2013-08-15T08:19:47-05:00 2012-09-30 061009205 BLUM SHAPIRO & COMPANY PC CPA'S 29 S MAIN STREET PO BOX 272000 WEST HARTFORD CT 061272000 990 2011-10-01 061003712 THE JOHN D THOMPSON HOSPICE INSTITUTE FOR EDUCATION TRAINING AND RESEARCH JOHN 2033157500 100 DOUBLE BEACH ROAD BRANFORD CT 064054003 THOMAS MCGOVERN 2033157500 2013-08-15 1 ELIZABETH SOLECKI P00235171 8605614000 2011 2016-02-25 16:41:14Z THOMAS MCGOVERN 100 DOUBLE BEACH ROAD BRANFORD CT 064054003 4350533 0 X WWW.HOSPICE.COM X 1979 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. 14 13 1 5 0 0 114089 58732 4017802 4007641 0 0 284160 284160 4416051 4350533 0 0 0 0 2166282 2799237 0 0 5170 3608310 3661671 5774592 6460908 -1358541 -2110375 23136560 21563405 11714038 12251258 11422522 9312147 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 3803445 7641 THE INSTITUTE OFFERS PROGRAMS ON EDUCATION, TRAINING AND RESEARCH PERTAINING TO THE CARE OF ADULT AND PEDIATRIC PATIENTS WITH IRREVERSIBLE ILLNESSES AND THEIR FAMILIES. 2442975 4000000 PROVIDING MANAGEMENT SERVICES AND FACILITIES TO CT HOSPICE. 6246420 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 0 1 0 0 1 1 0 0 0 0 0 0 0 0 X 14 13 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 0 1 0 0 CT X THOMAS MCGOVERN 2033157500 100 DOUBLE BEACH ROAD BRANFORD CT 064054909 HON DANIEL COSGROVE 5.00 X X 0 0 0 ANTHONY J DAROS 5.00 X X 0 0 0 WEN-JEN HWU MD PHD 2.00 X 0 0 0 FREDERICK J MANCHESKI 10.00 X X 0 0 0 DAVID MCDERMOTT 0.30 X 0 0 0 EUGENE MICHAEL 3.00 X 0 0 0 ROBERT PARKER 0.30 X 0 0 0 HON DONALD POGUE 2.00 X 0 0 0 ARLENE M SAYERS 5.00 X X 0 0 0 WAYNE O SOUTHWICK MD 1.00 X X 0 0 0 JOHN P STACK CPA 0.50 X 0 0 0 FREDERICK ULBRICH 1.00 X 0 0 0 CAPTAIN KAYE WILLIAMS 3.00 X X 0 0 0 PETER YARROW 0.20 X 0 0 0 ROSEMARY HURZELER 20.00 X X 61467 169033 23658 DAVID R GOLDFARB 3.00 X 8886 124400 20358 SANDRA J KLIMAS 5.00 X 15042 120334 20429 RONNY J KNIGHT 2.00 X 6179 132851 12497 THOMAS MCGOVERN 5.00 X 13241 105928 19867 DR JOSEPH ANDREWS 10.00 X 46690 163414 16717 151505 815960 113526 0 0 1 0 0 58732 58732 LEASE AND MGT SERVICES 532000 4000000 4000000 EDUCATIONAL 611600 7641 7641 4007641 284160 0 284160 284160 284160 4350533 4007641 0 284160 148432 68748 74514 5170 2117444 2096338 21106 533361 510853 22508 1556257 1506457 49800 218940 218940 10650 10650 582368 582368 NON MEDICAL INTERCOMPAN 1290350 1249059 41291 NON MEDICAL GENERAL EXP 3106 3007 99 6460908 6246420 209318 5170 28298 33114 1500000 500000 27926775 6896484 21608262 21030291 23136560 21563405 11714038 12251258 11714038 12251258 X 9922522 8812147 1500000 500000 11422522 9312147 23136560 21563405 -2110375 0 X 0 1 1 X 0 X 127907 137045 125994 114089 58732 563767 6472359 4510900 4004023 4017802 4007641 23012725 6600266 4647945 4130017 4131891 4066373 23576492 0 0 0 23576492 309060 305613 303643 284160 284160 1486636 309060 305613 303643 284160 284160 1486636 6909326 4953558 4433660 4416051 4350533 25063128 0.94070 0.94420 0.05930 0.05580 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 21493430 6896484 14596946 21030291 DUE TO CT HOSPICE, NET 12251258 12251258 4350533 6460908 -2110375 -2110375 4350533 0 4350533 0 4350533 6460908 0 6460908 0 6460908 X X X X 0 1 0 0 0 0 0 0 0 ROSEMARY HURZELER 61467 169033 0 0 0 0 1844 5071 4465 12278 67776 186382 0 0 DAVID R GOLDFARB 8886 124400 0 0 0 0 267 3732 1091 15268 10244 143400 0 0 SANDRA J KLIMAS 15042 120334 0 0 0 0 451 3610 1819 14549 17312 138493 0 0 RONNY J KNIGHT 6179 132851 0 0 0 0 185 3986 370 7956 6734 144793 0 0 DR JOSEPH ANDREWS 46690 163414 0 0 0 0 0 0 3715 13002 50405 176416 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 0 0 0 0 1 0 1 0 1 0 0 0 0 0 RENTAL INCOME I 284160 OPERATING LEASE MANAGEMENT SERVICES K 4000000 FAIR VALUE OF SERVICES