2011-09-29T13:02:27-05:00 2010-12-31 BLUE & CO LLC 106 COMMUNITY DR SEYMOUR IN 47274 990 2010-01-01 351479425 HOSPICE OF SOUTH CENTRAL INDIANA INC HOSP 8123148000 2626 E 17TH STREET COLUMBUS IN 47201 SANDRA CARMICHAEL 8123148000 2011-09-28 1 KANDY L WISCHMEIER CPA 8125228416 2011-09-28 2010 2016-03-07 17:11:31Z SANDRA CARMICHAEL 2626 E 17TH STREET COLUMBUS IN 47201 10915172 0 X WWW.HOSPICEOFSOUTHCENTRALINDIANA.ORG X 1980 IN HOSPICE OF SOUTH CENTRAL INDIANA, INC. (HSCI) IS AN INDEPENDENT, NOT-FOR-PROFIT ORGANIZATION PROVIDING SERVICES TO THE TERMINALLY ILL IN A 15-COUNTY SERVICE AREA. SINCE ITS INCEPTION 31 YEARS AGO, HOSPICE HAS EXPANDED TO MEET THE NEEDS FOR END-OF-LIFE CARE IN SOUTHERN INDIANA. 16 16 165 239 0 0 580971 496162 9978157 10107114 26678 10345 209269 186801 10795075 10800422 0 0 0 0 7790758 7975631 0 0 261377 3223224 3004907 11013982 10980538 -218907 -180116 8876999 8862871 1346427 1512415 7530572 7350456 X HOSPICE OF SOUTH CENTRAL INDIANA, INC. (HSCI) IS AN INDEPENDENT, NOT-FOR-PROFIT ORGANIZATION PROVIDING SERVICES TO THE TERMINALLY ILL IN A 15-COUNTY SERVICE AREA. SINCE ITS INCEPTION 31 YEARS AGO, HOSPICE HAS EXPANDED TO MEET THE NEEDS FOR END-OF-LIFE CARE IN SOUTHERN INDIANA. 0 0 9786759 10109991 HOSPICE OF SOUTH CENTRAL INDIANA, INC. (HSCI) IS AN INDEPENDENT, NOT-FOR-PROFIT ORGANIZATION PROVIDING SERVICES TO THE TERMINALLY ILL IN A 15-COUNTY SERVICE AREA. SINCE ITS INCEPTION 31 YEARS AGO, HOSPICE HAS EXPANDED TO MEET THE NEEDS FOR END-OF-LIFE CARE IN SOUTHERN INDIANA, AND CURRENTLY HAS FOUR OFFICE LOCATIONS, AS WELL AS A 14-BED INPATIENT FACILITY, LOCATED IN COLUMBUS, INDIANA. HOSPICE EXISTS TO PROVIDE CARE AND SUPPORT TO INDIVIDUALS AND THEIR FAMILIES IN THE LAST PHASES OF AN INCURABLE DISEASE SO THAT THEY MAY LIVE AS FULLY AND COMFORTABLY AS POSSIBLE. BEREAVEMENT SERVICES ARE PROVIDED TO FAMILY MEMBERS AND/OR SIGNIFICANT OTHERS FOR 13 MONTHS FOLLOWING A DEATH. AN INTERDISCIPLINARY TEAM CARES FOR THE PHYSICAL, PSYCHOSOCIAL, SPIRITUAL AND EMOTIONAL NEEDS OF THOSE WHO CHOOSE HSCI, WHETHER IT IS A MATTER OF DAYS, WEEKS, OR MONTHS. SERVICES ARE PROVIDED IN A VARIETY OF SETTINGS, INCLUDING THE PATIENT'S HOME, A LONG-TERM CARE FACILITY, AN ASSISTED LIVING FACILITY OR THE HOSPICE INPATIENT FACILITY. A TEAM OF HIGHLY SKILLED PROFESSIONALS AND VOLUNTEERS ARE AVAILABLE 24-HOURS A DAY, 7 DAYS A WEEK.HSCI IS LICENSED BY THE STATE OF INDIANA AND CERTIFIED BY THE FEDERAL GOVERNMENT. MEDICARE, MEDICAID AND PRIVATE INSURANCE COVER MOST SERVICES. ADDITIONAL FUNDS ARE RAISED THROUGH MEMORIALS, PRIVATE DONATIONS, FUND-RAISING ACTIVITIES, GRANTS AND THE UNITED WAY. TO ENSURE THAT CARE CAN BE PROVIDED REGARDLESS OF ABILITY TO PAY, HSCI IS A COMMUNITY RESOURCE FOR END-OF-LIFE