2024-05-15T11:20:37-05:00 2023-12-31 471019942 CREATIVE PLANNING TAX LLC PO BOX 2100 WATERLOO IA 507042100 990 2023-01-01 421135294 CEDAR VALLEY HOSPICE INC CEDA 3192722002 PO BOX 2880 WATERLOO IA 507042880 MICHAELA VANDERSEE EXECUTIVE DIRECTOR 3192722002 2024-05-03 1 MICHAELA VANDERSEE 999009999 0 BRIAN ARONSON CPA P01425251 3192346885 2024-05-03 3 AAL1 IAL1 2023 2023-04-26 12:10:37Z MICHAELA VANDERSEE PO BOX 2880 WATERLOO IA 507042880 15568100 0 X WWW.CVHOSPICE.ORG X 1979 IA PROVIDE HOSPICE AND COUNSELING SERVICES TO TERMINALLY ILL PATIENTS AND THEIR FAMILIES. 17 17 137 258 0 0 4629444 2320560 11083368 10762846 236207 466193 3901 47715 15952920 13597314 208660 178090 0 0 7903102 8656688 0 0 294322 5265597 5507298 13377359 14342076 2575561 -744762 18277492 18342596 2046517 2121815 16230975 16220781 CEDAR VALLEY HOSPICE PROVIDES THE LEADERSHIP AND SETS THE STANDARD FOR EXCELLENCE IN DELIVERING COMPREHENSIVE PALLIATIVE AND END OF LIFE CARE TO PATIENTS AND SERVICES TO THOSE THAT GRIEVE. 0 0 10900016 178090 10762846 CEDAR VALLEY HOSPICE IS DEDICATED TO PROVIDING HOSPICE SERVICES TO THOSE WITH A SIX MONTH PROGNOSIS OR LESS, SERVING 927 PATIENTS DURING 2023. THE AVERAGE DAILY CENSUS WAS 149 WHICH ALLOWED US TO PROVIDE 54,387 DAYS OF PATIENT CARE. THE AVERAGE LENGTH OF STAY FOR OUR HOSPICE PATIENTS WAS 71.3 DAYS. CEDAR VALLEY HOSPICE PROVIDES GRIEF SUPPORT SERVICES TO ANYONE STRUGGLING WITH THE DEATH OF A LOVED ONE, DURING 2023, 3,709 GRIEF CLIENT CONTACTS WERE CONDUCTED THROUGH INDIVIDUAL VISITS, SUPPORT GROUPS, SMALL AND LARGE GROUP SETTINGS (I.E. EMPLOYERS/SCHOOL) AND MAILINGS. CEDAR VALLEY HOSPICE PROVIDES HOME CARE SERVICES TO THOSE WITH A LIFE THREATENING ILLNESS, IN 2023, 145 CLIENTS WERE SERVED. 10900016 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 49 0 1 137 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 17 17 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X TRACY RUCKER 3192722002 PO BOX 2880 WATERLOO IA 507042880 MICHAELA VANDERSEE EXECUTIVE DIRECTOR 65.00 X 240125 0 56076 DR JOHN ZEHR MEDICAL DIRECTOR 25.00 X 140256 0 7013 TRACY RUCKER DIRECTOR OF FINANCE 65.00 X 137051 0 30357 STACY WEINKE CLINICAL SERVICES MANAGER 40.00 X 125600 0 17854 KATIE UNLAND HUMAN RESOURCES DIRECTOR 40.00 X 124113 0 32478 ERIC WEHR IT & PROPERTY MANAGER 40.00 X 111841 0 17739 CHRIS SCHILDROTH PRESIDENT 0.50 X X 0 0 0 RICK MORRIS VICE PRESIDENT 0.50 X X 0 0 0 CRAIG COFFMAN TREASURER 0.50 X X 0 0 0 DEB BURGER SECRETARY 0.50 X X 0 0 0 CAROLYN AYERS DIRECTOR 0.50 X 0 0 0 GRANT JENSEN DIRECTOR 0.50 X 0 0 0 VICKI PARSONS DIRECTOR 0.50 X 0 0 0 DR MATTHEW SOJKA DIRECTOR 0.50 X 0 0 0 CANDY STEELE DIRECTOR 0.50 X 0 0 0 LISA WALL DIRECTOR 0.50 X 0 0 0 JOSH WILSON DIRECTOR 0.50 X 0 0 0 BRYAN BURTON DIRECTOR 0.50 X 0 0 0 BRYAN EARNEST DIRECTOR 0.50 X 0 0 0 EDWARD DORRIS DIRECTOR 0.50 X 0 0 0 MICHELLE STEFFE DIRECTOR 0.50 X 0 0 0 TAMMY ACUFF DIRECTOR 0.50 X 0 0 0 TRACIE SPENCER DIRECTOR 0.50 X 0 0 0 SONJA WILHAU