2024-11-08T11:18:05-06:00 2023-12-31 390758449 WIPFLI LLP 100 TRI-STATE INTERNATIONAL STE 300 LINCOLNSHIRE IL 60069 990 2023-01-01 351519392 HOSPICE OF THE CALUMET AREA INC HOSP 2199222732 600 SUPERIOR AVE MUNSTER IN 46321 ADRIANNE MAY CEO 2199222732 2024-10-30 1 1 ALEX PEKLER P00878587 8479410100 2024-10-30 2023 2024-10-15 13:58:12Z ADRIANNE MAY 600 SUPERIOR AVE MUNSTER IN 46321 6734833 0 X HOSPICECALUMET.ORG X 1980 IN PROVIDES HOSPICE CARE AND SUPPORT SERVICES FOR THOSE WITH LIFE-LIMITING ILLNESS. ALSO GRIEF SUPPORT AND EDUCATION WITHIN COMMUNITY. 21 20 85 381 0 0 1300385 1236733 3877928 3415776 244518 1068382 0 14761 5422831 5735652 0 0 0 0 4377282 4484900 0 0 183955 1185147 1284527 5562429 5769427 -139598 -33775 8822335 9004770 637112 722468 8185223 8282302 HOSPICE OF THE CALUMET AREA IS A NOT FOR PROFIT ORGANIZATION DEDICATED TO IMPROVING THE QUALITY OF LIFE THROUGH COMPASSIONATE CARE FOR INDIVIDUALS AND FAMILES FACING LIFE-LIMITING ILLNESS. 0 0 5019585 0 3415776 HOSPICE OF THE CALUMET AREA PROVIDES FAMILY CENTERED CARE TO ELIGIBLE INDIVIDUALS WITH A LIFE-LIMITING ILLNESS. HOSPICE CARE IS PROVIDED BY AN INTERDISCIPLINARY TEAM INCLUDING DOCTORS, NURSES, SOCIAL WORKERS, COUNSELORS, & TRAINED VOLUNTEERS WHO ADDRESS THE PHYSICAL, EMOTIONAL AND SPIRITUAL NEEDS OF THE PATIENT. 541 HOSPICE PATIENTS WERE CARED FOR IN 2023. SUPPORT SERVICES FOR 397 CLIENTS WITH SERIOUS ILLNESS, BUT NOT YET READY FOR HOSPICE, WERE PROVIDED. IN ADDITION, HOSPICE OF THE CALUMET AREA PROVIDED GRIEF SUPPORT AND EDUCATIONAL PROGRAMS FOR INTERESTED PARTIES THROUGHOUT THE COMMUNITIES WE SERVE. 5019585 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 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 19 0 85 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 21 20 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 IN X X ADRIANNE MAY 2199222732 600 SUPERIOR AVE MUNSTER IN 46321 ADRIANNE MAY CEO 40.00 X 264080 0 33855 DIANE MUSKIN PT CARE COORDINATOR 40.00 X 147432 0 27638 JOHN DZUROVCIK RN 45.00 X 104555 0 19108 CATHERINE OSOWSKI RN 50.00 X 100848 0 21633 LYLE MUNN MD DIRECTOR/MEDICAL DIRECTOR 12.00 X 107940 0 4406 MITCHELL GAFFIGAN PRESIDENT 3.00 X X 0 0 0 GENE DIAMOND VICE PRESIDENT 2.00 X X 0 0 0 PEYMON TORABI TREASURER 2.00 X X 0 0 0 KAY NELSON SECRETARY 2.00 X X 0 0 0 RUTHELLYN BOBAK DIRECTOR 0.50 X 0 0 0 LINDA DELUNAS DIRECTOR 2.00 X 0 0 0 JANICE DOBRINICH DIRECTOR 0.50 X 0 0 0 LINDA EISENHAUER DIRECTOR 0.50 X 0 0 0 DONALD FESKO DIRECTOR 0.50 X 0 0 0 R LOUIS GONZALEZ DIRECTOR 0.50 X 0 0 0 REBECCA GROVE DIRECTOR 0.50 X 0 0 0 WILLIAM A HASSE III DIRECTOR 0.50 X 0 0 0 COREY HECHT DIRECTOR (THRU JUNE 2023) 0.50 X 0 0 0 PATTY LAZZARO DIRECTOR 0.50 X 0 0 0 JOANNE MARKIEWICZ DIRECTOR 0.50 X 0 0 0 JEFFREY MONBERG DIRECTOR 0.50 X 0 0 0 ROCHARDA MOORE MORRIS DIRECTOR 0.50 X 0 0 0 RALPH NEFF DIRECTOR 0.50 X 0 0 0 DAVID NELLANS DIRECTOR 0.50 X 0 0 0 LINDA RANDOLPH DIRECTOR 0.50 X 0 0 0 RICHARD REFFKIN DIRECTOR 0.50 X 0 0 0 JOHN T STEPHENS DIRECTOR (THRU NOV 2023) 0.50 X 0 0 0 724855 0 106640 5 0 1 0 APEX TOTAL PROPERTY MAINTENANCE INC 2743 HIGHWAY AVE HIGHLAND IN 46322 BUILDING IMPROVEMENTS 100498 1 50 191668 1045015 1236733 MEDICARE/MEDICAID 623990 2986460 2986460 SELF PAY 623990 218471 218471 COMMERCIAL INSURANCE 623990 210845 210845 3415776 231990 231990 1779796 943404 836392 836392 836392 55777 191668 55777 0 OTHER REVENUE 623990 14761 14761 14761 5735652 3415776 0 1083143 411177 354117 41732 15328 3161761 2715602 326278 119881 108111 97747 6909 3455 545046 493607 33994 17445 258805 233995 16540 8270 50514 50514 23053 23053 23812 23812 