2011-06-27T16:00:24-05:00 2010-12-31 CROWE HORWATH LLP 70 West Madison Street Suite 700 Chicago IL 606024903 990 2010-01-01 391319537 HOSPICECARE INC HOSP 6082764660 5395 E CHERYL PARKWAY MADISON WI 53711 SUSAN PHILLIPS 2011-06-23 true 3128997000 2010 2016-03-07 17:11:31Z SUSAN PHILLIPS 5395 EAST CHERYL PARKWAY MADISON WI 53711 47407555 false X WWW.HOSPICECAREINC.COM X 1978 WI OUR MISSION, "ENHANCING QUALITY OF LIFE AT THE END OF LIFE," LIVES IN THE COMPREHENSIVE CARE WE PROVIDE TO PATIENTS AND FAMILIES FACED WITH LIFE-LIMITING ILLNESS, HELPING THEM TO LIVE AS FULLY AS THEY CAN. IN 2010, THE ORGANIZATION PROVIDED CHARITY CARE OF APPROXIMATELY $130,000. 14 13 621 1290 0 0 1266679 633803 42539018 45311566 -6187 -5573 1399371 1432651 45198881 47372447 22257 37785 0 0 29217081 31715610 0 0 927274 13546497 14822509 42785835 46575904 2413046 796543 9260158 11096941 3832196 4854367 5427962 6242574 X HOSPICECARE, INC.'S (HOSPICECARE) MISSION IS TO ENHANCE THE QUALITY OF LIFE AT THE END OF LIFE. HOSPICECARE'S VISION IS TO BUILD A COMMUNITY WHERE EXCEPTIONAL END OF LIFE CARE IS ACCEPTED, EXPECTED AND AVAILABLE TO ALL REGARDLESS OF THEIR AGE, INCOME, RELIGION, ETHNICITY AND/OR CULTURAL BACKGROUND. (CONTINUED IN SCHEDULE O) false 35979060 37785 45048552 CLINICAL PATIENT CARE - HOSPICECARE OFFERS THE MOST COMPREHENSIVE END-OF-LIFE CARE AVAILABLE. PATIENTS AND FAMILIES SERVED BY HOSPICECARE ARE PROVIDED THE EXPERT HELP OF A COMPLETE TEAM OF END-OF-LIFE PROFESSIONALS INCLUDING: NURSES, CERTIFIED NURSING ASSISTANTS, SOCIAL WORKERS, CHAPLAINS, VOLUNTEERS, PHYSICIANS, GRIEF COUNSELORS AND PHARMACISTS. THE HOSPICECARE TEAM ASSESSES THE UNIQUE NEEDS OF EACH PATIENT AND FAMILY. WORKING TOGETHER, HOSPICECARE STAFF, TRAINED VOLUNTEERS, AND THE PATIENT'S PHYSICIAN DELIVER COMPREHENSIVE CARE FOCUSED ON HELPING THE PATIENT AND THE FAMILY LIVE LIFE TO THE FULLEST. IN 2010, THE ORGANIZATION PROVIDED APPROXIMATELY $2,590,000 OF COMMUNITY BENEFIT. 1265403 0 301744 HOSPICECARE'S OTHER PROGRAMS INCLUDE THE VOLUNTEER SERVICES PROGRAM, THE FOOD SERVICE PROGRAM, THE GIFT SHOP, AND GRANTS TO SUPPORT RELATED ORGANIZATIONS. IN 2010 MORE THAN 1,100 COMMUNITY MEMBERS VOLUNTEERED OVER 65,000 HOURS (THE EQUIVALENT OF 31 FULL-TIME POSITIONS). BECAUSE OF THIS SUPPORT, HOSPICECARE IS ABLE TO DEFER SOME STAFFING COSTS AND CONTINUE TO PROVIDE A NATIONALLY RECOGNIZED LEVEL OF CARE TO PATIENTS AND FAMILIES. SOME OF THE VOLUNTEER POSITIONS INCLUDE IN-HOME AND RESIDENTIAL PATIENT AND FAMILY VOLUNTEER; GRIEF SERVICES, OFFICE, GIFT SHOP, FLOWER ROOM AND KITCHEN VOLUNTEER; VIGIL PROGRAM; AND HOSPICECARE CAMPUS GREETER. (CONTINUED SCHEDULE O) 858676 0 1094 GRIEF SERVICES - HOSPICECARE'S GRIEF SERVICES