CAPITAL HOSPICE: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: CAPITAL HOSPICE (EIN 54-1920770)
Tax period: 2011-01-01 to 2011-12-31
Filed: 2012-06-20
IRS object ID: 201201729349300570
Schema version: 2011v1.2
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 C
Schedule D
Schedule G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-06-20T12:55:52-04:00	Timestamp
Tax Period End Date	2011-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	COHEN RUTHERFORD KNIGHT PC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	6903 ROCKLEDGE DRIVE SUITE 500	AddressLine1
City	BETHESDA	City
State	MD	State
ZIP Code	208171800	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2011-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	541920770	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Capital Hospice	BusinessNameLine1

Field	Value	IRS element (for citing)
In Care Of Name	% DAVID A SCHWIND	InCareOfName
Name Control	CAPI	NameControl
Phone	7035382065	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2900 Telestar Court	AddressLine1
City	Falls Church	City
State	VA	State
ZIP Code	22042	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	David Schwind	Name
Title	Executive VP CFO	Title
Date Signed	2012-06-06	DateSigned

Preparer Preparer

Field	Value	IRS element (for citing)
Phone	3018281008	Phone

Field	Value	IRS element (for citing)
Tax Year	2011	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	CAPITAL CARING	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	MALENE DAVIS	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	2900 TELESTAR COURT	AddressLine1
City	FALLS CHURCH	City
State	VA	State
ZIP Code	22042	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	80493451	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	www.capitalcaring.org	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1998	YearFormation
State Legal Domicile	VA	StateLegalDomicile
Activity Or Mission Description	THE MISSION OF CAPITAL HOSPICE IS TO IMPROVE CARE FOR THOSE FACING LIFE-LIMITING ILLNESSES THROUGH DIRECT SUPPORT OF PATIENTS AND THEIR FAMILIES, PUBLIC EDUCATION AND PUBLIC ADVOCACY.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	13	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	12	NbrIndependentVotingMembers
Total Nbr Employees	777	TotalNbrEmployees
Total Nbr Volunteers	888	TotalNbrVolunteers
Total Gross UBI	32973	TotalGrossUBI
Net Unrelated Business Txbl Income	21192	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	7174636	ContributionsGrantsPriorYear
Contributions Grants Current Year	7130256	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	63454199	ProgramServiceRevenuePriorYear
Program Service Revenue CY	69455835	ProgramServiceRevenueCY
Investment Income Prior Year	1090407	InvestmentIncomePriorYear
Investment Income Current Year	955501	InvestmentIncomeCurrentYear
Other Revenue Prior Year	959912	OtherRevenuePriorYear
Other Revenue Current Year	922810	OtherRevenueCurrentYear
Total Revenue Prior Year	72679154	TotalRevenuePriorYear
Total Revenue Current Year	78464402	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	29454	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	28402	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	39202816	SalariesEtcPriorYear
Salaries Etc Current Year	43208919	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	87800	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	45173	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	2020596	TotalFundrsngExpCurrentYear
Other Expense Prior Year	26727011	OtherExpensePriorYear
Other Expenses Current Year	28631732	OtherExpensesCurrentYear
Total Expenses Prior Year	66047081	TotalExpensesPriorYear
Total Expenses Current Year	71914226	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	6632073	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	6550176	RevenuesLessExpensesCY
Total Assets BOY	56658442	TotalAssetsBOY
Total Assets EOY	62980420	TotalAssetsEOY
Total Liabilities BOY	15419674	TotalLiabilitiesBOY
Total Liabilities EOY	16738901	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	41238768	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	46241519	NetAssetsOrFundBalancesEOY
Mission Description	THE MISSION OF CAPITAL HOSPICE IS TO IMPROVE CARE FOR THOSE FACING LIFE-LIMITING ILLNESSES THROUGH DIRECT SUPPORT OF PATIENTS AND THEIR FAMILIES, PUBLIC EDUCATION AND PUBLIC ADVOCACY.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	52767701	Expense
Grants	28402	Grants
Description	Capital Hospice provides expert medical, emotional, spiritual and practical care and support to patients with serious, progressive illness and their families 24 hours a day, seven days a week to patients wherever they live by qualified physicians, nurses, nurses' aides, social workers, non-denominational chaplains and other professionals. It is the objective of Capital Hospice to provide care to anyone medically eligible, regardless of the patient's ability to pay. Capital Hospice provided services to 5,781 patients during 2011 and had 374,833 patient days of care. Capital Hospice had costs related to services and supplies under its charity care policy of approximately $2,368,000 in 2011. In addition, Capital Hospice provided uncompensated care, where reimbursement for services is less than the actual cost of care provided, of approximately $2,838,000.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	3384490	Expense
Description	Halquist Memorial Inpatient Center provides care for our hospice patients that need constant monitoring and whose pain and symptoms can't be adequately managed at home. It is the objective of the Halquist Memorial Inpatient Center to make our patients as symptom free and comfortable as possible. Halquist Memorial Inpatient Center provided care to 808 patients and had 4,699 patient days of care in 2011.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	5273462	Expense
Description	Capital Palliative Care Consultants provides physician services to our hospice patients, and to non-hospice eligible patients who are in need of symptom management. It is the objective of Capital Palliative Care Consultants to provide physician services to all patients in need of symptom management, regardless of the patient's ability to pay. Capital Palliative Care Consultants provided 13,881 patient visits during 2011.	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	61425653	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	true	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	true	ReportInvestOthSecurities
Report Prog Rel Invest	true	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	true	ProfessionalFundraising
Fundraising Activities	true	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	true	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
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	true	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	true	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	true	DisregardedEntity
Related Entity	false	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transaction Related Entity	false	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	111	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	777	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	true	QuidProQuoContributions
Quid Pro Quo Disclosure	true	QuidProQuoDisclosure
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	13	NbrVotingGoverningBodyMembers
Number Independent Voting Members	12	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	DC	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	MD	StatesWhereCopyOfReturnIsFiled
States Where Copy Of Return Is Filed	VA	StatesWhereCopyOfReturnIsFiled
Other Website	X	OtherWebsite
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	DAVID A SCHWIND	NamePerson
Telephone Number	7035311108	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	2900 TELESTAR COURT	AddressLine1
City	Falls Church	City
State	VA	State
ZIP Code	22042	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (24 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
ROBIN PORTMAN
CHAIR	2.0	X	0	0	0
HEATHER GOLD
BOARD MEMBER	1.0	X	0	0	0
PAUL MANCA
BOARD MEMBER	1.0	X	0	0	0
MALENE DAVIS
PRESIDENT	40.0	X	533909	0	28725	X
LAURA INNISS
BOARD MEMBER	1.0	X	0	0	0
SANDRA MABRY
BOARD MEMBER	1.0	X	0	0	0
SCOTT ROYAL
BOARD MEMBER	1.0	X	0	0	0
FRANK GOMES
BOARD MEMBER	1.0	X	0	0	0
RANDY SEGAL
BOARD MEMBER	1.0	X	0	0	0
CHRISTINE CANDIO
BOARD MEMBER	1.0	X	0	0	0
L REUVEN PASTERNAK
BOARD MEMBER	1.0	X	0	0	0
ERIC SWANK
BOARD MEMBER	1.0	X	0	0	0
MARK WEBER
BOARD MEMBER	1.0	X	0	0	0
BOB STIFEL
BOARD MEMBER	1.0	X	0	0	0
LEN ADLER
BOARD MEMBER	1.0	X	0	0	0
TOM KOUTSOUMPAS
BOARD MEMBER	1.0	X	0	0	0
DAVID SCHWIND
EXECUTIVE VP CFO	40.0		209139	0	22361	X
JAMES CAMERON MUIR
EVP MEDICAL SERVICES	40.0		255293	0	15436		X
LINDA MAURANO
EVP CLINICAL SERVICES	40.0		207994	0	4571		X
MATTHEW KESTENBAUM
chief of medical staff	40.0		173540	0	3876			X
JAMES SHEAR
ASSOCIATE MEDICAL DIRECTOR	40.0		173287	0	402			X
DONA LESKUSKI
ASSOCIATE MEDICAL DIRECTOR	40.0		162182	0	2645			X
RICHARD WEINBERG
ASSOCIATE MEDICAL DIRECTOR	40.0		174484	0	8950			X
ELLEN RICHARDSON
ASSOCIATE MEDICAL DIRECTOR	40.0		161675	0	3687			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	2051503	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	90653	TotalOtherCompensation
Number Individuals GT100 K	57	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
WILBEA MEDICAL EQUIPMENT
PO BOX 3449	HARKER HEIGHTS	TX	76548	RENT MED EQUIP	2119148
CORAM HEALTHCARE OF GREATER DC
PO BOX 74775	CHICAGO	IL	606944775	INTRAVENOUS THERAPY	761417
AMN HEALTHCARE
2735 COLLECTION CIRCLE DRIVE	CHICAGO	IL	60693	NURSING HOME SERVICE	664435
CARROLL MANOR NURSING HOME
1150 VARUM STREET NE	WASHINGTON	DC	20017	NURSING HOME SERVICE	673770
WOODBINE REHAB HEALTHCARE
2729 KING STREET	ALEXANDRIA	VA	22302	NURSING HOME SERVICE	649104

