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Nonprofiteer
← HOSPICE OF JACKSON

Form 990 for tax year 2023

Filed by HOSPICE OF JACKSON.

Totals

Total revenue
$9,410,034
Total expenses
$7,684,432
Contributions and grants received
$2,691,279
Grants paid
$0
Program service revenue
$6,715,806
Investment income
$1,819
Other revenue
$1,130
Total assets, end of year
$5,662,432
Total liabilities, end of year
$6,582,566
Net assets or fund balances, end of year
-$920,134
Program services expenses (Part IX)
$7,129,364
Management and general expenses
$555,068
Fundraising expenses
$0
Program service expenses (Part III)
$7,129,364

Program services were 92.8% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1f · All other contributions, gifts and grants

    $2,691,279

  • 2a · Program service revenue: PATIENT CARE

    total $6,715,806 · related or exempt $6,715,806

  • 3 · Investment income

    total $1,819 · excluded $1,819

  • 11d · All other revenue

    total $1,130 · related or exempt $1,130

  • 11e · Other revenue, total

    $1,130

Functional expenses

Part IX, the statement of functional expenses.

  • 7 · Other salaries and wages

    total $4,664,482 · program services $4,593,140 · management and general $71,342

  • 8 · Pension plan contributions

    total $171,958 · program services $169,438 · management and general $2,520

  • 9 · Other employee benefits

    total $650,061 · program services $637,027 · management and general $13,034

  • 10 · Payroll taxes

    total $341,312 · program services $336,514 · management and general $4,798

  • 11g · Fees: other

    total $727,702 · program services $675,143 · management and general $52,559

  • 13 · Office expenses

    total $229,046 · program services $144,267 · management and general $84,779

  • 14 · Information technology

    total $12,774 · program services $12,426 · management and general $348

  • 16 · Occupancy

    total $99,331 · program services $1,742 · management and general $97,589

  • 17 · Travel

    total $97,062 · program services $97,062

  • 19 · Conferences, conventions and meetings

    total $3,776 · program services $3,776

  • 22 · Depreciation, depletion and amortization

    total $111,275 · program services $25,928 · management and general $85,347

  • 23 · Insurance

    total $1,593 · program services $1,593

  • 24a · Other expenses: PHARMACEUTICAL SUPPLIES

    total $256,397 · program services $256,388 · management and general $9

  • 24b · Other expenses: REPAIR AND MAINTENANCE

    total $106,938 · program services $106,938

  • 24c · Other expenses: MEDICAL SUPPLIES

    total $103,430 · program services $50,703 · management and general $52,727

  • 24d · Other expenses: IPS RENT

    total $85,533 · management and general $85,533

  • 24e · All other expenses

    total $21,762 · program services $17,279 · management and general $4,483

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year -$138,064 · end of year -$135,997

  • 2 · Savings and temporary cash investments

    beginning of year $138,103 · end of year $2,716,164

  • 4 · Accounts receivable

    beginning of year $852,287 · end of year $576,435

  • 9 · Prepaid expenses and deferred charges

    beginning of year $11,133 · end of year $7,422

  • 10a · Land, buildings and equipment: cost or other basis

    $3,060,804

  • 10b · Land, buildings and equipment: accumulated depreciation

    $562,396

  • 10c · Land, buildings and equipment, net

    beginning of year $2,609,682 · end of year $2,498,408

  • 17 · Accounts payable and accrued expenses

    beginning of year $6,073,351 · end of year $6,556,015

  • 25 · Other liabilities

    beginning of year $45,526 · end of year $26,551

  • 27 · Net assets without donor restrictions

    beginning of year -$2,783,839 · end of year -$3,636,298

  • 28 · Net assets with donor restrictions

    beginning of year $138,103 · end of year $2,716,164

Mission and programs · 2023

Mission

HENRY FORD ALLEGIANCE HOSPICE PROVIDES QUALITY HEALTH CARE TO THE TERMINALLY ILL AND SUPPORT TO THEIR FAMILIES. THE ORGANIZATION PROVIDES MEMBERS OF THE GENERAL PUBLIC A COMPREHENSIVE HEALTHCARE PROGRAM TO MEET THE PHYSICAL, EMOTIONAL, SPIRITUAL AND SOCIAL NEEDS OF TERMINALLY ILL INDIVIDUALS AND MEMBERS OF THEIR FAMILIES, GENERALLY DESCRIBED AS HOSPICE SERVICES.

Activities or mission (Part I)

HOSPICE OF JACKSON PROVIDES QUALITY CARE TO THE TERMINALLY ILL AND SUPPORT TO THEIR FAMILIES.

  • HENRY FORD ALLEGIANCE HOSPICE PROVIDES IN-HOME HOSPICE SERVICES AND OPERATES A 20-BED HOSPICE HOME TO SERVE THE NEEDS OF TERMINALLY ILL PATIENTS AND THEIR FAMILIES. DURING FISCAL YEAR 2023, HENRY FORD ALLEGIANCE HOSPICE PROVIDED CARE FOR 692 PATIENTS, IN FACILITY AND IN HOME. ADDITIONALLY, THE ORGANIZATION PROVIDES GRIEF SUPPORT SERVICES TO THESE PATIENTS' FAMILIES, AS WELL AS EDUCATIONAL SEMINARS ON ELDER CARE IN THE JACKSON COMMUNITY.

