AGRACE HOSPICECARE FOUNDATION INCORPORATED: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
AGRACE HOSPICECARE FOUNDATION INCORPORATED (EIN 30-0001703)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-06-27
IRS object ID
201141789349301404
Schema version
2010v3.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-06-27T14:00:08-05:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CROWE HORWATH LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line170 West Madison StreetAddressLine1
Address Line2Suite 700AddressLine2
CityChicagoCity
StateILState
ZIP Code606024903ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN300001703EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1HOSPICECARE FOUNDATION INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlHOSPNameControl
Phone6082764660Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line15395 E CHERYL PARKWAYAddressLine1
CityMADISONCity
StateWIState
ZIP Code53711ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSUSAN PHILLIPSName
TitleCEOTitle
Date Signed2011-06-23DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone3128997000Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Name Of Principal Officer Business NameOfPrincipalOfficerBusiness

FieldValueIRS element (for citing)
Business Name Line1SUSAN PHILLIPSBusinessNameLine1

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line15395 E CHERYL PARKWAYAddressLine1
CityMADISONCity
StateWIState
ZIP Code53711ZIPCode
FieldValueIRS element (for citing)
Gross Receipts7169679GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.HOSPICECAREINC.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2001YearFormation
State Legal DomicileWIStateLegalDomicile
Activity Or Mission DescriptionOUR MISSION, "ENHANCING QUALITY OF LIFE AT THE END OF LIFE," LIVES IN THE CARE PROVIDED TO PATIENTS AND FAMILIES FACING LIFE-LIMITING ILLNESS. FUNDS RAISED ARE USED TO SUPPORT CARE PROVIDED BY HOSPICECARE, INC., A RELATED TAX-EXEMPT ORGANIZATION.ActivityOrMissionDescription
Nbr Voting Members Governing Body18NbrVotingMembersGoverningBody
Nbr Independent Voting Members18NbrIndependentVotingMembers
Total Nbr Employees17TotalNbrEmployees
Total Nbr Volunteers244TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year3158176ContributionsGrantsPriorYear
Contributions Grants Current Year3534430ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year217239InvestmentIncomePriorYear
Investment Income Current Year663652InvestmentIncomeCurrentYear
Other Revenue Prior Year-21240OtherRevenuePriorYear
Other Revenue Current Year11106OtherRevenueCurrentYear
Total Revenue Prior Year3354175TotalRevenuePriorYear
Total Revenue Current Year4209188TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year5088384GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY649779GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year0SalariesEtcPriorYear
Salaries Etc Current Year1281546SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year1214329TotalFundrsngExpCurrentYear
Other Expense Prior Year1502583OtherExpensePriorYear
Other Expenses Current Year315421OtherExpensesCurrentYear
Total Expenses Prior Year6590967TotalExpensesPriorYear
Total Expenses Current Year2246746TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-3236792RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1962442RevenuesLessExpensesCY
Total Assets BOY37226142TotalAssetsBOY
Total Assets EOY40491638TotalAssetsEOY
Total Liabilities BOY112952TotalLiabilitiesBOY
Total Liabilities EOY428973TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY37113190NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY40062665NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionHOSPICECARE FOUNDATION INC.'S MISSION IS "ENHANCING THE QUALITY OF LIFE AT THE END OF LIFE," LIVES IN THE CARE PROVIDED TO PATIENTS AND FAMILIES FACING LIFE-LIMITING ILLNESS. (CONTINUED IN SCHEDULE O)MissionDescription
Significant ChangefalseSignificantChange
Expense344872Expense
Grants344872Grants
Revenue0Revenue
DescriptionFACILITY PROJECT AND CAPITAL ACQUISITION SUPPORT: THE CONSTRUCTION OF THE ELLEN & PETER JOHNSON HOSPICECARE RESIDENCE WAS FINANCED THROUGH THE ISSUANCE OF BONDS BY HOSPICECARE HOLDINGS, INC. IN 2010, THE FOUNDATION CONTRIBUTED FUNDS TO HOSPICECARE HOLDINGS, INC. FOR DEBT RETIREMENT AND PAYMENT OF THE REMAINING FINANCING FEES.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense113933Expense
Grants113933Grants
Revenue0Revenue
DescriptionCHARITY CARE - THE FOUNDATION PROVIDES GRANTS TO HOSPICECARE, INC. TO COVER THE COST OF HOSPICE CARE FOR INDIVIDUALS WHO ARE UNINSURED OR UNDERINSURED TO THE EXTENT THAT THEY DO NOT HAVE THE ABILITY TO PAY FOR HOSPICE CARE PRIVATELY.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense71172Expense
Grants71172Grants
Revenue0Revenue
DescriptionCOMMUNITY GRIEF SERVICES: THE FOUNDATION PROVIDES GRANTS TO HOSPICECARE, INC. TO SUPPORT THE COSTS OF COMMUNITY BEREAVEMENT SUPPORT GROUPS AND COUNSELING SERVICES OFFERED BY HOSPICECARE, INC. TO ANYONE IN THE COMMUNITY FREE OF CHARGE.Description