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	29	NumberOfContractorsGT100K
Fundraising Events	912093	FundraisingEvents
Government Grants	10000	GovernmentGrants
All Other Contributions	6208163	AllOtherContributions
Noncash Contributions	27735	NoncashContributions
Total Contributions	7130256	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	PATIENT SERVICES	Description
Total Revenue Column	69455835	TotalRevenueColumn
Related Or Exempt Function Income	69455835	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	69455835	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	526654	TotalRevenueColumn
Exclusion	$526,654	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	814512	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	814512	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	814512	TotalRevenueColumn
Exclusion	$814,512	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	1967134	Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	1538287	Securities

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	428847	Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	428847	TotalRevenueColumn
Exclusion	$428,847	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	180500	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	912093	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	490762	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	-310262	TotalRevenueColumn
Exclusion	-$310,262	ExclusionAmount

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescription	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Business CodeBusinessCode	Unrelated Business RevenueUnrelatedBusinessRevenue
CAFETERIA REVENUE	11773	11773
MISCELLANEOUS	406787	373814	541700	32973

Field	Value	IRS element (for citing)
Total Other Revenue	418560	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	78464402	TotalRevenueColumn
Related Or Exempt Function Income	69841422	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	32973	UnrelatedBusinessRevenue
Exclusion	$1,459,751	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	28402	Total
Program Services	28402	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	1394382	Total
Program Services	0	ProgramServices
Management And General	1394382	ManagementAndGeneral
Fundraising	0	Fundraising

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	35478126	Total
Program Services	31838926	ProgramServices
Management And General	2869657	ManagementAndGeneral
Fundraising	769543	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	571496	Total
Program Services	505208	ProgramServices
Management And General	54263	ManagementAndGeneral
Fundraising	12025	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	3128070	Total
Program Services	2765246	ProgramServices
Management And General	297008	ManagementAndGeneral
Fundraising	65816	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	2636845	Total
Program Services	2330997	ProgramServices
Management And General	250367	ManagementAndGeneral
Fundraising	55481	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	75706	Total
Program Services	0	ProgramServices
Management And General	75706	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	2296	Total
Program Services	0	ProgramServices
Management And General	2296	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	45173	Total
Fundraising	45173	Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	105209	Total
Program Services	0	ProgramServices
Management And General	105209	ManagementAndGeneral
Fundraising	0	Fundraising

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	100127	Total
Program Services	100127	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	490827	Total
Program Services	136098	ProgramServices
Management And General	351664	ManagementAndGeneral
Fundraising	3065	Fundraising

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	1689936	Total
Program Services	714238	ProgramServices
Management And General	723101	ManagementAndGeneral
Fundraising	252597	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	1723449	Total
Program Services	1070038	ProgramServices
Management And General	589830	ManagementAndGeneral
Fundraising	63581	Fundraising

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	2343895	Total
Program Services	1950718	ProgramServices
Management And General	254958	ManagementAndGeneral
Fundraising	138219	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	1082098	Total
Program Services	966940	ProgramServices
Management And General	103902	ManagementAndGeneral
Fundraising	11256	Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total
Program Services	0	ProgramServices
Management And General	0	ManagementAndGeneral
Fundraising	0	Fundraising

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	177095	Total
Program Services	174805	ProgramServices
Management And General	2197	ManagementAndGeneral
Fundraising	93	Fundraising

Interest Interest

Field	Value	IRS element (for citing)
Total	536240	Total
Program Services	14739	ProgramServices
Management And General	402967	ManagementAndGeneral
Fundraising	118534	Fundraising

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	1336041	Total
Program Services	1261932	ProgramServices
Management And General	47128	ManagementAndGeneral
Fundraising	26981	Fundraising

Insurance Insurance

Field	Value	IRS element (for citing)
Total	268890	Total
Program Services	97648	ProgramServices
Management And General	171242	ManagementAndGeneral
Fundraising	0	Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
CONTRACT SERVICES	10706125	9515919	746400	443806
MEDICAL SUPPLIES	6629582	6629477	66	39
BAD DEBT	1183490	1183490	0	0
OTHER	176113	140705	21021	14387

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	4613	Total
Management And General	4613	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	71914226	Total
Program Services	61425653	ProgramServices
Management And General	8467977	ManagementAndGeneral
Fundraising	2020596	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	17454290	BOY
EOY	18603305	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	1458927	BOY
EOY	1749962	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	6395335	BOY
EOY	7388189	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	17716	BOY
EOY	18216	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	675978	BOY
EOY	815782	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	22124491	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	8934599	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	13507679	BOY
EOY	13189892	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	8756009	BOY
EOY	9564560	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	6504756	BOY
EOY	7792280	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	1400000	BOY
EOY	3400000	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	487752	BOY
EOY	458234	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	56658442	BOY
EOY	62980420	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	6876191	BOY
EOY	7650953	EOY

Grants Payable GrantsPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	7065000	BOY
EOY	6905000	EOY

Escrow Account Liability EscrowAccountLiability

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Loans From Officers Directors LoansFromOfficersDirectors

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	1478483	BOY
EOY	2182948	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	15419674	BOY
EOY	16738901	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	29236012	BOY
EOY	31453807	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	8298538	BOY
EOY	11084392	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	3704218	BOY
EOY	3703320	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	41238768	BOY
EOY	46241519	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	56658442	BOY
EOY	62980420	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	6550176	ReconcilationRevenueExpenses
Reconcilation Other Changes	-1547425	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Separate	X	FinancialStatementSeparate
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