DIRECTOR (FORMER) 0.50 X 0 0 0 MARTY SIEBERT DIRECTOR (FORMER) 0.50 X 0 0 0 SARAH CHERVENY DIRECTOR (FORMER) 0.50 X 0 0 0 878986 0 161517 6 0 1 0 PALLIATIVE DRUG CARE 2431 E 61ST STREET SUTIE 450 TULSA OK 74136 PHARMACIST CONSULTS AND PRESCRIPTIONS 404302 QUALIS MANAGEMENT LLC 58 AZIMUTH COURT ROCKY MOUNT NC 27804 MEDICAL EQUIPMENT MANAGEMENT SERVICES 344941 BARTELS LUTHERAN RETIREMENT COMMUNITY 1922 5TH AVENUE NW WAVERLY IA 50677 PATIENT ROOM AND BOARD 206878 MERCYONE PO BOX 6260 WATERLOO IA 50704 INPATIENT SERVICES 155518 NEW ALDAYA LIFESCAPES 7511 UNIVERSITY AVENUE CEDAR FALLS IA 50613 PATIENT ROOM AND BOARD 152562 6 49254 442177 1829129 131699 2320560 PATIENT CARE FEES 623990 9469435 9469435 MEDICAID ROOM AND BOARD 623990 1293411 1293411 10762846 524361 524361 1879530 1937698 -58168 -58168 -58168 30834 49254 33088 -2254 -2254 INSURANCE PROCEEDS 900099 49969 49969 49969 13597314 10762846 0 513908 178090 178090 473463 473463 6501201 4983847 1390860 126494 236261 179918 51157 5186 987429 775289 183591 28549 458334 325313 124198 8823 88680 88680 35697 35697 21059 21059 10751 7665 3086 89077 89077 293742 88975 188043 16724 184471 147577 36894 131270 86583 38957 5730 262262 247722 13938 602 92117 19484 72558 75 19971 19971 307734 230721 61617 15396 34989 26242 6998 1749 PATIENT EXPENSES 2263840 2263840 MEDICAL SUPPLIES & DRUG 850352 850352 BAD DEBT EXPENSE 362000 362000 EQUIPMENT RENTAL & MAIN 83753 83753 375533 126398 164141 84994 14342076 10900016 3147738 294322 1150 1050 3223164 4951787 2921365 764811 2205561 1489554 63252 102065 7076370 2192604 4795173 4883766 5007411 6039002 60416 110561 18277492 18342596 1417807 1625715 588472 420042 40238 76058 2046517 2121815 X 15180861 15411777 1050114 809004 16230975 16220781 18277492 18342596 -744762 734568 0 X 0 1 X 1 0 X 1168111 2492635 2552260 4629444 2320560 13163010 1168111 2492635 2552260 4629444 2320560 13163010 611773 12551237 103399 147936 138266 171215 524361 1085177 10360 4000 35533 30834 80727 14328914 54378330 0.87590 0.94160 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: FUNDRAISING INCOME - 2019 AMOUNT: $ 10,360. 2020 AMOUNT: $ 4,000. 2022 AMOUNT: $ 35,533. 2023 AMOUNT: $ 30,834. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2225551 469393 469393 2225551 2225551 -104072 104072 2225551 2225551 310136 310136 2225551 2225551 325125 325125 2225551 2140169 438272 352890 2225551 0.67000 0.33000 1 0 913342 913342 4974043 1507544 3466499 186593 72079 114514 1002392 612981 389411 4883766 LEASE LIABILITIES 76058 76058 12976270 734568 -41142 693426 12282844 21059 1293411 1314470 13597314 12986464 -41142 -41142 13027606 21059 1293411 1314470 14342076 PART XI, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSES -41,142. PART XI, LINE 4B - OTHER ADJUSTMENTS: MEDICAID ROOM AND BOARD 1,293,411. PART XII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSES -41,142. PART XII, LINE 4B - OTHER ADJUSTMENTS: MEDICAID ROOM AND BOARD 1,293,411. PART V, LINE 