FRIENDS OF HOSPICE HOUSE INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: FRIENDS OF HOSPICE HOUSE INC (EIN 54-2136099)
Tax period: 2012-01-01 to 2012-12-31
Filed: 2013-11-14
IRS object ID: 201333189349304413
Schema version: 2012v2.3
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-11-14T13:39:39-06:00	Timestamp
Tax Period End Date	2012-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RICHARD ABBOTT CPA	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	163 NORTHAMPTON STREET STE B	AddressLine1
City	EASTHAMPTON	City
State	MA	State
ZIP Code	01027	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	542136099	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	FRIENDS OF HOSPICE HOUSE INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	FRIE	NameControl
Phone	4135490115	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1165 NORTH PLEASANT STREET	AddressLine1
City	AMHERST	City
State	MA	State
ZIP Code	01002	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	MAXINE STEIN	Name
Title	EXECUTIVE DIRECTOR	Title
Phone	4135490115	Phone
Date Signed	2013-11-12	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	RICHARD ABBOTT	Name
Phone	4135299697	Phone
Date Prepared	2013-11-14	DatePrepared
Self Employed	X	SelfEmployed

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

Field	Value	IRS element (for citing)
Business Name Line1	THE FISHER HOME	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	MAXINE STEIN	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	1165 NORTH PLEASANT STREET	AddressLine1
City	AMHERST	City
State	MA	State
ZIP Code	01002	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	1766956	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.FISHERHOME.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	2003	YearFormation
State Legal Domicile	MA	StateLegalDomicile
Activity Or Mission Description	THE PRIMARY PURPOSE OF THE HOSPICE HOUSE IS TO PROVIDE END OF LIFE AND PALLIATIVE CARE IN A HOME ENVIRONMENT FOR TERMINALLY ILL PATIENTS.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	11	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	11	NbrIndependentVotingMembers
Total Nbr Employees	56	TotalNbrEmployees
Total Nbr Volunteers	50	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	248544	ContributionsGrantsPriorYear
Contributions Grants Current Year	66284	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	1069007	ProgramServiceRevenuePriorYear
Program Service Revenue CY	835267	ProgramServiceRevenueCY
Investment Income Prior Year	18469	InvestmentIncomePriorYear
Investment Income Current Year	26813	InvestmentIncomeCurrentYear
Other Revenue Prior Year	185059	OtherRevenuePriorYear
Other Revenue Current Year	221617	OtherRevenueCurrentYear
Total Revenue Prior Year	1521079	TotalRevenuePriorYear
Total Revenue Current Year	1149981	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	979431	SalariesEtcPriorYear
Salaries Etc Current Year	1083078	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	115345	TotalFundrsngExpCurrentYear
Other Expense Prior Year	618472	OtherExpensePriorYear
Other Expenses Current Year	732409	OtherExpensesCurrentYear
Total Expenses Prior Year	1597903	TotalExpensesPriorYear
Total Expenses Current Year	1815487	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-76824	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-665506	RevenuesLessExpensesCY
Total Assets BOY	2516602	TotalAssetsBOY
Total Assets EOY	2235473	TotalAssetsEOY
Total Liabilities BOY	166381	TotalLiabilitiesBOY
Total Liabilities EOY	494737	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	2350221	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	1740736	NetAssetsOrFundBalancesEOY
Mission Description	THE PRIMARY PURPOSE OF THE HOSPICE HOUSE IS TO PROVIDE END OF LIFE AND PALLIATIVE CARE IN A HOME ENVIRONMENT FOR TERMINALLY ILL PATIENTS.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	1241874	Expense
Description	THE HOSPICE HOUSE PROVIDES END OF LIFE CARE FOR TERMINALLY ILL PATIENTS.	Description
Total Program Service Expense	1241874	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	true	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	false	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	false	Hospital
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	false	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	false	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	0	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	56	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	11	NbrVotingGoverningBodyMembers
Number Independent Voting Members	11	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
States Where Copy Of Return Is Filed	MA	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	DONNA SARRO	NamePerson
Telephone Number	4135490115	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1165 NORTH PLEASANT STREET	AddressLine1
City	AMHERST	City
State	MA	State
ZIP Code	01002	ZIPCode

