IOWA CITY HOSPICE INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: IOWA CITY HOSPICE INC (EIN 42-1154098)
Tax period: 2010-01-01 to 2010-12-31
Filed: 2011-05-12
IRS object ID: 201141329349301719
Schema version: 2010v3.2
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule G
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-05-12T09:21:57-05:00	Timestamp
Tax Period End Date	2010-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	WINKEL PARKER & FOSTER CPA PC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	2320 N 2ND ST	AddressLine1
City	CLINTON	City
State	IA	State
ZIP Code	52732	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2010-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	421154098	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	IOWA CITY HOSPICE INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	IOWA	NameControl
Phone	3193515665	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1025 WADE STREET	AddressLine1
City	IOWA CITY	City
State	IA	State
ZIP Code	52240	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	MARGRET ELLIOTT	Name
Title	EXECUTIVE DIRECTOR	Title
Phone	3193515665	Phone
Date Signed	2011-05-02	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	PATRICK W PARKER CPA	Name
Phone	5632423440	Phone
Date Prepared	2011-05-12	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	MARGRET ELLIOTT	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	1025 WADE STREET	AddressLine1
City	IOWA CITY	City
State	IA	State
ZIP Code	52240	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	5880447	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.IOWACITYHOSPICE.COM	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1980	YearFormation
State Legal Domicile	IA	StateLegalDomicile
Activity Or Mission Description	TO BE THE LEADERS IN PROVIDING EXCEPTIONAL PATIENT-CENTERED, END-OF-LIFE CARE AND GRIEF SUPPORT TO ANYONE AFFECTED BY A TERMINAL ILLNESS.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	13	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	13	NbrIndependentVotingMembers
Total Nbr Employees	71	TotalNbrEmployees
Total Nbr Volunteers	600	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	624865	ContributionsGrantsPriorYear
Contributions Grants Current Year	607518	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	5370646	ProgramServiceRevenuePriorYear
Program Service Revenue CY	5248338	ProgramServiceRevenueCY
Investment Income Prior Year	25090	InvestmentIncomePriorYear
Investment Income Current Year	24591	InvestmentIncomeCurrentYear
Other Revenue Current Year	0	OtherRevenueCurrentYear
Total Revenue Prior Year	6020601	TotalRevenuePriorYear
Total Revenue Current Year	5880447	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	2720345	SalariesEtcPriorYear
Salaries Etc Current Year	2684500	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	189353	TotalFundrsngExpCurrentYear
Other Expense Prior Year	2930728	OtherExpensePriorYear
Other Expenses Current Year	2948669	OtherExpensesCurrentYear
Total Expenses Prior Year	5651073	TotalExpensesPriorYear
Total Expenses Current Year	5633169	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	369528	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	247278	RevenuesLessExpensesCY
Total Assets BOY	2599444	TotalAssetsBOY
Total Assets EOY	3268319	TotalAssetsEOY
Total Liabilities BOY	592284	TotalLiabilitiesBOY
Total Liabilities EOY	945938	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	2007160	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	2322381	NetAssetsOrFundBalancesEOY
Mission Description	TO BE THE LEADERS IN PROVIDING EXCEPTIONAL PATIENT-CENTERED, END-OF-LIFE CARE AND GRIEF SUPPORT TO ANYONE AFFECTED BY A TERMINAL ILLNESS.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	4555032	Expense
Revenue	5248338	Revenue
Description	COORDINATION, FACILITATION, AND PROVISION OF SERVICES TO TERMINALLY ILL PATIENTS PRIMARILY AT HOME PROVISION OF BEREAVEMENT COUNSELING AND SERVICES TO FAMILY AND CLOSE FRIENDS OF TERMINALLY ILL PATIENTS.	Description
Total Program Service Expense	4555032	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	true	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	true	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	true	ReportFin48Footnote
Independent Audit Financial Stmt	true	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	false	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	true	FundraisingActivities
Gaming	false	Gaming
Hospital	false	Hospital
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	false	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	false	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transaction Related Entity	false	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	3	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	71	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Form8899 Filed	true	Form8899Filed
Form1098 C Filed	true	Form1098CFiled
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	13	NbrVotingGoverningBodyMembers
Number Independent Voting Members	13	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	MARGRET ELLIOTT	NamePerson
Telephone Number	3196884212	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1025 WADE STREET	AddressLine1
City	IOWA CITY	City
State	IA	State
ZIP Code	52240	ZIPCode

