2019-05-14T12:49:28-05:00 2018-12-31 541498950 RENNER AND COMPANY CPA PC 700 NORTH FAIRFAX ST SUITE 400 ALEXANDRIA VA 22314 990 2018-01-01 541096334 NATIONAL HOSPICE AND PALLIATIVE CARE ORGANIZATION INC NATI 7038371500 1731 KING STREET NO 100 ALEXANDRIA VA 22314 CATHY GIBNEY CHIEF FINANCIAL OFFICER 7038371500 2019-05-14 1 ANDREW E YOUNG CPA P01203950 7035351200 75.145.91.221 2019-05-14 13:42:07 ED P 77C1AED294C604BA33351EF789C619F14A16F58D 33A2E9071CA8B8FD199D13D73F23E08078367532 2018 2019-02-21 02:37:17Z EDO BANACH 1731 KING STREET NO 100 ALEXANDRIA VA 22314 14098817 0 X WWW.NHPCO.ORG X 1978 DC TO LEAD AND MOBILIZE SOCIAL CHANGE FOR IMPROVED CARE AT THE END OF LIFE. WE ENVISION A WORLD WHERE INDIVIDUALS AND FAMILIES FACING SERIOUS ILLNESS, DEATH, AND GRIEF WILL EXPERIENCE THE BEST THAT HUMANKIND CAN OFFER. 20 19 58 19 170945 0 236952 209111 10994435 11563365 284809 321641 307598 233155 11823794 12327272 28585 19574 0 0 6637498 6767355 0 0 20645 4597761 4798210 11263844 11585139 559950 742133 12139897 11207375 6392106 5213085 5747791 5994290 X TO LEAD AND MOBILIZE SOCIAL CHANGE FOR IMPROVED CARE AT THE END OF LIFE. WE ENVISION A WORLD WHERE INDIVIDUALS AND FAMILIES FACING SERIOUS ILLNESS, DEATH, AND GRIEF WILL EXPERIENCE THE BEST THAT HUMANKIND CAN OFFER. 0 0 4863925 19574 6195814 MEMBERSHIP AND PRODUCT SERVICES - PROVIDE TECHNICAL ASSISTANCE AND EDUCATION TO MEMBERS AND THE PUBLIC WITH PRODUCTS THAT PROMOTE THE PRINCIPLES OF HOSPICE AND PALLIATIVE CONCEPTS. DURING 2018, THE ORGANIZATION: CELEBRATED ITS EIGHTH ANNIVERSARY OF THE WE HONOR VETERANS INITIATIVE AND CONTINUED ITS INNOVATIVE WORK WITH A GROWING NETWORK OF MORE THAN 3,120 HOSPICE PARTNERS AND 1,100 COMMUNITY PARTNERS. MOMENTS OF LIFE: MADE POSSIBLE BY HOSPICE; CONTINUED RELEASE OF ITS FIRST VIDEO WITH MANDARIN SUBTITLES,"GRANDMA LUK", AND A SPANISH VERSION OF "A DANCE FOR GLORIA" WAS CREATED. ADDITIONALLY, THE ORGANIZATION CONTINUED WORK WITH THE DREAM FOUNDATION TO SHARE A STORY HIGHLIGHTING THE VALUE OF PALLIATIVE CARE, "LYLE'S HAWAIIAN ADVENTURE". MOMENTS OF LIFE HAS GARNERED MORE THAN 25 MILLION SOCIAL MEDIA IMPRESSIONS, MORE THAN 85,000 VIDEO VIEWS, 10,000+ MEDIA PLACEMENTS ON BROADCAST AND ONLINE NEWS OUTLETS, AND 130,000 WEBSITE VISITORS. THE MOMENTS PSA AIRED IN 21 STATES WITH MORE THAN 2,151,000 VIEW IMPRESSIONS. NHPCO'S CHILDREN'S PROJECT ON PALLIATIVE/HOSPICE SERVICES PUBLISHED ITS E-JOURNAL WITH EACH THEMED EDITION CONTAINING COLLECTIONS OF ARTICLES ON PEDIATRIC PALLIATIVE CARE AND HOSPICE. 