Field	Value	IRS element (for citing)
No Listed Persons Compensated	X	NoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (11 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation
SHAUNEEN KOCOT
BOARD CHAIR	0.50	X	X	0	0	0
JEAN SCHWARTZ
SECRETARY	0.50	X	X	0	0	0
PAT LONG
VICE CHAIR	0.50	X	X	0	0	0
ELIZABETH WEISSBACH
DIRECTOR	0.50	X		0	0	0
STEVEN DAURY
DIRECTOR	0.50	X		0	0	0
WILLIAM DWIGHT
DIRECTOR	0.50	X		0	0	0
EVA FIERST
DIRECTOR	0.50	X		0	0	0
WILLIAM COOLEY
DIRECTOR	0.50	X		0	0	0
CHARLES JOHNSON
TREASURER	0.50	X	X	0	0	0
JOHN PISTEL
DIRECTOR	0.50	X		0	0	0
DAVID FAYTELL
DIRECTOR	0.50	X		0	0	0

Field	Value	IRS element (for citing)
Formers Listed	false	FormersListed
Total Comp GT150 K	false	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	SIMIONE HEALTHCARE CONSULTANTS	BusinessNameLine1

Field	Value	IRS element (for citing)
Description Of Services	MGMT CONSULTING	DescriptionOfServices
Compensation	202973	Compensation

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	1	NumberOfContractorsGT100K
Government Grants	56284	GovernmentGrants
All Other Contributions	10000	AllOtherContributions
Total Contributions	66284	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	HOSPICE & ROOM FEES	Description
Total Revenue Column	835267	TotalRevenueColumn
Related Or Exempt Function Income	835267	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	835267	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	25264	TotalRevenueColumn
Related Or Exempt Function Income	25264	RelatedOrExemptFunctionIncome

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	618524	Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	616975	Securities

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	1549	Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	1549	TotalRevenueColumn
Related Or Exempt Function Income	1549	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	219527	GrossSalesOfInventory

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	219527	TotalRevenueColumn
Exclusion	$219,527	ExclusionAmount

Other Revenue Misc OtherRevenueMisc

Field	Value	IRS element (for citing)
Description	MISCELLANEOUS INCOME	Description
Total Revenue Column	2090	TotalRevenueColumn
Related Or Exempt Function Income	2090	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Other Revenue	2090	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1149981	TotalRevenueColumn
Related Or Exempt Function Income	864170	RelatedOrExemptFunctionIncome
Exclusion	$219,527	ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	909838	Total
Program Services	778183	ProgramServices
Management And General	75293	ManagementAndGeneral
Fundraising	56362	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	82025	Total
Program Services	67294	ProgramServices
Management And General	9688	ManagementAndGeneral
Fundraising	5043	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	91215	Total
Program Services	78016	ProgramServices
Management And General	7553	ManagementAndGeneral
Fundraising	5646	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	202973	Total
Management And General	202973	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	9826	Total
Management And General	9826	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	3000	Total
Management And General	3000	ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	10136	Total
Management And General	10136	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	112360	Total
Program Services	65690	ProgramServices
Management And General	46670	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	11210	Total
Program Services	2406	ProgramServices
Management And General	8736	ManagementAndGeneral
Fundraising	68	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	23003	Total
Program Services	12120	ProgramServices
Management And General	6174	ManagementAndGeneral
Fundraising	4709	Fundraising

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	104248	Total
Program Services	41771	ProgramServices
Management And General	24775	ManagementAndGeneral
Fundraising	37702	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	1919	Total
Program Services	1919	ProgramServices

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	1606	Total
Program Services	1606	ProgramServices

