2023-08-29T13:05:03-05:00 2022-12-31 430352985 KERBER ECK & BRAECKEL LLP ONE SOUTH MEMORIAL DR STE 900 SAINT LOUIS MO 63102 990 2022-01-01 371279271 FAMILY HOSPICE OF BELLEVILLE AREA FAMI 6182771800 5110 WEST MAIN STREET BELLEVILLE IL 62226 MATT BRAUSS EXECUTIVE DIRECTOR 6182771800 2023-08-29 1 MATT BRAUSS 999009999 1 JENNIFER ZIPPRICH CPA P00988633 3142316232 2023-08-29 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z MATT BRAUSS 5110 WEST MAIN STREET BELLEVILLE IL 62226 3005166 0 X WWW.FAMILYHOSPICE.ORG X 1991 IL FULLY LICENSED/MEDICARE CERTIFIED HOSPICE OFFERS PALLIATIVE CARE TO TERMINALLY ILL PEOPLE AND THEIR FAMILIES REGARDLESS OF AGE, GENDER, NATIONALITY, RACE, CREED, SEXUAL ORIENTATION, DISABILITY, AVAILABILITY OF PRIMARY CAREGIVER OR ABILITY TO PAY. HOSPICE CARE IS OFFERED BASED ON NEEDS ASSESSMENT, PLANNING AND DEVELOPMENT OF HOSPICE SERVICES. IT PROVIDES COMMUNITY AND REFERRAL SOURCES, INFORMATION ABOUT SERVICES OFFERED, WHO QUALIFIES AND HOW SERVICES CAN BE OBTAINED.CORE SERVICES OFFERED BY LICENSED STAFF AND VOLUNTEERS INCLUDE:*PHYSICIAN SERVICES*REGISTERED NURSES *SOCIAL WORKERS*SPIRITUAL COUNSELORS*HOME HEALTH AIDES AND HOMEMAKER SERVICES*OTHER COUNSELORS AS NEEDED (IE BEREAVEMENT, DIET, ETC)*THERAPIES - PHYSICAL, OCCUPATIONAL, SPEECH*MEDICAL SUPPLIES*DRUGS AND BIOLOGICALS*VOLUNTEERSFAMILY HOSPICE PROVIDES AN ORGANIZED GRIEF COUNSELING AND BEREAVEMENT PROGRAM THROUGH ITS HEARTLINKS GRIEF CENTER. 16 16 40 40 0 0 737192 380510 2661966 2556033 73032 68623 0 0 3472190 3005166 0 0 0 0 1803086 1818920 0 0 49914 1071718 1024280 2874804 2843200 597386 161966 3328504 3091304 284030 174647 3044474 2916657 SEE SCHEDULE O 0 0 2345000 2556033 TO PROVIDE THE AGENCY THE ABILITY TO OFFER HOSPICE AND PALLIATIVE CARE TO TERMINALLY ILL PEOPLE AND THEIR FAMILIES. 2345000 1 1 0 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 6 0 1 40 1 0 0 0 0 0 0 0 0 0 0 0 0 X 16 16 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 IL X X SHAWN BEACH 6182771800 5110 WEST MAIN STREET BELLEVILLE IL 62226 JACKIE BURKE CHAIRMAN 2.00 X X 0 0 0 BARB JANY VICE CHAIRMAN 2.00 X X 0 0 0 WILLIAM METZGER TREASURER UNTIL 4/30/22 2.00 X X 0 0 0 KEVIN MEDER SECRETARY 2.00 X X 0 0 0 ANDREW VERDU DIRECTOR 2.00 X 0 0 0 JOYCE LIED DIRECTOR 2.00 X 0 0 0 MARY DIX DIRECTOR UNTIL 2/28/22 2.00 X 0 0 0 CRAIG TOBERMAN DIRECTOR 2.00 X 0 0 0 ROGER WIGGINTON DIRECTOR UNTIL 2/28/22 2.00 X 0 0 0 SUZANNE BOYLE DIRECTOR 2.00 X 0 0 0 JAN CARPENTER DIRECTOR 2.00 X 0 0 0 ELLEN KROHNE DIRECTOR 2.00 X 0 0 0 CAROL BARTLE DIRECTOR UNTIL 5/31/22 2.00 X 0 0 0 K ANDREW HOERNER DIRECTOR 2.00 X 0 0 0 VANCE VYERS DIRECTOR 2.00 X 0 0 0 SHANE KURRUS DIRECTOR 2.00 X 0 0 0 MATT BRAUSS EXECUTIVE DIRECTOR 40.00 X 129880 0 3782 SHEILA VALLOWE FINANCE DIRECTOR 40.00 X 0 0 0 SHAWN BEACH FINANCE DIRECTOR 40.00 X 0 0 0 129880 0 3782 1 0 0 0 0 32944 347566 380510 MEDICARE 621610 2327498 2327498 MEDICAID 621610 199592 199592 OTHER 621610 24194 24194 PRIVATE INSURANCE 621610 4749 4749 2556033 68623 68623 0 32944 0 0 3005166 2556033 0 68623 134047 134047 1438491 1230634 180040 27817 18442 13726 4716 106854 86662 18454 1738 121086 95000 23938 2148 