2061813 2626400 PROVIDE SUPPORT AND ACCESS - BUILD PROVIDER CAPACITY TO ENSURE ACCESS TO HIGH QUALITY END-OF-LIFE CARE. DURING 2018, THE ORGANIZATION: CONTINUED ADMINISTERING ITS PROFESSIONAL DEVELOPMENT OFFERING, THE INTENSIVES: MASTERING WHAT'S NEXT IN PATIENT CARE, THAT FEATURED EIGHT DIFFERENCE INTENSIVES OFFERED OVER THREE DAYS; PRESENTED THE 2018 VIRTUAL CONFERENCE, CHALLENGES ON THE FRONT LINES: EFFECTIVE APPROCAHES TO COMPLEX CASES IN COLLABORATION WITH AMERICAN ACADEMY OF HOSPICE AND PALLIATIVE MEDICINE AND THE HOSPICE AND PALLIATIVE NURSES ASSOCIATION; ADDED 25 NEW COURSES TO NHPCO'S E-ONLINE FOR A TOTAL OF 100 DIFFERENT ONLINE COURSES; EXPANDED THE PALLIATIVE CARE RESOURCE SERIES TO INCLUDE 19 ISSUE BRIEFS AND 13 COMPANION POWERPOINT PRESENTATIONS ON TOPICS RELEVANT TO COMMUNITY-BASED PALLIATIVE CARE AND WRITTEN BY LEADING EXPERTS IN THE FIELD; COLLABORATED WITH MJHS INSITUTE FOR INNOVATION IN PALLIATIVE CARE ON A MONTHLY INTER-PROFESSIONAL WEBINAR SERIES; PARTNERED WITH MORGAN STATE UNIVERSITY TO DEVELOP A PILOT OUTREACH PROGRAM TO EDUCATE FAMILY CAREGIVERS IN THE BALTIMORE AREA ABOUT ISSUES RELATED TO END-OF-LIFE CARE; WORKED WITH MEMBERS OF THE DIVERSITY ADVISORY COUNCIL TO OFFER RESOURCES TO MEMBERS TO HELP REACH OUT TO DIVERSE COMMUNITIES AND HELP INCREASE ACCESS. 1517882 1933524 PUBLIC POLICY AND ADVOCACY - PROVIDE PUBLIC WITH THE INFORMATION AND THE MEANS TO BE A HOSPICE ADVOCATE. DURING 2018, THE ORGANIZATION: CONTINUED TO MONITOR, ANALYZE, AND COMMENT ON NEW, CHANGING, AND PROPOSED REGULATIONS THAT AFFECT END-OF-LIFE CARE KEEPING MEMBERS INFORMED THROUGH REGULATORY ALERTS, ROUND-UPS, WEBINARS AND PODCASTS. COMMENT LETTERS WERE SUBMITTED TO CMS ON PROPOSE RULES THAT WOULD IMPACT THE PALLAITIVE COMMUNITY. ASSISTED MEMBERS WITH ISSUES RELATED TO HOSPICE QUALITY REPORTING, INCLUDING THE MEASURES THAT WERE PART OF THE 2018 HOSPICE WAGE INDEX FINAL RULE. ADMINISTERED MULTIPLE PERFORMANCE MEASURES THAT YIELD USEFUL, MEANINGFUL, AND ACTIONABLE RESULTS. CONTINUED COLLABORATIVE WORK WITH STATE ORGANIZATIONS THROUGH NHPCO'S COUNCIL OF STATES. 634738 808548 STRATEGIC COMMUNICATIONS: DURING 2018, THE ORGANIZATION: ENGAGED WITH NATIONAL AND LOCAL MEDIA THAT INCLUDED PRINT, DIGITAL, AND BROADCAST OUTLETS; BROADCASTED PODCASTS WHICH DEBUTED IN OCTOBER 2016 AND WITHIN FOUR MONTHS ACHIEVED MORE THAN 10,000 DOWNLOADS; LAUNCHED THE NHPCO EDGE SPEAKERS BUREAU AND BEGAN OFFERING REGULATORY WORKSHOPS TAILORED TO THE CLIENT'S NEEDS THROUGH NHPCO'S CONSULTING SERVICES DIVISION; NHPCO'S FIND A PROVIDER ONLINE TOOL WAS UTLIZED BY MORE THAN 36,000 VISITORS; NHPCO'S WEBSITE OFFERING FREE INFORMATION ON HOSPICE AND PALLAITIVE CARE, ADVANCE CARE PLANNING, GRIEF, COPING WITH PAIN, AND RELATED TOPICS HAD 347,000 VISITORS, WITH MORE THAN 55,000 BROCHURES, DIRECTIVES,AND FACT SHEET DOWNLOADS. 