THE CONNECTICUT HOSPICE INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
THE CONNECTICUT HOSPICE INC (EIN 06-0878822)
Tax period
2017-10-01 to 2018-09-30
Filed
2020-02-14
IRS object ID
202020459349301972
Schema version
2017v2.3
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2020-02-14T15:23:25-06:00ReturnTs
Tax Period End2018-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN111986323PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MARCUM LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line153 STATE STREETAddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02109ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN060878822EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE CONNECTICUT HOSPICE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCONNBusinessNameControlTxt
Phone2033157500PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 DOUBLE BEACH ROADAddressLine1Txt
CityBRANFORDCityNm
State AbbreviationCTStateAbbreviationCd
ZIP064054003ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJOSEPH MOONEYPersonNm
Person TitleINTERIM COO/ CFOPersonTitleTxt
Phone2033157500PhoneNum
Signature2020-02-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMARY-EVELYN ANTONETTIPreparerPersonNm
PTINP00431862PTIN
Phone6178075000PhoneNum
Preparation2020-02-14PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address47.19.127.190IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-02-14IPDt
IP Tm13:28:28IPTm
IP TimezoneESIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDD44AF68ECC090A8110D92EA04805F7936D9C986AtSubmissionCreationDeviceId
At Submission Filing Device Id889577CE2CE61D58D2CD54C99878AB3D64A7266DAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2020-09-23 17:36:50ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJOE MOONEYPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 DOUBLE BEACH ROADAddressLine1Txt
CityBRANFORDCityNm
State AbbreviationCTStateAbbreviationCd
ZIP064054003ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$25,079,590GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressN/AWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1971FormationYr
Legal Domicile StateCTLegalDomicileStateCd
Activity Or MissionPROVIDE ADULT PALLIATIVE AND HOSPICE CARE TO PATIENTS AND THEIR FAMILIES.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee348TotalEmployeeCnt
Total Volunteers400TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$891,032CYContributionsGrantsAmt
PY Program Service Revenue$26,547,868PYProgramServiceRevenueAmt
CY Program Service Revenue$24,113,991CYProgramServiceRevenueAmt
PY Investment Income$74,671PYInvestmentIncomeAmt
CY Investment Income$24,399CYInvestmentIncomeAmt
PY Other Revenue$293,933PYOtherRevenueAmt
CY Other Revenue$24,564CYOtherRevenueAmt
PY Total Revenue$26,916,472PYTotalRevenueAmt
CY Total Revenue$25,053,986CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$16,393,958PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$19,203,064CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$191,747CYTotalFundraisingExpenseAmt
PY Other Expenses$12,473,134PYOtherExpensesAmt
CY Other Expenses$9,988,461CYOtherExpensesAmt
PY Total Expenses$28,867,092PYTotalExpensesAmt
CY Total Expenses$29,191,525CYTotalExpensesAmt
PY Revenues Less Expenses-$1,950,620PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$4,137,539CYRevenuesLessExpensesAmt
Total Assets BOY$21,342,839TotalAssetsBOYAmt
Total Assets EOY$15,910,053TotalAssetsEOYAmt
Total Liabilities BOY$12,531,162TotalLiabilitiesBOYAmt
Total Liabilities EOY$10,872,496TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$8,811,677NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$5,037,557NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionIN 1974 THE CONNECTICUT HOSPICE INC., A 501(C)(3) NOT FOR PROFIT, FOUNDED AMERICA'S HOSPICE MOVEMENT, ALMOST 50 YEARS LATER, WE CONTINUE TO SET THE NATIONAL STANDARD FOR HOME AND INPATIENT HOSPICE CARE AND HAVE BECOME A LEADER IN PALLIATIVE CARE. (SEE SCHEDULE O)MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$12,709,480ExpenseAmt
Revenue$13,837,000RevenueAmt
DescHOME CARE: SINCE 1974, CONNECTICUT HOSPICE HOME CARE NURSES HAVE PROVIDED SERVICES TO OVER 70 CITIES AND TOWNS IN CONNECTICUT. ON AN AVERAGE DAY, OVER 200 PATIENTS RECEIVE A MIX OF NURSING, SOCIAL WORK, MEDICAL, AND PASTORAL CARE AT HOME. OUR HOME CARE PROGRAM IS DIVIDED INTO STAND BY ME, A NON-HOSPICE PROGRAM FOR PEOPLE IN NEED OF SKILLED NURSING SERVICES WHO ARE STILL SEEKING CONVENTIONAL MEDICAL CARE SUCH AS CHEMO- AND/OR IMMUNOTHERAPY, AND HOSPICE HOME CARE, FOR THOSE ELECTING TO STOP CONVENTIONAL CARE AND SEEK COMFORT ORIENTED MEASURES ONLY.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$11,735,010ExpenseAmt
Revenue$10,276,991RevenueAmt
DescINPATIENT: PATIENTS WHO ARE CRITICALLY ILL AND WHOSE CONDITIONS ARE RAPIDLY CHANGING REQUIRE CONSTANT ATTENTION AND ASSESSMENT. AT CONNECTICUT HOSPICE, A PATIENT'S CARE PLAN IS INDIVIDUALLY DESIGNED AND BASED ON CLINICAL ASSESSMENT AND CAREFUL DOCUMENTATION OF SYMPTOMS. OUR COMPREHENSIVE APPROACH ENABLES PATIENTS AND FAMILIES TO ATTAIN OPTIMUM QUALITY OF LIFE WITH FREQUENT PHYSICIAN AND CLINICAL PHARMACY ROUNDS EACH DAY ALONG WITH SUPERB NURSING CARE.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$24,444,490TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document17IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee348EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JOSEPH W MOONEYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2033157678PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 DOUBLE BEACH RDAddressLine1Txt
CityBRANFORDCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06405ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
WEN-JEN HWU
DIRECTOR0.750.25Yes (X)$0$0$0
FREDERICK MANCHSKI
DIRECTOR0.100.10Yes (X)$0$0$0
ANTHONY DAROS
CHAIRMAN0.500.50Yes (X)$0$0$0Yes (X)
EUGENE MICHAEL
TREASURER0.750.25Yes (X)$0$0$0Yes (X)
ARLENE SAYERS
DIRECTOR0.750.25Yes (X)$0$0$0
JOHN STACK
DIRECTOR0.750.25Yes (X)$0$0$0
CAPTAIN WILLIAMS
DIRECTOR0.750.25Yes (X)$0$0$0
MICHAEL MASSARO
VICE-PRESIDENT0.750.25Yes (X)$0$0$0Yes (X)
NATALIE O'NEILL
DIRECTOR0.100.10Yes (X)$0$0$0
GEORGE WALDRON
SECRETARY0.750.25Yes (X)$0$0$0Yes (X)
THEODORE ZANKER MD
DIRECTOR0.750.25Yes (X)$0$0$0
ROSEMARY JOHNSON-HURZELER
PRESIDENT & CEO40.005.00Yes (X)$206,298$0$36,374Yes (X)
ROBERT GILL
DIRECTOR0.750.25Yes (X)$0$0$0
THOMAS P MCGOVERN
CFO40.005.00$136,498$0$24,412Yes (X)
RONNY J KNIGHT
SENIOR VP - REIMB/PLANNING40.002.00$176,689$0$23,888Yes (X)
JOSEPH P SACCO
MEDICAL DIRECTOR40.000.00$321,032$0$55,086Yes (X)
JAMES A PROTA
DIRECTOR OF PHARMACY40.000.00$105,365$0$40,531Yes (X)
ANNE NUGENT
DIRECTOR OF NURSING40.000.00$131,060$0$8,278Yes (X)
SUSAN FLANNIGAN
VP HOME CARE40.000.00$145,789$0$25,399Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,222,731TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$213,968TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K25IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
A & B HOMEHEALTH SOLUTIONS LLC
446A BLAKE ST 3RD FLOORNEW HAVENCT06515HOME HEALTH AIDES$719,452
AAA NURSING CARE LLC
3303 MAIN STSTRATFORDCT06614HOME HEALTH AIDES & NURSES$565,220
APPLE REHABLAUREL WOODS
451 NORTH HIGH STEAST HAVENCT06512SNF$325,821
HAMDEN HEALTH CARE (SNF)
1270 SHERMAN LANEHAMDENCT06514SNF$261,355
BRANFORD HILLS HEALTH (SNF)
189 ALPS RDBRANFORDCT06405SNF$201,649
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K16CntrctRcvdGreaterThan100KCnt
All Other Contributions$891,032AllOtherContributionsAmt
Total Contributions$891,032TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENUE623000$24,103,131$24,103,131
FOOD SERVICE REVENUE900099$10,860$10,860
FieldValueIRS element (for citing)
Total Program Service Revenue$24,113,991TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$32,003TotalRevenueColumnAmt
Exclusion$32,003ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$18,000OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$25,604OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$7,604OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$7,604TotalRevenueColumnAmt
Exclusion-$7,604ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$24,564FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$24,564TotalRevenueColumnAmt
Exclusion$24,564ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$25,053,986TotalRevenueColumnAmt
Related Or Exempt Func Income$24,113,991RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$48,963ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$595,867TotalAmt
Program Services$238,347ProgramServicesAmt
Management And General$357,520ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$15,532,282TotalAmt
Program Services$13,362,878ProgramServicesAmt
Management And General$2,072,020ManagementAndGeneralAmt
Fundraising$97,384FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$206,792TotalAmt
Program Services$177,910ProgramServicesAmt
Management And General$27,586ManagementAndGeneralAmt
Fundraising$1,296FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,709,561TotalAmt
Program Services$1,470,785ProgramServicesAmt
Management And General$228,057ManagementAndGeneralAmt
Fundraising$10,719FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,158,562TotalAmt
Program Services$996,745ProgramServicesAmt
Management And General$154,553ManagementAndGeneralAmt
Fundraising$7,264FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$93,382TotalAmt
Management And General$93,382ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$90,603TotalAmt
Management And General$90,603ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,088,524TotalAmt
Program Services$779,326ProgramServicesAmt
Management And General$292,548ManagementAndGeneralAmt
Fundraising$16,650FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$471,282TotalAmt
Program Services$230,680ProgramServicesAmt
Management And General$190,446ManagementAndGeneralAmt
Fundraising$50,156FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$617,668TotalAmt
Program Services$306,830ProgramServicesAmt
Management And General$310,838ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$241,231TotalAmt
Program Services$235,402ProgramServicesAmt
Management And General$5,829ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$2,738TotalAmt
Program Services$115ProgramServicesAmt
Management And General$2,623ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$45,324TotalAmt
Management And General$45,324ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$146,894TotalAmt
Program Services$102,826ProgramServicesAmt
Management And General$44,068ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$853,000TotalAmt
Program Services$597,100ProgramServicesAmt
