2011-08-15T13:27:17-05:00 2010-09-30 BLUM SHAPIRO & COMPANY PC CPA'S 29 S MAIN STREET PO BOX 272000 WEST HARTFORD CT 061272000 990 2009-10-01 061003712 THE JOHN D THOMPSON HOSPICE INSTITUTE FOR EDUCATION TRAINING AND RESEARCH JOHN 2033157500 100 double beach road BRANFORD CT 064054003 DAVID R GOLDFARB 2033157500 2011-07-08 1 LOUIS B OBERMEIER 8605614000 2009 2016-02-24 21:20:13Z DAVID R GOLDFARB 100 double beach road BRANFORD CT 064054003 4433660 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 12 2 15 0 0 137045 125994 4510900 4004023 18356 19483 287254 284160 4953555 4433660 0 0 2697109 2140788 0 3984 3606526 3551958 6303635 5692746 -1350080 -1259086 24508177 23639919 10474849 10858856 14033328 12781063 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 3394081 4023 THE INSTITUTE OFFERS PROGRAMS ON EDUCATION, TRAINING AND RESEARCH PERTAINING TO THE CARE OF ADULT AND PEDIATRIC PATIENTS WITH IRREVERSIBLE ILLNESSES AND THEIR FAMILIES. 2131949 4000000 PROVIDING MANAGEMENT SERVICES AND FACILITIES TO CT HOSPICE. 5526030 1 1 0 0 0 0 0 0 0 1 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 1 0 0 1 2 1 0 0 0 0 0 0 0 0 0 14 12 0 0 0 0 0 1 0 1 1 0 0 1 1 1 1 1 0 1 0 0 CT X MR 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 20.00 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 45886 183545 17522 DAVID R GOLDFARB 3.00 X 9628 166892 16976 SANDRA J KLIMAS 10.00 X 24224 121121 15894 RONNY J KNIGHT 2.00 X 5878 138124 13886 GARY SULLIVAN 5.00 X 12970 134886 10935 DR JOSEPH ANDREWS 10.00 X 41774 167096 8647 140360 911664 83860 0 0 1 0 0 125994 125994 LEASE AND MGT SERVICES 532000 4000000 4000000 EDUCATIONAL 611600 4023 4023 4004023 19483 19483 284160 284160 284160 284160 4433660 4004023 0 303643 149949 73080 72885 3984 1713016 1676434 36582 277823 269144 8679 1363494 1318908 44586 185554 185554 3250 3250 11108 11108 526909 526909 NON MEDICAL INTERCOMPAN 1457723 1457723 NON MEDICAL GENERAL EXP 3920 3920 5692746 5526030 162732 3984 138646 27828 264316 1500000 1500000 27797124 5685033 22535215 22112091 70000 0 24508177 23639919 6485 2530000 7938364 10858856 10474849 10858856 X 12353328 11241063 1680000 1540000 14033328 12781063 24508177 23639919 X 0 1 1 X 0 X 242762 133361 127907 137045 125994 767069 4910017 5977533 6472359 4510900 4004023 25874832 5152779 6110894 6600266 4647945 4130017 26641901 0 0 0 26641901 301038 311807 309060 305613 303643 1531161 301038 311807 309060 305613 303643 1531161 5453817 6422701 6909326 4953558 4433660 28173062 0.94570 0.95350 0.05430 0.04650 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED Part II-B, Line 1i: Explanation of Other Lobbying Activities: 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 21363779 5685033 15678746 22112091 DUE TO CT HOSPICE, NET 10858856 10858856 4433660 5692746 -1259086 6821 6821 -1252265 4440481 6821 6821 4433660 0 4433660 5692746 0 5692746 0 5692746 X X X X 0 1 0 0 0 0 0 0 0 ROSEMARY HURZELER 45886 183545 0 0 0 0 1287 5146 2218 8871 49391 197562 0 0 DAVID R GOLDFARB 9628 166892 0 0 0 0 289 5007 637 11043 10554 182942 0 0 SANDRA J KLIMAS 24224 121121 0 0 0 0 727 3633 1922 9612 26873 134366 0 0 RONNY J KNIGHT 5878 138124 0 0 0 0 176 4144 390 9176 6444 151444 0 0 GARY SULLIVAN 12970 134886 0 0 0 0 389 4047 570 5929 13929 144862 0 0 DR JOSEPH ANDREWS 41774 167096 0 0 0 0 0 0 1729 6918 43503 174014 0 0 Part I, Line 4a 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 1 0 0 0 1 0 1 0 1 0 0 0 0 0 RENTAL INCOME I 284160 MANAGEMENT SERVICES K 4000000 MORTGAGE PAYABLE E 2530000