 82178 144565 144565 1950 1950 64030 64030 220781 220781 19819 19819 MEDICAL & TRANSPORTATIO 727638 727638 CONTINUING EDUCATION 22342 22342 DUES & SUBSCRIPTIONS 12035 12035 21683 21683 4677362 4089819 533472 54071 70259 126238 457473 240711 4175 4175 390186 632394 22736 20645 6057916 431625 4460707 5626291 2796835 2717154 8202371 9367608 627641 399916 153267 871000 125000 600000 905908 1870916 X 7296463 7496692 7296463 7496692 8202371 9367608 X -299386 499615 X X 0 1 1 X 0 X 266949 206725 698971 578395 76508 1827548 1573795 2620851 2647968 3518709 4250338 14611661 1840744 2827576 3346939 4097104 4326846 16439209 120874 115649 599174 543980 68959 1448636 0 120874 115649 599174 543980 68959 1448636 14990573 50459 17305 9868 -1644 1904 77892 50459 17305 9868 -1644 1904 77892 33005 46426 37086 51039 49226 216782 1924208 2891307 3393893 4146499 4377976 16733883 0.89580 0.87710 0.00470 0.00870 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 500000 500000 4013338 77667 3935671 1198 68 1130 1285499 246303 1039196 257881 107587 150294 5626291 INVESTMENT IN RAINBOW HOSPICARE AFFILIATES 2717154 C 2717154 NOTE PAYABLE TO HOSPICE FOUNDATION 600000 600000 GOLF OUTING 56940 7235 49705 19653 END OF LIFE CONFERENCE 23282 23282 13151 2 2926 2926 1118 83148 7235 75913 33922 33922 41991 FORM 990, PART VI, SECTION B, LINE 11 A COPY OF THE FORM 990 IS PROVIDED TO ALL MEMBERS OF THE BOARD OF DIRECTORS AND DISCUSSED AT A REGULAR MEETING. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REQUIRES OFFICERS, DIRECTORS AND KEY EMPLOYEES TO DOCUMENT AND SIGN THE CONFLICT OF INTEREST POLICY ANNUALLY. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS CONDUCTS ANNUAL PERFORMANCE EVALUATIONS WHILE A PERSONNEL COMMITTEE REVIEW SALARIES WITH BENCHMARK DATA FROM A THIRD PARTY AGENCY. FORM 990, PART VI, SECTION C, LINE 18 THE ORGANIZATION MAKES ITS DOCUMENTS AVAILABLE FOR PUBLIC INSPECTION ON GUIDESTAR.COM FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS DOCUMENTS AVAILABLE FOR PUBLIC INSPECTION ON GUIDESTAR.COM COLUMN (B) AVERAGE HOURS DEVOTED TO RELATED ORGANIZATIONS FORM 990, PART VII, LINE 1A AVERAGE WEEKLY HOURS DEVOTED TO RELATED ORGANIZATIONS: KAREN LACKE CARRIG - 4 AVERAGE WEEKLY HOURS DEVOTED TO RAINBOW HOSPICE FOUNDATION, INC. MICHAEL R. MAIER II - 10 AVERAGE WEEKLY HOURS DEVOTED TO RAINBOW HOSPICE FOUNDATION, INC. CHARLES FRANDSON - 32 AVERAGE WEEKLY HOURS DEVOTED TO RAINBOW HOSPICE FOUNDATION, INC. J. THOMAS MACK - 1 AVERAGE WEEKLY HOURS DEVOTED TO RAINBOW HOSPICE FOUNDATION, INC. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: EQUITY TRANSFERRED FROM RAINBOW HOSPICE FOUNDATION 579,297. CHANGES IN INVESTMENT IN RHI SUBSIDIARIES -79,682. TOTAL TO FORM 990, PART XI, LINE 5: 499,615. THE ORGANIZATION HAS A FINANCE COMMITTEE THAT ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE FINANCIAL STATEMENT AUDIT. THE OVERSIGHT PROCESS HAS NOT CHANGED FROM PRIOR YEAR. RAINBOW HOSPICE CARE HOLDING LLC 147 W ROCKWELL ST JEFFERSON WI 53549 SUB-DIVISION DEVELOPMENT RELATED TO THE NEW INPATIENT FACILITY WI 0 798482 RAINBOW HOSPICE CARE INC RAINBOW HOSPICE FOUNDATION INC 147 W ROCKWELL ST JEFFERSON WI 53549 260229434 FUNDRAISING/SUPPORTING RAINBOW HOSPICE CARE INC. WI 501(C)(3) 509(A)(3) RAINBOW HOSPICE CARE INC 1 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 1 0 0 RAINBOW HOSPICE FOUNDATION INC C 639017 CASH RAINBOW HOSPICE FOUNDATION INC E 475000 CASH RAINBOW HOSPICE FOUNDATION INC N 83252 CASH RAINBOW HOSPICE FOUNDATION INC P 68528 CASH RAINBOW HOSPICE FOUNDATION INC C 23532 FMV