Management And General$255,900ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
HOSPITALIZATION$4,286,603$4,286,603
BAD DEBT EXPENSE$680,026$680,026$0
RENTALS AND LEASING$495,895$396,018$99,623$254
HOUSEKEEPING & LAUNDRY$421,149$229,810$191,339

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$454,142TotalAmt
Program Services$353,089ProgramServicesAmt
Management And General$93,029ManagementAndGeneralAmt
Fundraising$8,024FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$29,191,525TotalAmt
Program Services$24,444,490ProgramServicesAmt
Management And General$4,555,288ManagementAndGeneralAmt
Fundraising$191,747FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,668,463BOYAmt
EOY$195,949EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$98,564BOYAmt
EOY$106,956EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,687,598BOYAmt
EOY$640,627EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
EOY$217,362EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$214,591BOYAmt
EOY$135,015EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$4,112,320LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,853,938LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,059,130BOYAmt
EOY$1,258,382EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
EOY$543,453EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$15,614,493BOYAmt
EOY$12,812,309EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$21,342,839BOYAmt
EOY$15,910,053EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$7,298,049BOYAmt
EOY$7,613,259EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$2,394,552BOYAmt
EOY$788,504EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$2,242,658BOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$595,903BOYAmt
EOY$2,470,733EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$12,531,162BOYAmt
EOY$10,872,496EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$6,465,453BOYAmt
EOY$2,453,491EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$977,832BOYAmt
EOY$1,215,674EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,368,392BOYAmt
EOY$1,368,392EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$8,811,677BOYAmt
EOY$5,037,557EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$21,342,839BOYAmt
EOY$15,910,053EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$4,137,539ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$20,247NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments$383,666PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,489,511CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,475,196CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,907,017CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$891,032CurrentTaxYearAmt
Total$8,762,756TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,489,511CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,475,196CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,907,017CurrentTaxYearMinus2YearsAmt
Current Tax Year$891,032CurrentTaxYearAmt
Total$8,762,756TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$8,762,756PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$86,543CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$187,750CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$172,773CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$74,671CurrentTaxYearMinus1YearAmt
Current Tax Year$32,003CurrentTaxYearAmt
Total$553,740TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$76,807CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$68,979CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$75,595CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$293,933CurrentTaxYearMinus1YearAmt
Total$515,314TotalAmt
FieldValueIRS element (for citing)
Total Support$9,831,810TotalSupportAmt
Gross Receipts Rltd Activities$132,969,800GrossReceiptsRltdActivitiesAmt
Public Support CY1700.89130PublicSupportCY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,368,392BeginningYearBalanceAmt
End Year Balance$1,368,392EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,368,392BeginningYearBalanceAmt
End Year Balance$1,368,392EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,368,392BeginningYearBalanceAmt
End Year Balance$1,368,392EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,368,392BeginningYearBalanceAmt
End Year Balance$1,368,392EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,368,392BeginningYearBalanceAmt
End Year Balance$1,368,392EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,863,401OtherCostOrOtherBasisAmt
Depreciation$2,271,443DepreciationAmt
Book Value$591,958BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,248,919OtherCostOrOtherBasisAmt
Depreciation$582,495DepreciationAmt
Book Value$666,424BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,258,382TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
DUE FROM JOHN D THOMPSON HOSPICE INSTITUTE FOR EDUCATION RESEARCH & TRAINING$12,786,310
DEPOSITS$25,999
FieldValueIRS element (for citing)
Total Book Value Other Assets$12,812,309TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
CAPITAL LEASE OBLIGATION$110,575
DUE TO THIRD PARTIES$2,360,158
FieldValueIRS element (for citing)
Total Liability$2,470,733TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:HOSPICE'S ENDOWMENT CONSISTS OF DONOR-RESTRICTED ENDOWMENT FUNDS. INCOME FROM THE PERMANENT FUNDS IS AVAILABLE TO SUPPORT HEALTH CARE SERVICES.
