JOHN D THOMPSON HOSPICE INSTITUTE FOR EDUCATION TRAINING & RESEARCH: Form 990, tax year 2012
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- Organization
- JOHN D THOMPSON HOSPICE INSTITUTE FOR EDUCATION TRAINING & RESEARCH (EIN 06-1003712)
- Tax period
- 2012-10-01 to 2013-09-30
- Filed
- 2014-08-14
- IRS object ID
- 201412269349302181
- Schema version
- 2012v2.1
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-08-14T13:19:58-05:00 | Timestamp |
| Tax Period End Date | 2013-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 061009205 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BLUM SHAPIRO & COMPANY PC CPA'S | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 29 S MAIN STREET PO BOX 272000 | AddressLine1 |
| City | WEST HARTFORD | City |
| State | CT | State |
| ZIP Code | 061272000 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 061003712 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE JOHN D THOMPSON HOSPICE INSTITUTE | BusinessNameLine1 |
| Business Name Line2 | FOR EDUCATION TRAINING AND RESEARCH | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | JOHN | NameControl |
| Phone | 2033157500 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 DOUBLE BEACH ROAD | AddressLine1 |
| City | BRANFORD | City |
| State | CT | State |
| ZIP Code | 064054003 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | THOMAS MCGOVERN | Name |
| Title | CHIEF FINANCIAL OFFICER | Title |
| Phone | 2033157500 | Phone |
| Date Signed | 2014-08-14 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | ELIZABETH SOLECKI | Name |
| PTIN | P00235171 | PTIN |
| Phone | 8605614000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | THOMAS MCGOVERN | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 DOUBLE BEACH ROAD | AddressLine1 |
| City | BRANFORD | City |
| State | CT | State |
| ZIP Code | 064054003 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 4866088 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.HOSPICE.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1978 | YearFormation |
| State Legal Domicile | CT | StateLegalDomicile |
| Activity Or Mission Description | TO EXTEND THE PRINCIPLES OF PALLIATIVE CARE AND HOSPICE SERVICES INTO THE MAINSTREAM OF MEDICAL PRACTICE AND EDUCATION REGIONALLY, NATIONALLY AND INTERNATIONALLY THROUGH EDUCATION, TRAINING AND RESEARCH. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 12 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 11 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1 | TotalNbrEmployees |
| Total Nbr Volunteers | 12 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 58732 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 68898 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 4007641 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 4513030 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 0 | InvestmentIncomePriorYear |
| Investment Income Current Year | 0 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 284160 | OtherRevenuePriorYear |
| Other Revenue Current Year | 284160 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 4350533 | TotalRevenuePriorYear |
| Total Revenue Current Year | 4866088 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 2799237 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 2891336 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 5357 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 3661671 | OtherExpensePriorYear |
| Other Expenses Current Year | 2317533 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 6460908 | TotalExpensesPriorYear |
| Total Expenses Current Year | 5208869 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -2110375 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -342781 | RevenuesLessExpensesCY |
| Total Assets BOY | 21563405 | TotalAssetsBOY |
| Total Assets EOY | 21168488 | TotalAssetsEOY |
| Total Liabilities BOY | 12251258 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 12199122 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 9312147 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 8969366 | NetAssetsOrFundBalancesEOY |
| Mission Description | TO EXTEND THE PRINCIPLES OF PALLIATIVE CARE AND HOSPICE SERVICES INTO THE MAINSTREAM OF MEDICAL PRACTICE AND EDUCATION REGIONALLY, NATIONALLY AND INTERNATIONALLY THROUGH EDUCATION, TRAINING AND RESEARCH. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 1921575 | Expense |
| Revenue | 13030 | Revenue |
| Description | THE INSTITUTE OFFERS PROGRAMS ON EDUCATION, TRAINING AND RESEARCH PERTAINING TO THE CARE OF ADULT AND PEDIATRIC PATIENTS WITH IRREVERSIBLE ILLNESSES AND THEIR FAMILIES. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 3079920 | Expense |
| Revenue | 4500000 | Revenue |
| Description | PROVIDING MANAGEMENT SERVICES AND FACILITIES TO CT HOSPICE. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 5001495 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 1 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 12 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 11 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 0 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | CT | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MR THOMAS MCGOVERN | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 2033157500 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 DOUBLE BEACH ROAD | AddressLine1 |
| City | BRANFORD | City |
| State | CT | State |
| ZIP Code | 064054909 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (17 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee |
|---|---|---|---|---|---|---|---|---|