Interest Interest

Field	Value	IRS element (for citing)
Total	10480	Total
Program Services	7931	ProgramServices
Management And General	1904	ManagementAndGeneral
Fundraising	645	Fundraising

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	43297	Total
Program Services	39788	ProgramServices
Management And General	3509	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	30389	Total
Program Services	-588	ProgramServices
Management And General	30977	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
SUPPLIES	96737	90978	5759
BAD DEBT EXPENSE	51830	48889	2941
OTHER EXPENSE	9711	3089	6622
SALES TAX	5170			5170

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	4514	Total
Program Services	2782	ProgramServices
Management And General	1732	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	1815487	Total
Program Services	1241874	ProgramServices
Management And General	458268	ManagementAndGeneral
Fundraising	115345	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	24987	BOY
EOY	44841	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	90329	BOY
EOY	194445	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	23942	BOY
EOY	18486	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	1337165	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	227580	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	1152881	BOY
EOY	1109585	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	1218397	BOY
EOY	862050	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	6066	BOY
EOY	6066	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	2516602	BOY
EOY	2235473	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	109381	BOY
EOY	194797	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	57000	BOY
EOY	299940	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	166381	BOY
EOY	494737	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	2350221	BOY
EOY	1740736	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	2350221	BOY
EOY	1740736	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	2516602	BOY
EOY	2235473	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	-665506	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	56987	ReconciliationUnrealizedInvest
Reconcilation Other Changes	-966	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Separate	X	FinancialStatementSeparate

Field	Value	IRS element (for citing)
Audit Committee	true	AuditCommittee
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org170b1 Avi	X	PubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	32110	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	479381	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	232047	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	248544	CurrentTaxYearMinus1Year
Current Tax Year	66284	CurrentTaxYear
Total	1058366	Total

Total170 Total170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	32110	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	479381	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	232047	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	248544	CurrentTaxYearMinus1Year
Current Tax Year	66284	CurrentTaxYear
Total	1058366	Total

Field	Value	IRS element (for citing)
Public Support Total170	1058366	PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	45696	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	25844	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	31792	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	30533	CurrentTaxYearMinus1Year
Current Tax Year	25253	CurrentTaxYear
Total	159118	Total

Other Income170 OtherIncome170

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	116316	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	181751	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	172246	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	183487	CurrentTaxYearMinus1Year
Current Tax Year	221617	CurrentTaxYear
Total	875417	Total

Field	Value	IRS element (for citing)
Total Support	2092901	TotalSupport
Gross Receipts From Admissions Etc	862621	GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage170	0.50570	PublicSupportPertcentage170
Public Support Pertcent Prior Year	0.53270	PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170	X	ThirtyThreePercntTestsCY170

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 D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	113500	OtherCostOrOtherBasis
Book Value	113500	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1180466	OtherCostOrOtherBasis
Depreciation	197881	Depreciation
Book Value	982585	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	30874	OtherCostOrOtherBasis
Depreciation	18733	Depreciation
Book Value	12141	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	12325	OtherCostOrOtherBasis
Depreciation	10966	Depreciation
Book Value	1359	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	1109585	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
Description	LINE OF CREDIT	Description
Amount	$299,940	Amount

Field	Value	IRS element (for citing)
Total Of Amounts	299940	TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt	1206968	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	56987	NetUnrealizedGainsInvestments
Revenue Not Rptd F990	56987	RevenueNotRptdF990
Revenue Subtotal	1149981	RevenueSubtotal
Total Revenue Per Form990	1149981	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	1815487	TotExpensesEtcAuditedFinclStmt
Expenses Subtotal	1815487	ExpensesSubtotal
Total Expenses Per Form990	1815487	TotalExpensesPerForm990