PROGRAM PROVIDES SERVICES TO HOSPICE FAMILY MEMBERS AND COMMUNITY MEMBERS. IN ADDITION TO INDIVIDUAL COUNSELING, HOSPICECARE PROVIDES GRIEF SERVICES THROUGH GRIEF SUPPORT GROUPS, HOLIDAY REMEMBRANCE PROGRAMS, MEMORIAL QUILT DEDICATION CEREMONIES AND THE COMMUNITY TRAUMATIC DEATH RESPONSE TEAM. THESE PROGRAMS ARE OFFERED AT NO CHARGE, AND GRIEF SUPPORT GROUPS ARE OPEN TO ANYONE IN THE COMMUNITY EXPERIENCING LOSS, NOT JUST TO PATIENTS AND FAMILIES SERVED BY HOSPICECARE. 635925 0 0 COMMUNITY EDUCATION AND OUTREACH - AS THE COMMUNITY'S HOSPICE, HOSPICECARE IS DEDICATED TO INCREASING AWARENESS AND UNDERSTANDING OF MATTERS RELATED TO DEATH, DYING, CAREGIVING, GRIEF, AND LOSS. WITH OUR GUIDANCE, OUR NEIGHBORS ARE BETTER PREPARED TO MAKE DECISIONS ABOUT THE CARE THEY OR THEIR LOVED ONES RECEIVE. HOSPICECARE CONDUCTS EDUCATIONAL PRESENTATIONS, SEMINARS, CONFERENCES, AND INSERVICE PROGRAMS FOR COMMUNITY GROUPS AND HEALTHCARE PROFESSIONALS. 635925 0 0 38739064 true true false true false false true false true true false false false true true false true false false true true false false false false false false false true false false false false false false false true false false false false true true true true false false true 109 0 true 621 true false false false false false false false false false false X 14 13 false false true false false false false true true false false true true true true true true true true false WI X SUSAN PHILLIPS 6082764660 5395 EAST CHERYL PARKWAY MADISON WI 53711 GALEN HASLER 20 X 104899 0 23121 LISA N SHERVEN 40 X 110558 0 14864 JOYCE ZEASMAN 40 X 70716 0 900 DAN CHIN 40 X 108250 0 28987 BRIAN W MURPHY 40 X 116224 0 4198 LYNNE MYERS 1 X 0 0 0 JANE M QUINN 40 X 120157 0 21638 JULIA HOUCK 40 X 123124 0 22484 MARCIA M WHITTINGTON 5 X 0 131355 28380 GERALD LEFERT 1 X 0 0 0 SUSANNA HERRO 1 X 0 0 0 JIM BAKKE 1 X 0 0 0 BRUCE AGNEBERG 40 X 231016 0 29135 HARVEY TEMKIN 1 X 0 0 0 SUSAN PHILLIPS 35 X 340928 0 71079 MARION WOZNIAK 1 X 0 0 0 DAVID KRUGER 1 X 0 0 0 MARK WINTER 1 X 0 0 0 JOAN BURKE 1 X X 0 0 0 SHARON CHAMBERLAIN 1 X X 0 0 0 SARAH BEALLES 35 X 229321 0 8341 MARY STARMANN-HARRISON 1 X X 0 0 0 GORDON DERZON 1 X 0 0 0 DAVID CULLEN 1 X X 0 0 0 KATIE WALLER 1 X 0 0 0 JOANN KOWALSKI 40 X 198040 0 29326 JEFF GROSSMAN 1 X 0 0 0 NANCY FOX 1 X 0 0 0 GORDON RICE 1 X 0 0 0 1753233 131355 282453 10 false true false UNIVERSITY OF WI HOSPITALCLINIC DRAWER 853 MILWAUKEE WI 532780853 THERAPIES & IMAGING SVCS 800275 SUNCOAST SOLUTIONS 19337 US HWY 19 NORTH STE 450 CLEARWATER FL 33764 TECH SUPPORT FOR SOFTWARE 283881 CHARTWELL MIDWEST-WISCONSIN PO BOX 78804 MILWAUKEE WI 532780804 BIOLOGICAL/INFUSION THERAPY 272745 RYAN BROTHERS 922 SOUTH PARK ST