14780 14780 14944 14944 27592 2730 24862 47891 47292 599 165427 147932 15403 2092 48408 39414 7679 1315 125849 125180 16 653 24224 22065 2106 53 26990 12955 11606 2429 14431 9380 4185 866 HEALTHCARE & SERVICES 205601 205601 DRUGS & BIOLOGICALS 164085 164085 MEDICAL EQUIPMENT RENTA 125267 125267 FUNDRAISING 9924 9924 8867 2297 6290 280 2843200 2345000 448286 49914 X 10485 7074 750072 694866 8258 7851 296427 309174 13802 7845 846510 474135 397856 372375 1851604 1692119 3328504 3091304 284030 174647 284030 174647 X 2995530 2901585 48944 15072 3044474 2916657 3328504 3091304 161966 -289783 0 X X 0 1 X 1 0 X 384948 328485 460316 737192 380510 2291451 384948 328485 460316 737192 380510 2291451 892671 1398780 26001 22648 40194 73032 68623 230498 2521949 12202317 0.55460 0.63980 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 34599 34599 699922 380644 319278 67032 55650 11382 44957 37841 7116 372375 EXCHANGE TRADED PRODUCTS AND MUTUAL FUNDS 1589279 F MONEY MARKET 102840 F 1692119 X 2734311 -289783 33872 -255911 2990222 14944 14944 3005166 2828256 0 2828256 14944 14944 2843200 PART X, LINE 2: FAMILY HOSPICE QUALIFIES AS A NOT-FOR-PROFIT ORGANIZATION AS DEFINED BY INTERNAL REVENUE CODE 501(C)(3), AND, ACCORDINGLY, IT IS EXEMPT FROM FEDERAL INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(A) AND SIMILAR PROVISIONS OF STATE LAW. FAMILY HOSPICE FILES FEDERAL INFORMATION RETURNS. THE STATUTES OF LIMITATIONS FOR INFORMATION RETURNS FILED FOR THE TAX YEARS ENDED DECEMBER 31, 2019 THROUGH 2022 HAVE NOT EXPIRED AND THEREFORE ARE SUBJECT TO EXAMINATION. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN DONOR RESTRICTION REVENUE 33,872. FORM 990, PART VI, SECTION B, LINE 11B THE FINANCE COMMITTEE PERFORMS AN INITIAL REVIEW OF THE 990 AND THEN IT IS PROVIDED TO EACH MEMBER OF THE GOVERNING BODY FOR FINAL REVIEW AND APPROVAL. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS SIGN A CONFLICT OF INTEREST STATEMENT ON AN ANNUAL BASIS. THE STATEMENTS ARE REVIEWED BY THE EXECUTIVE DIRECTOR FOR ANY CONFLICTS. THE QUALITY CONTROL AND COMPLIANCE OFFICER ANNUALLY REPORTS TO THE BOARD CONCERNING ANY COMPLIANCE/CONFLICTS OF INTEREST NOTED DURING THE PREVIOUS YEAR. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION PROCESS FOR TOP OFFICIAL THE BOARD USES INFORMATION FROM OTHER SIMILARLY SIZED ORGANIZATIONS TO DETERMINE THE EXECUTIVE DIRECTOR'S COMPENSATION. FAMILY HOSPICE ALSO PARTICIPATED IN A NATIONAL COMPENSATION SURVEY AND USES THOSE RESULTS AS A BASELINE FOR COMPENSATION. COMPENSATION PROCESS FOR OFFICERS FAMILY HOSPICE HAS PARTICIPATED IN A NATIONAL COMPENSATION SURVEY AND USES THOSE RESULTS AS A BASELINE FOR COMPENSATION OF ALL STAFF. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, FINANCIAL STATEMENTS AND CONFLICT OF INTEREST POLICIES ARE MADE AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST. FORM 990 IS MADE AVAILABLE THROUGH WWW.GUIDESTAR.ORG. FORM 990, PART VI, LINE 1B JAN CARPENTER, DIRECTOR, OWNS AND OPERATES CORKTREE CREATIVE, WHO HELPS WITH MARKETING AND SOCIAL MEDIA FOR THE ORGANIZATION. FORM 990, PART XII, LINE 2C THE PROCESS HAS NOT CHANGED SINCE PRIOR YEAR