| HON DANIEL COSGROVE | ||||||||
| OFFICER AND DIRECTOR | 5.00 | 5.00 | X | X | 0 | 0 | 0 | |
| ANTHONY J DAROS | ||||||||
| OFFICER AND DIRECTOR | 5.00 | 5.00 | X | X | 0 | 0 | 0 | |
| WEN-JEN HWU MD PHD | ||||||||
| DIRECTOR | 2.00 | 2.00 | X | 0 | 0 | 0 | ||
| FREDERICK J MANCHESKI | ||||||||
| OFFICER AND DIRECTOR | 1.00 | 5.00 | X | X | 0 | 0 | 0 | |
| EUGENE MICHAEL | ||||||||
| DIRECTOR | 3.00 | 3.00 | X | 0 | 0 | 0 | ||
| ROBERT PARKER | ||||||||
| DIRECTOR | 0.30 | 0.30 | X | 0 | 0 | 0 | ||
| HON DONALD POGUE | ||||||||
| DIRECTOR | 2.00 | 2.00 | X | 0 | 0 | 0 | ||
| ARLENE M SAYERS | ||||||||
| OFFICER AND DIRECTOR | 5.00 | 15.00 | X | X | 0 | 0 | 0 | |
| WAYNE O SOUTHWICK MD | ||||||||
| OFFICER AND DIRECTOR | 1.00 | 1.00 | X | X | 0 | 0 | 0 | |
| JOHN P STACK CPA | ||||||||
| DIRECTOR | 0.50 | 0.50 | X | 0 | 0 | 0 | ||
| CAPTAIN KAYE WILLIAMS | ||||||||
| OFFICER AND DIRECTOR | 3.00 | 3.00 | X | X | 0 | 0 | 0 | |
| PETER YARROW | ||||||||
| DIRECTOR HONORARY | 0.20 | 0.20 | X | 0 | 0 | 0 | ||
| MRS MARC A HURZELER | ||||||||
| PRESIDENT & CEO | 25.00 | 65.00 | X | X | 64157 | 166808 | 14346 | |
| SANDRA J KLIMAS | ||||||||
| SR VP OF CLINICAL SERVICES | 5.00 | 40.00 | X | 16121 | 128964 | 18501 | ||
| RONNY J KNIGHT | ||||||||
| SENIOR VP REIMB/PLANNING | 2.00 | 43.00 | X | 6418 | 137982 | 11809 | ||
| THOMAS MCGOVERN | ||||||||
| CHIEF FINACIAL OFFICER | 5.00 | 40.00 | X | 13800 | 110401 | 17882 | ||
| DR JOSEPH ANDREWS | ||||||||
| CHIEF MEDICAL OFFICER | 10.00 | 35.00 | 47780 | 167230 | 7652 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 148276 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 711385 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 70190 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| All Other Contributions | 68898 | AllOtherContributions |
| Total Contributions | 68898 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| LEASE AND MGT SERVICES | 532000 | 4500000 | 4500000 |
| EDUCATIONAL | 611600 | 13030 | 13030 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 4513030 | TotalProgramServiceRevenue |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 284160 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 284160 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 284160 | TotalRevenueColumn |
| Exclusion | $284,160 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4866088 | TotalRevenueColumn |
| Related Or Exempt Function Income | 4513030 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $284,160 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 151099 | Total |
| Program Services | 69068 | ProgramServices |
| Management And General | 76674 | ManagementAndGeneral |
| Fundraising | 5357 | Fundraising |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2252350 | Total |
| Program Services | 2195462 | ProgramServices |
| Management And General | 56888 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 487887 | Total |
| Program Services | 458614 | ProgramServices |
| Management And General | 29273 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 200318 | Total |
| Program Services | 196301 | ProgramServices |
| Management And General | 4017 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 518345 | Total |
| Program Services | 518345 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 573643 | Total |
| Program Services | 573643 | ProgramServices |
Other Expenses OtherExpenses (2 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| NON MEDICAL INTERCOMPAN | 1017157 | 982269 | 34888 |
| NON MEDICAL GENERAL EXP | 8070 | 7793 | 277 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5208869 | Total |
| Program Services | 5001495 | ProgramServices |
| Management And General | 202017 | ManagementAndGeneral |
| Fundraising | 5357 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 33114 | BOY |
| EOY | 22221 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 500000 | BOY |
| EOY | 500000 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 28116394 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 7470127 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21030291 | BOY |
| EOY | 20646267 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21563405 | BOY |
| EOY | 21168488 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12251258 | BOY |
| EOY | 12199122 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12251258 | BOY |
| EOY | 12199122 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8812147 | BOY |
| EOY | 8469366 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 500000 | BOY |
| EOY | 500000 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9312147 | BOY |
| EOY | 8969366 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21563405 | BOY |
| EOY | 21168488 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -342781 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Both | X | FinancialStatementBoth |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 137045 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 125994 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 114089 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 58732 | CurrentTaxYearMinus1Year |
| Current Tax Year | 68898 | CurrentTaxYear |
| Total | 504758 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 4510900 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 4004023 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 4017802 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 4007641 | CurrentTaxYearMinus1Year |
| Current Tax Year | 4513030 | CurrentTaxYear |