MADISON WI 53715 AMBULANCE SERVICE 196907 HOME HEALTH UNITED INC 2802 WALTON COMMONS WEST MADISON WI 53718 THERAPIES-PHYSICAL 143952 6 270542 304907 58354 9760 633803 NET PATIENT SERVICE REVENUE 45049646 45049646 0 0 FOOD SERVICE 261920 261920 0 0 0 0 0 0 45311566 5256 0 0 5256 0 0 0 0 0 1024 11853 0 -10829 -10829 0 0 -10829 0 0 38282 23255 15027 0 0 15027 CONTRACTED SERVICES TO AFFILIATES 1377800 0 0 1377800 OTHER REVENUE 39824 39824 0 0 0 0 0 0 1417624 47372447 45351390 0 1387254 0 0 37785 37785 0 1620546 376796 1087918 155832 25950 25950 23414520 19515661 3362881 535978 1053812 867846 164044 21922 3869802 3151302 627045 91455 1730980 1381457 302486 47037 0 41027 41027 103076 103076 27500 27500 0 160 160 143381 71641 71740 303850 6830 297020 355436 200288 150759 4389 334107 269394 56004 8709 0 1496831 1289364 181279 26188 98564 78490 20073 1 0 196513 103853 91594 1066 0 0 40303 32681 6596 1026 166371 111424 51920 3027 ROOM AND BOARD 3221207 3221207 MEDICAL SUPPLIES AND EQUIPMENT 2382281 2382281 MEDICATIONS AND INFUSION THERAPIES 2728224 2728224 PATIENT RELATED COSTS 1768337 1768337 EQUIPMENT RENTAL AND MAINTENANCE 1010494 806345 176677 27472 404847 337858 63817 3172 46575904 38739064 6909566 927274 0 3970460 4970719 23699 23732 400 4169815 4840087 73683 80978 526661 651555 1202671 1187732 57185 14939 18009 48691 0 0 420246 466240 9260158 11096941 3660042 4675476 37562 53756 134592 125135 3832196 4854367 X 5340183 6127345 87779 115229 5427962 6242574 9260158 11096941 X 796543 18069 X false true true X false X 360002 390807 386549 1266679 633803 3037840 24302120 33720125 38744774 42539018 45311566 184617603 0 0 0 24662122 34110932 39131323 43805697 45945369 187655443 0 0 0 0 0 0 0 0 187655443 8550 16629 15937 8720 5256 55092 0 8550 16629 15937 8720 5256 55092 0 833992 1105032 1316488 1421882 1455906 6133300 25504664 35232593 40463748 45236299 47406531 193843835 0.9681 0.9675 0.0003 0.0003 X OTHER INCOME, SCHEDULE A, PART III, SECTION A, LINE 12, CONTRACTED SERVICES TO AFFILIATE - 2006=$803,000, 2007=$1,055,000, 2008=$1,234,800, 2009=$1,323,000, 2010=$1,377,800 TOTAL=$5,793,600 GIFT SHOP - 2006=NONE, 2007=$37,277, 2008=$39,792, 2009=$41,375, 2010=$38,282 TOTAL=$156,726 PROPERTY INSURANCE SETTLEMENT - 2006=NONE, 2007=NONE, 2008=$41,896, 2009=NONE, 2010=NONE TOTAL=$41,896 MISCELLANEOUS INCOME - 2006=$30,992, 2007=$12,755, 2008=NONE, 2009=$57,507, 2010=$39,824 TOTAL=$141,078, RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 false false false false false true 27500 false false true 1093 28593 false 0 Description of other lobbying activities Schedule C, Part II-B, Line 1i MEMBERSHIP DUES PAID TO NATIONAL HOSPICE AND PALLIATIVE CARE ORGANIZATION ARE ALLOCATED PARTIALLY TO LOBBYING EXPENSES. 