Activity Other ActivityOther (2 entries)

ExpenseExpenseGrantsGrantsRevenueRevenueDescriptionDescription
6670266702544OTHER PROGRAM SERVICES: THE FOUNDATION PROVIDES GRANTS TO HOSPICECARE INC. TO SUPPORT OTHER PROGRAM SERVICES, INCLUDING: 1) PATIENT ASSISTANCE FUND - GRANTS USED TO ASSIST PATIENTS AND FAMILIES BY IMPROVING QUALITY OF LIFE AND FULFILLING END OF LIFE GOALS. EXAMPLES INCLUDE BUYING A BURIAL DRESS OR PROVIDING A BIRTHDAY CAKE. 2) PALLIATIVE CARE FELLOWSHIP - GRANTS TO COVER 25% OF THE THE STIPEND FOR THE COLLABORATIVE PALLIATIVE CARE FELLOWSHIP PROGRAM, WITH THE GOAL OF TRAINING THE NEXT GENERATION OF PALLIATIVE CARE PHYSICIANS. 3) STAFF LEARNING, SUPPORT AND APPRECIATION - GRANTS TO FUND CONTINUING EDUCATION, STAFF APPRECIATION AND ACADEMIC ROTATIONS. 4) GARDEN AND GROUNDS - GRANTS TO SUPPORT THE ONGOING MANAGEMENT OF THE HOSPICECARE GARDENS AND GROUNDS, WHICH PROVIDE A PEACEFUL, SOOTHING SETTING FOR PATIENTS AND FAMILIES. 5)RESPITE CARE: THE FOUNDATION PROVIDES GRANTS TO HOSPICECARE INC. TO SUPPORT THE COSTS OF INPATIENT RESPITE CARE. RESPITE CARE PROVIDES A MUCH NEEDED BREAK FOR CAREGIVERS AND HELPS TO PREVENT CAREGIVER BREAKDOWN.
53100531000
FieldValueIRS element (for citing)
Total Of Other Program Service Exp119802TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt119802TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev544TotalOfOtherProgramServiceRev
Total Program Service Expense649779TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingtrueGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10967NumberFormsTransmittedWith1096
Number W2 G Included4NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees17NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members18NbrVotingGoverningBodyMembers
Number Independent Voting Members18NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocstrueChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChapterstrueLocalChapters
Policies Reference ChapterstruePoliciesReferenceChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledWIStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1SUSAN PHILLIPSBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number6082764660TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line15395 EAST CHERYL PARKWAYAddressLine1
CityMADISONCity
StateWIState
ZIP Code53711ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (21 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationIndividual Trustee Or DirectorIndividualTrusteeOrDirector
MARCIA M WHITTINGTON
VP FOUNDATION35X131355028380
SUSAN RICHARDSON
DIRECTOR1000X
PETER LUNDBERG
DIRECTOR1000X
TOM BOLGER
DIRECTOR1000X
TOM RAGATZ
DIRECTOR1000X
KEN THOMPSON
TREASURER1X000X
NANCY FOX
DIRECTOR1000X
GORDON RICE
DIRECTOR1000X
LOU BERNHARDT
DIRECTOR1000X
MICHAEL SMITH
DIRECTOR1000X
LOTTIE FRANK
CHAIR1X000X
KATHY CULLEN
DIRECTOR1000X
VIRGINIA WYSS
DIRECTOR1000X
RICK LANGER
DIRECTOR1000X
JACK BOLZ
DIRECTOR1000X
STEVE DITULLIO
SECRETARY1X000X
JAMES CRIPE
VICE CHAIR1X000X
RALPH CAGLE
DIRECTOR1000X
GORDON DERZON
DIRECTOR1000X
SUSAN PHILLIPS
CEO5X034092871079
SARAH BEALLES
CFO5X02293218341
FieldValueIRS element (for citing)
Total Reportable Comp From Org131355TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs570249TotalReportableCompFrmRltdOrgs
Total Other Compensation107800TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1HOSPICECARE INCBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line15395 E CHERYL PARKWAYAddressLine1
CityMADISONCity
StateWIState
ZIP Code53711ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesPURCHASED SERVICESDescriptionOfServices
Compensation1280600Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Fundraising Events328890FundraisingEvents
All Other Contributions3205540AllOtherContributions
Noncash Contributions646025NoncashContributions
Total Contributions3534430TotalContributions