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)
Total Grassroots Lobbying		TotalGrassrootsLobbying
Total Direct Lobbying		TotalDirectLobbying
Total Lobbying Expenditures		TotalLobbyingExpenditures
Other Exempt Purpose Expenditures		OtherExemptPurposeExpenditures
Total Exempt Purpose Expenditures		TotalExemptPurposeExpenditures
Lobbying Nontaxable		LobbyingNontaxableAmount
Grassroots Nontaxable		GrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non Tx		TotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying Nontx		TotLobbyExpendMnsLobbyingNontx
Volunteers	false	Volunteers
Paid Staff Or Management	true	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	false	GrantsOtherOrganizations
Direct Contact Legislators	true	DirectContactLegislators
Direct Contact Legislators	$1,308	DirectContactLegislatorsAmount
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	true	OtherActivities
Other Activities	$988	OtherActivitiesAmount
Total Lobbying Expenditures IIB	2296	TotalLobbyingExpendituresIIB

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	Other lobbying activities	Identifier
Return Reference	Schedule C, Part II-B, Line 1i	ReturnReference
Explanation	National Hospice & Palliative Care Organizations (NHPCO) dues percent for lobbying. NHPCO arranged a day for visiting congress in which our President participated to make them aware of the need to rescind the cut in Medicare Hospice payment.	Explanation

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amts		ArtPublicExhibitionAmts
Held Works Of Art Amts		HeldWorksOfArtAmts

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	22037437	BeginningOfYearBalance
Contributions	2989222	Contributions
Investment Earnings Or Losses	174302	InvestmentEarningsOrLosses
Grants Or Scholarships	203368	GrantsOrScholarships
Administrative Expenses	105209	AdministrativeExpenses
End Of Year Balance	24892384	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	18711870	BeginningOfYearBalance
Contributions	1940464	Contributions
Investment Earnings Or Losses	1649411	InvestmentEarningsOrLosses
Grants Or Scholarships	166791	GrantsOrScholarships
Administrative Expenses	97517	AdministrativeExpenses
End Of Year Balance	22037437	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	14774229	BeginningOfYearBalance
Contributions	1886968	Contributions
Investment Earnings Or Losses	2175178	InvestmentEarningsOrLosses
Grants Or Scholarships	31515	GrantsOrScholarships
Administrative Expenses	92990	AdministrativeExpenses
End Of Year Balance	18711870	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	654205	BeginningOfYearBalance
Contributions	17330573	Contributions
Investment Earnings Or Losses	-2982657	InvestmentEarningsOrLosses
Other Expenditures	113731	OtherExpenditures
Administrative Expenses	114161	AdministrativeExpenses
End Of Year Balance	14774229	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0.45000	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.17000	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.38000	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	false	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1906678	OtherCostOrOtherBasis
Book Value	1906678	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	11624045	OtherCostOrOtherBasis
Depreciation	2885361	Depreciation
Book Value	8738684	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	602708	OtherCostOrOtherBasis
Depreciation	582478	Depreciation
Book Value	20230	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	7379115	OtherCostOrOtherBasis
Depreciation	5454579	Depreciation
Book Value	1924536	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	611944	OtherCostOrOtherBasis
Depreciation	12180	Depreciation
Book Value	599764	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	13189892	TotalOfBookValueLandBuildings
Financial Derivatives		FinancialDerivatives
Closely Held Equity Interests		CloselyHeldEquityInterests

Other Securities OtherSecurities (5 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
US GOVERNMENT SECURITIES	2072096	F
CD'S AND MONEY MARKET FUNDS	3643741	F
CORPORATE DEBT SECURITIES	1645743	F
CASH AND CASH EQUIVALENTS	430700	F
FOREIGN BONDS	0	F

Field	Value	IRS element (for citing)
Total Of Book Value Securities	7792280	TotalOfBookValueSecurities

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
Description	CD'S AND MONEY MARKET FUNDS	Description
Book Value	3400000	BookValue
Method Of Valuation	F	MethodOfValuation

Field	Value	IRS element (for citing)
Total Of Book Value Program Related	3400000	TotalOfBookValueProgramRelated
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescription	AmountAmount
CHARITABLE GIFT ANNUITIES	$240,581
CAPITAL LEASE OBLIGATION	$199,367
INTEREST RATE SWAP	$1,743,000

Field	Value	IRS element (for citing)
Total Of Amounts	2182948	TotalOfAmounts
Total Revenue	78464402	TotalRevenue
Total Expenses	71914226	TotalExpenses
Excess Or Deficit For Year	6550176	ExcessOrDeficitForYear
Net Unrealized GL On Investments	-690525	NetUnrealizedGLOnInvestments
Other	-$856,900	OtherAmount
Total Adjustments	-1547425	TotalAdjustments
Excess Or Deficit Per FS	5002751	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	78159429	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	-690525	NetUnrealizedGainsInvestments
Other Revenues	490762	OtherRevenues
Revenue Not Rptd F990	-199763	RevenueNotRptdF990
Revenue Subtotal	78359192	RevenueSubtotal
Investment Expenses Not Included	105209	InvestmentExpensesNotIncluded
Other Revenues Not Included	1	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	105210	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	78464402	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	72589696	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	780679	OtherExpensesIncluded
Expenses Not Rptd F990	780679	ExpensesNotRptdF990
Expenses Subtotal	71809017	ExpensesSubtotal
Investment Expenses Not Included2	105209	InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt	105209	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	71914226	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Reconciliation of Revenue	Part XII Line 2d & 4b	Special events expense $490,762 ROUNDING 1
Reconciliation of Expenses	Part XIII, Lines 2d and 4b	Amortization of unused space $291,018 Special events expense $489,662 Rounding $ (1) -------- Total $780,679
Endowment Funds	Schedule D, Part V, Line 4	Capital Hospice intends to invest their endowment funds until they reach five million dollars at which time with the Board of Trustees approval eighty percent of any earnings would be used for ongoing operations and twenty percent would be added to the fund. Temporarily restricted funds will be used as the donor intended. Our largest temporarily restricted fund is for the construction of a Hospice inpatient unit in Loudoun County Virginia. The Board Restricted Funds are to be used for any emergency or new service that the Board approves.
RECONCILIATION OF CHANGE TO NET ASSETS		UNREALIZED LOSS INTEREST RATE SWAP $(858,000) NON-CASH PRIZES SPECIAL EVENTS 1,100 TOTAL ---------- $(856,900)

Schedule G IRS990ScheduleG

Field	Value	IRS element (for citing)
Mail Solicitations	X	MailSolicitations
In Person Solicitations	X	InPersonSolicitations
Solicitation Of Non Govt Grants	X	SolicitationOfNonGovtGrants
Solicitation Of Govt Grants	X	SolicitationOfGovtGrants
Special Fundraising Events	X	SpecialFundraisingEvents
Agreement Ref Fundraising	true	AgreementRefFundraising

Fundraiser Activity Information FundraiserActivityInformation

Field	Value	IRS element (for citing)
Name Of Individual	KATE M HILLAS	NameOfIndividual

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	2026 Labrador Lane	AddressLine1
City	Vienna	City
State	VA	State
ZIP Code	22182	ZIPCode

Field	Value	IRS element (for citing)
Activity	PLANNED GIVING	Activity
Fundraiser Control Of Funds	false	FundraiserControlOfFunds
Gross Receipts	2822984	GrossReceipts
Amount Retained By Contractor	45173	AmountRetainedByContractor
Net To Organization	2777811	NetToOrganization

