2014-08-14T13:19:58-05:00 2013-09-30 061009205 BLUM SHAPIRO & COMPANY PC CPA'S 29 S MAIN STREET PO BOX 272000 WEST HARTFORD CT 061272000 990 2012-10-01 061003712 THE JOHN D THOMPSON HOSPICE INSTITUTE FOR EDUCATION TRAINING AND RESEARCH JOHN 2033157500 100 DOUBLE BEACH ROAD BRANFORD CT 064054003 THOMAS MCGOVERN 2033157500 2014-08-14 1 ELIZABETH SOLECKI P00235171 8605614000 2012 2015-11-30 17:44:51Z THOMAS MCGOVERN 100 DOUBLE BEACH ROAD BRANFORD CT 064054003 4866088 0 X WWW.HOSPICE.COM X 1978 CT 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. 12 11 1 12 0 0 58732 68898 4007641 4513030 0 0 284160 284160 4350533 4866088 0 0 0 0 2799237 2891336 0 0 5357 3661671 2317533 6460908 5208869 -2110375 -342781 21563405 21168488 12251258 12199122 9312147 8969366 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. 0 0 1921575 13030 THE INSTITUTE OFFERS PROGRAMS ON EDUCATION, TRAINING AND RESEARCH PERTAINING TO THE CARE OF ADULT AND PEDIATRIC PATIENTS WITH IRREVERSIBLE ILLNESSES AND THEIR FAMILIES. 3079920 4500000 PROVIDING MANAGEMENT SERVICES AND FACILITIES TO CT HOSPICE. 5001495 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 X 12 11 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 0 1 0 0 CT X MR THOMAS MCGOVERN 2033157500 100 DOUBLE BEACH ROAD BRANFORD CT 064054909 HON DANIEL COSGROVE 5.00 5.00 X X 0 0 0 ANTHONY J DAROS 5.00 5.00 X X 0 0 0 WEN-JEN HWU MD PHD 2.00 2.00 X 0 0 0 FREDERICK J MANCHESKI 1.00 5.00 X X 0 0 0 EUGENE MICHAEL 3.00 3.00 X 0 0 0 ROBERT PARKER 0.30 0.30 X 0 0 0 HON DONALD POGUE 2.00 2.00 X 0 0 0 ARLENE M SAYERS 5.00 15.00 X X 0 0 0 WAYNE O SOUTHWICK MD 1.00 1.00 X X 0 0 0 JOHN P STACK CPA 0.50 0.50 X 0 0 0 CAPTAIN KAYE WILLIAMS 3.00 3.00 X X 0 0 0 PETER YARROW 0.20 0.20 X 0 0 0 MRS MARC A HURZELER 25.00 65.00 X X 64157 166808 14346 SANDRA J KLIMAS 5.00 40.00 X 16121 128964 18501 RONNY J KNIGHT 2.00 43.00 X 6418 137982 11809 THOMAS MCGOVERN 5.00 40.00 X 13800 110401 17882 DR JOSEPH ANDREWS 10.00 35.00 X 47780 167230 7652 148276 711385 70190 0 0 1 0 0 68898 68898 LEASE AND MGT SERVICES 532000 4500000 4500000 EDUCATIONAL 611600 13030 13030 4513030 284160 0 284160 284160 284160 4866088 4513030 0 284160 151099 69068 76674 5357 2252350 2195462 56888 487887 458614 29273 200318 196301 4017 518345 518345 573643 573643 NON MEDICAL INTERCOMPAN 1017157 982269 34888 NON MEDICAL GENERAL EXP 8070 7793 277 5208869 5001495 202017 5357 33114 22221 500000 500000 28116394 7470127 21030291 20646267 21563405 21168488 12251258 12199122 12251258 12199122 X 8812147 8469366 500000 500000 9312147 8969366 21563405 21168488 -342781 0 X 0 1 X 1 0 X 137045 125994 114089 58732 68898 504758 4510900 4004023 4017802 4007641 4513030 21053396 4647945 4130017 4131891 4066373 4581928 21558154 0 0 0 21558154 305613 303643 284160 284160 284160 1461736 305613 303643 284160 284160 284160 1461736 4953558 4433660 4416051 4350533 4866088 23019890 0.93650 0.94360 0.06350 0.05640 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 EXPLANATION OF LOBBYING ACTIVITIES: PART II-B, LINE 1: 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. 6433345 6433345 21683049 7470127 14212922 20646267 DUE TO CT HOSPICE, NET 12199122 12199122 4866088 0 4866088 0 4866088 5208869 0 5208869 0 5208869 X X X X 0 1 0 0 0 0 0 0 0 MRS MARC A HURZELER 64157 166808 0 0 0 0 1800 4679 2185 5682 68142 177169 0 0 SANDRA J KLIMAS 16121 128964 0 0 0 0 484 3869 1572 12576 18177 145409 0 0 RONNY J KNIGHT 6418 137982 0 0 0 0 193 4139 332 7145 6943 149266 0 0 DR JOSEPH ANDREWS 47780 167230 0 0 0 0 0 0 1700 5952 49480 173182 0 0 PART I, LINE 4B COMPENSATION RELATED TO THE RELATED ORGANIZATIONS BUT NOT GIVEN DUE TO THE FINANCIAL CONDITIONS OF THE ORGANIZATIONS. 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. THE CONNECTICUT HOSPICE INC 100 DOUBLE BEACH ROAD BRANFORD CT 064054003 060878822 TEACHING PALLIATIVE HOSPITAL AND HOSPICE CARE CT 501(C)(3) BOX 3 N/A 0 0 0 0 0 1 0 0 0 0 1 0 1 0 1 0 0 0 0 0 RENTAL INCOME J 284160 OPERATING LEASE MANAGEMENT SERVICES M 4500000 FAIR VALUE OF SERVICES