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue0TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column201139TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$201,139ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities2683992Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities2221479Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities462513Securities
Other0Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column462513TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$462,513ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events38888GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events328890CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses109841FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-70953TotalRevenueColumn
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion-$70,953ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Gaming152889GrossIncomeGaming
Gaming Direct Expenses71374GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column81515TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$81,515ExclusionAmount
FieldValueIRS element (for citing)
Gross Sales Of Inventory557797GrossSalesOfInventory
Cost Of Goods Sold557797CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOTHER REVENUEDescription
Total Revenue Column544TotalRevenueColumn
Related Or Exempt Function Income544RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue544TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column4209188TotalRevenueColumn
Related Or Exempt Function Income544RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$674,214ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total649779Total
Program Services649779ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total159735Total
Program Services0ProgramServices
Management And General159735ManagementAndGeneral
Fundraising0Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total1121811Total
Program Services0ProgramServices
Management And General189300ManagementAndGeneral
Fundraising932511Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total0Total

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total0Total

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total4799Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising4799Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total5356Total
Program Services0ProgramServices
Management And General5356ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total20938Total
Program Services0ProgramServices
Management And General20938ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total0Total

Advertising Advertising

FieldValueIRS element (for citing)
Total18679Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising18679Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total83333Total
Program Services0ProgramServices
Management And General6606ManagementAndGeneral
Fundraising76727Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total1295Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising1295Fundraising

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total117732Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising117732Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total5938Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising5938Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total10716Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising10716Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total703Total
Program Services0ProgramServices
Management And General703ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total0Total

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
DONATION DEVELOPMENT377710037771
UNCOLLECTIBLE PLEDGES4583004583
DUES, FEES, LICENSES3578003578

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total2246746Total
Program Services649779ProgramServices
Management And General382638ManagementAndGeneral
Fundraising1214329Fundraising

