2012-07-27T07:43:07-05:00 2011-12-31 111986323 MARCUM LLP 555 LONG WHARF DRIVE NEW HAVEN CT 06511 990 2011-01-01 042681561 HOSPICE ASSOCIATION OF CAPE CODINC DBA HOSPICE & PALLIATIVE CARE OF CAPE COD HOSP 5089570200 765 ATTUCKS LANE HYANNIS MA 02601 JEAN DAWSON 5089570200 2012-07-25 1 JOHN MEZZANOTTE P01319984 2037771099 2011 2016-02-24 21:20:13Z JEAN DAWSON 765 ATTUCKS LANE HYANNIS MA 02601 24759274 0 X WWW.HOSPICECAPECOD.ORG X 1980 MA HOSPICE ASSOCIATION OF CAPE COD, INC. PROVIDES SERVICES THAT ENHANCE THE COMFORT AND QUALITY OF LIFE FOR PATIENTS AND FAMILIES EXPERIENCING THE IMPACT OF SERIOUS ILLNESS AND LOSS. 14 14 252 188 0 0 1386915 1991894 17642124 22141296 -8173 4302 326957 301545 19347823 24439037 0 0 0 0 9565242 11723864 0 0 407594 8695358 11253088 18260600 22976952 1087223 1462085 8757158 10442913 2524671 2749486 6232487 7693427 X HOSPICE ASSOCIATION OF CAPE COD, INC. PROVIDES SERVICES THAT ENHANCE THE COMFORT AND QUALITY OF LIFE FOR PATIENTS AND FAMILIES EXPERIENCING THE IMPACT OF SERIOUS ILLNESS AND LOSS. 1 0 17184468 19831335 HOSPICE & PALLIATIVE CARE OF CAPE COD, INC, PROVIDES SERVICES THAT ENHANCE THE COMFORT AND QUALITY OF LIFE FOR PATIENTS AND FAMILIES EXPERIENCING THE IMPACT OF SERIOUS ILLNESS AND LOSS. TO FULFILL THIS MISSION, WE ADHERE TO THE BROADEST POSSIBLE ADMISSION CRITERIA POSSIBLE, SERVING ALL WHO ARE ELIGIBLE-- REGARDLESS OF THE COMPLEXITY OF CARE NEEDS OR COSTS OF CARE. WE CALL THIS OUR "OPEN DOOR" PHILOSOPHY. THIS MEANS THAT WE OFTEN ASSUME FINANCIAL RESPONSIBILITY FOR COSTLY THERAPIES AND TREATMENTS FOR WHICH WE ARE NOT FULLY REIMBURSED BY INSURANCE PROVIDERS. TO HELP DEFRAY THESE INCREASED COSTS, WE DEPEND UPON THE GENEROSITY OF OUR DONORS IN THE COMMUNITY.TO FULFILL OUR MISSION TO SERVE ALL WHO ARE ELIGIBLE, WE ARE COMMITTED TO COMPREHENSIVE AND ONGOING COMMUNITY OUTREACH AND EDUCATION. WE HAVE A SPEAKER'S BUREAU THAT REGULARLY OFFERS EDUCATIONAL SESSIONS TO ASSOCIATIONS, CLUBS, SENIOR CENTERS, CONGREGATIONS AND AFFINITY GROUPS THROUGHOUT OUR SERVICE AREA. IN 2011, WE SCHEDULED THESE SESSIONS WITH OVER 3,300 PEOPLE THROUGHOUT CAPE COD. OUR DONOR SUPPORT ENSURES THAT WE ARE ABLE TO CONTINUE THESE CRITICAL OUTREACH EFFORTS. DESPITE OUR HAVING TRIPLED OVER THE PAST 3 YEARS (SO THAT WE ARE SERVING NEARLY 270 PATIENTS AND FAMILIES A DAY AT THE END OF 2011), WE KNOW THAT THERE ARE MANY HUNDREDS OF PEOPLE ON CAPE COD WHO ARE ELIGIBLE-BUT WHO ARE NOT YET RECEIVING HOSPICE CARE.KIDS GRIEVE TOO!OUR MISSION INCLUDES SERVING PATIENTS AND FAMILIES WHO ARE EXPERIENCING THE