Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
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Total |
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Calendar year
(or fiscal year beginning in)
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(a) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | 6,505,680 | 8,275,183 | 8,748,555 | 9,524,406 | 10,841,865 | 43,895,689 |
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | 6,505,680 | 8,275,183 | 8,748,555 | 9,524,406 | 10,841,865 | 43,895,689 |
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) .. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | 43,895,689 | |||||
Calendar year
(or fiscal year beginning in)
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(a) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 6,505,680 | 8,275,183 | 8,748,555 | 9,524,406 | 10,841,865 | 43,895,689 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 975 | 727 | 415 | 620 | 407 | 3,144 |
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10 | 43,898,833 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | ||||||
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose | ||||||
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513 ..... | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge | ||||||
| 6 | Total. Add lines 1 through 5 | ||||||
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | ||||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | ||||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public support. (Subtract line 7c from line 6.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | ||||||
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | ||||||
| 11 | Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
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| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by 0.035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | 1 | |
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
2 | |
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | 3 | |
| 4 Amounts paid to acquire exempt-use assets | 4 | |
| 5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) | 5 | |
| 6 Other distributions (describe in Part VI). See instructions | 6 | |
| 7Total annual distributions. Add lines 1 through 6. | 7 | |
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
8 | |
| 9 Distributable amount for 2022 from Section C, line 6 | 9 | |
| 10 Line 8 amount divided by Line 9 amount | 10 | |
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2022 |
(iii) Distributable Amount for 2022 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2022 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2022 (reasonable cause required-- explain in Part VI).
See instructions. |
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| 3 Excess distributions carryover, if any, to 2022: | ||||
| a From 2017....... | ||||
| b From 2018....... | ||||
| c From 2019....... | ||||
| d From 2020....... | ||||
| e From 2021....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2022 distributable amount | ||||
|
i
Carryover from 2017 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2022 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2022 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2022, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
6
Remaining underdistributions for 2022. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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7 Excess distributions carryover to 2023. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2018..... | ||||
| b Excess from 2019..... | ||||
| c Excess from 2020..... | ||||
| d Excess from 2021..... | ||||
| e Excess from 2022..... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
|---|---|
| SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: | MISCELLANEOUS - |
| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990, PART III, LINE 4A, CONT: | REVENUE FOR SERVICES: $1,729,811 IN FEDERAL, STATE, LOCAL MATCH AND PROJECT INCOME INFORMATION & ASSISTANCE: PERSONS SERVED: 15,023 CONTACTS: 55,764 OPTIONS COUNSELING UNDER AND OVER AGE 60: PERSONS SERVED: 4,070 CONTACTS: 15,121 OUTREACH: IN-HOME SERVICES INCLUDING: HOME DELIVERED MEALS, TELEPHONE REASSURANCE AND FRIENDLY VISITING. REVENUE FOR IN-HOME SERVICES: $7,050,357 IN FEDERAL, NSIP, STATE, LOCAL MATCH AND PROJECT INCOME. HOME DELIVERED MEALS: PERSONS SERVED: 4,513 MEALS: 689,144 TELEPHONE REASSURANCE: PERSONS SERVED: 281 UNITS: 2,672 FRIENDLY VISITING: PERSONS SERVED: 39 UNITS: 136 COMMUNITY SERVICES INCLUDING: CONGREGATE MEALS, LEGAL ASSISTANCE, GAP (REDUCING SOCIAL ISOLATION) AND FLEXIBLE COMMUNITY "GAP" SERVICES. REVENUE FOR COMMUNITY SERVICES: $2,768,262 IN FEDERAL, NSIP, STATE, LOCAL MATCH AND PROJECT INCOME CONGREGATE MEALS: PERSONS SERVED: 4,373 MEALS: 175,531 LEGAL ASSISTANCE: PERSONS SERVED: 443 HOUR OF STAFF TIME: 2,325 FLEXIBLE COMMUNITY "GAP" SERVICES: PERSONS SERVED: 206 UNITS: 240 GAP (REDUCING SOCIAL ISOLATION): PERSONS SERVED: 210 UNITS: 337 HEALTHY AGING PROGRAMS INCLUDING: CHRONIC DISEASE SELF-MANAGEMENT PROGRAM, DIABETES SELF-MANAGEMENT PROGRAM, GERONTOLOGICAL COUNSELING WITH PEARLS, STRONG FOR LIFE, AND A MATTER OF BALANCE. REVENUE FOR SERVICES: $100,662 IN FEDERAL, STATE AND LOCAL MATCH HEALTH: PROMOTION (MATTER OF BALANCE, STRONG FOR LIFE, DIABETES SELF-MANAGEMENT & CHRONIC DISEASE SELF-MANAGEMENT PROGRAMS): PERSONS SERVED: 341 CLASSES: 2,261 GERONTOLOGICAL COUNSELING WITH PEARLS: PERSONS SERVED: 35 CLASSES: 151 CAREGIVER SUPPORT PROGRAMS INCLUDING: CAREGIVER ADVISORY SERVICES AND RESPITE SERVICES FOR CAREGIVERS AND GRANDPARENTS RAISING GRANDCHILDREN AND STRESS BUSTING - EVIDENCE BASED SERVICE AND GAP & ADRD SUPPORTIVE GAP SERVICES. REVENUE FOR SERVICES: OVER $898,837 IN FEDERAL, STATE, LOCAL MATCH AND PROJECT INCOME CAREGIVER ADVISORY COUNSELING: PERSONS SERVED: 1,366 SESSIONS: 10,672 RESPITE: PERSONS SERVED: 23 HOUR OF STAFF TIME: 183 GAP FILLING: PERSONS SERVED: 132 UNITS: 249 ADRC SUPPORTIVE GAP FILLING: PERSONS SERVED: 71 UNITS: 143 ELDER RIGHTS PROGRAMS INCLUDING THE ADULT PROTECTIVE SERVICES PROGRAM, THE OMBUDSMAN PROGRAM, AND THE SENIOR MEDICARE PATROL. DIRECT PAYMENTS OF STATE FUNDS COME FROM THE ILLINOIS DEPARTMENT ON AGING TO ELDER ABUSE & NEGLECT SERVICE PROVIDERS IN EAST CENTRAL ILLINOIS. THE FUNCTION OF ECIAAA IS ADMINISTRATIVE IN NATURE. LONG TERM CARE OMBUDSMAN PROGRAM REVENUE FOR SERVICES: $268,227 IN FEDERAL AND STATE FUNDING. LONG TERM CARE OMBUDSMAN CONDUCTS FACILITY VISITS, CONSULTATION, RESPONSE TO INQUIRIES, CASE INVESTIGATIONS, COMPLAINTS AND PRESENTATIONS, IN GENERAL IN THE SIXTEEN-COUNTY AREA OF EAST CENTRAL ILLINOIS. YEAREND REPORTING INCLUDE: FACILITY VISITS: 1,507 INFORMATION & ASSISTANCE TO INDIVIDUALS AND FACILITY STAFF: 4428 UNITS RESIDENT COUNCIL MEETINGS: 96 NEW CASES: 470 CLOSED CASES: 470. ECIAAA SERVES OLDER AMERICANS AND THEIR CAREGIVERS THROUGH... ADVOCACY IN ACTION - ECIAAA INFORMS SENIORS AND CAREGIVERS ABOUT PROPOSED LEGISLATION AND PUBLIC POLICIES, TAKES POSITIONS ON THE ISSUES, AND PRESENTS OUR POSITIONS TO ELECTED OFFICIALS AT THE LOCAL, STATE AND FEDERAL LEVELS. PLANNING, PROGRAM DEVELOPMENT AND COORDINATION - ECIAAA ASSESSES THE NEEDS OF SENIORS AND CAREGIVERS, IDENTIFIES ISSUES FOR LONG RANGE PLANNING, SETS PRIORITIES FOR FUNDING, COORDINATES SERVICES, DEVELOPS NEW OR EXPANDED SERVICES, AND FORMS PARTNERSHIPS WITH OTHER ORGANIZATIONS, FOR EXAMPLE, COLLABORATION WITH CENTERS FOR INDEPENDENT LIVING TO DEVELOP AN AGING AND DISABILITY RESOURCE CENTER NETWORK IN AREA 05. SUPPORTING COMMUNITY PROGRAMS ON AGING - ECIAAA AWARDS FEDERAL AND STATE GRANT ASSISTANCE TO LOCAL AGENCIES FOR THE PROVISION OF SERVICES TO SENIORS AND CAREGIVERS. SERVICES ARE AVAILABLE TO PERSONS 60 AND OLDER, CAREGIVERS OF PERSONS 60 AND OLDER, AND GRANDPARENTS AND OTHER RELATIVES RAISING CHILDREN 18 AND YOUNGER. OLDER PERSONS AND THEIR FAMILIES SHOW THEIR SUPPORT BY DONATING THEIR TIME, TALENTS AND VOLUNTARY CONTRIBUTIONS. OLDER AMERICANS ACT SERVICES ARE TARGETED TO OLDER ADULTS IN