Total Joint Costs TotalJointCosts

FieldValueIRS element (for citing)
Total0Total

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1285618BOY
EOY631795EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY69188BOY
EOY335083EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY2057468BOY
EOY1842326EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY11132BOY
EOY16624EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY51000BOY
EOY99000EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY14796BOY
EOY18749EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis14700LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec4217LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY11186BOY
EOY10483EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY7025630BOY
EOY10436519EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY26700124BOY
EOY27101059EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY37226142BOY
EOY40491638EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY6764BOY
EOY64162EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY52506BOY
EOY28372EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY53682BOY
EOY336439EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY112952BOY
EOY428973EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY36195809BOY
EOY39217985EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY871455BOY
EOY784244EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY45926BOY
EOY60436EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY37113190BOY
EOY40062665EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY37226142BOY
EOY40491638EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1962442ReconcilationRevenueExpenses
Reconcilation Other Changes987033ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type1XSupportingOrg509a3Type1
Certification CheckboxXCertificationCheckbox
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1HOSPICECARE INCBusinessNameLine1
FieldValueIRS element (for citing)
EIN391319537EIN
Type Of Organization9TypeOfOrganization
Listed In Governing DoctrueListedInGoverningDoc
Supported Organization NotifiedtrueSupportedOrganizationNotified
Organized In UStrueOrganizedInUS
Amount$304,907Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts304907SumOfAmounts

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Exmpt Function Expenditures0TotalExmptFunctionExpenditures
Total Lobbying Expenditures IIB0TotalLobbyingExpendituresIIB
Non Ded Lobby Political Total0NonDedLobbyPoliticalTotal

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance472208BeginningOfYearBalance
Contributions14510Contributions
Investment Earnings Or Losses66356InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures3298OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance549776EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance460319BeginningOfYearBalance
Contributions0Contributions
Investment Earnings Or Losses11889InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures0OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance472208EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance415642BeginningOfYearBalance
Contributions90070Contributions
Investment Earnings Or Losses-11128InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures34265OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance460319EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.890BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.110PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.000TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Book Value0BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Book Value0BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Book Value0BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Book Value0BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis14700OtherCostOrOtherBasis
Depreciation4217Depreciation
Book Value10483BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings10483TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
INTEREST IN NET ASSETS OF AFFILIATE26956113
BENEFICIAL INTEREST IN ASSETS HELD BY COMMUNITY FOUNDATIONS141665
DUE FROM AFFILIATE3281
FieldValueIRS element (for citing)
Total Book Value Other Assets27101059TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO AFFILIATESDescription
Amount$336,439Amount
FieldValueIRS element (for citing)
Total Of Amounts336439TotalOfAmounts
Total Revenue4209188TotalRevenue
Total Expenses2246746TotalExpenses
Excess Or Deficit For Year1962442ExcessOrDeficitForYear
Net Unrealized GL On Investments446273NetUnrealizedGLOnInvestments
Other$540,760OtherAmount
Total Adjustments987033TotalAdjustments
Excess Or Deficit Per FS2949475ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt5175283TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments446273NetUnrealizedGainsInvestments
Other Revenues540760OtherRevenues
Revenue Not Rptd F990987033RevenueNotRptdF990
Revenue Subtotal4188250RevenueSubtotal
Investment Expenses Not Included20938InvestmentExpensesNotIncluded
Other Revenues Not Included0OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt20938RevenueNotRptdOnFinStmt
Total Revenue Per Form9904209188TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt2225808TotExpensesEtcAuditedFinclStmt
Other Expenses Included0OtherExpensesIncluded
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal2225808ExpensesSubtotal
Investment Expenses Not Included220938InvestmentExpensesNotIncluded2
Other Expenses Not Included0OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt20938ExpensesNotRptdOnFinStmt
Total Expenses Per Form9902246746TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Intended uses of endowment fundsSchedule D, Part V, Line 4THE PURPOSE OF THE ENDOWMENT FUNDS ARE TO PROVIDE SUPPORT, AS NEEDED, TO HOSPICECARE, INC., A RELATED TAX-EXEMPT ORGANIZATION.
FIN 48 (ASC 740) footnoteSchedule D, Part X, Line 2U.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.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1PHIL HELMUTH EVENTNameOfEvent1
Gross Receipts Event1108369GrossReceiptsEvent1
Charitable Contributions Event195154CharitableContributionsEvent1
Gross Revenue Event113215GrossRevenueEvent1
Cash Prizes Event10CashPrizesEvent1
Non Cash Prizes Event10NonCashPrizesEvent1
Rent Facility Costs Event10RentFacilityCostsEvent1
Food And Beverage Event129183FoodAndBeverageEvent1
Entertainment Event10EntertainmentEvent1
Other Direct Expenses Event125288OtherDirectExpensesEvent1
Name Of Event2GALANameOfEvent2
Gross Receipts Event2105035GrossReceiptsEvent2
Charitable Contributions Event291684CharitableContributionsEvent2
Gross Revenue Event213351GrossRevenueEvent2
Cash Prizes Event20CashPrizesEvent2
Non Cash Prizes Event20NonCashPrizesEvent2
Rent Facility Costs Event20RentFacilityCostsEvent2
Food And Beverage Event220024FoodAndBeverageEvent2
Entertainment Event22850EntertainmentEvent2
Other Direct Expenses Event25441OtherDirectExpensesEvent2
Total Number Of Other Events4TotalNumberOfOtherEvents
Gross Receipts Other Events154374GrossReceiptsOtherEvents
Charitable Contrib Other Events142052CharitableContribOtherEvents
Gross Revenue Other Events12322GrossRevenueOtherEvents
Cash Prizes Other Events0CashPrizesOtherEvents
Non Cash Prizes Other Events0NonCashPrizesOtherEvents
Rent Facility Costs Other Events1700RentFacilityCostsOtherEvents
Food And Beverage Other Events7035FoodAndBeverageOtherEvents
Entertainment Other Events0EntertainmentOtherEvents
Other Direct Expenses Other Events18320OtherDirectExpensesOtherEvents
Gross Receipts Total367778GrossReceiptsTotal
Charitable Contributions Total328890CharitableContributionsTotal
Gross Revenue Total Events38888GrossRevenueTotalEvents
Cash Prizes Total Events0CashPrizesTotalEvents
Non Cash Prizes Total Events0NonCashPrizesTotalEvents
Rent Facility Costs Total Events1700RentFacilityCostsTotalEvents
Food And Beverage Total Events56242FoodAndBeverageTotalEvents
Entertainment Total Events2850EntertainmentTotalEvents
Other Direct Expenses Total Events49049OtherDirectExpensesTotalEvents
Direct Expense Summary Events109841DirectExpenseSummaryEvents
Net Income Summary-70953NetIncomeSummary