Field	Value	IRS element (for citing)
No Listed Persons Compensated	X	NoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (13 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer
MARY ADAMEK
DIRECTOR	1.00	X	0	0	0
TARA CLARK
DIRECTOR	1.00	X	0	0	0
CARLTON JOHNSON
DIRECTOR	1.00	X	0	0	0
JULIE JOHNSTON
PAST CHAIR	1.00	X	0	0	0	X
ELIZABETH COULTER
DIRECTOR	1.00	X	0	0	0
BRAD LANGGUTH
DIRECTOR	1.00	X	0	0	0
MARK A LAW
TREASURER	1.00	X	0	0	0	X
LORI LEGGINS
SECRETARY	1.00	X	0	0	0	X
CINDY PENNEY
CHAIR-ELECT	1.00	X	0	0	0	X
STEVE ROE
CHAIR	1.00	X	0	0	0	X
DOUG RUPPERT
DIRECTOR	1.00	X	0	0	0
BRUCE VANHOUWELING
DIRECTOR	1.00	X	0	0	0
MIKE MESSIER
DIRECTOR	1.00	X	0	0	0

Field	Value	IRS element (for citing)
Formers Listed	false	FormersListed
Total Comp GT150 K	false	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources
Fundraising Events	218375	FundraisingEvents
All Other Contributions	389143	AllOtherContributions
Total Contributions	607518	TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MEDICARE/MEDICAID PAYMENTS	5045235	5045235
PRIVATE INSURANCE	203103	203103

Field	Value	IRS element (for citing)
Total Program Service Revenue	5248338	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	24591	TotalRevenueColumn
Exclusion	$24,591	ExclusionAmount

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	5880447	TotalRevenueColumn
Related Or Exempt Function Income	5248338	RelatedOrExemptFunctionIncome
Exclusion	$24,591	ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	2181617	Total
Program Services	1514209	ProgramServices
Management And General	547164	ManagementAndGeneral
Fundraising	120244	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	339169	Total
Program Services	243914	ProgramServices
Management And General	78093	ManagementAndGeneral
Fundraising	17162	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	163714	Total
Program Services	114448	ProgramServices
Management And General	40390	ManagementAndGeneral
Fundraising	8876	Fundraising

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	11108	Total
Management And General	11108	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	22331	Total
Program Services	22331	ProgramServices

Advertising Advertising

Field	Value	IRS element (for citing)
Total	84427	Total
Program Services	12888	ProgramServices
Management And General	32106	ManagementAndGeneral
Fundraising	39433	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	93868	Total
Program Services	43464	ProgramServices
Management And General	50404	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	39124	Total
Management And General	39124	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	23083	Total
Management And General	23083	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	175684	Total
Program Services	173155	ProgramServices
Management And General	2529	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	21586	Total
Program Services	21586	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	114527	Total
Program Services	86044	ProgramServices
Management And General	28483	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
MEDICAL SUPPLIES	740891	740891
NURSING HOME FEES	649617	649617
HOSPITAL INPATIENT	540774	540774
MEDICATIONS	250477	250477
EQUIPMENT RENTAL AND MAIN	108131	95420	12711

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	73041	Total
Program Services	45814	ProgramServices
Management And General	23589	ManagementAndGeneral
Fundraising	3638	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	5633169	Total
Program Services	4555032	ProgramServices
Management And General	888784	ManagementAndGeneral
Fundraising	189353	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	809	BOY
EOY	1110	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	808865	BOY
EOY	787699	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	563499	BOY
EOY	744229	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	24329	BOY
EOY	5118	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	1558296	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	546395	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	569758	BOY
EOY	1011901	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	632184	BOY
EOY	718262	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	2599444	BOY
EOY	3268319	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	473576	BOY
EOY	368812	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	118708	BOY
EOY	577126	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	592284	BOY
EOY	945938	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	2006160	BOY
EOY	2314229	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1000	BOY
EOY	8152	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	2007160	BOY
EOY	2322381	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	2599444	BOY
EOY	3268319	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	247278	ReconcilationRevenueExpenses
Reconcilation Other Changes	67943	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org170b1 Avi	X	PubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	540072	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	631719	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	900918	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	624865	CurrentTaxYearMinus1Year
Current Tax Year	607518	CurrentTaxYear
Total	3305092	Total

Total170 Total170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	540072	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	631719	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	900918	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	624865	CurrentTaxYearMinus1Year
Current Tax Year	607518	CurrentTaxYear
Total	3305092	Total