Field	Value	IRS element (for citing)
Total Gross Receipts	2822984	TotalGrossReceipts
Total Retained By Contractors	45173	TotalRetainedByContractors
Total Net To Organization	2777811	TotalNetToOrganization

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	gala dinner	NameOfEvent1
Gross Receipts Event1	689500	GrossReceiptsEvent1
Charitable Contributions Event1	617800	CharitableContributionsEvent1
Gross Revenue Event1	71700	GrossRevenueEvent1
Food And Beverage Event1	92248	FoodAndBeverageEvent1
Entertainment Event1	9181	EntertainmentEvent1
Other Direct Expenses Event1	165729	OtherDirectExpensesEvent1
Name Of Event2	daffodil ball	NameOfEvent2
Gross Receipts Event2	164826	GrossReceiptsEvent2
Charitable Contributions Event2	148901	CharitableContributionsEvent2
Gross Revenue Event2	15925	GrossRevenueEvent2
Food And Beverage Event2	24653	FoodAndBeverageEvent2
Entertainment Event2	6125	EntertainmentEvent2
Other Direct Expenses Event2	31372	OtherDirectExpensesEvent2
Total Number Of Other Events	4	TotalNumberOfOtherEvents
Gross Receipts Other Events	238267	GrossReceiptsOtherEvents
Charitable Contrib Other Events	145392	CharitableContribOtherEvents
Gross Revenue Other Events	92875	GrossRevenueOtherEvents
Non Cash Prizes Other Events	1100	NonCashPrizesOtherEvents
Rent Facility Costs Other Events	12000	RentFacilityCostsOtherEvents
Food And Beverage Other Events	52490	FoodAndBeverageOtherEvents
Entertainment Other Events	2500	EntertainmentOtherEvents
Other Direct Expenses Other Events	93364	OtherDirectExpensesOtherEvents
Gross Receipts Total	1092593	GrossReceiptsTotal
Charitable Contributions Total	912093	CharitableContributionsTotal
Gross Revenue Total Events	180500	GrossRevenueTotalEvents
Non Cash Prizes Total Events	1100	NonCashPrizesTotalEvents
Rent Facility Costs Total Events	12000	RentFacilityCostsTotalEvents
Food And Beverage Total Events	169391	FoodAndBeverageTotalEvents
Entertainment Total Events	17806	EntertainmentTotalEvents
Other Direct Expenses Total Events	290465	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	490762	DirectExpenseSummaryEvents
Net Income Summary	-310262	NetIncomeSummary

Address Of Gaming Rec Keeper US AddressOfGamingRecKeeperUS

Field	Value	IRS element (for citing)
Address Line1	2900 Telestar Court	AddressLine1
City	Falls Church	City
State	VA	State
ZIP Code	220423018	ZIPCode

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
FPG Reference Free Care	true	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare
Pcent300	X	Pcent300
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	true	ExpensesExceededBudget
Unable To Provide Care	false	UnableToProvideCare
Annual Community Benefit Report	false	AnnualCommunityBenefitReport

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	2366878	TotalCommunityBenefitExpense
Net Community Benefit Expense	2366878	NetCommunityBenefitExpense
Percent Of Total Expense	0.03340	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	8229506	TotalCommunityBenefitExpense
Direct Offsetting Revenue	8590818	DirectOffsettingRevenue
Net Community Benefit Expense	-361312	NetCommunityBenefitExpense
Percent Of Total Expense	0.00510	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	10596384	TotalCommunityBenefitExpense
Direct Offsetting Revenue	8590818	DirectOffsettingRevenue
Net Community Benefit Expense	2005566	NetCommunityBenefitExpense
Percent Of Total Expense	0.02830	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	60290	TotalCommunityBenefitExpense
Net Community Benefit Expense	60290	NetCommunityBenefitExpense
Percent Of Total Expense	0.00090	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	593592	TotalCommunityBenefitExpense
Direct Offsetting Revenue	12390	DirectOffsettingRevenue
Net Community Benefit Expense	581202	NetCommunityBenefitExpense
Percent Of Total Expense	0.00820	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	5014858	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3099384	DirectOffsettingRevenue
Net Community Benefit Expense	1915474	NetCommunityBenefitExpense
Percent Of Total Expense	0.02710	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	273075	TotalCommunityBenefitExpense
Direct Offsetting Revenue	8018	DirectOffsettingRevenue
Net Community Benefit Expense	265057	NetCommunityBenefitExpense
Percent Of Total Expense	0.00370	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	26367	TotalCommunityBenefitExpense
Net Community Benefit Expense	26367	NetCommunityBenefitExpense
Percent Of Total Expense	0.00040	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	5968182	TotalCommunityBenefitExpense
Direct Offsetting Revenue	3119792	DirectOffsettingRevenue
Net Community Benefit Expense	2848390	NetCommunityBenefitExpense
Percent Of Total Expense	0.04030	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	16564566	TotalCommunityBenefitExpense
Direct Offsetting Revenue	11710610	DirectOffsettingRevenue
Net Community Benefit Expense	4853956	NetCommunityBenefitExpense
Percent Of Total Expense	0.06860	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$1,133,715	BadDebtExpenseAmount
Amount Reimbursed By Medicare	54363801	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	52346299	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	2017502	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Capital Hospice HALQUIST MEMORIAL IN CTR	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	4715 N 15TH ST	AddressLine1
City	ARLINTON	City
State	VA	State
ZIP Code	222052640	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
Other	HOSPICE INPATIENT CENTER	Other

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Capital Hospice HALQUIST MEMORIAL IN CTR	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
Eligibility Criteria Explained	true	EligibilityCriteriaExplained
Uses FPG Free	true	UsesFPGFree
FPG Free Percent	200.	FPGFreePercent
Uses FPG Discounted	true	UsesFPGDiscounted
FPG Discount Percent	300.	FPGDiscountPercent
Explains Basis	true	ExplainsBasis
Income Level	X	IncomeLevel
Asset Level	X	AssetLevel
Medical Indigency	X	MedicalIndigency
Insurance Status	X	InsuranceStatus
Uninsured Discount	X	UninsuredDiscount
Medicaid Medicare	X	MedicaidMedicare
Other Factors	X	OtherFactors
Explains Application Method	true	ExplainsApplicationMethod
Includes Publicity Measures	true	IncludesPublicityMeasures
Posted On Website	X	PostedOnWebsite
Attached To Invoices	X	AttachedToInvoices
Provided On Admission	X	ProvidedOnAdmission
Available On Request	X	AvailableOnRequest
Actions On Nonpayment	true	ActionsOnNonpayment
Collection Activities	false	CollectionActivities
Nondiscrim Emergency Care Policy	false	NondiscrimEmergencyCarePolicy
No Emergency Care	X	NoEmergencyCare
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	false	AmountsGenerallyBilled
Gross Charges	false	GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	13	NumberOfOtherFacilities