| Total | 21053396 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 4647945 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 4130017 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 4131891 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 4066373 | CurrentTaxYearMinus1Year |
| Current Tax Year | 4581928 | CurrentTaxYear |
| Total | 21558154 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 21558154 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 305613 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 303643 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 284160 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 284160 | CurrentTaxYearMinus1Year |
| Current Tax Year | 284160 | CurrentTaxYear |
| Total | 1461736 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 305613 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 303643 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 284160 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 284160 | CurrentTaxYearMinus1Year |
| Current Tax Year | 284160 | CurrentTaxYear |
| Total | 1461736 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 4953558 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 4433660 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 4416051 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 4350533 | CurrentTaxYearMinus1Year |
| Current Tax Year | 4866088 | CurrentTaxYear |
| Total | 23019890 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.93650 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.94360 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.06350 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.05640 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Activities | 1 | OtherActivities |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1: | ReturnReference |
| Explanation | THE JOHN D. THOMPSON HOSPICE INSTITUTE FOR EDUCATION, TRAINING AND RESEARCH'S MISSION IS TO EDUCATE AND TRAIN CAREGIVERS AND CONDUCT RESEARCH. THIS REQUIRES THE ONGOING DEVELOPMENT OF REGULATIONS THAT WOULD SUPPORT THIS EFFORT. IN PARTICULAR, WITH THE RELOCATION OF THE INSTITUTE, ALTHOUGH WITHIN THE SAME PROVINCE, IT IS IMPORTANT TO MAINTAIN THESE STANDARDS. | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 6433345 | OtherCostOrOtherBasis |
| Book Value | 6433345 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 21683049 | OtherCostOrOtherBasis |
| Depreciation | 7470127 | Depreciation |
| Book Value | 14212922 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 20646267 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | DUE TO CT HOSPICE, NET | Description |
| Amount | $12,199,122 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 12199122 | TotalOfAmounts |
| Tot Revenue Etc Audited Fincl Stmt | 4866088 | TotRevenueEtcAuditedFinclStmt |
| Revenue Not Rptd F990 | 0 | RevenueNotRptdF990 |
| Revenue Subtotal | 4866088 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 4866088 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 5208869 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 5208869 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 5208869 | TotalExpensesPerForm990 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (4 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MRS MARC A HURZELER | ||||||||||||||
| PRESIDENT & CEO | 64157 | 166808 | 0 | 0 | 0 | 0 | 1800 | 4679 | 2185 | 5682 | 68142 | 177169 | 0 | 0 |
| SANDRA J KLIMAS | ||||||||||||||
| SR VP OF CLINICAL SERVICES | 16121 | 128964 | 0 | 0 | 0 | 0 | 484 | 3869 | 1572 | 12576 | 18177 | 145409 | 0 | 0 |
| RONNY J KNIGHT | ||||||||||||||
| SENIOR VP REIMB/PLANNING | 6418 | 137982 | 0 | 0 | 0 | 0 | 193 | 4139 | 332 | 7145 | 6943 | 149266 | 0 | 0 |
| DR JOSEPH ANDREWS | ||||||||||||||
| CHIEF MEDICAL OFFICER | 47780 | 167230 | 0 | 0 | 0 | 0 | 0 | 0 | 1700 | 5952 | 49480 | 173182 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | PART I, LINE 4B | ReturnReference |
| Explanation | COMPENSATION RELATED TO THE RELATED ORGANIZATIONS BUT NOT GIVEN DUE TO THE FINANCIAL CONDITIONS OF THE ORGANIZATIONS. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 7A | A NOMINATING COMMITTEE CONSISTING OF FOUR MEMBERS OF THE BOARD OF DIRECTORS MAY ELECT A BOARD MEMBER. |
| FORM 990, PART VI, SECTION B, LINE 11 | THE RETURN IS PRESENTED AT A BOARD MEETING PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS REVIEWS THE ANNUAL ELIGIBILITY TEST OF ALL BOARD MEMBERS. |
| FORM 990, PART VI, SECTION B, LINE 15A | A COMMITTEE OF TWO OR MORE DIRECTORS OF THE BOARD MEETS PERIODICALLY TO REVIEW THE PERFORMANCE AND THE COMPARABILITY 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 19 | INFORMATION IS NOT AVAILABLE TO THE PUBLIC. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE CONNECTICUT HOSPICE INC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 DOUBLE BEACH ROAD | AddressLine1 |
| City | BRANFORD | City |
| State | CT | State |
| ZIP Code | 064054003 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 060878822 | EIN |
| Primary Activities | TEACHING PALLIATIVE HOSPITAL AND HOSPICE CARE | PrimaryActivities |
| Legal Domicile State | CT | LegalDomicileState |
| Exempt Code Section | 501(C)(3) | ExemptCodeSection |
| Public Charity Status | BOX 3 | PublicCharityStatus |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Controlled Org | 0 | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 1 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 1 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| RENTAL INCOME | ||
| J | 284160 | OPERATING LEASE |
| MANAGEMENT SERVICES | ||
| M | 4500000 | FAIR VALUE OF SERVICES |
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