0 88605 X X PROVIDE WELCOMING ENVIRONMENT false 472208 14510 66356 0 3298 0 549776 460319 0 11889 0 0 0 472208 415642 90070 -11128 0 34265 0 460319 0.890 0.110 0.000 false true true 0 0 3345 2761 584 1199326 1184971 14355 0 14939 0 DUE TO AFFILIATES 5630 MERU FUNDS 16505 SECURITY DEPOSITS 103000 125135 47362687 46812487 550200 2513 246343 15557 264413 814613 47650195 2513 246343 38812 287668 47362527 160 0 160 47362687 46835582 23255 23255 46812327 160 0 160 46812487 Collections of art - description of collections Schedule D, Part III, Line 4 THE ORGANIZATION'S COLLECTIONS CONSIST PRIMARILY OF WORKS OF ART THAT ARE ON DISPLAY IN PUBLIC SPACES AS WELL AS PATIENT ROOMS AT THE FACILITIES OWNED BY HOSPICECARE HOLDINGS AND OPERATED BY HOSPICECARE INC. THESE WORKS OF ART ARE USED TO PROVIDE A WELCOMING, THERAPEUTIC, HOME LIKE ENVIRONMENT TO HOSPICECARE INC. PATIENTS AND FAMILIES IN FUTHERANCE OF THE ORGANIZATION'S MISSION OF ENHANCING THE QUALITY OF LIFE AT THE END OF LIFE. THE ARTWORK REPRESENTS EACH OF THE MANY CULTURES OF THE PEOPLE LIVING IN SOUTH CENTRAL WISCONSIN. THE FAMILIARITY OF THE PIECES HELPS PATIENTS AND THEIR FAMILIES FEEL MORE COMFORTABLE IN OUR HEALTHCARE FACILITY. Intended uses of endowment funds Schedule D, Part V, Line 4 HOSPICECARE FOUNDATION, A RELATED TAX-EXEMPT ENTITY, HOLDS ENDOWEMENTS FOR THE PURPOSE OF PROVIDING SUPPORT TO HOSPICECARE, INC. FIN 48 (ASC 740) footnote Schedule D, Part X, Line 2 U.S. GAAP REQUIRES THAT A TAX POSITION IS RECOGNIZED AS A BENEFIT ONLY IF IT IS "MORE LIKELY THAN NOT" THAT THE TAX POSITION WOULD BE SUSTAINED IN A TAX EXAMINATION, WITH A TAX EXAMINATION BEING PRESUMED TO OCCUR. THE AMOUNT RECOGNIZED IS THE LARGEST AMOUNT OF TAX BENEFIT THAT IS GREATER THAN 50% LIKELY OF BEING REALIZED ON EXAMINATION. FOR TAX POSITIONS NOT MEETING THE "MORE LIKELY THAN NOT" TEST, NO TAX BENEFIT IS RECORDED. DUE TO ITS TAX-EXEMPT STATUS, THE ORGANIZATION IS NOT SUBJECT TO U.S. FEDERAL INCOME TAX OR STATE INCOME TAX. THE ORGANIZATION'S FORM 990 HAS NOT BEEN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE OR THE STATE OF WISCONSIN FOR THE LAST THREE YEARS. THE ORGANIZATION DOES NOT EXPECT THE TOTAL AMOUNT OF UNRECOGNIZED TAX BENEFITS TO SIGNIFICANTLY CHANGE IN THE NEXT 12 MONTHS. THE ORGANIZATION RECOGNIZES INTEREST AND/OR PENALTIES RELATED TO INCOME TAX MATTERS IN INCOME TAX EXPENSE. THE ORGANIZATION DID NOT HAVE ANY AMOUNTS ACCRUED FOR INTEREST AND PENALTIES AT DECEMBER 31, 2010 OR 2009. true SUB SAHARAN AFRICA 0 0 GRANTS N/A 37785 0 0 37785 SUB SAHARAN AFRICA HOSPICE CARE 37785 WIRE TRANSFER 0 N/A N/A 1 0 false false false false false false Procedures for monitoring use