2024-05-15T11:51:52-05:00 2023-12-31 430352985 KERBER ECK & BRAECKEL LLP ONE SOUTH MEMORIAL DR STE 900 SAINT LOUIS MO 63102 990 2023-01-01 371107446 HOSPICE OF SOUTHERN ILLINOIS INC HOSP 6182351703 305 SOUTH ILLINOIS STREET BELLEVILLE IL 62220 AMY RICHTER PRESIDENT AND CEO 6182351703 2024-04-19 1 AMY RICHTER 999009999 0 STEVE ECKHARD CPA P00019710 3142316232 2024-03-19 2 AAL1 IAL1 2023 2023-04-26 12:10:37Z AMY RICHTER 305 SOUTH ILLINOIS STREET BELLEVILLE IL 62220 18531551 0 X WWW.HOSPICE.ORG X 1981 IL CARE TO TERMINAL PATIENTS/FAMILIES 18 18 149 180 0 0 662553 434069 13584561 15642355 -83473 77031 -9787 -42444 14153854 16111011 0 0 0 0 9056639 10259105 0 0 298205 4964796 5756340 14021435 16015445 132419 95566 16809664 18506383 1748438 1849062 15061226 16657321 CARE TO TERMINAL PATIENTS/FAMILIES 0 0 12273371 15422418 SERVICES PROVIDED TO PATIENTS WHICH INCLUDE PHYSICIAN, NURSING, SOCIAL SERVICES, COUNSELING, AND BEREAVEMENT. 12273371 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 13 0 1 149 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 18 18 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 IL X ELAINE MATZENBACHER 6182351703 305 S ILLINOIS BELLEVILLE IL 62220 ELLEN MIDDENDORF MEDICAL DIRECTOR 40.00 X 253767 0 19361 AMY RICHTER PRESIDENT & CHIEF EXECUTIVE OFFICER 40.00 X 207854 0 19650 FLORIA DENSMORE CHIEF CLINICAL OFFICER 40.00 X 142028 0 19400 ELAINE MATZENBACHER CHIEF FINANCIAL OFFICER 40.00 X 139361 0 19889 KELLEN LATCHEM IT DIRECTOR 40.00 X 119439 0 15555 PHYLLIS GABBART NURSE PRACTITIONER 40.00 X 115863 0 17403 LISA PHILLIPSON COMMUNITY EDUCATION DIRECTOR 40.00 X 106413 0 16950 VICKI GRIFFIN CLINICAL SERVICES MANAGER 40.00 X 103638 0 17755 ELIZABETH POLLMANN REGISTERED NURSE 40.00 X 103258 0 40 AYN BARTOK SECRETARY TO 10/17/23 1.00 X X 0 0 0 JENNA RENNER GRASER VICE CHAIRPERSON TO 10/17/23 1.00 X X 0 0 0 DR GIREESH V GUPCHUP CHAIRPERSON TO 10/17/23 1.00 X X 0 0 0 GREG INGRAM TREASURER TO 10/17/23 1.00 X X 0 0 0 NORMA BELLCOFF DIRECTOR/VICE CHAIRPERSON 1.00 X X 0 0 0 PATRICK BREWSTER DIRECTOR/SECRETARY 1.00 X X 0 0 0 KAREN RAINGE DIRECTOR/TREASURER 1.00 X X 0 0 0 DR AMY ROHLFING MEMBER AT LARGE/CHAIRPERSON 1.00 X X 0 0 0 DR SUZANNE BURGE DIRECTOR 1.00 X 0 0 0 MICHAEL BURKE DIRECTOR 1.00 X 0 0 0 DR JEFF DOSIER DIRECTOR STARTED 10/18/23 1.00 X 0 0 0 BETH FLOWERS DIRECTOR 1.00 X 0 0 0 JILLIAN HARTSOE DIRECTOR TO 10/17/23 1.00 X 0 0 0 DAVID HILL DIRECTOR STARTED 10/18/23 1.00 X 0 0 0 REV JOHN HOLST DIRECTOR STARTED 10/18/23 1.00 X 0 0 0 DONALD HUTSON DIRECTOR 1.00 X 0 0 0 JOHN MCGUIRE DIRECTOR 1.00 X 0 0 0 CAROL PADGETT DIRECTOR TO 10/17/23 1.00 X 0 0 0 MARK PRINCE DIRECTOR 1.00 X 0 0 0 MEGAN RECTOR DIRECTOR 1.00 X 0 0 0 TRACY SESSION DIRECTOR/MEMBER AT LARGE 1.00 X 0 0 0 TIFFANY SIEVERS DIRETOR STARTED 10/18/23 1.00 X 0 0 0 KEVIN VICK DIRECTOR 1.00 X 0 0 0 DR KELLI WHITTINGTON DIRECTOR STARTED 10/18/23 1.00 X 0 0 0 1291621 0 146003 13 0 1 0 0 341 189097 5100 239531 434069 PATIENT SERVICE REVENUE 621610 15642355 15642355 15642355 294968 294968 2047511 2000 2267448 0 -219937 2000 -217937 -219937 2000 110648 189097 153092 -42444 -42444 16111011 15422418 0 254524 816750 433164 383586 7785418 5510184 2061274 213960 154018 107051 42478 4489 895378 633809 240210 21359 607541 417333 174100 16108 24539 14801 8056 1682 49229 49229 46201 46201 23696 8004 15692 81414 8960 71143 1311 259626 180131 67933 11562 196764 117907 72642 6215 74573 41154 30823 2596 547262 518242 24798 4222 16330 766 12614 2950 189854 119196 65056 5602 103440 73497 27804 2139 NURSING HOME ROOM AND