2025-04-23T21:49:27-05:00 2024-12-31 430352985 KERBER ECK & BRAECKEL LLP ONE SOUTH MEMORIAL DR STE 900 SAINT LOUIS MO 63102 990 2024-01-01 371107446 HOSPICE OF SOUTHERN ILLINOIS INC HOSP 6182351703 305 SOUTH ILLINOIS STREET BELLEVILLE IL 62220 AMY RICHTER PRESIDENT AND CEO 6182351703 2025-04-17 1 0 STEVE ECKHARD CPA P00019710 3142316232 2025-04-17 2024 2025-03-06 01:10:19Z AMY RICHTER 305 SOUTH ILLINOIS STREET BELLEVILLE IL 62220 21738046 0 X WWW.HOSPICE.ORG X 1981 IL CARE TO TERMINAL PATIENTS/FAMILIES 15 15 141 181 0 0 434069 610798 15642355 16686135 77031 730421 -42444 -30216 16111011 17997138 0 0 0 0 10259105 11384429 0 0 323881 5756340 5858127 16015445 17242556 95566 754582 18506383 19880960 1849062 1926492 16657321 17954468 CARE TO TERMINAL PATIENTS/FAMILIES 0 0 13288515 16682732 SERVICES PROVIDED TO PATIENTS WHICH INCLUDE PHYSICIAN, NURSING, SOCIAL SERVICES, COUNSELING, AND BEREAVEMENT. 13288515 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 1 141 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 15 15 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 265495 0 20375 AMY RICHTER PRESIDENT & CHIEF EXECUTIVE OFFICER 40.00 X 216872 0 19987 FLORIA DENSMORE CHIEF CLINICAL OFFICER 40.00 X 146913 0 20184 ELAINE MATZENBACHER CHIEF FINANCIAL OFFICER 40.00 X 144961 0 18909 VICKI GRIFFIN CLINICAL SERVICES MANAGER 40.00 X 112135 0 18657 KELLEN LATCHEM IT DIRECTOR 40.00 X 121485 0 15935 JAMI MATTISON HR DIRECTOR 40.00 X 107594 0 29472 LISA MULVANY REGULATORY COMPLIANCE DIRECTOR 40.00 X 130404 0 18433 DONNA PHILLIPS CLINICAL SERVICES MANAGER 40.00 X 106687 0 19847 NORMA BELLCOFF VICE CHAIRPERSON/CHAIRPERSON 1.00 X X 0 0 0 PATRICK BREWSTER SECRETARY/VICE CHAIRPERSON 1.00 X X 0 0 0 JOHN MCGUIRE DIRECTOR/SECRETARY 1.00 X X 0 0 0 KAREN RAINGE TREASURER 1.00 X X 0 0 0 DR AMY ROHLFING CHAIRPERSON TO 10/15/24 1.00 X X 0 0 0 DR KELLI WHITTINGTON DIRECTOR/MEMBER AT LARGE 1.00 X X 0 0 0 DR SUZANNE BURGE DIRECTOR TO 10/15/24 1.00 X 0 0 0 MICHAEL BURKE DIRECTOR 1.00 X 0 0 0 WILLIAM DAVIS DIRECTOR STARTED 10/16/24 1.00 X 0 0 0 DR JEFF DOSIER DIRECTOR 1.00 X 0 0 0 BETH FLOWERS DIRECTOR 1.00 X 0 0 0 DAVID HILL DIRECTOR 1.00 X 0 0 0 REV JOHN HOLST DIRECTOR 1.00 X 0 0 0 DONALD HUTSON DIRECTOR TO 10/15/24 1.00 X 0 0 0 DR JUDY LIESVELD DIRECTOR STARTED 10/16/24 1.00 X 0 0 0 MARK PRINCE DIRECTOR TO 10/15/24 1.00 X 0 0 0 MEGAN RECTOR DIRECTOR 1.00 X 0 0 0 TRACY SESSION MEMBER AT LARGE TO 10/15/24 1.00 X 0 0 0 TIFFANY SIEVERS DIRECTOR 1.00 X 0 0 0 WHITNEY STRINGER DIRECTOR STARTED 10/16/24 1.00 X 0 0 0 KEVIN VICK DIRECTOR TO 10/15/24 1.00 X 0 0 0 1352546 0 181799 13 0 1 0 0 254510 356288 610798 PATIENT SERVICE REVENUE 621610 16686135 16686135 16686135 428907 428907 3918409 3613492 3403 304917 -3403 301514 -3403 304917 93797 254510 124013 -30216 -30216 17997138 16682732 0 703608 848945 451384 397561 8626895 6229335 2168456 229104 166268 115308 45880 5080 1077686 765059 284707 27920 664635 469228 178256 17151 6228 3311 2765 152 59538 59538 52791 52791 7051 5450 1601 91366 9681 78297 3388 274860 194543 70193 10124 215103 133279 73977 7847 60762 27504 30284 2974 588909 561360 24899 2650 15438 335 12887 2216 191906 118413 66708 6785 107721 76462 28987 2272 NURSING HOME ROOM AND B 1976738 1976738 DURABLE MEDICAL EQUIPME 722792 722792 DRUGS 644994 644994 GENERAL IN-PATIENT EXPE 467429 467429 374501 315910 53974 4617 17242556 13288515 3630160 323881 1954189 1758119 586314 578487 1443 200 1847691 1950057 23206 24915 211515 334664 5348942 2519522 2710585 2829420 11044965 12305041 126475 100057 18506383 19880960 1843390 1922238 5672 4254 1849062 1926492 X 16546655 17866052 110666 88416 16657321 17954468 18506383 19880960 X 754582 563572 -21007 X X 0 1 X 1 0 X 2506754 688390 662553 434069 610798 4902564 2506754 688390 662553 434069 610798 4902564 124059 4778505 321037 310357 261355 294968 428907 1616624 6519188 70916397 0.73300 0.74580 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 915921 915921 2616309 1132472 1483837 1587506 1387050 200456 229206 229206 2829420 X 18610925 563572 -21007 542565 18068360 -71222 -71222 17997138 17313778 124013 124013 17189765 52791 52791 17242556 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 -21,007. PART XI, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES -124,013. INVESTMENT MANAGEMENT FEES 52,791. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES 124,013. PART XII, LINE 4B - OTHER ADJUSTMENTS: INVESTMENT MANAGEMENT FEES 52,791. RED CARPET GALA 170646 132041 38605 2535 16293 18000 24458 GOLF TOURANMENT - ORANGE 46929 33183 13746 2700 100 7040 6294 995 10 115888 89215 26673 3300 10568 13266 18188 333463 254439 79024 2700 100 12875 33155 31266 43641 123737 -44713 X X 0 0 0 0 0 0 0 0 0 ELLEN MIDDENDORF MEDICAL DIRECTOR 260526 0 4969 0 0 0 7173 0 13202 0 285870 0 0 0 AMY RICHTER PRESIDENT & CHIEF EXECUTIVE OFFICER 198050 0 18822 0 0 0 4969 0 15018 0 236859 0 0 0 FLORIA DENSMORE CHIEF CLINICAL OFFICER 138831 0 8082 0 0 0 3889 0 16295 0 167097 0 0 0 ELAINE MATZENBACHER CHIEF FINANCIAL OFFICER 136921 0 8040 0 0 0 3216 0 15693 0 163870 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 -21,007. FORM 990, PART XII, LINE 2C NO CHANGE FROM PRIOR YEAR.