Other Facilities OtherFacilities (13 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
Capital Hospice
2900 Telestar Court	Falls Church	VA	220421206	hospice office
Capital Hospice
209 Gibson St Suite 202	Leesburg	VA	201762122	Hospice office
Capital Hospice
10530 Linden Lake Plaza Suite 200	Manassas	VA	201096434	Hospice office
Capital Hospice
5568 General Washington Dr Suite A2	Alexandria	VA	223122465	Hospice office
Capital Hospice
4401 Connecticut Avenue Suite 700	Washington	DC	200082322	Hospice office
Capital Hospice
9200 Basil Court Suite 200	Largo	MD	207745337	Hospice office
Capital Hospice
950 North Glebe Road Suite 500	Arlington	VA	222034183	Hospice office
CPCC - Alexandria Clinic
4660 Kenmore Ave Ste 1018	Alexandria	VA	22304	palliative care clinic
HALQUIST MEMORIAL INPATIENT CENTER
4715 NORTH 15TH STREET	ARLINGTON	VA	22205	PALLIATIVE CARE CLINIC
PROSPERITY CLINIC
8503 ARLINGTON BLVD STE 400	FAIRFAX	VA	22031	PALLIATIVE CARE CLINIC
LEESBURG CLINIC
44035 RIVERSIDE PARKWAY STE 300	LEESBURG	VA	20176	PALLIATIVE CARE CLINIC
WHC CANCER INSTITUTE
110 IRVING ST NW	WASHINGTON	DC	20010	PALLIATIVE CARE CLINIC
TRANSPLANT CLINIC
3300 GALLOWS RD	FALLS CHURCH	VA	22042	PALLIATIVE CARE CLINIC