Gaming Information GamingInformation

FieldValueIRS element (for citing)
Volunteer Labor BingofalseVolunteerLaborBingo
Volunteer Labor Pull TabsfalseVolunteerLaborPullTabs
Gross Revenue Other Gaming152889GrossRevenueOtherGaming
Cash Prizes Other Gaming1000CashPrizesOtherGaming
Non Cash Prizes Other Gaming64894NonCashPrizesOtherGaming
Rent Facility Costs Other Gaming0RentFacilityCostsOtherGaming
Other Direct Expenses Other Gaming5480OtherDirectExpensesOtherGaming
Volunteer Labor Other GamingtrueVolunteerLaborOtherGaming
Volunteer Labor Prcnt Other Gaming0.9VolunteerLaborPrcntOtherGaming
Gross Revenue Total Gaming152889GrossRevenueTotalGaming
Cash Prizes Total Gaming1000CashPrizesTotalGaming
Non Cash Prizes Total Gaming64894NonCashPrizesTotalGaming
Rent Facility Costs Total Gaming0RentFacilityCostsTotalGaming
Other Direct Expenses Total Gaming5480OtherDirectExpensesTotalGaming
Direct Expense Summary Gaming71374DirectExpenseSummaryGaming
Net Gaming Income Summary81515NetGamingIncomeSummary
FieldValueIRS element (for citing)
States Where Gaming ConductedWIStatesWhereGamingConducted
LicensedtrueLicensed
License Suspended EtcfalseLicenseSuspendedEtc
Gaming With NonmembersfalseGamingWithNonmembers
Member Of Other EntityfalseMemberOfOtherEntity
Percentage Of Gaming Own Facility0PercentageOfGamingOwnFacility
Percentage Of Gaming Othr Facility1PercentageOfGamingOthrFacility