Field	Value	IRS element (for citing)
Public Support Total170	3305092	PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	39403	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	19601	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	28704	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	25090	CurrentTaxYearMinus1Year
Current Tax Year	24591	CurrentTaxYear
Total	137389	Total

Field	Value	IRS element (for citing)
Total Support	3442481	TotalSupport
Gross Receipts From Admissions Etc	5248338	GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage170	0.96010	PublicSupportPertcentage170
Public Support Pertcent Prior Year	0.96270	PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170	X	ThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Disclosed Orgs Legal Control	false	DisclosedOrgsLegalControl
Disclosed For Charitable Purposes	false	DisclosedForCharitablePurposes
Written Policy Monitoring	false	WrittenPolicyMonitoring
Sect170h Requirements Satisfied	false	Sect170hRequirementsSatisfied
Solicited Assets For Sale	false	SolicitedAssetsForSale
Agent Trustee Etc	false	AgentTrusteeEtc
Included On FS	false	IncludedOnFS

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	632184	BeginningOfYearBalance
Contributions	13860	Contributions
Investment Earnings Or Losses	81806	InvestmentEarningsOrLosses
Administrative Expenses	9588	AdministrativeExpenses
End Of Year Balance	718262	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	522800	BeginningOfYearBalance
Contributions	620	Contributions
Investment Earnings Or Losses	117575	InvestmentEarningsOrLosses
Administrative Expenses	8811	AdministrativeExpenses
End Of Year Balance	632184	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	571778	BeginningOfYearBalance
Contributions	135600	Contributions
Investment Earnings Or Losses	-174851	InvestmentEarningsOrLosses
Administrative Expenses	9727	AdministrativeExpenses
End Of Year Balance	522800	EndOfYearBalance

Field	Value	IRS element (for citing)
Permanent Endowment EOY Balance	1.00000	PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs	true	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	false	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	false	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	140000	OtherCostOrOtherBasis
Book Value	140000	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	500401	OtherCostOrOtherBasis
Depreciation	176383	Depreciation
Book Value	324018	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	917895	OtherCostOrOtherBasis
Depreciation	370012	Depreciation
Book Value	547883	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	1011901	TotalOfBookValueLandBuildings

Other Assets OtherAssets

Field	Value	IRS element (for citing)
Description	BENEFICIAL INTEREST IN ENDOWMENT	Description
Book Value	718262	BookValue

Field	Value	IRS element (for citing)
Total Book Value Other Assets	718262	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescription	AmountAmount
LEASE PAYABLE	$448,517
ACCRUED PTO	$106,841
ACCRUED WAGES	$21,768

Field	Value	IRS element (for citing)
Total Of Amounts	577126	TotalOfAmounts
Total Revenue	5880447	TotalRevenue
Total Expenses	5633169	TotalExpenses
Excess Or Deficit For Year	247278	ExcessOrDeficitForYear
Other	$67,943	OtherAmount
Total Adjustments	67943	TotalAdjustments
Excess Or Deficit Per FS	315221	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	5948390	TotRevenueEtcAuditedFinclStmt
Other Revenues	67943	OtherRevenues
Revenue Not Rptd F990	67943	RevenueNotRptdF990
Revenue Subtotal	5880447	RevenueSubtotal
Total Revenue Per Form990	5880447	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	5633169	TotExpensesEtcAuditedFinclStmt
Expenses Subtotal	5633169	ExpensesSubtotal
Total Expenses Per Form990	5633169	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
INTENDED USES FOR ENDOWMENT FUNDS	SCHEDULE D, PAGE 2, PART V, LINE 4	THE ENDOWMENT FUNDS WAS ESTABLISHED TO SERVE AS THE REPOSITORY OF GIFTS SPECIFICALLY DESIGNATED TO SUCH FUND. THE FUND IS MAINTAINED IN PERPETUITY. ANNUALLY THE BOARD OF DIRECTORS DETERMINE WHAT PORTION OF THE NET APPRECIATION OF THE ENDOWMENT FUND WILL BE MADE AVAILABLE TO THE ORGANIZATION FOR OPERATIONAL PURPOSES.
LIABILITY UNDER FIN 48 FOOTNOTE	SCHEDULE D, PAGE 3, PART X	THE ORGANIZATION ADOPTED THE FASB'S REQUIREMENTS FOR ACCOUNTING FOR UNCERTAIN TAX POSITIONS ON JANUARY 1, 2009. THE ORGANIZATION DETERMINED THAT IT WAS NOT REQUIRED TO RECORD A LIABILITY RELATED TO CERTAIN TAX POSITIONS AS A RESULT OF IMPLEMENTING THE NEW REQUIREMENTS.
RECONCILIATION OF CHANGES - OTHER	SCHEDULE D, PAGE 4, PART XI, LINE 8	CHANGE IN BENEFICIAL INTEREST IN ASSETS HELD BY COMM FOUND 67,943
REVENUE AMOUNTS INCLUDED IN FINANCIALS - OTHER	SCHEDULE D, PAGE 4, PART XII, LINE 2D	CHANGE IN BENEFICIAL INTEREST IN ASSETS HELD BY COMM FOUND 67,943