PART X, LINE 2:BELOW IS AN EXCERPT FROM FOOTNOTE 2 OF THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS FOR THE CONNECTICUT HOSPICE, INC., AND THE CONNECTICUT HOSPICE INSTITUTE (A/K/A THE JOHN D. THOMPSON HOSPICE INSTITUTE FOR EDUCATION, TRAINING, AND RESEARCH, INC.) HOSPICE AND INSTITUTE ARE NOT-FOR-PROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE CODE) AND ARE EXEMPT FROM FEDERAL INCOME TAXES PURSUANT TO SECTION 501(A) OF THE CODE. THE ORGANIZATION ACCOUNTS FOR UNCERTAINTY IN INCOME TAX POSITIONS BY APPLYING A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN AND HAS CONCLUDED THAT AS OF SEPTEMBER 30, 2019 AND 2018, THERE ARE NO TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE ORGANIZATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS PENDING OR IN PROGRESS.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1FASHION SHOWEvent1Nm
Gross Receipts Event1$24,564GrossReceiptsEvent1Amt
Gross Revenue Event1$24,564GrossRevenueEvent1Amt
Gross Receipts Total$24,564GrossReceiptsTotalAmt
Gross Revenue Total Events$24,564GrossRevenueTotalEventsAmt
Net Income Summary$24,564NetIncomeSummaryAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990 SCHEDULE G PART IIFormAndLineReferenceDesc
ExplanationTHE CONNECTICUT HOSPICE HOSTED A FASHION SHOW WHERE INDIVIDUALS PAID A FEE TO ATTEND. ALL SERVICES WERE DONATED.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written Policy0WrittenPolicyInd
FPG Reference Free Care0FPGReferenceFreeCareInd
FPG Reference Discounted Care0FPGReferenceDiscountedCareInd
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance Budget0FinancialAssistanceBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically Available0ReportPublicallyAvailableInd

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$274,827TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$130,650DirectOffsettingRevenueAmt
Net Community Benefit Expns$144,177NetCommunityBenefitExpnsAmt
Total Expense0.01270TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$274,827TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$130,650DirectOffsettingRevenueAmt
Net Community Benefit Expns$144,177NetCommunityBenefitExpnsAmt
Total Expense0.01270TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$274,827TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$130,650DirectOffsettingRevenueAmt
Net Community Benefit Expns$144,177NetCommunityBenefitExpnsAmt
Total Expense0.01270TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReportedInd
Bad Debt Expense$19,607BadDebtExpenseAmt
Bad Debt Expense Attributable$19,607BadDebtExpenseAttributableAmt
Reimbursed By Medicare$108,060ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$149,420CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$41,360MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection Policy0WrittenDebtCollectionPolicyInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE CONNECTICUT HOSPICEBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 DOUBLE BEACH RDAddressLine1Txt
CityBRANFORDCityNm
State AbbreviationCTStateAbbreviationCd
ZIP064054003ZIPCd
FieldValueIRS element (for citing)
State LicenseLICENSE # 0067StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
OtherHOSPICEOtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1THE CONNECTICUT HOSPICEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
CHNA Conducted13CHNAConductedYr
Take Into Account Others Input0TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely Available0CHNAReportWidelyAvailableInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt13ImplementationStrategyAdptYr
Strategy Posted Website0StrategyPostedWebsiteInd
Strategy Attached0StrategyAttachedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria Explained0EligCriteriaExplainedInd
Explained Basis0ExplainedBasisInd
App Financial Asst Expln0AppFinancialAsstExplnInd
Includes Publicity Measures0IncludesPublicityMeasuresInd
FAP Actions On Nonpayment0FAPActionsOnNonpaymentInd
Collection Activities0CollectionActivitiesInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
THE CONNECTICUT HOSPICEPART V, SECTION B, LINE 11: AS DESCRIBED IN SCHEDULE H, PART VI, LINE 2, HOSPICE CONTINUALLY WORKS WITH THE COMMUNITY TO ASSESS THE NEEDS OF THE POPULATION. SINCE HOSPICE IS A SPECIALITY HOSPITAL, THE EVALUATION OF THE COMMUNITY HEALTH NEEDS IS TARGETED TO THE POPULATION IN CONNECTICUT REQUIRING HOSPICE AND PALLIATIVE CARE. IN ADDITION, HOSPICE IS COMMITTED TO EDUCATING THE BROADER COMMUNITY REGARDING THE IMPORTANCE OF THIS TYPE OF CARE. THE RESOURCES OF THE ORGANIZATION ARE FOCUSED ON MEETING THESE TWO COMMUNITY NEEDS.