CARE. HOSPICE PROFESSIONALS AND VOLUNTEERS ARE AVAILABLE TO PARTICIPATE IN EDUCATIONAL OFFERINGS IN A VARIETY OF SETTINGS, INCLUDING CHURCHES, SCHOOLS, CIVIC ORGANIZATIONS, AND OTHER HEALTH CARE PROVIDERS. IN 2010, OVER 667 PEOPLE WERE REACHED THROUGH PRESENTATIONS IN THE COMMUNITIES WE SERVE.IN 2010, 1,068 PATIENTS AND FAMILIES RECEIVED 62,318 DAYS OF CARE. ADDITIONALLY, BEREAVEMENT SERVICES WERE PROVIDED TO 2,438 INDIVIDUALS. APPROXIMATELY 9% OF HSCI'S ANNUAL BUDGET IS RAISED EACH YEAR TO PROVIDE THE SPECIALIZED CARE NEEDED BY THE TERMINALLY ILL AND THEIR FAMILIES. YOU ARE WELCOME TO VISIT OUR WEBSITE AT WWW.HOSPICEOFSOUTHCENTRALINDIANA.ORG FOR ADDITIONAL INFORMATION AND TO VIEW PHOTOS OF THE INPATIENT FACILITY. 9786759 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 165 1 0 0 0 0 0 0 0 0 0 0 X 16 16 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 1 1 1 0 IN X X SANDRA CARMICHAEL 8123148000 2626 E 17TH STREET COLUMBUS IN 47201 HUTCH SCHUMAKER 1.00 X X 0 0 0 JEFF WASHBURN 1.00 X X 0 0 0 RICHARD KRAMER 1.00 X X 0 0 0 DAVID THOMPSON MD 1.00 X 0 0 0 WILLIAM ALLOY 1.00 X 0 0 0 DAVID FINKEL 1.00 X 0 0 0 REV DENNIS AUD 1.00 X 0 0 0 JAMES BICKEL 1.00 X 0 0 0 PAT MYERS 1.00 X 0 0 0 JANE DAVEE 1.00 X 0 0 0 KAREN SHAW 1.00 X 0 0 0 JOE SHEEHY MD 1.00 X 0 0 0 EDWIN WATKINS MD 1.00 X 0 0 0 SLADE CROWDER MD 1.00 X 0 0 0 TOM DOWD 1.00 X 0 0 0 MARLENE WEATHERWAX 1.00 X 0 0 0 SANDRA CARMICHAEL 40.00 X 150211 0 26144 ROY GOODE MD 24.00 X 129616 0 31847 279827 0 57991 2 0 1 0 0 74228 46345 375589 496162 NET PATIENT SERVICE RE 624100 10107114 10107114 10107114 10345 10345 258174 102067 156107 156107 40500 12683 27817 27817 OTHER INCOME 900099 2877 2877 2877 10800422 10109991 0 194269 176355 155193 15872 5290 5964171 5248471 536775 178925 291075 256146 26197 8732 1085729 955441 97716 32572 458301 403305 41247 13749 35369 35369 18601 17299 1302 156922 121397 27607 7918 44723 39356 4025 1342 159032 116093 33397 9542 178225 176443 1782 14102 14102 235637 181440 54197 81892 74522 7370 PATIENT SERVICE EXPENSE 1753263 1753263 REPAIRS AND MAINTENANCE 216255 175167 41088 MISCELLANEOUS 50849 44748 4576 1525 BAD DEBT EXPENSES 35410 35410 DUES SUBSCRIPTIONS BOOK 24627 18963 5664 10980538 9786759 932402 261377 1682746 1794309 1237556 1279980 5845 5207 88094 79364 7989310 2329228 5827231 5660082 35527 43929 8876999 8862871 1346427 1512415 1346427 1512415 X 7524912 7337795 5660 12661 7530572 7350456 8876999 8862871 -180116 0 X X 1 0 1 X 0 X 517581 617831 473380 580971 496162 2685925 517581 617831 473380 580971 496162 2685925 171384 2514541 71753 82270 55848 26678 10345 246894 5062 3856 12535 9941 2877 34271 2967090 48875147 0.84750 0.83760 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 7989310 