of grant funds Schedule F, Part I, Line 2 HOSPICECARE, INC. (HOSPICECARE) AND THE MERU HOSPICE IN MERU, KENYA, HAVE CREATED A UNIQUE AND IMPORTANT ALLIANCE. BY SHARING KNOWLEDGE AND RESOURCES, THE TWO ORGANIZATIONS WORK TOGETHER TO ALLEVIATE SUFFERING OF THOSE WITH AIDS AND OTHER TERMINAL ILLNESSES IN SUB-SAHARAN AFRICA. BOTH ARE DEDICATED TO ENHANCING THEIR AWARENESS AND UNDERSTANDING ABOUT CARING FOR DYING PATIENTS AND THEIR FAMILIES. HOSPICECARE STAFF, VOLUNTEERS AND COMMUNITY MEMBERS ARE COMMITTED TO RAISING DOLLARS TO HELP PAY FOR MERU HOSPICE STAFF SALARIES, HEALTH INSURANCE AND TRAINING. ALSO, MONEY FOR MEDICAL SUPPLIES, VEHICLE EXPENSE, OFFICE RENT, UTILITIES AND DEMONSTRATION KITCHEN GARDEN. IN ADDITION, THIS YEAR MONEY WAS RAISED TO CREATE A MAIZE MILL TO HELP SUPPORT THE HOSPICE OPERATION IN KENYA. THE MERU HOSPICE IN KENYA IS THE ONLY FOREIGN ORGANIZATION THAT RECEIVES GRANTS FROM HOSPICECARE. ALL GRANT PROPOSALS ARE PRESENTED TO THE BOARD OF DIRECTORS, AND THE BOARD OF DIRECTORS APPROVES ALL GRANT AWARDS. THE GRANTS TO THE MERU HOSPICE ARE FUNDED FROM DONATIONS THAT WERE GIVEN DIRECTLY TO HOSPICECARE IN SPECIFIC SUPPORT OF THE MERU HOSPICE PARTNERSHIP. HOSPICECARE, INC. HAS A MERU PARTNERSHIP COMMITTEE THAT MONITORS THE ACTIVITY OF THE MERU HOSPICE. THE MERU PARTNERSHIP COMMITTEE REQUIRES THE MERU HOSPICE TO SUBMIT SEMI-ANNUAL FINANCIAL STATEMENTS, ANNUAL BUDGETS, ANNUAL STATISTICAL REPORTS, AND AN ANNUAL NARRATIVE OF ACCOMPLISHMENTS. THESE STATEMENTS ARE REVIEWED BY THE MERU PARTNERSHIP COMMITTEE AND HOSPICECARE'S VICE PRESIDENT OF FINANCE. A CONTRACT IS UPDATED ANNUALLY AND SPECIFIES THE USE OF THE GRANT FUNDS. X X X X X X true true false false false false false false false MARCIA M WHITTINGTON 0 117591 0 0 0 13764 0 8100 0 20280 0 159735 0 0 BRUCE AGNEBERG 208305 0 11000 0 11711 0 13860 0 15275 0 260151 0 0 0 SUSAN PHILLIPS 240677 0 59150 0 41101 0 49617 0 21462 0 412007 0 15537 0 SARAH BEALLES 127444 0 36000 0 65877 0 0 0 8341 0 237662 0 0 0 JOANN KOWALSKI 146679 0 27000 0 24361 0 12046 0 17280 0 227366 0 0 0 Severance or change-of-control payment Schedule J, Part I, Line 4a SARAH BEALLES, EXECUTIVE VP AND CFO, RECEIVED A SEVERANCE IN THE AMOUNT OF $79,200. Supplemental nonqualified retirement plan Schedule J, Part I, Line 4b HOSPICECARE, INC. HAS A 457(F) DEFERRED COMPENSATION AGREEMENT WITH CEO, SUSAN PHILLLIPS. INCLUDED IN PART II, COLUMN (C) OF SCHEDULE J IS $34,917 OF COMPENSATION REPORTED FOR PARTICIPATION IN THIS PLAN. THERE IS AN ADDITIONAL $10,000 ANNUITY PAYMENT THAT SHE IS TO RECEIVE OVER 10 YEARS THAT IS NOT INCLUDED IN THE ABOVE AMOUNT. SHARON CHAMBERAIN DIRECTOR/SECRETARY 25950 MARKET RESEARCH FOR BRANDING, CAPITAL