PART V, SECTION B:IN THE YEAR ENDED SEPTEMBER 30, 2018, THE CONNECTICUT HOSPICE EXPERIENCED SEVERAL RESIGNATIONS, TERMINATIONS AND ONE SUDDEN DEATH WITHIN ITS SENIOR MANAGEMENT STAFF (CEO/CFO/COO/CIO, VP REVENUE). THE NEW AND CURRENT MANAGEMENT TEAM (HIRED 1/31/2019) IS FILING THE TAX RETURN BASED ON THE BEST AVAILABLE INFORMATION REGARDING THE POLICIES AND PROCEDURES IN PLACE DURING THE YEAR ENDED SEPTEMBER 30, 2018. THEY ARE CURRENTLY EVALUATING AND UPDATING ALL POLICIES TO MAKE SURE THEY ARE IN FULL COMPLIANCE WITH SECTION 501(R) OF THE INTERNAL REVENUE CODE.

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LN 7 COL(F):THE TOTAL EXPENSES OF THE HOSPITAL OF $11,411,489 WAS REDUCED BY $19,607 RELATING TO BAD DEBT EXPENSE WHEN CALCULATED THE PERCENTAGE IN COLUMN F. THE ORGANIZATION'S COST ACCOUNTING SYSTEM WAS USED TO CALCULATE THE MEDICAID AMOUNTS REPORTED ON LINE 7B.
PART II, COMMUNITY BUILDING ACTIVITIES:THE CONNECTICUT HOSPICE, BRANFORD, CT'S 2ND LARGEST EMPLOYER, IS A GOOD NEIGHBOR TO THE CONNECTICUT SHORELINE COMMUNITY IN WHICH IT IS LOCATED. IT ALLOWS THE COMMUNITY TO USE ITS OUTDOOR POOL TO PROMOTE PHYSICAL WELLNESS AND OPENS ITS GROUNDS TO ALLOW COMMUNITY MEMBERS TO ENJOY THE FOURTH OF JULY FIREWORKS. IN ADDITION, HOSPICE PROVIDES MEMORIAL SERVICES AND BEREAVEMENT SUPPORT TO THE COMMUNITY.
PART III, LINE 2:THE AMOUNT REPORTED AS BAD DEBT EXPENSE WAS CALCULATED AS THE DIRECT WRITE OFF OF BAD DEBTS FOR HOSPITAL PATIENTS. HOSPICE HAS INCLUDED THIS ENTIRE AMOUNT AS BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY SINCE THE MAJORITY OF ALL PATIENTS QUALIFY FOR SOME TYPE OF BENEFITS. UNFORTUNATELY, IN SOME CASES, THE PATIENT PASSES AWAY BEFORE THE APPLICATION FOR ASSISTANCE IS COMPLETE. IF THE FAMILIES DID NOT COMPLETE THE APPLICATION ON BEHALF OF THE DECEASED PATIENT, HOSPICE OPTED TO WRITE OFF THE BALANCE RATHER THAN PURSUE ANY COLLECTION ACTION.
PART III, LINE 3:THE CONNECTICUT HOSPICE PROVIDES CARE TO ITS TERMINALLY ILL PATIENTS. MANY OF THE INDIVDIUALS, UNFORTUNATELY PASS AWAY PRIOR TO THE COMPLETION OF THEIR ENROLLMENT FOR FINANCIAL ASSISTANCE. THE AMOUNTS ARE THEN WRITTEN OFF TO BAD DEBT. HOSPICE BELIEVES THAT THE MAJORITY OF THESE BAD DEBTS WOULD HAVE BEEN FOR INDIVDIUALS WHO SHOULD HAVE BEEN COVERED BY FINANCIAL ASSISTANCE HAD THEY COMPLETED THE APPLICATION. THE AMOUNT OF THIS BAD DEBT EXPENSE SHOULD BE TREATED AS CHARITY CARE.