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	990PTVIII1C	NameOfEvent1
Gross Receipts Event1	218375	GrossReceiptsEvent1
Charitable Contributions Event1	218375	CharitableContributionsEvent1
Gross Receipts Total	218375	GrossReceiptsTotal
Charitable Contributions Total	218375	CharitableContributionsTotal

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990	FORM 990, PAGE 6, PART VI, LINE 11B	THE EXECUTIVE DIRECTOR EMAILS THE FINAL COPY OF THE FORM 990 TO THE EXECUTIVE COMMITTEE TO REVIEW BEFORE IT IS FILED.
ENFORCEMENT OF CONFLICTS POLICY	FORM 990, PAGE 6, PART VI, LINE 12C	ALL BOARD MEMBERS AND EMPLOYEES ARE REQUIRED TO DECLARE ALL CONFLICTS AT LEAST ANNUALLY.
COMPENSATION PROCESS FOR TOP OFFICIAL	FORM 990, PAGE 6, PART VI, LINE 15A	THE EXECUTIVE DIRECTOR'S COMPENSATION IS SET BY THE BOARD OF DIRECTORS.
COMPENSATION PROCESS FOR OFFICERS	FORM 990, PAGE 6, PART VI, LINE 15B	THERE ARE NO OTHER OFFICERS OR BOARD MEMBERS THAT ARE COMPENSATED.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION	FORM 990, PAGE 6, PART VI, LINE 19	IOWA CITY HOSPICE MAKES THEIR GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS, AND FORM 990 AVAILABLE TO THE PUBLIC THROUGH REQUEST DURING NORMAL OPERATING HOURS.

IOWA CITY HOSPICE INC: Form 990, tax year 2010

Return header ReturnHeader

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Preparer Firm US Address PreparerFirmUSAddress

Filer Filer

Name Name

US Address USAddress

Officer Officer

Preparer Preparer

Form 990 IRS990

Address Principal Officer US AddressPrincipalOfficerUS

The Books Are In Care Of TheBooksAreInCareOf

Address US AddressUS

Form990 Part VII Section A Form990PartVIISectionA (13 entries)

Program Service Revenue ProgramServiceRevenue (2 entries)

Investment Income InvestmentIncome

Total Revenue TotalRevenue

Other Salaries And Wages OtherSalariesAndWages

Other Employee Benefits OtherEmployeeBenefits

Payroll Taxes PayrollTaxes

Fees For Services Accounting FeesForServicesAccounting

Fees For Services Other FeesForServicesOther

Advertising Advertising

Office Expenses OfficeExpenses

Information Technology InformationTechnology

Occupancy Occupancy

Travel Travel

Interest Interest

Depreciation Depletion DepreciationDepletion

Other Expenses OtherExpenses (5 entries)

All Other Expenses AllOtherExpenses

Total Functional Expenses TotalFunctionalExpenses

Cash Non Interest Bearing CashNonInterestBearing

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Pledges And Grants Receivable PledgesAndGrantsReceivable

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Other Assets Total OtherAssetsTotal

Total Assets TotalAssets

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Other Liabilities OtherLiabilities

Total Liabilities TotalLiabilities

Unrestricted Net Assets UnrestrictedNetAssets

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Schedule A IRS990ScheduleA

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

Total170 Total170

Gross Investment Income170 GrossInvestmentIncome170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Contributor Name Business ContributorNameBusiness

Contributor Address US ContributorAddressUS

Schedule D IRS990ScheduleD

Current Year CurrentYear

Current Year Minus1 Year CurrentYearMinus1Year

Current Year Minus2 Years CurrentYearMinus2Years

Land Land

Buildings Buildings

Equipment Equipment

Other Assets OtherAssets

Other Liabilities OtherLiabilities (3 entries)

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

Schedule G IRS990ScheduleG

Events Information EventsInformation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

Comments