2026-04-28T22:33:27-05:00 2025-12-31 430352985 KERBER ECK & BRAECKEL LLP 343 FOUNTAINS PARKWAY SUITE 100 FAIRVIEW HEIGHTS IL 62208 990 2025-01-01 371107446 HOSPICE OF SOUTHERN ILLINOIS INC HOSP 6182351703 305 SOUTH ILLINOIS STREET BELLEVILLE IL 62220 AMY RICHTER PRESIDENT AND CEO 6182351703 2026-04-22 1 STEVE ECKHARD CPA P00019710 3142316232 2026-04-08 2025 2025-03-06 01:10:19Z AMY RICHTER 305 SOUTH ILLINOIS STREET BELLEVILLE IL 62220 24948870 0 X WWW.HOSPICE.ORG X 1981 IL CARE TO TERMINAL PATIENTS/FAMILIES 18 18 151 173 0 0 610798 560413 16686135 18121724 730421 1087688 -30216 -104183 17997138 19665642 0 0 0 0 11384429 11557957 0 0 297866 5858127 5976450 17242556 17534407 754582 2131235 19880960 22879664 1926492 2111356 17954468 20768308 CARE TO TERMINAL PATIENTS/FAMILIES 0 0 13549333 18121724 SERVICES PROVIDED TO PATIENTS WHICH INCLUDE PHYSICIAN, NURSING, SOCIAL SERVICES, COUNSELING, AND BEREAVEMENT. 13549333 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 1 0 0 0 0 0 0 0 0 1 15 0 1 151 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 STEPHANIE MILLER 6182351703 305 S ILLINOIS BELLEVILLE IL 62220 AMY RICHTER PRESIDENT & CEO 40.00 X 222484 0 22794 AMY ROHLFING MEDICAL DIRECTOR 40.00 X 204376 0 11740 FLORIA DENSMORE CHIEF CLINICAL OFFICER 40.00 X 159097 0 22906 ELAINE MATZENBACHER CHIEF FINANCIAL OFFICER 40.00 X 150747 0 20347 STEPHANIE MILLER CFO STARTED 10/27/25 40.00 X 16353 0 61 JAMI MATTISON HR DIRECTOR 40.00 X 122431 0 22076 KELLEN LATCHEM IT DIRECTOR 40.00 X 124029 0 19626 JOHN JUSTIS FACILITIES/PURCHASING MANAGER 40.00 X 121694 0 19142 VICKI GRIFFIN CLINICAL SERVICES MANAGER 40.00 X 113512 0 22940 ANDREA GILBERT RN 40.00 X 113806 0 17929 NORMA BELLCOFF CHAIRPERSON TO 10/21/25 1.00 X X 0 0 0 PATRICK BREWSTER VICE CHAIRPERSON/CHAIRPERSON 1.00 X X 0 0 0 BETH FLOWERS DIRECTOR/MEMBER AT LARGE 1.00 X X 0 0 0 JOHN MCGUIRE SECRETARY/TREASURER 1.00 X X 0 0 0 KAREN RAINGE TREASURER/VICE-CHAIRPERSON 1.00 X X 0 0 0 DR KELLI WHITTINGTON MEMBER AT LARGE/SECRETARY 1.00 X X 0 0 0 MICHAEL BURKE DIRECTOR 1.00 X 0 0 0 WILLIAM DAVIS DIRECTOR 1.00 X 0 0 0 ALICIA DAVIS DIRECTOR STARTED 10/21/25 1.00 X 0 0 0 DR JEFF DOSIER 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 ADAM KASSLY DIRECTOR STARTED 10/21/25 1.00 X 0 0 0 MATT KLOSTERMAN DIRECTOR STARTED 10/21/25 1.00 X 0 0 0 DR JUDY LIESVELD DIRECTOR 1.00 X 0 0 0 JUSTIN NOSSER DIRECTOR STARTED 10/21/25 1.00 X 0 0 0 MEGAN RECTOR DIRECTOR TO 10/21/25 1.00 X 0 0 0 TIFFANNY SIEVERS DIRECTOR 1.00 X 0 0 0 JOHN STOECKLIN DIRECTOR STARTED 10/21/25 1.00 X 0 0 0 WHITNEY STRINGER DIRECTOR 1.00 X 0 0 0 1348529 0 179561 15 0 1 0 0 270952 289461 27850 560413 PATIENT SERVICE REVENUE 621610 18121724 18121724 18121724 411984 411984 5758331 5082627 675704 675704 675704 96418 270952 