PART III, LINE 4:HOSPICE DOES NOT HAVE A SEPARATE FOOTNOTE REGARDING BAD DEBT EXPENSE. THE BELOW STATEMENT IS AN EXCERPT FROM FOOTNOTE 2 FOUND ON PAGE 10 OF THE CONSOLIDATED AUDITED FINANCIAL STATEMENT FOR THE CONNECTICUT HOSPICE, INC. AND THE CONNECTICUT HOSPICE INSTITUTE FOR THE YEARS ENDED SEPTEMBER 30, 2019 AND SEPTEMBER 30, 2018 RELATING TO ACCOUNTS RECEIVABLE:THE ORGANIZATION PROVIDES FOR LOSSES ON RECEIVABLES BASED ON EXPERIENCE, A SPECIFIC REVIEW OF OUTSTANDING BALANCES, AND OTHER CIRCUMSTANCES THAT MAY AFFECT THE PATIENT'S OR DONOR'S ABILITY TO MEET THEIR OBLIGATIONS. RECEIVABLES ARE CONSIDERED IMPAIRED IF PAYMENTS ARE NOT RECEIVED IN ACCORDANCE WITH THE PAYMENT TERMS. IT IS THE ORGANIZATION'S POLICY TO CHARGE OFF UNCOLLECTIBLE ACCOUNTS RECEIVABLE WHEN MANAGEMENT DETERMINES THE RECEIVABLE WILL NOT BE COLLECTED. MANAGEMENT REGULARLY REVIEWS INFORMATION ABOUT ITS MAJOR SOURCES OF REVENUE WHEN EVALUATNG THE SUFFICIENCY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WITH THIRD-PARTY COVERAGE, THE ORGANIZATION ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES A CONTRACTUAL ALLOWANCE, IF NECESSARY. SEE NOTE 3 (PAGE 12 & 13) FOR FURTHER INFORMATION ON ACCOUNTS RECEIVABLE.
PART III, LINE 8:HOSPICE BELIEVES THE MEDICARE SHORT FALL SHOULD BE INCLUDED AS A COMMUNITY BENEFIT AMOUNT. HOSPICE IS COMMITTED TO PROVIDING HOSPICE AND PALLIATIVE CARE SERVICES TO THE ELDERLY. WE PROVIDE AN EXPERT LEVEL OF PAIN AND SYMPTOM MANAGEMENT, AND OFFER AN EXTENSIVE ARRAY OF SYMPTOM MANAGEMENT AND COMFORT-ORIENTED MEASURES TO PATIENTS. WE ATTEND TO THE QUALITY OF LIFE INTERVENTIONS THAT PEOPLE FIND IMPORTANT WHEN THEY ARE VERY SICK. UNFORTUNATELY, MEDICARE DOES NOT FULLY COVER THE COST OF THESE SERVICES WHICH WE BELIEVE ARE ESSENTIAL TO OUR PATIENTS. SINCE WE ARE COMMITTED TO PATIENT CARE, WE PROVIDE THESE SERVICES AT A LOSS AND BELIEVE THE SHORTFALL SHOULD BE INCLUDED AS A COMMUNITY BENEFIT.
PART VI, LINE 2:NEEDS ASSESSMENTIN 1974, THE CONNECTICUT HOSPICE BECAME AMERICA'S FIRST HOSPICE. HOSPICE CONTINUES TO EVALUATE THE NEEDS OF HOSPICE AND PALLIATIVE CARE SERVICES IN THE COMMUNITY BY WORKING WITH VARIOUS LOCAL ORGANIZATIONS AND PUBLIC HEALTH DEPARTMENTS. SOME EXAMPLES INCLUDE WORKING WITH ORGANIZATIONS SUCH AS SHORELINE ELDER CARE ALLIANCE AND SHORELINE VILLAGE TO EVALUATE THE NEEDS OF THE COMMUNITY TO MEET THE GOAL OF HELPING ELDERLY PEOPLE REMAIN IN THEIR HOMES; PARTICIPATING IN AN ELDER LAW CLINIC; AND, WORKING WITH ASSISTED LIVING COMMUNITIES TO RAISE UNDERSTANDING ABOUT HOSPICE AND PALLIATIVE CARE.
PART VI, LINE 3:PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEHOSPICE'S WEBSITE CONTAINS INFORMATION ABOUT THE REQUIREMENTS FOR APPLYING FOR ASSISTANCE THROUGH MEDICARE AND MEDICAID FOR HOSPICE AND PALLIATIVE CARE. IN ADDITION TO THE WEBSITE, PATIENT ADVOCATES WITHIN THE CENTRALIZED INTAKE DEPARTMENT ARE AVAILABLE SEVEN DAYS A WEEK TO ASSIST PATIENTS AND FAMILIES WITH QUESTIONS AND WITH APPLYING FOR FINANCIAL ASSISTANCE THROUGH GOVERNMENT PROGRAMS.