Name Of Gaming Rec Keeper Bus NameOfGamingRecKeeperBus

FieldValueIRS element (for citing)
Business Name Line1DEBBIE BRADLEY HOSPICECARE INCBusinessNameLine1

Address Of Gaming Rec Keeper US AddressOfGamingRecKeeperUS

FieldValueIRS element (for citing)
Address Line15395 E CHERYL PARKWAYAddressLine1
CityMADISONCity
StateWIState
ZIP Code53711ZIPCode
FieldValueIRS element (for citing)
Contract With3rd Party For Gam RevfalseContractWith3rdPartyForGamRev

Gaming Manager Name Business GamingManagerNameBusiness

FieldValueIRS element (for citing)
Business Name Line1FINANCE DEPARTMENT EMPLOYEESBusinessNameLine1
FieldValueIRS element (for citing)
Gaming Manager Compensation0GamingManagerCompensation
Gaming Manager Services ProvidedACCOUNTING AND RECORDKEEPINGGamingManagerServicesProvided
Gaming Manager Is EmployeeXGamingManagerIsEmployee
Charitable Distrib RequiredfalseCharitableDistribRequired
Amount Distributed0AmountDistributed

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistanceMethod Of ValuationMethodOfValuationDescription Of Non Cash AssistanceDescriptionOfNonCashAssistancePurpose Of GrantPurposeOfGrant
HOSPICECARE HOLDINGS INC
5395 E CHERYL PARKWAYMADISONWI53711300001715501 (C) (3)3448720N/AN/AFACILITY PROJECT
HOSPICECARE INC
5395 E CHERYL PARKWAYMADISONWI53711391319537501 (C) (3)3049070N/AN/ACHARITY CARE & PROGRAM SUPPORT
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants2TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierProcedures for monitoring use of grant fundsIdentifier
Return ReferenceSchedule I, Part I, Line 2ReturnReference
ExplanationALL GRANT PROPOSALS ARE PRESENTED TO THE BOARD OF DIRECTORS AND THE BOARD OF DIRECTORS APPROVES ALL GRANT AWARDS. HOSPICECARE FOUNDATION INC. IS OPERATED FOR THE EXCLUSIVE BENEFIT AND SUPPORT OF HOSPICECARE INC. AND HOSPICECARE HOLDINGS INC.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymenttrueSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
MARCIA M WHITTINGTON
11759100013764081000202800159735000
SUSAN PHILLIPS
02406770591500411010496170214620412007015537
SARAH BEALLES
01274440360000658770008341023766200

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Severance or change-of-control paymentSchedule J, Part I, Line 4aSARAH BEALLES, EXECUTIVE VP AND CFO, RECEIVED A SEVERANCE IN THE AMOUNT OF $79,200.
Supplemental nonqualified retirement planSchedule J, Part I, Line 4bHOSPICECARE, 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.

Schedule M IRS990ScheduleM

Clothing And Household Goods ClothingAndHouseholdGoods

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Noncash Contribs Rptd F990605797NoncashContribsRptdF990
Method Of Determining RevenuesMARKET VALUEMethodOfDeterminingRevenues