IMPACT OF SERIOUS ILLNESS AND LOSS. CARING FOR FAMILIES ALSO MEANS CARING FOR CHILDREN AND TEENS. AND, AS A NOT-FOR-PROFIT ORGANIZATION, WE BELIEVE WE HAVE A RESPONSIBILITY TO CARE FOR ALL CHILDREN AND TEENS ON CAPE COD, WHETHER OR NOT THEY OR THEIR FAMILIES ARE OR HAVE BEEN RECEIVING HOSPICE SERVICES. OUR KIDS GRIEVE TOO! PROGRAM IS STAFFED WITH SPECIALLY TRAINED COUNSELORS WHO PROVIDED COUNSELING TO OVER 400 CHILDREN LAST YEAR - AND THIS PROGRAM IS LARGELY FUNDED THROUGH THE GENEROSITY OF OUR DONORS. 1855456 2309961 HOSPICE ALSO OWNS AND OPERATES A HOSPICE IN-PATIENT FACILITY, THE MCCARTHY CARE CENTER, FOR CARE OF THE TERMINALLY ILL. 19039924 1 1 0 0 0 0 0 0 0 1 1 1 0 1 0 0 1 1 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 0 0 1 27 0 1 252 1 0 0 0 0 0 0 0 0 0 0 X 14 14 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MA X JEAN DAWSON CFOCAO HOSPICE ASSOCIATION OF CAPE COD INC 5089570200 765 ATTUCKS LANE HYANNIS MA 02601 BRIAN DRAKE 3.00 X 0 0 0 DAVID M DUNFORD 3.00 X 0 0 0 SARA T FRY RN 3.00 X 0 0 0 REV BERNARD HARRIS SR 3.00 X 0 0 0 ALLEN PECKHAM 3.00 X 0 0 0 ROBERT F SENNOTT 3.00 X 0 0 0 RICHARD W NEITZ 3.00 X 0 0 0 DAVID NUNHEIMER 3.00 X 0 0 0 MELINDA LOBERG 3.00 X 0 0 0 LEWIS MANTEL MD 1.00 X 0 0 0 PATRICIA CAHILL 15.00 X 0 0 0 LAWRENCE CAPODILUPO 15.00 X 0 0 0 JOSEPH R VALLE 10.00 X 0 0 0 ELIZABETH WARREN 5.00 X 0 0 0 DAVID W REHM 40.00 X X 314436 0 14394 JEAN DAWSON 40.00 X X 191826 0 11971 LISE LAMBERT 40.00 X 213433 0 12885 SUSAN STRAUSS 40.00 X X 147919 0 18760 BARBARA MAFFEO 64.00 X 101945 0 6611 KRISTIN KEEFE 40.00 X 153469 0 6549 MICHAEL BUTLER 48.00 X 114671 0 979 1237699 0 72149 7 0 1 0 HOSPICE PHARMACIA LLC PO BOX 510818 PHILADELPHIA PA 19175 PHARMACY SERVICES 1011556 EPOCH SH OF BREWSTER 873 HARWICH ROAD BREWSTER MA 02631 NURSING HOME 691057 CAPE MEDICAL SUPPLY INC 28 JAN SEBASTIAN DRIVE SANDWICH MA 02563 MEDICAL SUPPLIES 514164 RADIUS CAPE HERITAGE 37 ROUTE 6A SANDWICH MA 02563 NURSING HOME 456953 BROADREACH OF CHATHAM INC (LIBERTY COM 390 ORLEANS ROAD N CHATHAM MA 02650 NURSING HOME 430475 31 1991894 75246 1991894 MEDICARE/MEDICAID PAYM 623990 21074338 21074338 OTHER PATIENT FEES 623990 1066958 1066958 22141296 25052 25052 200923 195956 25717 4967 -25717 -20750 -20750 400109 98564 301545 301545 24439037 22120546 0 326597 925624 925624 8857742 7520403 1112343 224996 1277238 1025009 221562 30667 663260 512434 135495 15331 37381 37381 38896 38896 127548 127548 405664 165800 239297 567 469580 371831 87813 9936 508362 398516 102281 7565 52140 44775 5878 1487 36861 36861 