2011-11-10T11:40:20-06:00 2011-06-30 SASLOW LUFKIN & BUGGY LLP TEN TOWER LANE AVON CT 06001 990 2010-07-01 222667260 HOSPICE OF SOUTHEASTERN CONNECTICUT INC HOSP 8608485699 227 DUNHAM STREET NORWICH CT 063606133 CAROL MAHIER 8608485699 2011-11-09 1 STEVEN J STRANIERI 8606789200 2011-11-09 2010 2016-02-24 21:20:13Z CAROL MAHIER 227 DUNHAM STREET NORWICH CT 063606133 5517130 0 X WWW.HOSPICESECT.ORG X 1986 CT HEALTH CARE SERVICES TO TERMINALLY ILL 17 16 80 130 0 0 324446 366471 4556418 4698655 60175 115641 86386 63308 5027425 5244075 0 0 0 0 2981000 3299911 0 0 174404 1798984 1858591 4779984 5158502 247441 85573 6262718 6708946 1356455 1318447 4906263 5390499 PROVIDE HEALTH AND SUPPORTIVE SERVICES TO TERMINALLY ILL INDIVIUALS AT THEIR HOME OR IN A MEDICAL FACILITY IN SOUTHEASTERN CONNECTICUT 0 0 3536068 4698655 HOSPICE HOME CARE IS A PROGRAM DESIGNED TO CARE FOR TERMINALLY ILL PATIENTS THROUGH THE USE OF THE INTERDISCIPLINARY TEAM, WHICH INCLUDES NURSES, HHA'S, MSW'S, MEDICAL DIRECTOR, CLERGY, THERAPISTS, PHARMACISTS, TRAINED VOLUNTEERS, AND COUNSELORS. CARE IS PROVIDED IN THE PERSON'S PLACE OF RESIDENCE WHERE EVER THAT MAY BE. BEREAVEMENT SUPPORT IS PROVIDED TO THE FAMILY FOR UP TO THIRTEEN MONTHS AFTER DEATH.HOME CARE VISITS - 3,287HOSPICE PATIENT DAYS - 32,643 3536068 1 1 0 0 0 0 0 0 1 1 1 0 0 0 1 1 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 0 0 1 52 0 80 1 0 0 0 0 0 0 0 0 0 0 X 17 16 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CT X CAROL MAHIER 8608485699 227 DUNHAM STREET NORWICH CT 063606133 GREGORY B ALLARD 1.00 X X 0 0 0 JEAN BARRASSO 1.00 X X 0 0 0 MARK F BROWN 1.00 X 0 0 0 JEFFREY BUEBENDORF 1.00 X 0 0 0 KATHLEEN CHARTIER 1.00 X 0 0 0 JANE S DAUPHINAIS 1.00 X 0 0 0 GAIL PIOTRKOWSKI 1.00 X 0 0 0 JAMES E SAWYER 1.00 X X 0 0 0 ANGELA ARNOLD 1.00 X 0 0 0 KEITH FONTAINE 1.00 X 0 0 0 BETHANY HASLAM 1.00 X X 0 0 0 BRIAN MCNAMARA 1.00 X 0 0 0 LENNY WINKLER 1.00 X 0 0 0 JAMES E BATES 1.00 X 0 0 0 BISHOP B CURRY III DVM 1.00 X 0 0 0 CRISTA F DURAND 1.00 X 0 0 0 PAQUI MOTYL MD 1.00 X 0 0 0 CAROL MAHIER 38.00 X 100591 0 0 100591 0 0 1 0 0 0 BAYVIEW HEALTH CENTER 301 ROPE FERRY ROAD WATERFORD CT 06385 GENERAL INPATIENT CARE 252787 AETNA INSURANCE INC PO BOX 7247-0233 PHILADELPHIA PA 191700233 HEALTH INSURANCE PREMIUMS 216721 HOSPICE PHARMACIA PO BOX 510818 PHILADELPHIA PA 191700233 PHARMACY- PATIENTS 174926 LAWRENCE & MEMORIAL HOSPITAL PO BOX 1471 365 MONTAUK AVE NEW LONDON CT 06320 INPATIENT/OUTPATIENT CARE 143506 GREENTREE MANOR 4 GREENTREE DRIVE WATERFORD CT 06385 GENERAL INPATIENT CARE 109247 5 366471 366471 PATIENT SERVICE REVENU 621610 4698655 4698655 4698655 56811 56811 286203 227373 58830 58830 58830 108990 45682 63308 63308 5244075 4698655 0 178949 107320 77270 30050 2648240 1949333 552209 146698 3099 2199 900 306781 217652 89129 234471 166350 68121 5552 5552 17409 17409 17127 17127 634918 505911 129007 52619 52619 92837 92837 38314 38314 69159 69159 127611 127611 14171 14171 69361 69361 130902 130902 23673 15568 8105 SUPPLIES 515318 454144 33468 27706 DUES & SUBSCRIPTIONS 23251 23251 BAD DEBT 15000 15000 0 MISCELLANEOUS 11369 5030 6339 5158502 3536068 1448030 174404 75 75 1589420 1523222 430694 518817 83479 54641 2900896 486058 2472192 2414838 1686858 2197353 6262718 6708946 322664 325729 1033791 992718 1356455 1318447 X 4739129 5094662 77314 85992 89820 209845 4906263 5390499 6262718 6708946 X 85573 398663 X X 0 1 1 X 0 X 652080 740552 238726 436723 475461 2543542 652080 740552 238726 436723 475461 2543542 2543542 158577 83648 59398 57655 56811 416089 2959631 22915077 0.85940 0.85570 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1843055 180740 311587 52037 2283345 1616880 115055 161830 50710 1843055 1823160 79489 -219561 66208 1616880 0.87000 0.09000 0.04000 0 0 430000 430000 2039438 419126 1620312 431458 66932 364526 2414838 ASSETS LIMITED AS TO USE 2197353 F 2197353 5244075 5158502 85573 217923 180740 398663 484236 5339631 217923 52037 269960 5069671 174404 174404 5244075 4984098 