PART VI, LINE 4:COMMUNITY INFORMATIONHOSPICE IS LOCATED IN BRANFORD, CONNECTICUT IN NEW HAVEN COUNTY. NEW HAVEN COUNTY HAS AN ESTIMATED POPULATION OF 857,000 OF WHICH 17.4% IS GREATER THAN 65 YEARS OLD. BASED ON THE U.S. CENSUS DATA, THE RACE AND ETHNIC DIVERSITY OF THE MAJORITY OF THE POPULATION IS AS FOLLOWS (NOTING SOME INDIVIDUALS IDENTIFY IN MORE THAN ONE CATEGORY): 77.6% WHITE, 15.0% BLACK OR AFRICAN AMERICAN, 18.6% HISPANIC OR LATINO, AND 4.3% ASIAN . THE MEDIAN HOUSEHOLD INCOME WAS $67,128 AND 11.6% OF THE POPULATION LIVES IN POVERTY. WITHIN THIS COMMUNITY, THE SPECIFIC DEMOGRAPHIC SERVED BY THE HOSPITAL PART OF HOSPICE, IS PERSONS DIAGNOSED WITH A TERMINAL ILLNESS WITH A LIMITED PROGNOSIS, NORMALLY SIX MONTHS OR LESS ALONG WITH THEIR FAMILY UNIT.
PART VI, LINE 5:PROMOTION OF COMMUNITY HEALTHSTRONG CONNECTIONS TO THE GREATER NEW HAVEN COUNTY COMMUNITY, AND FINANCIAL SUPPORT FROM GENEROUS DONORS ALLOWS HOSPICE TO MARSHAL COMMUNITY RESOURCES TO HELP STRENGTHEN SUPPORT AND KEEP CARE COSTS AS LOW AS POSSIBLE. THE HOSPICE BOARD OF DIRECTORS IS COMPRISED OF WELL RESPECTED MEMBERS OF THE LOCAL AND REGIONAL COMMUNITY. THROUGH ITS INTERNSHIP PROGRAM, HOSPICE PARTICIPATES WITH LOCAL INSTITUTIONS OF HIGHER EDUCATION TO ADVANCE THE EDUCATION AND LEARNING OF THE NEXT GENERATION OF HEALTHCARE PROFESSIONALS.
PART VI, LINE 6:AFFILIATED HEALTH CARE SYSTEMHOSPICE IS NOT PART OF AN AFFILIATED HEALTHCARE SYSTEM BUT DOES HAVE A RELATED ENTITY, THE JOHN D. THOMPSON INSTITUTE.
PART VI, LINE 7:STATE FILING OF COMMUNITY BENEFIT REPORTHOSPICE IS NOT REQUIRED TO FILE A COMMUNITY BENEFIT REPORT WITH THE STATE OF CONNECTICUT.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ROSEMARY JOHNSON-HURZELER
PRESIDENT & CEO$206,298$0$0$0$0$0$23,000$0$13,374$0$242,672$0$0$0
THOMAS P MCGOVERN
CFO$136,498$0$0$0$0$0$4,380$0$20,032$0$160,910$0$0$0
RONNY J KNIGHT
SENIOR VP - REIMB/PLANNING$176,689$0$0$0$0$0$12,250$0$11,638$0$200,577$0$0$0
JOSEPH P SACCO
MEDICAL DIRECTOR$321,032$0$0$0$0$0$21,800$0$33,286$0$376,118$0$0$0
SUSAN FLANNIGAN
VP HOME CARE$145,789$0$0$0$0$0$13,000$0$12,399$0$171,188$0$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 1WE PROVIDE HOSPICE AND PALLIATIVE CARE IN PATIENT HOMES OR AT OUR INPATIENT FACILITY WITH MEDICAL DIRECTED, NURSE-COORDINATED, INTERDISCIPLINARY TEAMS THAT CONTINUE TO PROVIDE SUPPORT FROM DIAGNOSIS THROUGH BEREAVEMENT. TOGETHER, OUR PHYSICIANS, NURSES, PHARMACISTS, SOCIAL WORKERS, CLERGY, ARTISTS, AND TRAINED VOLUNTEERS ACTIVELY ASSIST EACH PATIENT AND FAMILY TO NAVIGATE THE MYRIAD OF CHALLENGES SURROUNDING IRREVERSIBLE ILLNESS. THE CONNECTICUT HOSPICE INAUGURATED HOSPICE CARE IN AMERICA IN 1974. SINCE THEN, IT HAS BEEN THE BEACON AND TEACHER OF THE GROWING HOSPICE MOVEMENT THROUGHOUT THE NATION, AND BEYOND. THE CONNECTICUT HOSPICE ADDRESSES PHYSICAL, SPIRITUAL, SOCIAL, AND EMOTIONAL NEEDS OF PATIENTS WITH ADVANCED IRREVERSIBLE ILLNESS, AND THEIR FAMILIES. SUCH CARE IS PROVIDED REGARDLESS OF DIAGNOSIS AND AS LONG AS THE HOSPICE LEVEL OF CARE IS NEEDED BY THE PATIENTS. HOSPICE CARE IS PROVIDED IN THE HOME, OR INPATIENT SETTING BY A MEDICALLY DIRECTED, NURSE-COORDINATED, INTERDISCIPLINARY