Securities Publicly Traded SecuritiesPubliclyTraded

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions18NumberOfContributions
Noncash Contribs Rptd F99040228NoncashContribsRptdF990
Method Of Determining RevenuesMARKET VALUEMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Number Of8283 Received0NumberOf8283Received
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftstrueReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Description of other program servicesForm 990, Part III, Line 4dOTHER PROGRAM SERVICES: THE FOUNDATION PROVIDES GRANTS TO HOSPICECARE INC. TO SUPPORT OTHER PROGRAM SERVICES, INCLUDING: 1) PATIENT ASSISTANCE FUND - GRANTS USED TO ASSIST PATIENTS AND FAMILIES BY IMPROVING QUALITY OF LIFE AND FULFILLING END OF LIFE GOALS. EXAMPLES INCLUDE BUYING A BURIAL DRESS OR PROVIDING A BIRTHDAY CAKE. 2) PALLIATIVE CARE FELLOWSHIP - GRANTS TO COVER 25% OF THE THE STIPEND FOR THE COLLABORATIVE PALLIATIVE CARE FELLOWSHIP PROGRAM, WITH THE GOAL OF TRAINING THE NEXT GENERATION OF PALLIATIVE CARE PHYSICIANS. 3) STAFF LEARNING, SUPPORT AND APPRECIATION - GRANTS TO FUND CONTINUING EDUCATION, STAFF APPRECIATION AND ACADEMIC ROTATIONS. 4) GARDEN AND GROUNDS - GRANTS TO SUPPORT THE ONGOING MANAGEMENT OF THE HOSPICECARE GARDENS AND GROUNDS, WHICH PROVIDE A PEACEFUL, SOOTHING SETTING FOR PATIENTS AND FAMILIES. 5)RESPITE CARE: THE FOUNDATION PROVIDES GRANTS TO HOSPICECARE INC. TO SUPPORT THE COSTS OF INPATIENT RESPITE CARE. RESPITE CARE PROVIDES A MUCH NEEDED BREAK FOR CAREGIVERS AND HELPS TO PREVENT CAREGIVER BREAKDOWN.
ORGANIZATION'S MISSIONFORM 990, PART III, LINE 1(CONTINUED FROM FORM 990, PART III, LINE 1) HOSPICECARE FOUNDATION IS OPERATED EXCLUSIVELY FOR THE SUPPORT AND BENEFIT OF HOSPICECARE, INC., WHICH IS A RELATED 501(C)(3) ORGANIZATION THAT PROVIDES CARE AND SUPPORT TO PATIENTS AND FAMILIES FACING LIFE-LIMITING ILLNESS. THE HOSPICECARE FOUNDATION IS A COMMUNITY OF DONORS WHO SHARE THE VALUE OF A HEALTHY END-OF-LIFE JOURNEY. THE FOUNDATION'S SUPPORT HAS HELPED HOSPICECARE ENHANCE THE QUALITY OF ITS SERVICE AND EXPAND ITS REACH TO ALL THOSE WHO NEED HOSPICECARE'S SERVICES. IN ADDITION TO THE GRANT SUPPORT THAT THE FOUNDATION PROVIDED TO HOSPICECARE INC. AND HOSPICECARE HOLDINGS INC., THE FOUNDATION HAS BEEN WORKING TO BUILD A SIX-MONTH OPERATING RESERVE FUND TO HELP HOSPICECARE INC. WEATHER FINANCIAL CHALLENGES.
Significant changes to organizational documentsForm 990, Part VI, Section A, Line 4THE BYLAWS WERE AMENDED ON DECEMBER 16, 2010 BY THE SOLE MEMBER (HOSPICECARE, INC.). KEY CHANGES 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). ·CLARIFYING THAT AN ORGANIZATION THAT IS NOT TAX-EXEMPT CANNOT BE A MEMBER OF FOUNDATION. ·CLARIFYING THAT THE SOLE MEMBER WILL SOLICIT AND GIVE DUE CONSIDERATION TO DIRECTOR NOMINATIONS BY THE FOUNDATION BOARD. ·PROHIBITING THE FOUNDATION BOARD FROM HAVING A MAJORITY OF DIRECTORS WHO ARE ALSO DIRECTORS OF HOSPICECARE INC.
Classes of members or stockholdersForm 990, Part VI, Section A, Line 6HOSPICECARE, INC. A RELATED 501(C)(3) ORGANIZATION, IS THE SOLE MEMBER OF HOSPICECARE FOUNDATION, INC. AND HAS THE AUTHORITY TO APPOINT, REMOVE, AND REPLACE ANY DIRECTOR ON FOUNDATION BOARD. HOSPICECARE, INC. ALSO HAS THE SOLE AUTHORITY TO AMEND THE HOSPICECARE FOUNDATION BYLAWS AND ARTICLES OF INCORPORATION. HOSPICECARE, INC. HAS NO OTHER RESPONSIBILITIES OR VOTING RIGHTS WITH RESPECT TO THE OPERATIONS OF HOSPICECARE FOUNDATION.
