2012-08-14T11:54:40-05:00 2011-09-30 BLUM SHAPIRO & COMPANY PC CPA'S 29 S MAIN STREET PO BOX 272000 WEST HARTFORD CT 061272000 990 2010-10-01 061003712 THE JOHN D THOMPSON HOSPICE INSTITUTE FOR EDUCATION TRAINING AND RESEARCH JOHN 2033157500 100 DOUBLE BEACH ROAD BRANFORD CT 064054003 THOMAS MCGOVERN 2033157500 2012-08-13 1 ELIZABETH SOLECKI 8605614000 2010 2016-02-24 21:20:13Z THOMAS MCGOVERN 100 DOUBLE BEACH ROAD BRANFORD CT 064054003 4416051 0 X WWW.HOSPICE.COM X 1978 CT TO EXTEND THE PRINCIPLES OF PALLIATIVE CARE AND HOSPICE SERVICES INTO THE MAINSTREAM OF MEDICAL PRACTICE AND EDUCATION REGIONALLY, NATIONALLY AND INTERNATIONALLY THROUGH EDUCATION, TRAINING AND RESEARCH. 14 13 2 13 0 0 125994 114089 4004023 4017802 19483 0 284160 284160 4433660 4416051 0 0 0 0 2140788 2166282 0 0 4717 3551958 3608310 5692746 5774592 -1259086 -1358541 23639919 23136560 10858856 11714038 12781063 11422522 TO EXTEND THE PRINCIPLES OF PALLIATIVE CARE AND HOSPICE SERVICES INTO THE MAINSTREAM OF MEDICAL PRACTICE AND EDUCATION REGIONALLY, NATIONALLY AND INTERNATIONALLY THROUGH EDUCATION, TRAINING AND RESEARCH. 0 0 3566333 17802 THE INSTITUTE OFFERS PROGRAMS ON EDUCATION, TRAINING AND RESEARCH PERTAINING TO THE CARE OF ADULT AND PEDIATRIC PATIENTS WITH IRREVERSIBLE ILLNESSES AND THEIR FAMILIES. 2055652 4000000 PROVIDING MANAGEMENT SERVICES AND FACILITIES TO CT HOSPICE. 5621985 1 1 0 0 0 0 0 0 0 1 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 2 1 0 0 0 0 0 0 0 0 0 0 X 14 13 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 0 1 0 0 CT X THOMAS MCGOVERN 2033157500 100 DOUBLE BEACH ROAD BRANFORD CT 064054909 HON DANIEL COSGROVE 5.00 X X 0 0 0 ANTHONY J DAROS 5.00 X X 0 0 0 WEN-JEN HWU MD PHD 2.00 X 0 0 0 FREDERICK J MANCHESKI 10.00 X X 0 0 0 DAVID MCDERMOTT 0.30 X 0 0 0 EUGENE MICHAEL 3.00 X 0 0 0 ROBERT PARKER 0.30 X 0 0 0 HON DONALD POGUE 2.00 X 0 0 0 ARLENE M SAYERS 5.00 X X 0 0 0 WAYNE O SOUTHWICK MD 1.00 X X 0 0 0 JOHN P STACK CPA 0.50 X 0 0 0 FREDERICK ULBRICH 1.00 X 0 0 0 CAPTAIN KAYE WILLIAMS 3.00 X X 0 0 0 PETER YARROW 0.20 X 0 0 0 ROSEMARY HURZELER 15.00 X X 53178 177260 19161 DAVID R GOLDFARB 3.00 X 10207 159906 17697 SANDRA J KLIMAS 10.00 X 27064 108256 16573 RONNY J KNIGHT 2.00 X 6010 129210 16698 GARY SULLIVAN 5.00 X 61539 0 0 THOMAS MCGOVERN 5.00 X 13241 105928 16554 DR JOSEPH ANDREWS 5.00 X 24183 193463 13578 195422 874023 100261 0 0 1 0 0 114089 114089 LEASE AND MGT SERVICES 532000 4000000 4000000 EDUCATIONAL 611600 17802 17802 4017802 284160 284160 284160 284160 4416051 4017802 0 284160 129456 51020 73719 4717 1716723 1713903 2820 320103 306832 13271 1400943 1342863 58080 186585 186585 629084 629084 NON MEDICAL INTERCOMPAN 1388931 1388931 NON MEDICAL GENERAL