4: THE ORGANIZATION'S POLICY IS TO DISTRIBUTE ALL OR A PORTION OF THE ANNUAL NET INVESTMENT EARNINGS TO SUPPORT THE ORGANIZATION'S PROGRAMS WHILE MAINTAINING THE FAIR VALUE OF THE ORIGINAL ENDOWMENT GIFTS. DONOR RESTRICTED ENDOWMENT FUNDS ARE NOT AVAILABLE FOR GENERAL EXPENDITURES. NIGHTS EVENT 80088 49254 30834 1650 3500 15847 2600 9491 80088 49254 30834 1650 3500 15847 2600 9491 33088 -2254 1 EMERGENCY FINANCIAL ASSISTANCE 18 6678 HOUSING SERVICES 24 43275 MEDICAL TRANSPORTATION ASSISTANCE 72 11691 HEALTH INSURANCE PROGRAM 51 27346 MEAL ASSISTANCE 113 89100 SCHEDULE I, PART III: ALL OF THE RECORDS TO ESTABLISH ELIGIBILITY FOR THE GRANT OR ASSISTANCE ARE MAINTAINED IN THE CLIENT'S CASE MANAGEMENT CHART. CHART AUDITS ARE PERFORMED TO ENSURE THAT CLIENTS WHO ARE RECEIVING ASSISTANCE ARE ELIGIBLE TO RECEIVE ASSISTANCE. ALSO TWO OF THE GOVERNMENT AGENCIES THAT GIVE THE ORGANIZATION MONEY TO EXPEND FOR THE BENEFIT OF ITS CLIENTS MONITOR THE ORGANIZATION'S CHARTS AND PAPERWORK FOR COMPLIANCE WITH THE GRANT REQUIREMENTS. THE CASE MANAGER REQUESTING THE ASSISTANCE FILLS OUT A REQUEST FOR THE ASSISTANCE INDICATING WHY/HOW THE CLIENT MEETS ELIGIBILITY. THE SUPERVISOR APPROVES THE ASSISTANCE FOR PAYMENT AND THEN THE ACCOUNTING DEPARTMENT PROCESSES THE CHECK AND MONITORS THE OVERALL USAGE OF THE GRANT. X X X 0 0 0 0 0 0 0 0 0 MICHAELA VANDERSEE EXECUTIVE DIRECTOR 211595 0 28530 0 0 0 12839 0 43237 0 296201 0 0 0 TRACY RUCKER DIRECTOR OF FINANCE 123251 0 13800 0 0 0 7353 0 23004 0 167408 0 0 0 KATIE UNLAND HUMAN RESOURCES DIRECTOR 111460 0 12653 0 0 0 6465 0 26013 0 156591 0 0 0 X 50 COST X 67624 COST X 2 228 COST X OTHER 13 33128 COST X AUCTION ITEMS 190 26874 COST X EVENT PRIZES 38 3795 COST 0 0 1 0 PART I, COLUMN (B): NUMBER OF CONTRIBUTORS IS BASED ON THE NUMBER OF ITEMS CONTRIBUTED. FORM 990, PART VI, SECTION B, LINE 11B THE EXECUTIVE DIRECTOR AND FINANCE DIRECTOR REVIEW THE FORM 990. ONCE THEY HAVE REVIEWED THE RETURN, IT IS HANDED OUT TO THE BOARD OF DIRECTORS FOR THEIR REVIEW BEFORE BEING FILED. FORM 990, PART VI, SECTION B, LINE 12C THE MONTHLY BOARD MEETING AGENDA INCLUDES AN AGENDA ITEM THAT REQUIRES BOARD MEMBERS TO REVIEW THE APPROVED AGENDA AND DECLARE ANY CONFLICTS OF INTEREST FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE COMMITTEE DETERMINES AND APPROVES THE EXECUTIVE DIRECTOR'S WAGES BASED ON AN ANNUAL REVIEW, REVIEW OF FORM 990 COMPENSATION OF SIMILAR POSITIONS AND INFORMATION OBTAINED FROM INDEPENDENT SALARY SURVEYS. THE DIRECTOR OF FINANCE'S AND MEDICAL DIRECTOR'S WAGES ARE DETERMINED BASED ON A REVIEW OF FORM 990 COMPENSATION OF SIMILAR POSITONS, INFORMATION OBTAINED FROM INDEPENDENT SALARY SURVEYS AND THE COLA ADJUSTMENT. THE EXECUTIVE DIRECTOR AND HUMAN RESOURCE DIRECTOR DETERMINE THE DIRECTOR OF FINANCE'S AND MEDICAL DIRECTOR' S WAGES BASED ON THIS INFORMATION. BOARD APPROVES ALL WAGES THROUGH THE BUDGET PROCESS. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON WRTTTEN REQUEST.