    Expenses $7,129,364 · Revenue $6,716,936

As filed on the 2023 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • SUSAN DECKER

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • AL KAUFFMAN

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • JON LAKE MD

    DIRECTOR

    Total calculated
    $11,230
    From this org
    $0
    From related orgs
    $11,230
    Other
    $0
    Hours/week
    1

  • EMILY S MOORHEAD

    DIRECTOR-PRESIDENT

    Total calculated
    $584,831
    From this org
    $0
    From related orgs
    $532,832
    Other
    $51,999
    Hours/week
    2 + 63 related

    Schedule J breakdown matched by us

    Base
    $0 + $413,129 related
    Bonus
    $0 + $115,907 related
    Other
    $0 + $3,796 related
    Deferred
    $0 + $50,604 related
    Nontaxable benefits
    $0 + $1,395 related
    Filer's total
    $0 + $584,831 related

  • SHELIA PATTERSON

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • SANDRA PLACE

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • KRISTIN PLUTA

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • CATHY REYNOLDS

    DIRECTOR- SEC/TREAS

    Total calculated
    $0
    Hours/week
    2

  • CHRISTINA M SIDERS

    DIRECTOR-CHAIRMAN

    Total calculated
    $0
    Hours/week
    2 + 2 related

  • ANDREW M DUDA MD

    PHYSICIAN

    Total calculated
    $354,536
    From this org
    $312,264
    From related orgs
    $5,805
    Other
    $36,467
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $227,303
    Bonus
    $65,560
    Other
    $19,401 + $5,805 related
    Deferred
    $4,822
    Nontaxable benefits
    $31,645
    Filer's total
    $348,731 + $5,805 related

  • MELISA A OBERST

    REGISTERED NURSE

    Total calculated
    $150,789
    From this org
    $119,525
    From related orgs
    $0
    Other
    $31,264
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $78,078
    Bonus
    $0
    Other
    $41,447
    Deferred
    $1,980
    Nontaxable benefits
    $29,284
    Filer's total
    $150,789

  • JERRY ALLEN MAINS

    REGISTERED NURSE

    Total calculated
    $124,152
    From this org
    $0
    From related orgs
    $113,469
    Other
    $10,683
    Hours/week
    50

  • MELISSA DOSER

    NURSE PRACTITIONER

    Total calculated
    $144,470
    From this org
    $0
    From related orgs
    $111,214
    Other
    $33,256
    Hours/week
    50

  • SHARON L DOWNS

    REGISTERED NURSE

    Total calculated
    $139,963
    From this org
    $0
    From related orgs
    $110,780
    Other
    $29,183
    Hours/week
    50

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 4B
CERTAIN MEMBERS OF THE ORGANIZATION'S SENIOR LEADERSHIP TEAM PARTICIPATE IN SUPPLEMENTAL RETIREMENT PROGRAMS THAT RESULT IN REPORTABLE TAXABLE INCOME AS THE BENEFITS ACCRUE, AND OR AS PAID. IT IS AN ELEMENT OF SOME PLAN DESIGNS TO ABSORB THE ADVANCE TAX IMPACT OF THESE PLANS FOR THE PARTICIPANTS. IN SUCH CASES THE RELATED AMOUNTS ARE REPORTED AS TAXABLE INCOME TO THE INDIVIDUAL AND INCLUDED IN THE DETERMINATION OF REASONABLE COMPENSATION. THE FOLLOWING PROVIDES THE REQUIRED LISTING OF THE PARTICIPATING INDIVIDUALS: CONTRIBUTIONS TO SEC 457(B)-NON-QUALIFIED DEFERRED COMPENSATION RETIREMENT PLAN - W.A. FOOTE MEMORIAL HOSPITAL EMPLOYEE EMPLOYER MEDICARE REPORTABLE 2023 CONTR. 2023 CONTR. TAX GROSS-UP W-2 AMOUNTS EMILY MOORHEAD 900 - - 900 CONTRIBUTIONS TO SEC 457(B)-NON-QUALIFIED DEFERRED COMPENSATION RETIREMENT PLAN - HENRY FORD HEALTH SYSTEM EMPLOYEE EMPLOYER MEDICARE REPORTABLE 2023 CONTR. 2023 CONTR. TAX GROSS-UP W-2 AMOUNTS EMILY MOORHEAD 2,896 - - 2,896 SEC 457(F) - SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) -W.A. FOOTE MEMORIAL HOSPITAL PARTICIPANT ACCRUAL DISTRIBUTION NON-VESTED REPORTABLE W-2 EMILY MOORHEAD - - 45,654 -

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

Provenance

Return type
form_990
Tax year
2023
Filed
12 November 2024
IRS schema version
2023v5.1
Source object
202443179349305259

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