GREATEST SOCIAL AND ECONOMIC NEED, ESPECIALLY LOW-INCOME MINORITY OLDER PERSONS AND PERSONS WITH LIMITED ENGLISH PROFICIENCY, AND OLDER ADULTS IN RURAL AREAS. PROVIDING EASY ACCESS TO INFORMATION, ASSISTANCE, SERVICES AND SUPPORTS - ECIAAA SUPPORTS A NETWORK OF 11 COORDINATED POINTS OF ENTRY WHO WORK COLLABORATIVELY WITH 7 CARE COORDINATION UNITS, 9 FAMILY CAREGIVER RESOURCE CENTERS, 4 CENTERS FOR INDEPENDENT LIVING, ILLINOIS DEPARTMENT OF HUMAN SERVICES FAMILY AND COMMUNITY RESOURCE CENTERS, THE ILLINOIS DEPARTMENT OF REHABILITATION SERVICES, BEHAVIORAL HEALTHCARE AGENCIES, AND OTHER COMMUNITY ORGANIZATIONS. THIS COLLABORATION IS KNOWN AS THE AGING & DISABILITY RESOURCE NETWORK. OUR PARTNERS TAKE A "NO-WRONG-DOOR" APPROACH TO INFORM ADULTS, PERSONS WITH DISABILITIES, AND THEIR FAMILIES ABOUT THEIR OPTIONS, MAKE INFORMED CHOICES, AND HELP THEM APPLY FOR BENEFITS AND SERVICES. YOU CAN FIND A LIST OF AGING & DISABILITY RESOURCE NETWORK PARTNERS NEAREST YOU BY CALLING TOLL-FREE AT 1-800-888-4456; YOU CAN VISIT OUR WEBSITE AT WWW.ECIAAA.ORG; OR YOU CAN SEND AN INQUIRY BY E-MAIL TO: AGINGINFO@ECIAAA.ORG. DEVELOPING COMMUNITY-BASED LONG-TERM SERVICES AND SUPPORTS - ECIAAA WORKS WITH COORDINATED POINTS OF ENTRY, COMPREHENSIVE CARE COORDINATION UNITS, CENTERS FOR INDEPENDENT LIVING, HOSPITALS, AND SERVICE PROVIDERS IN THE AGING NETWORK TO HELP OLDER ADULTS MAKE SUCCESSFUL TRANSITIONS FROM HOME, TO HOSPITAL, TO REHABILITATION FACILITIES, AND HOME AGAIN. WE ARE ALSO COLLABORATING WITH THE VA ILLIANA HEALTHCARE SYSTEM AND COMPREHENSIVE CARE COORDINATION UNITS ON THE VETERANS-DIRECTED HOME AND COMMUNITY BASED SERVICES PROGRAM TO PROVIDE CONSUMER-DIRECTED SERVICES TO ENABLE DISABLED VETERANS TO LIVE INDEPENDENTLY AT HOME. ADVOCACY FOR RESIDENTS IN LONG TERM CARE FACILITIES - ECIAAA SPONSORS A REGIONAL OMBUDSMAN PROGRAM THROUGH A GRANT WITH THE ILLINOIS DEPARTMENT ON AGING AND THE OFFICE OF THE STATE OMBUDSMAN. THE OMBUDSMAN PROGRAM INVESTIGATES COMPLAINTS MADE BY OR ON BEHALF OF RESIDENTS OF LICENSED LONG TERM CARE FACILITIES, ASSISTED LIVING FACILITIES AND SUPPORTIVE LIVING FACILITIES. THE OMBUDSMEN VISIT RESIDENTS, INFORM RESIDENTS ABOUT THEIR RIGHTS, REFER RESIDENTS TO TRANSITION COORDINATORS TO FACILITATE THE TRANSITION TO COMMUNITY-BASED LIVING ARRANGEMENTS, AND ON BEHALF OF CLIENTS RECEIVING HOMECARE AND PERSONS ENROLLED IN MANAGED CARE PROGRAMS. STAFF ADVOCATE ON BEHALF OF 10,000 RESIDENTS IN 156 FACILITIES IN EAST CENTRAL ILLINOIS. RESPONDING TO ABUSE, NEGLECT AND EXPLOITATION - ECIAAA IS THE REGIONAL ADMINISTERING AGENCY FOR THE ILLINOIS ADULT PROTECTIVE SERVICES PROGRAM IN AREA 05 UNDER A GRANT WITH THE ILLINOIS DEPARTMENT ON AGING. ECIAAA MANAGES CONTRACTS WITH 4 ADULT PROTECTIVE SERVICE AGENCIES WHO INVESTIGATE REPORTS OF ALLEGED ABUSE, NEGLECT, EXPLOITATION, AND SELF-NEGLECT OF PERSONS WITH DISABILITIES AGES 18-59 AND OLDER PERSONS 60 YEARS OF AGE AND OLDER, AND PROVIDE ASSISTANCE TO VULNERABLE ADULTS. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS PRESENTED AT JOINT COMMITTEES PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | ANY PERSON DIRECTING, EMPLOYED BY, PARTICIPATING IN, OR WITH RESPONSIBILITIES FOR THE SELECTION OR DESIGNATION OF THE LTC OMBUDSMAN PROGRAM SHALL COMPLETE THE ECIAAA CONFLICT OF INTEREST FORM. THE COMPLETED CONFLICT OF INTEREST FORMS MUST BE FILED IN EACH STAFF MEMBER'S PERSONNEL FILE. IF A CONFLICT ARISES, THE RELATIONSHIP MUST BE DISCLOSED TO THE EXECUTIVE DIRECTOR WITHIN 5 DAYS. FAILURE TO DISCLOSE SHALL BE GROUNDS FOR TERMINATION OF EMPLOYMENT OR POSITION OF RESPONSIBILITY. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE BOARD OF DIRECTORS DETERMINES ALL COMPENSATION. |
| FORM 990, PART VI, SECTION C, LINE 18 | THE ORGANIZATION MAKES ITS APPLICATION FOR EXEMPTION AVAILABLE UPON REQUEST. |
| 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 REQUEST. ANY PUBLIC REQUESTS WILL BE IN ACCORDANCE WITH APPLICABLE LAWS AND REGULATIONS. |
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| Software Version: |