255110 127439 127671 51554 40701 10853 CONTRACTED SERVICES 8893208 8712711 180497 CONSULTING SERVICES 160891 41106 92020 27765 OTHER FUNDRAISING EXPEN 74928 74928 MISCELLANEOUS 62327 32358 23370 6599 78638 9980 60905 7753 22976952 19039924 3529434 407594 1609934 1668383 396512 48913 2182400 3238546 177423 345591 4557602 1470139 3115746 3087463 442296 454844 832847 1599173 8757158 10442913 1742389 2124867 660117 624619 122165 0 2524671 2749486 X 6068085 7483686 164402 209741 6232487 7693427 8757158 10442913 X 1462085 -1145 X X 0 1 1 X 0 X 1625159 1522846 1325264 1779918 2392003 8645190 8755175 9231642 14624146 17642124 22141296 72394383 10380334 10754488 15949410 19422042 24533299 81039573 0 0 0 81039573 11685 17424 21514 21704 25052 97379 11685 17424 21514 21704 25052 97379 84338 61426 7634 153398 10476357 10833338 15978558 19443746 24558351 81290350 0.99690 0.99620 0.00120 0.00110 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 152733 12330 21651 143412 207358 29732 84357 152733 245920 48667 87229 207358 394384 -53796 94668 245920 1.00000 0 0 150000 150000 3082814 724013 2358801 87740 32015 55725 1213434 714108 499326 23614 3 23611 3087463 GOODWILL 831063 DUE FROM AFFILIATE 768110 1599173 24439037 22976952 1462085 -1145 -1145 1460940 24562173 -1145 98564 97419 24464754 -25717 -25717 24439037 23101233 98564 98564 23002669 -25717 -25717 22976952 PART XII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENTS - COST 98,564. PART XII, LINE 4B - OTHER ADJUSTMENTS: LOSS ON DISPOSAL OF ASSET -25,717. PART XIII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENTS - COST 98,564. PART XIII, LINE 4B - OTHER ADJUSTMENTS: LOSS ON DISPOSAL OF ASSETS -25,717. AUCTION 185824 185824 56893 LAST GASP 102160 102160 18831 3 112125 112125 22840 400109 400109 98564 98564 301545 X 1 1 X X X X 0 0 0 1 0 1 0 0 0 DAVID W REHM 283902 0 30534 0 0 0 0 0 14394 0 328830 0 0 0 JEAN DAWSON 170046 0 21780 0 0 0 0 0 11971 0 203797 0 0 0 LISE LAMBERT 185973 0 27460 0 0 0 0 0 12885 0 226318 0 0 0 SUSAN STRAUSS 130699 0 17220 0 0 0 0 0 18760 0 166679 0 0 0 KRISTIN KEEFE 153469 0 0 0 0 0 0 0 6549 0 160018 0 0 0 PART I, LINE 5 A PORTION OF DAVID REHM'S, JEAN DAWSON'S, LISE LAMBERT'S, AND SUSAN STRAUSS'S COMPENSATION IS BASED UPON THE ACHIEVEMENT OF CERTAIN REVENUE AND NET OPERATING INCOME GOALS. PART I, LINE 6 A PORTION OF DAVID REHM'S, JEAN DAWSON'S, LISE LAMBERT'S, AND SUSAN STRAUSS'S COMPENSATION IS BASED UPON THE ACHIEVEMENT OF CERTAIN REVENUE AND NET OPERATING INCOME GOALS. X 7 20595 FAIR MARKET VALUE X 37196 FAIR MARKET