66166 50525 10427 5214 11790 11790 83967 72031 7000 4936 110442 107739 1802 901 96142 71111 23443 1588 70699 67055 506 3138 9263 3582 5110 571 1121 986 90 45 104355 92952 9977 1426 24377 17027 6860 490 PATIENT RELATED EXPENSE 378521 378521 COMMUNITY AWARENESS AND 197718 197718 DUES, LICENSES, SUBSCRI 16946 14743 1175 1028 EQUIPMENT RENTAL 8015 7299 477 239 7626 7626 5769427 5019585 565887 183955 700 700 1153703 640530 10000 166886 484844 410770 71127 45269 3674784 2181971 1393887 1492813 5460816 5972186 247258 275616 8822335 9004770 96157 153040 42320 26744 498635 542684 637112 722468 X 7487945 7169903 697278 1112399 8185223 8282302 8822335 9004770 -33775 130854 0 X X 0 1 X 1 0 X 883534 756088 785417 1300385 1236733 4962157 883534 756088 785417 1300385 1236733 4962157 1265595 3696562 176077 94007 145790 107168 231990 755032 14761 14761 5731950 17030979 0.64490 0.61700 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 32539 5093 1398 423 35811 40149 6161 1028 421 32539 36785 5320 1558 397 40149 34675 3998 1554 334 36785 30840 5723 1546 342 34675 0.00000 0.85000 0.15000 1 0 207234 207234 2396647 1326007 1070640 290392 126925 163467 722958 697647 25311 57553 31392 26161 1492813 ACCRUED WAGES AND BENEFITS 542684 542684 X 5963972 130854 121278 252132 5711840 23812 23812 5735652 5866893 121278 121278 5745615 23812 23812 5769427 PART V, LINE 4: DONATIONS TO FUND ARE PERMANENTLY RESTRICTED. ALL FUTURE INCOME FROM THE FUND WILL PROVIDE UNRESTRICTED SUPPORT OF THE MISSION AND OPERATIONS OF THE ORGANIZATION. PART X, LINE 2: THE ORGANIZATION IS A NOT-FOR-PROFIT ORGANIZATION EXEMPT FROM FEDERAL INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(C)(3). THE ORGANIZATION DID NOT RECOGNIZE ANY LIABILITIES FOR UNRECOGNIZED TAX BENEFITS AND HAS RECORDED NO INTEREST OR PENALTIES. THE IRS GENERALLY HAS THE ABILITY TO EXAMINE TAX RECORDS FOR UP TO THREE YEARS. IN ADDITION, THE ORGANIZATION QUALIFIES FOR THE CHARITABLE CONTRIBUTION DEDUCTION UNDER SECTION 170(B)(L)(A) AND HAS BEEN CLASSIFIED AS AN ORGANIZATION OTHER THAN A PRIVATE FOUNDATION UNDER SECTION 509(A)(2). BUTTERFLY IN THE PARK 28571 19086 9485 1750 4658 3077 HOLIDAY BOUTIQUE 38860 30667 8193 5154 3039 9 180014 141915 38099 3460 34639 247445 191668 55777 1750 13272 40755 55777 0 X X 0 0 0 0 0 0 0 1 0 ADRIANNE MAY CEO 230909 0 33000 0 171 0 11055 0 22800 0 297935 0 0 0 DIANE MUSKIN PT CARE COORDINATOR 135726 0 5000 0 6706 0 6461 0 21177 0 175070 0 0 0 PART I, LINE 7 SCHEDULE J, PART II, COLUMN (B)(II) REPORTS DISCRETIONARY INCENTIVE AMOUNTS THAT WERE APPROVED BY THE BOARD BASED UPON PERFORMANCE. FORM 990, PART VI, SECTION A, LINE 2 BUSINESS RELATIONSHIP: L. RANDOLPH/RM MORRIS, D FESKO WITH W HASSE/P TORABI/ RL GONZALEZ; G DIAMOND/R GROVE FORM 990, PART VI, SECTION B, LINE 11B FINANCE COMMITTEE REVIEWS FORM 990. ONCE APPROVED IT THEN GOES TO THE FULL BOARD PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C CEO, BOARD PRESIDENT, CORPORATE COMPLIANCE OFFICER AND CC COMMITTEE REVIEW DISCLOSURES AND MONITOR AND ENFORCE POLICY IF CONFLICTS ARISE WITH THE BOARD OF DIRECTORS. CEO & CORPORATE COMPLIANCE OFFICER REVIEW DISCLOSURE STATEMENTS AND MAKE DETERMINATION FOR STAFF. FORM 990, PART VI, SECTION B, LINE 15A BOARD PERSONNEL, EXECUTIVE COMMITTEE AND THE FULL BOARD ARE INVOLVED IN THE PROCESS. BENCHMARK DATA FROM HOSPICE SALARY PUBLICATION AND COMPARABLE HOSPICE FORM 990 SALARY DATA. FORM 990, PART VI, SECTION C, LINE 19 FORM 990 IS AVAILABLE AT CANDID.ORG OR BY WRITTEN REQUEST. FORM 990, PART XII, LINE 2C THERE WERE NO CHANGES TO THE AUDIT SELECTION PROCESS FROM THE PRIOR YEAR.