634738 808548 9078358 1 1 0 1 0 0 0 1 0 1 1 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 89 0 1 58 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 20 19 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X X CATHY GIBNEY CPA 7038373129 1731 KING ST ALEXANDRIA VA 22314 JANET JONES CHAIR 5.00 5.00 X X 0 0 0 EDO BANACH PRESIDENT & CEO 40.00 5.00 X X 558237 0 28250 GREGORY A WOOD MS LBSW VICE CHAIR 5.00 5.00 X X 0 0 0 DAVID WILLIAMS TREASURER 5.00 5.00 X X 0 0 0 REGINA BODNAR SECRETARY 5.00 0.00 X X 0 0 0 DR DANIEL MAISON MD FAAHPM PALLIATIVE CARE DIRECTOR 5.00 0.00 X 0 0 0 SAMIRA K BECKWITH NATIONAL DIRECTOR 5.00 5.00 X 0 0 0 NORMAN MCRAE HAN REPRESENTATIVE 5.00 5.00 X 0 0 0 SALLY ALDRICH RN MSN NATIONAL DIRECTOR 5.00 0.00 X 0 0 0 DARREN BERTRAM NATIONAL DIRECTOR 5.00 0.00 X 0 0 0 JEANNE DENNIS NATIONAL DIRECTOR 5.00 0.00 X 0 0 0 MELINDA GRUBER MBA PHD NCHPP REPRESENTATIVE 5.00 0.00 X 0 0 0 JOAN HARROLD MD MPH FACP FAAHPM PALLIATIVE CARE DIRECTOR 5.00 0.00 X 0 0 0 SUZI K JOHNSON AT-LARGE 5.00 5.00 X 0 0 0 JANE MOORE COUNCIL OF STATES REPRESENTATIVE 5.00 5.00 X 0 0 0 SANDY KUHLMAN BSN RN NATIONAL DIRECTOR 5.00 5.00 X 0 0 0 RAFAEL SCIULLO AT-LARGE 5.00 5.00 X 0 0 0 MICHAEL MCHALE NATIONAL DIRECTOR 5.00 0.00 X 0 0 0 BALU NATARAJAN MD NATIONAL DIRECTOR 5.00 0.00 X 0 0 0 STACIE T PINDERHUGES MD NATIONAL DIRECTOR 5.00 0.00 X 0 0 0 JOHN MASTROJOHN CHIEF OPERATING OFFICER 40.00 0.00 X 541006 0 27650 JUDITH LUND PERSON VICE PRESIDENT, REGULATORY 40.00 0.00 X 347021 0 22440 CATHY GIBNEY CHIEF FINANCIAL OFFICER 40.00 0.00 X 299897 0 26469 JON RADULOVIC VICE PRESIDENT, COMMUNICATIONS 40.00 0.00 X 278881 0 19896 BARBARA BOUTON VICE PRESIDENT, PROFESSIONAL DEVELOPMENT 40.00 0.00 X 259910 0 19200 EMIL ZUBERBUEHLER VICE PRESIDENT, OPERATIONS 40.00 0.00 X 222119 0 19679 SHARON SCRIBNER PEARCE VICE PRESIDENT, PUBLIC POLICY 40.00 0.00 X 210109 0 21327 LORI BISHOP VICE PRESIDENT, PALLIATIVE & ADVANCED CARE 40.00 0.00 X 193179 0 22872 SIMON SURAN VICE PRESIDENT, FINANCE 40.00 0.00 X 185122 0 19994 CAROL SPENCE VICE PRESIDENT, RESEARCH & QUALITY 40.00 0.00 X 175869 0 19899 SARAH MELTZER VICE PRESIDENT, PHILANTHROPY 40.00 0.00 X 156989 0 17688 JENNIFER KENNEDY SENIOR DIRECTOR, REGULATORY 40.00 0.00 X 153694 0 18371 ZINNIA HARRISON VICE PRESIDENT, INNOVATION & INCLUSION 40.00 0.00 X 149283 0 20524 ANDREW DUNCAN VICE PRESIDENT, MEMBERSHIP 40.00 0.00 X 140555 0 18577 JEFFREY WILLIAMSON