CAMPAIGN Description of other program services Form 990, Part III, Line 4d COMMUNITY EDUCATION AND OUTREACH - AS THE COMMUNITY'S HOSPICE, HOSPICECARE IS DEDICATED TO INCREASING AWARENESS AND UNDERSTANDING OF MATTERS RELATED TO DEATH, DYING, CAREGIVING, GRIEF, AND LOSS. WITH OUR GUIDANCE, OUR NEIGHBORS ARE BETTER PREPARED TO MAKE DECISIONS ABOUT THE CARE THEY OR THEIR LOVED ONES RECEIVE. HOSPICECARE CONDUCTS EDUCATIONAL PRESENTATIONS, SEMINARS, CONFERENCES, AND INSERVICE PROGRAMS FOR COMMUNITY GROUPS AND HEALTHCARE PROFESSIONALS. ORGANIZATION'S MISSION FORM 990, PART III, LINE 1 (CONTINUED FROM FORM 990, PART III, LINE 1) HOSPICECARE INC. PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER THE ORGANIZATION'S CHARITY CARE POLICY WITHOUT CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES. SUCH PATIENTS ARE IDENTIFIED BASED ON FINANCIAL INFORMATION OBTAINED FROM THE PATIENT AT THE TIME THEY ENROLL IN THE PROGRAM OR SUBSEQUENT CHANGES TO THEIR FINANCIAL CIRCUMSTANCES. BECAUSE THE ORGANIZATION DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED AS REVENUE. HOSPICECARE'S MISSION, "ENHANCING QUALITY OF LIFE AT THE END OF LIFE", IS FULFILLED BY THE COMPREHENSIVE CARE WE PROVIDE TO PATIENTS AND FAMILIES FACED WITH LIFE-LIMITING ILLNESS, HELPING THEM TO LIVE AS FULLY AS THEY CAN UNTIL THE END OF LIFE. IN 2010, THE ORGANIZATION PROVIDED CHARITY CARE OF APPROXIMATELY $130,000. OTHER PROGRAM SERVICES FORM 990, PART III, LINE 4B (CONTINUED FROM FORM 990, PART III, LINE 4B) FOOD SERVICE: HOSPICECARE EMPLOYS TALENTED CHEFS TO PROVIDE OUR PATIENTS AND FAMILIES COMFORTING MEALS COOKED WITH LOCALLY GROWN, FRESH PRODUCE, MEATS AND HERBS. STAFF DIETICIANS WORK WITH THE KITCHEN STAFF TO PREPARE MEALS THAT COMFORT PATIENTS ON THE OUTSIDE AND INSIDE. SOMETIMES A PATIENT WILL NOT BE ABLE TO DIGEST SOLID FOODS, BUT SMALL MEALS CAN BE PREPARED FOR THEM TO ENJOY THE COMFORTS OF THE SMELLS THAT MEALS PROVIDE. THE CAFE ALSO SELLS FRESH BAKED GOODS, COFFEE, AND TEA TO PATIENTS AND FAMILIES TO HELP SOOTH THE SOUL. IN ADDITION TO PATIENT AND FAMILY MEALS, HOSPICECARE FOOD SERVICES MAKES THEIR FOOD AVAILABLE FOR PURCHASE BY STAFF, VOLUNTEERS, GUESTS, EDUCATIONAL EVENTS AND GRIEF SUPPORT GROUPS. Significant changes to organizational documents Form 990, Part VI, Section A, Line 4 THE BYLAWS WERE AMENDED ON DECEMBER 16, 2010. KEY CHANGES THAT WERE MADE TO THE BYLAWS INCLUDE: · ESTABLISHING TERM LIMITS FOR BOARD MEMBERS. · ALLOWING THE BOARD TO ACT WITHOUT A MEETING IF AT LEAST TWO-THIRDS OF THE DIRECTORS APPROVE THE ACTION TO BE TAKEN (PREVIOUSLY ALL DIRECTORS HAD TO APPROVE THE ACTION). · ALL VICE PRESIDENTS BECAME OFFICERS OF THE ORGANIZATION DURING 2010. Review of