200601 -104183 -104183 19665642 18121724 0 983505 825644 396217 429427 8778306 6448945 2120006 209355 169368 122515 41937 4916 1090210 780361 279523 30326 694429 492296 186154 15979 17101 7985 9116 54235 54235 56689 56689 5033 1971 3062 94606 6646 85799 2161 264890 185301 69775 9814 219930 139366 75458 5106 101599 57241 41791 2567 574079 547307 24736 2036 15632 1822 10791 3019 212671 144220 63600 4851 105559 75691 28297 1571 NURSING HOME ROOM AND B 2059091 2059091 DURABLE MEDICAL EQUIPME 785323 785323 DRUGS 559428 559428 GENERAL IN-PATIENT EXPE 373548 373548 477036 364059 106812 6165 17534407 13549333 3687208 297866 1758119 2533394 578487 835579 200 1950057 2122857 24915 23960 334664 124658 5911059 2732191 2829420 3178868 12305041 13933776 100057 126572 19880960 22879664 1922238 2108520 4254 2836 1926492 2111356 X 17866052 20665979 88416 102329 17954468 20768308 19880960 22879664 X 2131235 668492 14113 X 0 1 X 1 0 X 688390 662553 434069 610798 560413 2956223 688390 662553 434069 610798 560413 2956223 265780 2690443 310357 261355 294968 428907 411984 1707571 4663794 76455730 0.57690 0.73300 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 915921 915921 3216497 1228491 1988006 1606689 1347330 259359 171952 156370 15582 3178868 X 20492159 668492 14113 682605 19809554 -143912 -143912 19665642 17678319 200601 200601 17477718 56689 56689 17534407 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. IN THAT REGARD, THE ORGANIZATION HAS EVALUATED ITS TAX POSITIONS, EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS AND BELIEVES THAT NO PROVISION FOR INCOME TAXES IS NECESSARY, AT THIS TIME, TO COVER ANY UNCERTAIN TAX POSITIONS. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN BENEFICIAL INTEREST IN TRUSTS 14,113. PART XI, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES -200,601. INVESTMENT MANAGEMENT FEES 56,689. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES 200,601. PART XII, LINE 4B - OTHER ADJUSTMENTS: INVESTMENT MANAGEMENT FEES 56,689. RED CARPET GALA 212164 172349 39815 8060 2875 74434 30300 23977 GOLF TOURNAMENT - ORANGE 54015 44503 9512 2700 6479 7720 60 9 89536 54100 35436 10280 3764 8049 16274 2328 355715 270952 84763 2700 18340 6639 88962 54294 26365 197300 -112537 X X 0 0 0 0 0 0 0 0 0 AMY RICHTER PRESIDENT & CEO 205148 0 15622 0 1714 0 5597 0 17197 0 245278 0 0 0 AMY ROHLFING MEDICAL DIRECTOR 198931 0 5127 0 318 0 1750 0 9990 0 216116 0 0 0 FLORIA DENSMORE CHIEF CLINICAL OFFICER 150536 0 6977 0 1584 0 4009 0 18897 0 182003 0 0 0 ELAINE MATZENBACHER CHIEF FINANCIAL OFFICER 142222 0 6941 0 1584 0 3988 0 16359 0 171094 0 0 0 X AUCTION ITEMS 38 27850 ESTIMATED FAIR VALUE 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 14,113. FORM 990, PART XII, LINE 2C NO CHANGE FROM PRIOR YEAR.