TEAM, AND CONTINUES THROUGHOUT THE PERIOD OF BEREAVEMENT. HOSPICE DOES NOT TAKE A NARROW VIEW OF COMPLEXITIES OF THE NEEDS OF PATIENTS WITH AN IRREVERSIBLE ILLNESS AND THEIR FAMILIES. WHILE THE CONTROL OF PHYSICAL PAIN AND OTHER PHYSICAL SYMPTOMS IS THE CENTRAL AND PRIMARY CONCERN FOR CAREGIVERS, IT IS NOT THE ONLY PRIORITY. THE PATIENT WITH AN IRREVERSIBLE ILLNESS EXPERIENCE AN ARRAY OF EMOTIONAL, SPIRITUAL, SOCIAL AND FINANCIAL PROBLEMS. THE RATIONALE FOR HOSPICE CAREGIVING IS THAT IT IS IMPOSSIBLE FOR ANY ONE DISCIPLINE TO PROVIDE THE RANGE OF SERVICES REQUIRED. THROUGH THE TEAM APPROACH, HOSPICE HELPS PATIENTS AND FAMILIES ATTAIN OPTIMUM QUALITY OF LIFE. THE CONNECTICUT HOSPICE DIFFERENCE: - COMPREHENSIVE PALLIATIVE AND HOSPICE CARE IN YOUR HOME OR IN OUR BEAUTIFUL IN-PATIENT FACILITY OVERLOOKING THE LONG ISLAND SOUND - EXPERIENCED, COMPASSIONATE SUPPORT AND CLINICAL CARE FOR PATIENTS AND THEIR FAMILIES FROM DIAGNOSIS THROUGH ACTIVE TREATMENT AND BEYOND - INTERDISCIPLINARY TEAMS OF PHYSICIANS, NURSES, PHARMACISTS, SOCIAL WORKERS, CLERGY, ARTISTS, AND VOLUNTEERS THAT WORK TOGETHER TO HELP EACH PATIENT AND THEIR FAMILY ACHIEVE OPTIMUM QUALITY OF LIFE - FLEXIBLE PLANS OF CARE THAT ENABLE PATIENTS TO MOVE BACK AND FORTH BETWEEN OUR HOME CARE AND IN-PATIENT SERVICES AS NEEDED - PHYSICIAN HOUSE CALLS; EXPERIENCED NURSES AVAILABLE TO SPEAK PERSONALLY BY PHONE WITH PATIENTS AND THEIR FAMILY TO ANSWER QUESTIONS AT ANY TIME OF DAY - EVENING AND WEEKEND ADMISSIONS TO OUR IN-PATIENT FACILITY IF NEEDED, FOR OUR HOME CARE PATIENTS
FORM 990, PART VI, SECTION B, LINE 11BFORM 990 WAS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM AND REVIEWED BY SENIOR MANAGEMENT PRIOR TO FILING. A COMPLETE COPY OF FORM 990 AS FILED WAS PROVIDED TO THE BOARD AFTER FILING.
FORM 990, PART VI, SECTION B, LINE 12CTHE BOARD OF DIRECTORS REVIEWS THE ANNUAL ELIGIBILITY TEST OF ALL BOARD MEMBERS.
FORM 990, PART VI, SECTION B, LINE 15BA COMMITTEE OF TWO OR MORE DIRECTORS OF THE BOARD MEETS PERIODICALLY TO REVIEW THE PERFORMANCE AND COMPATIBILITY DATA OF SIMILARLY SIZED HOSPITALS IN THE STATE OF CONNECTICUT. THEY DELIBERATE AND A FINAL DECISION IS MADE.
FORM 990, PART VI, SECTION C, LINE 19THE DOCUMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART XII, LINE 2C:THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1THE JOHN D THOMPSON INSTITUTEBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 DOUBLE BEACH RDAddressLine1Txt
CityBRANFORDCityNm
State AbbreviationCTStateAbbreviationCd
ZIP064054003ZIPCd
FieldValueIRS element (for citing)
EIN061003712EIN
Primary ActivitiesPROGRAMS ON EDUCATION TRAINING AND RESEARCHPrimaryActivitiesTxt
Legal Domicile StateCTLegalDomicileStateCd
Exempt Code Section501(C)(3)ExemptCodeSectionTxt
Public Charity StatusLINE 9PublicCharityStatusTxt
Direct Controlling NAN/ADirectControllingNACd
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1JOHN D THOMPSON INSTITUTEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeKTransactionTypeTxt
Involved$284,160InvolvedAmt
Method Of Amount DeterminationOPERATING LEASEMethodOfAmountDeterminationTxt

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