Form990 Schedule H Part VI Form990ScheduleHPartVI (17 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
Part I, Line 3c	IN ADDITION TO USING THE FEDERAL POVERTY GUIDELINES TO DETERMINE ELIGIBILITY UNDER THE FINANCIAL ASSISTANCE POLICY, THE ORGANIZATION WILL, ON A CASE BY CASE DETERMINATION, ASSESS A PATIENT'S LIQUID ASSETS. THE PATIENT'S LIQUID ASSETS WILL BE ASSESSED IF THE PATIENT HAS HIGH MEDICAL DEBT OUTSTANDING.
Part I, line 5	IT IS THE ORGANIZATION'S POLICY TO PROVIDE FINANCIAL ASSISTANCE TO ANY INDIVIDUAL THAT QUALIFIES UNDER THE ORGANIZATION'S ASSISTANCE POLICY, REGARDLESS OF THE AMOUNT OF CHARITY CARE PROVIDED BY THE ORGANIZATION DURING THE YEAR.
Part I, Line 7G	CAPITAL HOSPICE PROVIDES A 15 BED INPATIENT UNIT FOR TREATMENT OF HOSPICE PATIENTS THAT NEED CONSTANT MONITORING BUT WHOSE PAIN AND SYMPTOMS CANNOT BE ADEQUATELY TREATED AT HOME. CAPITAL HOSPICE ALSO PROVIDES CONTINUOUS CARE SERVICES FOR HOSPICE PATIENTS THAT NEED MONITORING, BUT WHO CAN REMAIN AT HOME. BOTH PROGRAMS HELP TO MEET AN IDENTIFIED COMMUNITY NEED AND DO NOT RECEIVE SUFFICIENT REVENUE TO COVER COSTS.
PART I, LINE 7, Column F	THE BAD DEBT EXPENSE IS $1,183,490, WHICH WAS REMOVED FROM TOTAL EXPENSES TO DETERMINE THE PERCENTAGES OF TOTAL EXPENSES.
PART I, LINE 7	A COST TO CHARGE RATIO WAS USED TO DETERMINE THE COST ASSOCIATED WITH THE PROVISION OF CARE TO FINANCIAL ASSISTANCE AND MEDICAID PATIENTS. WE DETERMINED AN OVERHEAD RATE BASED ON OUR MEDICARE COST REPORT TO DETERMINE INDIRECT COSTS FOR OUR HEALTH IMPROVEMENT, EDUCATION AND HEALTH SERVICES BENEFITS.
Part III, Section A, Line 4	We do not have a bad debt footnote in our financial statements. We used a ratio of cost to charges for the amount reported on line 2. We do not include any of the bad debt as a community benefit.
Part III, Section B, Line 8	We used the ratio of Medicare charges to Medicare allowable costs to determine the amount on line 6.
Part III, Section C, Line 9b	THE ORGANIZATION PROVIDES FINANCIAL ASSISTANCE TO ALL PATIENTS THAT QUALIFY UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. ALTHOUGH THE ORGANIZATION'S DEBT COLLECTION POLICY DOES NOT HAVE A SPECIFIC PROVISION FOR PATIENTS KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE BECAUSE THE ORGANIZATION DOES NOT MAKE ANY ATTEMPT TO COLLECT FROM SUCH PATIENTS, IF WE BECOME AWARE THAT A PATIENT THAT WAS NOT INITIALLY IDENTIFIED AS QUALIFYING FOR FINANCIAL ASSISTANCE DOES IN FACT QUALIFY FOR FINANCIAL ASSISTANCE, THEN THE PATIENT RECEIVES FINANCIAL ASSISTANCE AND ALL COLLECTION EFFORTS (IF COMMENCED) ARE STOPPED IMMEDIATELY.
Part V, Line 11	THE HOSPITAL FACILITY DETERMINES THE MAXIMUM AMOUNTS THAT CAN BE CHARGED TO FINANCIAL ASSISTANCE ELIGIBLE INDIVIDUALS (THAT DO NOT QUALIFY FOR FREE CARE) FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE THROUGH THE USE OF A SLIDING FEE SCHEDULE FOR FINANCIAL ASSISTANCE PATIENTS. THE SLIDING SCALE BEGINS AT A LEVEL BELOW THE MEDICARE RATES FOR SUCH CARE FOR PATIENTS THAT HAVE FAMILY ANNUAL INCOME OF 300% OF THE FEDERAL POVERTY GUIDELINES AND GOES DOWN TO 25% OF FULL CHARGES (APPROXIMATELY 35-40% OF MEDICARE RATES) FOR PATIENTS THAT HAVE FAMILY ANNUAL INCOME OF 225% OF THE FEDERAL POVERTY GUIDELINES. IN ADDITION, THE HOSPITAL FACILITY PROVIDES A 20% DISCOUNT TO ALL UNINSURED PATIENTS THAT HAVE FAMILY ANNUAL INCOME UP TO 400% OF THE FEDERAL POVERTY GUIDELINES AND DO NOT QUALIFY UNDER THE HOSPITAL FACILITY'S FINANCIAL ASSISTANCE POLICY. IF THE UNINSURED PATIENT IS DEEMED TO BE MEDICALLY INDIGENT, THEN THE HOSPITAL FACILITY WILL PROVIDE A GREATER DISCOUNT.
Part V, Line 15	THE HOSPITAL FACILITY MAKES REASONABLE EFFORTS TO DETERMINE A PATIENT'S ELIGIBILITY UNDER THE FINANCIAL ASSISTANCE POLICY BEFORE TURNING OVER THE UNPAID ACCOUNT TO A COLLECTION AGENCY FOR ATTEMPTED RECOVERY (NO OTHER 3RD PARTY COLLECTION ACTIVITY OR EXTRAORDINARY COLLECTION ACTIONS ARE UNDERTAKEN BY THE ORGANIZATION). THE HOSPITAL FACILITY VISITIS EACH PATIENT BEFORE THE PATIENT IS ADMITTED TO THE FACILITY. AS PART OF THAT VISIT ANY INSURANCE COVERAGE OR ELIGIBILITY FOR MEDICAID IS DISCUSSED. IF IT IS APPARENT THAT INSURANCE COVERAGE OR MEDICAID COVERAGE IS NOT AVAILABLE, OR IS LIMITED, THEN THE FACILITY ENCOURAGES THE PATIENT TO APPLY FOR ITS FINANCIAL ASSISTANCE POLICY. IF THE PATIENT DOES NOT APPLY FOR FINANCIAL ASSISTANCE AT THAT TIME, THE FACILITY CONTINUES TO NOTIFY THE PATIENT OF THE EXISTENCE OF ITS FINANCIAL ASSISTANCE POLICY UPON ADMISSION TO THE FACILITY AND WITH EACH BILL THAT IS SENT TO THE PATIENT. ADDITIONALLY, THE EXISTENCE OF THE FINANCIAL ASSISTANCE POLICY WAS POSTED ON THE HOSPITAL FACILITY'S WEBSITE AND IS MADE AVAILABLE UPON REQUEST.
Part V, Line 18	THE HOSPITAL FACILITY SOLELY PROVIDES HOSPICE AND PALLIATIVE CARE. AS A RESULT, THE HOSPITAL FACILITY DOES NOT PROVIDE ANY EMERGENCY CARE SERVICES.
Part V, Line 19	THE HOSPITAL FACILITY DETERMINES THE MAXIMUM AMOUNTS THAT CAN BE CHARGED TO FINANCIAL ASSISTANCE ELIGIBLE INDIVIDUALS (THAT DO NOT QUALIFY FOR FREE CARE) FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE THROUGH THE USE OF A SLIDING FEE SCHEDULE FOR FINANCIAL ASSISTANCE PATIENTS. THE SLIDING SCALE BEGINS AT A LEVEL BELOW THE MEDICARE RATES FOR SUCH CARE FOR PATIENTS THAT HAVE FAMILY ANNUAL INCOME OF 300% OF THE FEDERAL POVERTY GUIDELINES AND GOES DOWN TO 25% OF FULL CHARGES (APPROXIMATELY 35-40% OF MEDICARE RATES) FOR PATIENTS THAT HAVE FAMILY ANNUAL INCOME OF 225% OF THE FEDERAL POVERTY GUIDELINES.
Part VI, Line 2	MARKET ANALYSIS IS AN INTERGRAL PART OF CAPITAL HOSPICE'S STRATEGIC PLANNING PROCESS. EMPIRICAL DATA IS COLLECTED BY: REFERRAL CENTER STAFF (WHICH FACILITATES ADMISSION INTO OUR PROGRAM); ACCESS STAFF, WHO INTERACT DIRECTLY WITH THE HOSPITALS, CLINICS, NURSING HOMES, ASSISTED LIVING FACILITIES AND PHYSICIAN PRACTICES THAT SERVE AS THE MAIN SOURCE OF REFERRALS INTO OUR CARE; OUTREACH STAFF, WHO INTERACT DIRECTLY WITH MUNICIPAL AGENCIES, FAITH COMMUNITIES AND COMMUNITY ORGANZIATIONS; EDUCATION STAFF, WHO INTERACT WITH LOCAL UNIVERSITIES, AND PUBLIC RELATIONS STAFF ARE PRESENT AT COMMUNITY HEALTH FAIRS AND OTHER PUBLIC EVENTS. ADDITIONALLY, CAPITAL HOSPICE MONITORS AND ANALYZES GOVERNMENT-PROVIDED STATISTICS TO COMPARE THE NUMBER OF DEATHS SERVED BY HOSPICE TO THE TOTAL NUMBER OF DEATHS IN OUR SERVICE AREA TO REVEAL WHERE SERVICES ARE UNDER-UTILIZED.	Needs Assessment
Part VI, Line 3	ALL PATIENTS RECEIVE AN ADMISSION VISIT BEFORE BEING ADMITTED INTO OUR HOSPICE CARE. AS PART OF THAT VISIT ANY INSURANCE COVERAGE IS VERIFIED. IF THE PATIENT HAS NO, OR LIMITED INSURANCE COVERAGE, THEN WE INQUIRE AS TO THEIR ABILITY TO BE COVERED BY MEDICAID. IF IT IS APPARENT THAT NO MEDICAID COVERAGE IS AVAILABLE THEN THE PATIENT IS ENCOURAGED TO COMPLETE THE FINANCIAL ASSISTANCE APPLICATION FORM. BASED ON THE INFORMATION OBTAINED FROM THE FINANCIAL ASSISTANCE FORM THEN FINANCIAL ASSISTANCE IS GRANTED. IF THE PATIENT DOES NOT APPLY FOR FINANCIAL ASSISTANCE AT THE TIME OF THE ADMISSION VISIT, THE FACILITY CONTINUES TO NOTIFY THE PATIENT OF THE EXISTENCE OF ITS FINANCIAL ASSISTANCE POLICY UPON ADMISSION TO THE FACILITY AND WITH EACH BILL THAT IS SENT TO THE PATIENT. ADDITIONALLY, THE EXISTENCE OF THE FINANCIAL ASSISTANCE POLICY IS POSTED ON THE HOSPITAL FACILITY'S WEBSITE AND IS MADE AVAILABLE UPON REQUEST.	Patient education of eligibility for assistance
Part VI, Line 4	CAPITAL HOSPICE SERVES AN ETHNIC, RACIAL, RELIGIOUS AND CULTURALLY DIVERSE REGION THAT ENCOMPASSES MUCH OF TWO STATES (VIRGINIA AND MARYLAND) AND THE DISTRICT OF COLUMBIA. COMMUNITIES SPAN THE SPECTRUM FROM URBAN/INNER CITY (DC) TO SUBURBAN (PRINCE GEORGE'S COUNTY, MD., FAIRFAX COUNTY, VA) TO RURAL (FAUQUIER COUNTY AND PARTS OF LOUDOUN COUNTY, VA). THE SOCIO-ECONOMIC COMPOSITION OF THE COMMUNITIES WE SERVE IS EQUALLY DIVERSE, RANGING FROM THE INDIGENT HOMELESS TO THE LOW-MODERATE INCOME TO ONE OF THE MOST AFFLUENT COUNTIES IN THE UNITED STATES. OUR SERVICE AREA ALSO IS HOME TO A VERY LARGE INTERNATIONAL COMMUNITY WITH A MULTITUDE OF LANGUAGES, TRADITIONS AND VALUES.	Community Information
Part VI, Line 5	Regardless of the venue or circumstance, Capital Hospice staff and volunteers make clear that lack of insurance or resources to pay for our services is not a barrier to receiving care. That also is clearly stated in our literature and our website. (Approximately two million in charity care has been provided in each of the past two years.) Additionally, Capital Hospice provides grief and loss services (seminars, workshops, support groups) throughout our service area, offered at no charge; this includes an annual summer weekend camp for grieving children, teens and adults. Attending/referring physicians from the community are encouraged to participate in or follow their patients' care. Physicians seeking board certification in the medical sub-specialty of Palliative Medicine can apply for the physician fellowship program Capital Hospice offers jointly with the National Institutes of Health Clinical Center. Hospice partners with area hospitals, nursing homes and physician practices to provide facility clinics for Palliative Care consultations requested by community physicians. Community advisory boards are utilized to develop strategies to increase awareness of Capital Hospice services within their respective communities. Caminando Juntos is an outreach program dedicated to raising awareness of the availability of Capital Hospice services within the Latino community. Capital Hospice staff regularly conduct teaching/training sessions to improve care provided jointly with nursing homes, hospitals and assisted living facilities. These are offered at our partners' facilities for no charge. Capital Hospice regularly offers Palliative Care Grand Rounds and Josefino Magno Palliative Care Conference Series as instructional sessions for community physicians and other professional health care providers; participates in and offers "viewing sites" to the community for the annual Hospice Foundation of America educational teleconference. More than A majority of Capital Hospice's governing body is comprised of independent persons who reside in the organization's primary service area. Capital Hospice has an open medical staff policy, pursuant to which all qualified physicians may become members of the medical staff. Any surplus funds earned by Capital Hospice are used to improve patient care and provide further community benefit.	Promotion of community health
Part VI, Line 6	CAPITAL HOSPICE IS NOT PART OF AN AFFILIATED GROUP.	Affiliated Health care system