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990	FORM 990, PAGE 6, PART VI, LINE 11B	A COPY OF THE FORM 990 IS PROVIDED TO THE BOARD FOR REVIEW PRIOR TO FILING THE RETURN.
ENFORCEMENT OF CONFLICTS POLICY	FORM 990, PAGE 6, PART VI, LINE 12C	THE EXECUTIVE DIRECTOR MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY ON AN ONGOING BASIS. THERE IS A DISCUSSION WITH THE BOARD OF DIRECTORS WHEN POTENTIAL CONFLICTS ARISE AND WHEN A BOARD MEMBER IDENTIFIES A CONFLICT.
COMPENSATION PROCESS FOR TOP OFFICIAL	FORM 990, PAGE 6, PART VI, LINE 15A	THE ORGANIZATION PERIODICALLY COLLECTS DATA FROM OTHER SIMILAR ORGANIZATIONS FOR COMPARABILITY PURPOSES. THE BOARD OF DIRECTORS PERFORMS A WRITTEN EVALUATION OF THE EXECUTIVE DIRECTOR ANNUALLY. THE COMPENSATION PACKAGE IS BASED ON THE ABOVE CRITERIA AND ULTIMATELY DETERMINED BY THE BOARD OF DIRECTORS.
COMPENSATION PROCESS FOR OFFICERS	FORM 990, PAGE 6, PART VI, LINE 15B	N/A
GOVERNING DOCUMENTS DISCLOSURE EXPLANATION	FORM 990, PAGE 6, PART VI, LINE 19	THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST OF THE INTERESTED PARTY.
OTHER CHANGES IN NET ASSETS EXPLANATION	FORM 990, PART XI, LINE 9	PRIOR YEAR EXPENSES NOT PREVIOUSLY REPORTED 966

FRIENDS OF HOSPICE HOUSE INC: Form 990, tax year 2012

Return header ReturnHeader

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Preparer Firm US Address PreparerFirmUSAddress

Filer Filer

Name Name

US Address USAddress

Officer Officer

Preparer Preparer

Form 990 IRS990

Doing Business As DoingBusinessAs

Address Principal Officer US AddressPrincipalOfficerUS

The Books Are In Care Of TheBooksAreInCareOf

Address US AddressUS

Form990 Part VII Section A Form990PartVIISectionA (11 entries)

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

Program Service Revenue ProgramServiceRevenue

Investment Income InvestmentIncome

Gross Amount Sales Assets GrossAmountSalesAssets

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Gain Or Loss GainOrLoss

Net Gain Or Loss Investments NetGainOrLossInvestments

Net Income Or Loss NetIncomeOrLoss

Other Revenue Misc OtherRevenueMisc

Total Revenue TotalRevenue

Other Salaries And Wages OtherSalariesAndWages

Other Employee Benefits OtherEmployeeBenefits

Payroll Taxes PayrollTaxes

Fees For Services Management FeesForServicesManagement

Fees For Services Legal FeesForServicesLegal

Fees For Services Accounting FeesForServicesAccounting

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Fees For Services Other FeesForServicesOther

Advertising Advertising

Office Expenses OfficeExpenses

Occupancy Occupancy

Travel Travel

Conferences Meetings ConferencesMeetings

Interest Interest

Depreciation Depletion DepreciationDepletion

Insurance Insurance

Other Expenses OtherExpenses (4 entries)

All Other Expenses AllOtherExpenses

Total Functional Expenses TotalFunctionalExpenses

Cash Non Interest Bearing CashNonInterestBearing

Accounts Receivable AccountsReceivable

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Other Assets Total OtherAssetsTotal

Total Assets TotalAssets

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Other Liabilities OtherLiabilities

Total Liabilities TotalLiabilities

Unrestricted Net Assets UnrestrictedNetAssets

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FS Audited Basis FSAuditedBasis

Schedule A IRS990ScheduleA

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

Total170 Total170

Gross Investment Income170 GrossInvestmentIncome170

Other Income170 OtherIncome170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Contributor Name Business ContributorNameBusiness

Contributor Address US ContributorAddressUS

Schedule D IRS990ScheduleD

Land Land

Buildings Buildings

Equipment Equipment

Other Land Buildings OtherLandBuildings

Other Liabilities OtherLiabilities

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

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