form 990 by governing body Form 990, Part VI, Section B, Line 11b THE VP OF FINANCE AND THE CONTROLLER PERFORMED A DETAILED REVIEW OF FORM 990 AND THE RELATED SCHEDULES PRIOR TO FILING THE RETURN. THIS INCLUDED VERIFICATION OF ALL AMOUNTS FOR ACCURACY AND COMPLETENESS. THE FORM AND SCHEDULES WERE ALSO REVIEWED FOR CONTENT, PRESENTATION AND REASONABLENESS. THE EXECUTIVE LEADERSHIP TEAM ALSO REVIEWED THE FORM AND SCHEDULES FOR CONTENT, PRESENTATION AND REASONABLENESS. THE AUDIT COMMITTEE REVIEWED THE FORM 990 AND RELATED SCHEDULES FOR REASONABLENESS. REPRESENTATIVES FROM THE ACCOUNTING FIRM OF CROWE HORWATH WERE PRESENT AND ASSISTED THE CEO/PRESIDENT, VP OF FINANCE AND CONTROLLER IN LEADING THE REVIEW. Conflict of interest policy Form 990, Part VI, Section B, Line 12c DIRECTORS, OFFICERS AND KEY EMPLOYEES (INTERESTED PERSONS) ARE REQUIRED TO ANNUALLY REVIEW THE ORGANIZATION'S CODE OF CONDUCT, INCLUDING THE CONFLICT OF INTEREST POLICY/STATEMENT. INTERESTED PERSONS ARE REQUIRED TO DISCLOSE POTENTIAL OR ACTUAL CONFLICTS WITH THE ORGANIZATION IN WRITING VIA THE ANNUAL QUESTIONNAIRE DISTRIBUTED ELECTRONICALLY TO EACH INTERESTED PERSON. AN INTERESTED PERSON WITH A CONFLICT WILL EXCUSE HIM/HERSELF FROM ANY DISCUSSION, VOTE OR SIMILAR ACTION AS IT RELATES TO THE CONFLICT DISCLOSED. IF A CONFLICT OF INTEREST IS DISCOVERED THAT WAS NOT DISCLOSED BY THE INTERESTED PERSON, THE ISSUE WOULD BE DIRECTED TO THE EXECUTIVE COMMITTEE FOR RESOLUTION. THE GOVERNANCE COMMITTEE IS CHARGED WITH REGULAR REVIEW OF THE INTERESTED PERSONS PRACTICES AND QUESTIONNAIRES REGARDING CONFLICTS OF INTEREST AND SUGGESTS IMPROVEMENTS AS NEEDED. THE CONFLICT OF INTEREST QUESTIONNAIRES ARE REVIEWED BY THE CONTROLLER AND DIRECTOR OF GOVERNANCE. THE CONTROLLER AND DIRECTOR OF GOVERNANCE DETERMINE WHETHER A POTENTIAL CONFLICT EXISTS BASED ON THE COMPLETED QUESTIONNAIRES SUBMITTED BY EACH INTERESTED PERSON. Process used to establish compensation of top management official Form 990, Part VI, Section B, Line 15a EACH YEAR THE ORGANIZATION GATHERS MARKET DATA FOR DETERMINING COMPENSATION OF THE CHIEF EXECUTIVE OFFICER. THIS INCLUDES BENCHMARKS OF NATIONAL, REGIONAL, AND LOCAL COMPENSATION THAT ARE PROVIDED FROM INDEPENDENT COMPENSATION CONSULTANTS. IN JANUARY OF EACH YEAR, THE VICE PRESIDENT OF HUMAN RESOURCES PRESENTS THIS INFORMATION TO THE EXECUTIVE COMMITTEE OF THE BOARD, ALONG WITH A 990 ANALYSIS OF SIMILAR SIZED NON-PROFIT HOSPICES. BASED ON THIS INFORMATION, THE EXECUTIVE COMMITTEE SETS AND APPROVES THE PAY FOR THE CHIEF EXECUTIVE OFFICER FOR THE YEAR AND CONTEMPORANEOUSLY DOCUMENTS THEIR APPROVAL IN WRITING. THIS PROCESS WAS LAST UNDERTAKEN IN JANUARY 2010. Process used to establish