EXP 2767 2767 5774592 5621985 147890 4717 27828 28298 1500000 1500000 27922379 6314117 22112091 21608262 23639919 23136560 10858856 11714038 10858856 11714038 X 11241063 9922522 1540000 1500000 12781063 11422522 23639919 23136560 -1358541 0 X 0 1 1 X 0 X 133361 127907 137045 125994 114089 638396 5977533 6472359 4510900 4004023 4017802 24982617 6110894 6600266 4647945 4130017 4131891 25621013 0 0 0 25621013 311807 309060 305613 303643 284160 1514283 311807 309060 305613 303643 284160 1514283 6422701 6909326 4953558 4433660 4416051 27135296 0.94420 0.94570 0.05580 0.05430 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 EXPLANATION OF OTHER LOBBYING ACTIVITIES: PART II-B, LINE 1I: THE JOHN D. THOMPSON HOSPICE INSTITUTE FOR EDUCATION, TRAINING AND RESEARCH'S MISSION IS TO EDUCATE AND TRAIN CAREGIVERS AND CONDUCT RESEARCH. THIS REQUIRES THE ONGOING DEVELOPMENT OF REGULATIONS THAT WOULD SUPPORT THIS EFFORT. IN PARTICULAR, WITH THE RELOCATION OF THE INSTITUTE, ALTHOUGH WITHIN THE SAME PROVINCE, IT IS IMPORTANT TO MAINTAIN THESE STANDARDS. 6433345 6433345 21489034 6314117 15174917 21608262 DUE TO CT HOSPICE, NET 11714038 11714038 4416051 5774592 -1358541 0 -1358541 4416051 0 4416051 0 4416051 5774592 0 5774592 0 5774592 X X X X 0 1 0 0 0 0 0 0 0 ROSEMARY HURZELER 53178 177260 0 0 0 0 1317 4391 3105 10348 57600 191999 0 0 DAVID R GOLDFARB 10207 159906 0 0 0 0 267 4176 795 12459 11269 176541 0 0 SANDRA J KLIMAS 27064 108256 0 0 0 0 694 2777 2620 10482 30378 121515 0 0 RONNY J KNIGHT 6010 129210 0 0 0 0 174 3746 568 12210 6752 145166 0 0 DR JOSEPH ANDREWS 24183 193463 0 0 0 0 0 12069 1509 0 25692 205532 0 0 PART I, LINE 4B COMPENSATION RELATED TO THE RELATED ORGANIZATIONS BUT NOT GIVEN DUE TO THE FINANCIAL CONDITIONS OF THE ORGANIZATIONS. FORM 990, PART VI, SECTION A, LINE 7A A NOMINATING COMMITTEE CONSISTING OF FOUR MEMBERS OF THE BOARD OF DIRECTORS MAY ELECT A BOARD MEMBER. FORM 990, PART VI, SECTION B, LINE 11 THE RETURN IS PRESENTED AT A BOARD MEETING PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS REVIEWS THE ANNUAL ELIGIBILITY TEST OF ALL BOARD MEMBERS. FORM 990, PART VI, SECTION B, LINE 15A A COMMITTEE OF TWO OR MORE DIRECTORS OF THE BOARD MEETS PERIODICALLY TO REVIEW THE PERFORMANCE AND THE COMPARABILITY DATA OF SIMILARLY SIZED HOSPITALS IN THE STATE OF CONNECTICUT. THEY DELIBERATE AND A FINAL DECISION IS MADE. FORM 990, PART VI, SECTION C, LINE 19 INFORMATION IS NOT AVAILABLE TO THE PUBLIC. THE CONNECTICUT HOSPICE INC 100 DOUBLE BEACH ROAD BRANFORD CT 064054003 HOSPICE CARE CT 501(C)(3) BOX 3 N/A 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0 0 0 0 RENTAL INCOME I 284160 OPERATING LEASE MANAGEMENT SERVICES K 4000000 FAIR VALUE OF SERVICES