VALUE X VACATION/TRIPS DONATED FOR AUCTION 4 17455 FAIR MARKET VALUE 0 0 0 NEW PROGRAM SERVICES FORM 990, PART III, LINE 2 THE ORGANIZATION MERGED WITH ALZHEIMER'S SERVICES OF CAPE COD & THE ISLANDS, INC., EXPANDING ITS SERVICE BASE TO FAMILIES AND CAREGIVERS EXPERIENCING THE IMPACT OF ALZHEIMER'S DISEASE. FORM 990, PART VI, SECTION A, LINE 2 LISE LAMBERT, VICE PRESIDENT OF BUSINESS DEVELOPMENT IS MARRIED TO DAVID REHM, CEO. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 WAS PREPARED BY OUR EXTERNAL ACCOUNTING FIRM AND PRESENTED TO THE CFO AND HER STAFF FOR REVIEW. THE CFO THEN PRESENTS THE FORM 990 TO THE AUDIT AND FINANCE COMMITTEE OF THE BOARD OF DIRECTORS, ACTING UNDER AUTHORIZATION BY THE BOARD, FOR FINAL REVIEW AND APPROVAL TO FILE. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD OF DIRECTORS ARE REQUIRED TO COMPLETE THE "CONFLICT OF INTEREST DISCLOSURE FORM" ANNUALLY AND COMPLETE THE FORM AT ANY TIME THAT AN INTEREST BECOMES A MATTER OF DISCUSSION BY THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE COMMITTEE OF THE BOARD ALSO SERVES AS THE COMPENSATION COMMITTEE AND REVIEWS SALARIES FOR THE CEO AND OTHER MEMBERS OF THE SENIOR MANAGEMENT TEAM ON AN ANNUAL BASIS. THE PROCESS INCLUDES THE PROCUREMENT OF COMPARABLE DATA FROM EXTERNAL INDEPEPENDENT PROFESSIONAL SOURCES. THE COMPENSATION COMMITTEE THEN MAKES A RECOMMENDATION TO THE FULL BOARD OF DIRECTORS FOR THEIR REVIEW AND APPROVAL. FORM 990, PART VI, SECTION C, LINE 19 THE ASSOCIATION MAKES AVAILABLE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES, AND FINANCIAL STATEMENTS AVAILABLE FOR PUBLIC INSPECTION, UPON REQUEST, AT ITS ADMINISTRATIVE OFFICE LOCATION IN HYANNIS, MA. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -1,145. FORM 990, PART XI, LINE 2C: THE AUDIT AND FINANCE COMMITTEE OF THE BOARD OF DIRECTORS IS CHARGED WITH THE RESPONSIBILITY FOR THE SELECTION OF THE ASSOCIATION'S INDEPENDENT AUDITORS, AND FOR THE OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS. HOSPICE FOUNDATION OF CAPE COD INC 765 ATTUCKS LANE HYANNIS MA 02601 223064372 MANAGES THE LONG-TERM INVESTMENT PORTFOLIO MA 501(C)(3) 509(A)(2) HOSPICE ASSOCIATION OF CAPE COD INC 0 ALZHEIMER'S SERVICES OF CAPE COD & THE ISLANDS 765 ATTUCKS LANE HYANNIS MA 02601 222610246 ALZHEIMER'S SUPPORT SERVICES MA 501(C)(3) 509(A)(1) HOSPICE ASSOCIATION OF CAPE COD INC 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 HOSPICE FOUNDATION OF CAPE COD INC Q 800000 HOSPICE FOUNDATION OF CAPE COD INC Q 35332 HOSPICE FOUNDATION OF CAPE COD INC P 21870