compensation of other officers/key employees Form 990, Part VI, Section B, Line 15b EACH YEAR THE ORGANIZATION GATHERS MARKET DATA FOR COMPENSATION OF THE EXECUTIVE LEADERSHIP TEAM. THIS DATA INCLUDES BENCHMARKS OF NATIONAL, REGIONAL, AND LOCAL COMPENSATION THAT ARE PROVIDED FROM INDEPENDENT COMPENSATION CONSULTANTS. EXECUTIVE LEADERSHIP PAY IS ADJUSTED BASED ON: 1) YEARS OF EXPERIENCE; 2) MARKET DATA FOR THE POSITION, AND; 3) PERFORMANCE. THE VICE PRESIDENT OF HUMAN RESOURCES PRESENTS THE MARKET DATA INFORMATION TO THE EXECUTIVE COMMITTEE OF THE BOARD. BASED ON THIS INFORMATION, THE EXECUTIVE COMMITTEE OF THE BOARD APPROVES THE PAY STRUCTURE FOR THE EXECUTIVE LEADERSHIP TEAM AND ALL OTHER EMPLOYEES AND DOCUMENTS THEIR APPROVAL IN WRITING. THIS PROCESS WAS LAST UNDERTAKEN IN JANUARY 2010. Public Disclosure Form 990, Part VI, Section C, Line 19 FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND CONFLICT OF INTEREST POLICIES ARE NOT REQUIRED DISCLOSURES PURSUANT TO INTERNAL REVENUE CODE (IRC) SECTION 6104. THESE DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON RECEIPT OF A WRITTEN REQUEST. COMPENSATION OF OTHER OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES FORM 990, PART VII, SECTION A, LINE 1A, COLUMN B SUSAN PHILLIPS, CEO, DEVOTES APPROXIMATELY 5 HOURS A WEEK RESPECTIVELY TO HOSPICECARE FOUNDATION, INC. AND HOSPICECARE HOLDINGS, INC., BOTH OF WHICH ARE RELATED TAX-EXEMPT ORGANIZATIONS. SARAH BEALLES, EXECUTIVE VICE PRESIDENT/CFO, DEVOTED APPROXIMATELY 5 HOURS A WEEK RESPECTIVELY TO HOSPICECARE FOUNDATION, INC. AND HOSPICECARE HOLDINGS, INC., BOTH OF WHICH ARE RELATED TAX-EXEMPT ORGANIZATIONS. MARCIA WHITTINGTON, VICE PRESIDENT OF FOUNDATION, DEVOTES APPROXIMATELY 35 HOURS A WEEK TO HOSPICECARE FOUNDATION, INC., A RELATED TAX-EXEMPT ORGANIZATION. Other changes in net assets or fund balances Form 990, Part XI, Line 5 NET UNREALIZED GAINS (LOSSES) ON INVESTMENTS - 2512; CHANGE IN INTEREST IN AFFILIATE - 15557; HOSPICECARE THRIFT STORE LLC 5395 E CHERYL PARKWAY MADISON WI 53711 300001703 THRIFT STORE WI 613118 171099 HOSPICECARE FOUNDATION HOSPICECARE FOUNDATION INC 5395 E CHERYL PARKWAY MADISON WI 53711 300001703 FUNDRAISING WI 501(C)(3) 11 - Type I NA HOSPICECARE HOLDINGS INC 5395 E CHERYL PARKWAY MADISON WI 53711 300001715 PROPERTY HOLDING WI 501(C)(3) 11 - Type I NA false true true true true false false false false true true false true true true true false false HOSPICECARE FOUNDATION INC C 304907 REIMBURSEMENT OF ACTUAL EXPENDITURES HOSPICECARE HOLDINGS INC J 1814400 PER INTERCOMPANY AGREEMENT HOSPICECARE HOLDINGS INC K 97200 ESTIMATE OF TIME AND ACTUAL SALARY HOSPICECARE FOUNDATION J 1281546 EMPLOYEES DEDICATED TO FOUNDATION