2329228 5660082 5660082 10800422 10980538 -180116 0 -180116 10992973 77801 114750 192551 10800422 0 10800422 11173089 77801 114750 192551 10980538 0 10980538 PART XII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENTS EXPENSE 114,750. PART XIII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENTS EXPENSES 114,750. CONCERT 124738 124738 64590 GOLF OUTING 36215 36215 4718 97221 97221 32759 258174 258174 102067 102067 156107 40500 11950 733 0 40500 11950 733 12683 27817 IN 1 0 0 0 1.00000 PHIL BUSH 2626 E 17TH STREET COLUMBUS IN 47201 0 SANDRA CARMICHAEL 100 OVERALL RESPONSIBILITY FOR THE OPERATION AND CONDUCT OF THE GAMING EVENT X 0 X 0 0 0 0 0 0 0 0 0 SANDRA CARMICHAEL 150211 0 0 0 0 0 0 0 26144 0 176355 0 0 0 ROY GOODE MD 129616 0 0 0 0 0 0 0 31847 0 161463 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 THE EXECUTIVE COMMITTEE OF THE BOARD DELEGATED AUTHORITY TO THE FINANCE COMMITTEE OF THE BOARD TO APPROVE THE FORM 990. THE FINANCE COMMITTEE OF THE BOARD WILL REVIEW THE ENTIRE FORM 990. ONCE APPROVED BY THE FINANCE COMMITTEE OF THE BOARD, A FULL COPY OF THE FORM 990 WAS MADE AVAILABLE TO EVERY BOARD MEMBER FOR REVIEW PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C EFFECTIVE 2006, BOARD MEMBERS, KEY EMPLOYEES, DIRECTORS AND OFFICERS SIGNED A CONFLICT OF INTEREST STATEMENT, STATING THAT THEY HAVE READ AND UNDERSTOOD THE STATEMENT. SINCE THAT TIME, ORIENTATION FOR NEW BOARD MEMBERS, KEY EMPLOYEES, OFFICERS AND DIRECTORS, INCLUDES REVIEW AND SIGNATURE OF A CONFLICT OF INTEREST STATEMENT. THE CONFLICT OF INTEREST STATEMENTS ARE REVIEWED BY THE COMPLIANCE OFFICER WITH FOLLOW-UP BY THE COMPLIANCE COMMITTEE IF ANY POTENTIAL CONFLICTS ARE IDENTIFIED. FORM 990, PART VI, SECTION B, LINE 15 EACH POSITION HAS A SALARY RANGE. COMPENSATION AT HIRE IS DETERMINED BY SEVERAL FACTORS, INCLUDING THE APPLICANT'S EXPERIENCE, EDUCATION, APPLICANT'S SALARY AT THEIR MOST RECENT EMPLOYMENT AND WHERE THE PROPOSED SALARY WOULD FALL WITHIN THE SALARY RANGE OF OTHER MEMBERS OF THE HOSPICE TEAM WHO ARE IN SIMILAR POSITIONS. EACH YEAR, HOSPICE EMPLOYEES ARE GIVEN A 3% MERIT INCREASE IN SALARY. ANY INCREASES IN SALARY ABOVE THE 3% MERIT WOULD BE MADE DUE TO A MARKET WAGE ADJUSTMENT, OR BASED ON PERFORMANCE. CURRENTLY, HOSPICE IS DEVELOPING A PRESIDENT'S COMPENSATION POLICY. THIS POLICY WILL STIPULATE THAT APPROVAL OF INCREASE ABOVE 3% MERIT INCREASE FOR THE PRESIDENT'S POSITION WOULD NEED TO BE APPROVED BY THE EXECUTIVE COMMITTEE OF HOSPICE'S BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST STATEMENT, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XII, LINE 2C THE PROCESS OF SELECTING AN INDEPENDENT ACCOUNTANT AND OVERSIGHT OF THE AUDIT HAS NOT CHANGED FROM PRIOR YEARS.