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	false	RecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1	Address Line2AddressUS/AddressLine2	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	Amount Of Cash GrantAmountOfCashGrant
FOUNDATION FOR HOSPICES IN SUB SAHARAN
1731 KING ST	SUITE 300	ALEXANDRIA	VA	22314	15117
ARLINGTON FREE HEALTH CLINIC
2921 11TH STREET SOUTH		ARLINGTON	VA	22204	6000

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Form990 Of Other Organizations	X	Form990OfOtherOrganizations
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	false	SeverancePayment
Supplemental Nonqual Retire Plan	true	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	true	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)

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
DAVID SCHWIND
205106	0	0	0	4033	0	3996	0	18365	0	231500	0
MALENE DAVIS
307588	0	219650	0	6671	0	21729	0	6996	0	562634	0
JAMES CAMERON MUIR
252526	0	1087	0	1680	0	4494	0	10942	0	270729	0
LINDA MAURANO
205910	0	0	0	2084	0	4169	0	402	0	212565	0
MATTHEW KESTENBAUM
170300	0	1500	0	1740	0	3474	0	402	0	177416	0
JAMES SHEAR
166385	0	4990	0	1912	0	0	0	402	0	173689	0
DONA LESKUSKI
151653	0	10425	0	104	0	0	0	2645	0	164827	0
RICHARD WEINBERG
166566	0	7622	0	296	0	3399	0	5551	0	183434	0
ELLEN RICHARDSON
159272	0	2130	0	273	0	3285	0	402	0	165362	0

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
compensation based on net earnings	If the organization reaches its budgeted amount of net income from operations for the year then all employees are eligible for a bonus, which is based upon certain key metrics that are unrelated to net income.
SCHEDULE J, PART I, LINE 4B	IN 2011, THE ORGANIZATION TERMINATED THE NONQUALIFIED DEFERRED COMPENSATION PLAN PARTICIPATED IN BY THE ORGANIZATION'S CEO. PURSUANT TO THE PLAN TERMINATION, ALL OF THE AMOUNTS THAT HAD PREVIOUSLY BEEN CONTRIBUTED BY THE ORGANIZATION INTO THE DEFERRED COMPENSATION PLAN WERE DISTRIBUTED TO THE CEO. ALL OF THE PLAN CONTRIBUTIONS HAD BEEN REPORTED PRIOR TO 2011 AS TAXABLE WAGE INCOME ON THE CEO'S FORMS W-2.	nonqualified deferred compensation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	fairfax county economic development authority	BusinessNameLine1

Field	Value	IRS element (for citing)
Issuer EIN	911910090	IssuerEIN
CUSIP Number	30382yaa8	CUSIPNumber
Date Issued	2009-01-29	DateIssued
Issue Price	7200000	IssuePrice
Description Of Purpose	purchase and renovation of a facil	DescriptionOfPurpose
Defeased	false	Defeased
On Behalf Of Issuer	false	OnBehalfOfIssuer
Pool Financing	false	PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

Field	Value	IRS element (for citing)
Amount Retired	295000	AmountRetired
Amount Bond Defeased	0	AmountBondDefeased
Total Proceeds	7200000	TotalProceeds
Amount In Reserve Fund	0	AmountInReserveFund
Capitalized Interest	0	CapitalizedInterest
Refunding Escrow	0	RefundingEscrow
Issuance Costs From Proceeds	225106	IssuanceCostsFromProceeds
Credit Enhancement	0	CreditEnhancement
Working Capital Expenditures	0	WorkingCapitalExpenditures
Capital Expenditures	6974894	CapitalExpenditures
Other Spent Proceeds	0	OtherSpentProceeds
Amount Unspent	0	AmountUnspent
Year Of Subst Completion	2009	YearOfSubstCompletion
Current Refunding	false	CurrentRefunding
Advance Refunding	false	AdvanceRefunding
Final Allocation Made	true	FinalAllocationMade
Adequate Books And Recds Maintaind	true	AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

Field	Value	IRS element (for citing)
Owning Bond Financed Property	false	OwningBondFinancedProperty
Any Lease Arrangements	false	AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty	false	MngmentCntrctBondFinancdPrprty
Any Research Agreements	false	AnyResearchAgreements
Prcntge Prvt Business Use By Others	0.00000	PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI	0.00000	PercentageOfPrvtBusinessReUBI
Total Private Business Use	0.00000	TotalPrivateBusinessUse
Post Issuance Compliance Procdrs	true	PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

Field	Value	IRS element (for citing)
Form8038 T Filed	false	Form8038TFiled
Variable Rate Issue	true	VariableRateIssue
Hedge Identified In Books And Recds	true	HedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

Field	Value	IRS element (for citing)
Business Name Line1	bb&t	BusinessNameLine1

Field	Value	IRS element (for citing)
Term Of Hedge	10.	TermOfHedge
Superintegrated Hedge	false	SuperintegratedHedge
Hedge Terminated	false	HedgeTerminated
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGIC

Name Of GIC Provider NameOfGICProvider

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1

Field	Value	IRS element (for citing)
Gross Proceeds Invested	false	GrossProceedsInvested
Exception To Rebate	false	ExceptionToRebate

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Field	Value	IRS element (for citing)
Name Person	Susan Muir	NamePerson

Field	Value	IRS element (for citing)
Relationship	wife of JamesCameron Muir	Relationship
Amount Of Transaction	15436	AmountOfTransaction
Description Of Transaction	interior decorating services	DescriptionOfTransaction
Sharing Of Revenues	false	SharingOfRevenues

Schedule M IRS990ScheduleM

Field	Value	IRS element (for citing)
Works Of Art		WorksOfArt
Art Historical Treasures		ArtHistoricalTreasures
Art Fractional Interest		ArtFractionalInterest
Books And Publications		BooksAndPublications
Clothing And Household Goods		ClothingAndHouseholdGoods
Cars And Other Vehicles		CarsAndOtherVehicles
Boats And Planes		BoatsAndPlanes
Intellectual Property		IntellectualProperty

Securities Publicly Traded SecuritiesPubliclyTraded

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	12	NumberOfContributions
Noncash Contribs Rptd F990	27735	NoncashContribsRptdF990
Method Of Determining Revenues	Sale of securities	MethodOfDeterminingRevenues