Members or stockholders electing members of governing bodyForm 990, Part VI, Section A, Line 7aPLEASE SEE NARRATIVE FOR PART VI, LINE 6
Review of form 990 by governing bodyForm 990, Part VI, Section B, Line 11bTHE 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 policyForm 990, Part VI, Section B, Line 12cDIRECTORS, 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 officialForm 990, Part VI, Section B, Line 15aTHE ORGANIZATION RELIED ON HOSPICECARE, INC., A RELATED TAX-EXEMPT ORGANIZATION, TO DETERMINE THE COMPENSATION OF ITS CEO. BELOW IS THE PROCESS USED BY HOSPICECARE, INC. FOR DETERMINING COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIAL. 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 COMPENSATION REPORTING BY 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 UNDERTAKEN IN JANUARY 2010. THIS PROCESS WAS LAST UNDERTAKEN IN JANUARY 2010.
Process used to establish compensation of other officers/key employeesForm 990, Part VI, Section B, Line 15bTHE ORGANIZATION RELIED ON HOSPICECARE, INC., A RELATED TAX-EXEMPT ORGANIZATION, TO DETERMINE THE COMPENSATION OF ITS OTHER OFFICERS AND KEY EMPLOYEES. BELOW IS THE PROCESS USED BY HOSPICECARE, INC. FOR DETERMINING COMPENSATION OF THE ORGANIZATION'S OTHER OFFICERS AND KEY EMPLOYEES. 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 DisclosureForm 990, Part VI, Section C, Line 19FINANCIAL 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.
Average hours worked per week for related organizationForm 990, Part VII, Section A, Column BMARCIA M WHITTINGTON - VP HOSPICECARE FOUNDATION, INC., DEVOTES APPROXIMATELY 5 HOURS A WEEK TO HOSPICECARE, INC. WHICH IS A RELATED ORGANIZATION TAX-EXEMPT ORGANIZATION. SUSAN PHILLIPS - CEO, DEVOTES APPROXIMATELY 35 HOURS A WEEK TO HOSPICECARE, INC. AND 5 HOURS TO HOSPICECARE HOLDINGS, INC., BOTH OF WHICH ARE RELATED TAX-EXEMPT ORGANIZATIONS SARAH BEALLES - EXECUTIVE VICE PRESIDENT/CFO, DEVOTES APPROXIMATELY 35 HOURS A WEEK TO HOSPICECARE, INC. AND 5 HOURS A WEEK TO HOSPICECARE HOLDINGS, INC., BOTH OF WHICH ARE RELATED TAX-EXEMPT ORGANIZATIONS.
Other changes in net assets or fund balancesForm 990, Part XI, Line 5NET UNREALIZED GAINS (LOSSES) ON INVESTMENTS - 446273; CHANGE IN INTEREST IN AFFILIATE - 392810; CHANGE IN VALUE OF ANNUITY AGREEMENT - 147950;

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1HOSPICECARE THRIFT STORE LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line15395 E CHERYL PARKWAYAddressLine1
CityMADISONCity
StateWIState
ZIP Code53711ZIPCode
FieldValueIRS element (for citing)
EIN300001703EIN
Primary ActivitiesTHRIFT STOREPrimaryActivities
Legal Domicile StateWILegalDomicileState
Total Income613118TotalIncome
EOY Assets171099EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
HOSPICECARE INC
5395 E CHERYL PARKWAYMADISONWI53711391319537HEALTHCAREWI501(C)(3)9NA
HOSPICECARE HOLDINGS INC
5395 E CHERYL PARKWAYMADISONWI53711300001715PROPERTY HOLDINGWI501(C)(3)11 - Type IHCI
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

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