0 4984098 174404 174404 5158502 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE AGENCY ACCOUNTS FOR UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH CERTAIN PROVISIONS OF FASB ASC 740, "INCOME TAXES", WHICH PROVIDE A FRAMEWORK FOR HOW COMPANIES SHOULD RECOGNIZE, MEASURE, PRESENT AND DISCLOSE UNCERTAIN TAX POSITIONS IN THEIR FINANCIAL STATEMENTS. UNDER FASB ASC 740, THE AGENCY MAY RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY THE TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFITS RECOGNIZED IN THE FINANCIAL STATEMENTS FROM SUCH POSITION ARE MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. THE AGENCY DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS AS OF JUNE 30, 2011 AND 2010. AS OF JUNE 30, 2011 AND 2010, THE AGENCY DID NOT RECORD ANY PENALTIES OR INTEREST ASSOCIATED WITH UNCERTAIN TAX POSITIONS. ALL TAX YEARS FROM 2007 FORWARD ARE OPEN AND SUBJECT TO EXAMINATION. PART XI, LINE 8 - OTHER ADJUSTMENTS: CONTRIBUTIONS - TEMPORARILY RESTRICTED NET ASSETS 60,715. CONTRIBUTIONS - PERMANENTLY RESTRICTED NET ASSETS 120,025. NET ASSETS RELEASED FROM RESTRICTIONS -52,037. NET ASSETS RELEASED FROM RESTRICTIONS USED FOR OPERATIONS 52,037. PART XII, LINE 2D - OTHER ADJUSTMENTS: NET ASSETS RELEASED FROM RESTRICTIONS USED FOR OPERATIONS 52,037. PART XII, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES 174,404. PART XIII, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES 174,404. SPECIAL EVENTS 108990 108990 45682 108990 108990 45682 45682 63308 X INKIND GOODS & SERVICES 4 0 N/A 0 0 0 NON REPORTING OF REVENUE: PART I, LINE 33: OTHER INKIND GOODS & SERVICES = $32,544 (COMPARABLE SALES) FORM 990, PART VI, SECTION B, LINE 11 THE ORGANIZATION PROVIDES A COPY OF FORM 990 TO THE MEMBERS OF THE FINANCE COMMITTEE AND TO THE MEMBERS OF THE BOARD OF DIRECTORS AFTER THE FORM 990 HAS BEEN COMPLETED BY THE OUTSIDE CPA FIRM, APPROXIMATELY ONE WEEK PRIOR TO FILING FOR THEIR REVIEW AND COMMENTS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REQUIRES ALL OFFICERS AND DIRECTORS TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY. THE COMPLETED FORMS ARE REVIEWED BY THE HUMAN RESOURCES DEPARTMENT TO IDENTIFY ANY POTENTIAL CONFLICTS OF INTEREST. ANY POTENTIAL CONFLICTS OF INTEREST ARE FURTHER EVALUATED BY THE COMPLIANCE/QUALITY ASSURANCE DEPARTMENT, AND IF WARRANTED, ARE BROUGHT TO THE ATTENTION OF THE BOARD OF DIRECTORS FOR DISCUSSION AND RESOLUTION. SIMILARLY, ANY POTENTIAL CONFLICTS OF INTEREST THAT ARE BROUGHT TO THE ATTENTION OF THE ORGANIZATION BY THE OUTSIDE AUDITORS OR BY AN EMPLOYEE OR OTHER PERSON, ARE INVESTIGATED AND RESOLVED IN ACCORDANCE WITH THE PROCEDURES DISCUSSED ABOVE. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION USES THIRD PARTY SALARY SURVEYS TO ASSIST IN DETERMINING THE COMPENSATION OF THE CEO AND OTHER KEY EMPLOYEES. RECOMMENDATIONS MADE BY THE FINANCE COMMITTEE ARE APPROVED BY THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 217,923. CONTRIBUTIONS - TEMPORARILY RESTRICTED NET ASSETS 60,715. CONTRIBUTIONS - PERMANENTLY RESTRICTED NET ASSETS 120,025. NET ASSETS RELEASED FROM RESTRICTIONS -52,037. NET ASSETS RELEASED FROM RESTRICTIONS USED FOR OPERATIONS 52,037. TOTAL TO FORM 990, PART XI, LINE 5: 398,663. FORM 990, PART XI, LINE 2C: THE ORGANIZATION HAS A FINANCE COMMITTEE THAT IS RESPONSIBLE FOR MAKING RECOMMENDATIONS TO THE FULL BOARD REGARDING THE SELECTION OF AN INDEPENDENT ACCOUNTANT. THE FINANCE COMMITTEE IS RESPONSIBLE FOR THE OVERSIGHT OF THE FINANCIAL STATEMENT AUDIT PROCESS. THE AUDIT OVERSIGHT AND AUDIT FIRM SELECTION PROCESS HAVE NOT CHANGED FROM THE PRIOR YEAR. BACKUS HEALTH CARE INC 326 WASHINGTON STREET NORWICH CT 06360 222481794 ASSIST IN PROVIDING MEDICAL CARE & HEALTH RELATED EDUCATIONAL PROGRAMS CT 501(C)(3) 9 N/A 0 L & M HEALTH CARE INC 365 MONTAUK AVE NEW LONDON CT 06320 222553031 PROMOTE HEALTHCARE CT 501(C)(3) 9 N/A 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 LAWRENCE & MEMORIAL HEALTH CARE INC O 143506 ACTUAL COST