Field	Value	IRS element (for citing)
Securities Closely Held Stock		SecuritiesCloselyHeldStock
Securities Prtnrshp Trust Intrsts		SecuritiesPrtnrshpTrustIntrsts
Securities Miscellaneous		SecuritiesMiscellaneous
Qualified Contrib Hist Struct		QualifiedContribHistStruct
Qualified Contrib Other		QualifiedContribOther
Real Estate Residential		RealEstateResidential
Real Estate Commercial		RealEstateCommercial
Real Estate Other		RealEstateOther
Collectibles		Collectibles
Food Inventory		FoodInventory
Drugs And Medical Supplies		DrugsAndMedicalSupplies
Taxidermy		Taxidermy
Historical Artifacts		HistoricalArtifacts
Scientific Specimens		ScientificSpecimens
Archaeological Artifacts		ArchaeologicalArtifacts
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts	false	ReviewProcessUnusualNCGifts
Third Parties Used	true	ThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII

Field	Value	IRS element (for citing)
Identifier	Sale of Non-Cash Contributions	Identifier
Return Reference	Schedule M, Part I, Question 32b	ReturnReference
Explanation	The firm Robinson & Lukens was used to sell any stock gifts.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (29 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
DESCRIPTION OF REVIEW PROCESS	PART VI, LINE 10	The 990 for Capital Hospice is reviewed by the Controller and the Executive Vice President/Chief Financial Officer, who will sign the return when it is finalized. Next the 990 is sent to all the members of the Board of Trustees including the President of Capital Hospice for their review and to solicit any comments or questions. After it has been reviewed by the Board it will be finalized, signed and filed.
CONFLICTS MONITORING AND ENFORCEMENT	PART VI, LINE 12	ALL BOARD MEMBERS, OFFICERS AND KEY MANAGERS ARE REQUIRED TO REPORT ANY REAL OR POTENTIAL OR PERCEIVED CONFLICT OF INTEREST INVOLVING THEM OR ANOTHER PERSON BY PROMPTLY FILING A WRITTEN DISCLOSURE STATEMENT WITH THE PRESIDENT OR CHAIR OF THE BOARD OF TRUSTEES. THE PRESIDENT WILL REVIEW ALL SUCH STATEMENTS AND THE ANNUAL DISCLOSURE STATEMENTS AND DISCUSS WITH THE CHAIR OF THE BOARD ANY POTENTIAL CONFLICTS OF INTEREST. IF THE PRESIDENT AND THE CHAIR OF THE BOARD DETERMINE THAT A POTENTIAL CONFLICT EXISTS, THEN THE BOARD SHALL INFORM THE PERSON OF THE BASIS FOR SUCH BELIEF AND ALLOW THE PERSON TO EXPLAIN AND DISCLOSE. [FOR ANY TRANSACTION/ARRANGEMENT DISCUSSED DURING A BOARD MEETING FOR WHICH A CONFLICT OF INTEREST IS DEEMED TO EXIST, THE AFFECTED BOARD MEMBER SHALL NOT BE COUNTED IN DETERMINING THE QUOROM FOR THE MEETING BUT SHALL BE PERMITTED TO BRIEFLY STATE HIS POSITION ON THE MATTER AND ANSWER PERTINENT QUESTIONS OF OTHER BOARD MEMBERS BEFORE VACATING THE GOVERNING BOARD. THE BOARD MEMBER SHALL LEAVE THE GOVERNING BOARD AND A MAJORITY OF THE REMAINING BOARD MEMBERS SHALL DETERMINE WHETHER TO UNDERTAKE SUCH TRANSACTION/ARRANGEMENT.] IF THE BOARD DECIDES THAT A PERSON HAS FAILED TO DISCLOSE, THE BOARD SHALL TAKE CORRECTIVE ACTION.
CEO, Officers and Key Employees process for determining compensation	Part VI, Section B, Line 15	The independent Compensation Committee of Capital Caring has engaged Towers Watson, an independent consulting group, experienced in this work, to conduct a survey to gather comparable, valid market data of executive compensation from both tax-exempt and for-profit employers, of similar size and comparable scope for the CEO and other key personnel. The report was reviewed and approved by the independent Compensation Committee after thorough discussion of the data, it sources and the findings. Capital Caring, as subject to Intermediate Sanctions under Internal Revenue Code (IRC) Section 4958, considers that the Intermediate Sanctions market benchmarking methodology for disqualified individuals, conducted by Towers Watson, has provided a valid and robust means of determining market based compensation competitiveness. Capital Caring has appointed an independent Compensation Committee to review and approve (with contemporaneous substantiation of the deliberation and decision) the compensation for other officers and key employees of Capital Caring. The review is done in conjunction with independent market review and findings presented from Towers Watson.
DOCUMENT AVAILABILITY	PART VI, LINE 19	THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
net asset reconciliation	part xi, line 5	unrealized LOSS on investments $(690,525) unrealized loss on interest rate swap (825,000) NON-CASH PRIZES SPECIAL EVENTS 1,100 -------- total $(1,547,425)
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:ROBIN PORTMAN TITLE:CHAIR HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:HEATHER GOLD TITLE:BOARD MEMBER HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:PAUL MANCA TITLE:BOARD MEMBER HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:MALENE DAVIS TITLE:PRESIDENT HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:LAURA INNISS TITLE:BOARD MEMBER HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:SANDRA MABRY TITLE:BOARD MEMBER HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:SCOTT ROYAL TITLE:BOARD MEMBER HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:FRANK GOMES TITLE:BOARD MEMBER HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:RANDY SEGAL TITLE:BOARD MEMBER HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:CHRISTINE CANDIO TITLE:BOARD MEMBER HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:L REUVEN PASTERNAK TITLE:BOARD MEMBER HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:ERIC SWANK TITLE:BOARD MEMBER HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:MARK WEBER TITLE:BOARD MEMBER HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:BOB STIFEL TITLE:BOARD MEMBER HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:LEN ADLER TITLE:BOARD MEMBER HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:TOM KOUTSOUMPAS TITLE:BOARD MEMBER HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:DAVID SCHWIND TITLE:EXECUTIVE VP CFO HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:JAMES CAMERON MUIR TITLE:EVP MEDICAL SERVICES HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:LINDA MAURANO TITLE:EVP CLINICAL SERVICES HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:MATTHEW KESTENBAUM TITLE:chief of medical staff HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:JAMES SHEAR TITLE:ASSOCIATE MEDICAL DIRECTOR HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:DONA LESKUSKI TITLE:ASSOCIATE MEDICAL DIRECTOR HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:RICHARD WEINBERG TITLE:ASSOCIATE MEDICAL DIRECTOR HOURS:
HOURS DEVOTED FOR RELATED ORGANIZATION	FORM 990 PART VII	NAME:ELLEN RICHARDSON TITLE:ASSOCIATE MEDICAL DIRECTOR HOURS:

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

Field	Value	IRS element (for citing)
Business Name Line1	Capital Palliative Care Consultants	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	2900 Telestar Ct	AddressLine1
City	Falls Church	City
State	VA	State
ZIP Code	22042	ZIPCode

Field	Value	IRS element (for citing)
EIN	522361003	EIN
Primary Activities	Palliative	PrimaryActivities
Legal Domicile State	MD	LegalDomicileState
Total Income	1694462	TotalIncome
EOY Assets	664339	EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	Capital Hosp	BusinessNameLine1

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

Field	Value	IRS element (for citing)
Business Name Line1	Capital Palliative Care Consultants	BusinessNameLine1

Field	Value	IRS element (for citing)
Transaction Type	Q	TransactionType