DIRECTOR, HUMAN RESOURCES 40.00 0.00 X 136372 0 18026 KENDRA BUCHANAN DIRECTOR, MARKETING 40.00 0.00 X 125921 0 17679 STEVEN GARDNER DIRECTOR, EDUCATION 40.00 0.00 X 109290 0 15769 JONATHAN KEYSERLING FORMER SENIOR VICE PRESIDENT, HEALTH POLICY 40.00 0.00 X 145714 0 14891 4389168 0 389201 22 1 1 0 EVENTLINK 7220 OAKLEY INDUSTRIAL BLVD UNION CITY GA 30291 EVENT MANAGEMENT 215964 1 21344 187767 209111 MEMBERSHIP DUES 900099 8069028 8069028 CONFERENCES & SYMPOSIA 900099 2880777 2880777 CONTRACTUAL REVENUE 900099 417408 417408 ADVERTISING 541800 156271 156271 PUBLICATIONS 900099 39881 39881 11563365 131005 131005 61289 61289 1829206 1638570 190636 190636 190636 207519 132975 74544 73504 1040 OTHER INCOME 900099 97322 83688 13634 97322 12327272 11564286 170945 382930 19574 19574 3837519 2963662 873857 1986050 1533799 452251 257345 198743 58602 304146 234887 69259 382295 295241 87054 3873 3136 737 37651 37651 37309 37309 914415 770906 143509 82795 52001 30794 260592 165418 95174 267471 260781 6690 1254955 1252768 2187 164292 6945 157347 261665 261665 44734 39439 5295 EQUIPMENT RENTAL AND RE 340703 326884 13819 AFFILIATE SUPPORT 320645 300000 20645 LICENSE AND FEES 167049 147275 19774 BAD DEBT EXPENSES 151643 151643 488418 355256 133162 11585139 9078358 2486136 20645 1017253 1299205 379174 402015 63802 29348 198769 109240 8514861 4121522 4655004 4393339 5229457 4969138 596438 5090 12139897 11207375 912211 1080614 1441754 785715 3476395 3346756 561746 0 6392106 5213085 X 4574701 5368094 1173090 626196 5747791 5994290 12139897 11207375 X 742133 -544650 49016 X X 0 1 X 1 0 X 978493 2449074 219269 236952 209111 4092899 10499979 12721459 10905566 11031004 11614613 56772621 11478472 15170533 11124835 11267956 11823724 60865520 840000 2277306 134584 214487 176344 3642721 82402 215084 174513 213913 224511 910423 922402 2492390 309097 428400 400855 4553144 56312376 233082 226546 180834 180095 192294 1012851 233082 226546 180834 180095 192294 1012851 54552 57952 62656 -39362 0 135798 25245 147696 106281 157422 83688 520332 11791351 15602727 11474606 11566111 12099706 62534501 0.90050 0.89440 0.01620 0.01650 X 300000 300000 11130410 11430410 721521 180380 0 0 760398 758845 702468 721521 2943232 4414848 450000 225000 300000 300000 1275000 190100 189711 175617 180380 735808 1103712 9800 X 0 1173090 429629 976523 626196 1581690 165013 573613 1173090 1905011 169559 492880 1581690 129196 2346479 570664 1905011 437196 85844 393844 129196 1.00000 0 0 6078734 1747728 4331006 1196701 1195368 1333 1239426 1178426 61000 4393339 X 11878288 -544650 -544650 12422938 37309 -132975 -95666 12327272 11680805 132975 132975 11547830 37309 37309 11585139 PART III, LINE 4: COLLECTIONS ARE UTILIZED TO SIGNIFY VISUAL INTERPRETATIONS OF THE ORGANIZATION'S MISSION AND PURPOSE AND IS INTENDED FOR PUBLIC VIEWING. PART V, LINE 4: THE ORGANIZATION MAINTAINS RESTRICTED FUNDING FOR VARIOUS PURPOSES IN CONJUNCTION WITH DONOR TIME AND PURPOSE STIPULATIONS. PART X, LINE 2: INCOME DERIVED FROM ACTIVITIES UNRELATED TO THE ORGANIZATION'S EXEMPT PURPOSE IS TAXABLE UNDER THE CODE. FOR THE YEAR ENDED DECEMBER 31, 2018, THE ORGANIZATION HAD NO MATERIAL ACCRUED TAX LIABILITY. IN ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, ACCOUNTING STANDARDS REQUIRE AN ENTITY TO RECOGNIZE THE FINANCIAL STATEMENT IMPACT OF A TAX POSITION WHEN IT IS MORE-LIKELY-THAN-NOT THAT THE POSITION WILL NOT BE SUSTAINED UPON EXAMINATION. MANAGEMENT EVALUATED THE ORGANIZATION'S TAX POSITIONS AND CONCLUDED THAT THE ORGANIZATION HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS TO COMPLY WITH THE PROVISIONS OF THIS GUIDANCE. PART XI, LINE 4B - OTHER ADJUSTMENTS: RECLASSIFICATION OF COST OF GOODS SOLD -132,975. PART XII, LINE 2D - OTHER ADJUSTMENTS: RECLASSIFICATION OF COST OF GOODS SOLD 132,975. 0 0 0 RESEARCH 1 11246 0 COST N/A X X X X X 0 0 0 0 0 0 0 0 0 EDO BANACH PRESIDENT & CEO 471237 0 87000 0 0 0 19250 0 9000 0 586487 0 0 0 JOHN MASTROJOHN CHIEF OPERATING OFFICER 338093 0 35000 0 167913 0 19250 0 8400 0 568656 0 0 0 JUDITH LUND PERSON VICE PRESIDENT, REGULATORY 211967 0 0 0 135054 0 14040 0 8400 0 369461 0 0 0 CATHY GIBNEY CHIEF FINANCIAL OFFICER 264897 0 35000 0 0 0 18069 0 8400 0 326366 0 0 0 JON RADULOVIC VICE PRESIDENT, COMMUNICATIONS 158480 0 0 0 120401 0 10896 0 9000 0 298777 0 0 0 BARBARA BOUTON VICE PRESIDENT, PROFESSIONAL DEVELOP 152281 0 0 0 107629 0 10200 0 9000 0 279110 0 0 0 EMIL ZUBERBUEHLER VICE PRESIDENT, OPERATIONS 155639 0 0 0 66480 0 10679 0 9000 0 241798 0 0 0 SHARON SCRIBNER PEARCE VICE PRESIDENT, PUBLIC POLICY 124276 0 0 0 85833 0 13627 0 7700 0 231436 0 0 0 LORI BISHOP VICE PRESIDENT, PALLIATIVE & ADVANCE 193179 0 0 0 0 0 13872 0 9000 0 216051 0 0 0 SIMON SURAN VICE PRESIDENT, FINANCE 175122 0 10000 0 0 0 11594 0 8400 0 205116 0 0 0 CAROL SPENCE VICE PRESIDENT, RESEARCH & QUALITY 59096 0 0 0 116773 0 10899 0 9000 0 195768 0 0 0 SARAH MELTZER VICE PRESIDENT, PHILANTHROPY 98793 0 0 0 58196 0 9813 0 7875 0 174677 0 0 0 JENNIFER KENNEDY SENIOR DIRECTOR, REGULATORY 148694 0 5000 0 0 0 9971 0 8400 0 172065 0 0 0 ZINNIA HARRISON VICE PRESIDENT, INNOVATION & INCLUSI 149283 0 0 0 0 0 11524 0 9000 0 169807 0 0 0 ANDREW DUNCAN VICE