B 2281497 2281497 DURABLE MEDICAL EQUIPME 614364 614364 DRUGS 578973 578973 GENERAL IN-PATIENT EXPE 293296 293296 375282 321042 50230 4010 16015445 12273371 3443869 298205 1988064 1954189 287085 586314 1181 1443 1829451 1847691 19637 23206 188326 211515 5040078 2329493 2760222 2710585 9632424 11044965 103274 126475 16809664 18506383 1741248 1843390 7190 5672 1748438 1849062 X 14962391 16546655 98835 110666 15061226 16657321 16809664 18506383 X 95566 1488960 11569 X X 0 1 X 1 0 X 466577 2506754 688390 662553 434069 4758343 466577 2506754 688390 662553 434069 4758343 85575 4672768 287107 321037 310357 261355 294968 1474824 32132 32132 6265299 67198764 0.74580 0.74080 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 915921 915921 2616309 1049800 1566509 1335896 1148248 187648 171952 131445 40507 2710585 X 17718431 1488960 11569 1500529 16217902 -106891 -106891 16111011 16122336 153092 153092 15969244 46201 46201 16015445 PART X, LINE 2: THE ORGANIZATION QUALIFIES AS A NOT-FOR-PROFIT ORGANIZATION AS DEFINED BY INTERNAL REVENUE CODE SECTION 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. THE ORGANIZATION FILES FEDERAL INFORMATION RETURNS. THESE RETURNS ARE GENERALLY SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE FOR THREE YEARS FROM THE DATE THEY ARE FILED. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN BENEFICIAL INTEREST IN TRUSTS 11,569. PART XI, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES -153,092. INVESTMENT MANAGEMENT FEES 46,201. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES 153,092. PART XII, LINE 4B - OTHER ADJUSTMENTS: INVESTMENT MANAGEMENT FEES 46,201. RED CARPET GALA 120512 70088 50424 3555 28956 18000 29787 GOLF TOURANMENT - ORANGE 52505 38204 14301 2700 2420 7630 6670 32 6 111232 80804 30428 6549 1985 16118 13977 11475 284249 189096 95153 2700 8969 13170 51744 31977 41294 149854 -54701 X X 0 0 0 0 0 0 0 0 0 ELLEN MIDDENDORF MEDICAL DIRECTOR 253767 0 0 0 0 0 7017 0 12344 0 273128 0 0 0 AMY RICHTER PRESIDENT & CHIEF EXECUTIVE OFFICER 193376 0 14478 0 0 0 5333 0 14317 0 227504 0 0 0 FLORIA DENSMORE CHIEF CLINICAL OFFICER 136847 0 5181 0 0 0 3805 0 15595 0 161428 0 0 0 ELAINE MATZENBACHER CHIEF FINANCIAL OFFICER 134208 0 5153 0 0 0 3785 0 16104 0 159250 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION'S FINANCE AND BUDGET COMMITTEE REVIEWS FORM 990 AT A MEETING PRIOR TO FILING THE RETURN EACH YEAR. ONCE THE FINANCE AND BUDGET COMMITTEE APPROVES THE FORM 990, THE RETURN IS THEN PRESENTED TO THE EXECUTIVE COMMITTEE FOR THEIR REVIEW AND APPROVAL, AND THEN TO THE FULL BOARD FOR THEIR REVIEW AND APPROVAL PRIOR TO FILING THE RETURN. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION'S REGULATORY COMPLIANCE DEPARTMENT MONITORS AND ENFORCES COMPLIANCE WITH THE POLICY. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION PROCESS FOR TOP OFFICIAL THE ORGANIZATION SUBSCRIBES TO A HOSPICE SALARY & BENEFITS REPORT ON AN ANNUAL BASIS AND ALSO USES VARIOUS SALARY BENCHMARKS WITH OTHER ORGANIZATIONS IN DETERMINING COMPENSATION FOR THE CEO. THE ORGANIZATION BREAKS THIS DATA INTO CATEGORIES AND THE EXECUTIVE COMMITTEE USES THIS DATA TO DETERMINE COMPENSATION FOR THE CEO. COMPENSATION PROCESS FOR OFFICERS THE ORGANIZATION SUBSCRIBES TO A HOSPICE SALARY & BENEFITS REPORT ON AN ANNUAL BASIS AND ALSO USES VARIOUS SALARY BENCHMARKS WITH OTHER ORGANIZATIONS IN DETERMINING COMPENSATION FOR THE OFFICERS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN BENEFICIAL INTEREST IN TRUSTS 11,569. PART XII LINE 2C NO CHANGE FROM PRIOR YEAR.