PRESIDENT, MEMBERSHIP 140555 0 0 0 0 0 9577 0 9000 0 159132 0 0 0 JEFFREY WILLIAMSON DIRECTOR, HUMAN RESOURCES 131372 0 5000 0 0 0 9026 0 9000 0 154398 0 0 0 JONATHAN KEYSERLING FORMER SENIOR VICE PRESIDENT, HEALTH 0 0 0 0 145714 0 10391 0 4500 0 160605 0 0 0 A INDUSTRIAL DEVELOPMENT AUTHORITY OF THE CITY OF ALEXANDRIA VIRGINIA 521381432 NONEAVAIL 2010-12-21 5150000 TO PURCHASE, RENOVATE, AND EQUIP AN OFFICE BUILDING FOR ORGANIZATION USE. 0 0 0 A 2010 0 0 0 0 A 0 0 0 0 0 0 0 A 0 0 0 0 0 0 0 0 0 A 0 FORM 990, PART VI, SECTION A, LINE 6 MEMBER ENTITIES THAT PROVIDE HOSPICE AND/OR PALLIATIVE CARE SERVICES ARE CONSIDERED PROVIDER MEMBERS AND HAVE VOTING RIGHTS WITHIN THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A PROVIDER MEMBERS WHO HAVE FULLY PAID THEIR DUES HAVE VOTING RIGHTS WITH REGARD TO THE ELECTION OF THE ORGANIZATION'S BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11B ONCE FORM 990 IS PREPARED IT IS REVIEWED BY THE CHIEF FINANCIAL OFFICER AND VICE PRESIDENT OF FINANCE. A MEETING WITH THE FORM 990 PREPARER WILL CLARIFY ANY QUESTIONS AND ISSUES BEFORE THE FORM IS MADE AVAILABLE TO THE BOARD FOR REVIEW. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS ARE REQUIRED TO DISCLOSE ANY KNOWN CONFLICTS OF INTEREST AND SIGN AN INDIVIDUAL COPY OF THE POLICY ON A YEARLY BASIS. THE SIGNED POLICIES ARE KEPT ON FILE WITHIN THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION COMMITTEE WITHIN THE BOARD OF DIRECTORS WILL REVIEW INDEPENDENT, COMPARABLE SALARY DATA FROM LIKE SIZED NOT-FOR-PROFIT ORGANIZATIONS WITHIN THE ORGANIZATION'S AREA AND APPROVE CHANGES TO COMPENSATION FOR THE TOP MANAGING EMPLOYEES, PRESIDENT, AND VICE PRESIDENTS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN INTEREST RATE SWAP VALUATION 49,016. FORM 990, PART XII, LINE 2C: THE ORGANIZATION HAS NOT CHANGED ITS OVERSIGHT OR SELECTION PROCESS DURING THE YEAR. THE AUDIT COMMITTEE IS RESPONSIBLE FOR THE OVERSIGHT OF THE AUDIT AND THE SELECTION OF THE INDEPENDENT AUDITORS. NATIONAL HOSPICE FOUNDATION 1731 KING STREET SUITE 200 ALEXANDRIA VA 22314 541586967 DEVELOPMENT VA 501(C)(3) LINE 7 NATIONAL HOSPICE AND PALLIATIVE CARE ORGANIZATION INC 1 ALLIANCE FOR CARE AT THE END OF LIFE 1731 KING STREET SUITE 400 ALEXANDRIA VA 22314 208725837 ADVOCACY VA 501(C)(4) N/A NATIONAL HOSPICE AND PALLIATIVE CARE ORGANIZATION INC 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 1 0 ALLIANCE FOR CARE AT THE END OF LIFE Q 94840 COST ALLIANCE FOR CARE AT THE END OF LIFE B 300000 COST NATIONAL HOSPICE FOUNDATION R 21344 COST NATIONAL HOSPICE FOUNDATION Q 536695 COST