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THE FOUNDATION FOR THE CENTER FOR HOSPICE AND PALLIATIVE CARE INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
THE FOUNDATION FOR THE CENTER FOR HOSPICE AND PALLIATIVE CARE INC (EIN 30-0433147)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-15
IRS object ID
201233209349301348
Schema version
2011v1.2
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)
Timestamp2012-11-15T06:39:46-08:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1DAVID CULP & CO LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line170 HOME STAddressLine1
CityHUNTINGTONCity
StateINState
ZIP Code467501346ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN300433147EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1THE FOUNDATION FOR THE CENTER FORBusinessNameLine1
Business Name Line2HOSPICE AND PALLIATIVE CARE INCBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlFOUNNameControl
Phone5742433100Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1111 SUNNYBROOK COURTAddressLine1
CitySOUTH BENDCity
StateINState
ZIP Code46637ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameKARL HOLDERMANName
TitleCFOTitle
Date Signed2012-10-24DateSigned
Authorize Third PartyfalseAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameCRAIG YAHNE CPAName
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMARK M MURRAYNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1111 SUNNYBROOK COURTAddressLine1
CitySOUTH BENDCity
StateINState
ZIP Code46637ZIPCode
FieldValueIRS element (for citing)
Gross Receipts3339252GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web SiteWWW.CENTERFORHOSPICE ORG/FOUNDATIONWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2007YearFormation
State Legal DomicileINStateLegalDomicile
Activity Or Mission DescriptionTHE MISSION OF THE HOSPICE FOUNDATION(FOUNDATION)IS TO RAISE RESOURCES FOR THE CENTER FOR HOSPICE CARE(CHC). A RELATED TAX-EXEMPT ORGANIZATION, THAT IMPROVES THE QUALITY OF LIVING BY PROVIDING HOSPICE, HOME HEALTH, GRIEF COUNSELING, AND EDUCATION THROUGHOUT NORTHERN INDIANA.ActivityOrMissionDescription
Nbr Voting Members Governing Body5NbrVotingMembersGoverningBody
Nbr Independent Voting Members5NbrIndependentVotingMembers
Total Nbr Employees7TotalNbrEmployees
Total Nbr Volunteers50TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year833536ContributionsGrantsPriorYear
Contributions Grants Current Year701993ContributionsGrantsCurrentYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year375340InvestmentIncomePriorYear
Investment Income Current Year323234InvestmentIncomeCurrentYear
Other Revenue Prior Year24866OtherRevenuePriorYear
Other Revenue Current Year291747OtherRevenueCurrentYear
Total Revenue Prior Year1233742TotalRevenuePriorYear
Total Revenue Current Year1316974TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year22381GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY45622GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year524085SalariesEtcPriorYear
Salaries Etc Current Year571292SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year417111TotalFundrsngExpCurrentYear
Other Expense Prior Year591165OtherExpensePriorYear
Other Expenses Current Year651225OtherExpensesCurrentYear
Total Expenses Prior Year1137631TotalExpensesPriorYear
Total Expenses Current Year1268139TotalExpensesCurrentYear
Revenues Less Expenses Prior Year96111RevenuesLessExpensesPriorYear
Revenues Less Expenses CY48835RevenuesLessExpensesCY
Total Assets BOY14703203TotalAssetsBOY
Total Assets EOY16357425TotalAssetsEOY
Total Liabilities BOY1788TotalLiabilitiesBOY
Total Liabilities EOY1948543TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY14701415NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY14408882NetAssetsOrFundBalancesEOY
Mission DescriptionTHE MISSION OF THE HOSPICE FOUNDATION(FOUNDATION)IS TO RAISE RESOURCES FOR THE CENTER FOR HOSPICE CARE(CHC). A RELATED TAX-EXEMPT ORGANIZATION, THAT IMPROVES THE QUALITY OF LIVING BY PROVIDING HOSPICE, HOME HEALTH, GRIEF COUNSELING, AND EDUCATION THROUGHOUT NORTHERN INDIANA.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense489451Expense
Grants45622Grants
DescriptionTHE PURPOSE OF THE HOSPICE FOUNDATION(FOUNDATION)IS TO RAISE PHILANTHROPIC DOLLARS FOR THE BENEFIT OF THE CENTER FOR HOSPICE CARE (CHC), A RELATED TAX-EXEMPT ORGANIZATION, FOR THE PURPOSE OF SUPPORTING AND PROMOTING CHC'S MISSION, VISION, AND STANDARDS OF CARE, TO PROMOTE AND SUPPORT COMPASSIONATE QUALITY CARE FOR PEOPLE WITH INCURABLE LIFE LIMITING ILLNESSES AND THEIR FAMILIES AMONG THE GENERAL PUBLIC AS WELL AS HEALTH CARE PROFESSIONALS, TO PROMOTE AND SUPPORT CHC AS A RESOURCE ALONG WITH OTHER NONPROFIT ENTITIES INVOLVED IN, COMMITTED TO, AND/OR PROVIDING SERVICES WHICH ARE ALIGNED WITH THE CHC'S MISSION, VISION, AND STANDARDS OF CARE, AND TO PROMOTE AND SUPPORT EDUCATIONAL PROGRAMS AND/OR PROGRAMS OF TECHNICAL ASSISTANCE RELATIVE TO END-OF-LIFE CARE AND THE NEEDS OF THESE PATIENTS AND THEIR FAMILIES.Description
Total Program Service Expense489451TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
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 AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiestrueForeignActivities
More Than5000 K To OrganizationstrueMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualstrueGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
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 ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingfalseComplianceWithBackupWitholding
Number Of Employees7NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Form8886 T FiledfalseForm8886TFiled
Non Deductible ContributionsfalseNonDeductibleContributions
Non Deductible DisclosurefalseNonDeductibleDisclosure
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Form720 FiledfalseForm720Filed
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members5NbrVotingGoverningBodyMembers
Number Independent Voting Members5NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Policies Reference ChaptersfalsePoliciesReferenceChapters
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
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledINStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonKARL HOLDERMANNamePerson
Telephone Number5742433100TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1111 SUNNYBROOK COURTAddressLine1
CitySOUTH BENDCity
StateINState
ZIP Code46637ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (8 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
COREY CRESSY
Director1.00X000
SUSIE MAHLER
Secretary1.00X000X
AMY KUHAR MAURO
Treasurer1.00X000X
TERRY RODINO
CHAIR-ELECT1.00X000X
CATHERINE HILER
CHAIR PERSON1.00X000X
KARL HOLDERMAN
CFO10.0017207975083954X
MICHAEL WARGO
VP/COO40.0014018901532X
MARK M MURRAY
President & CEO10.003456119842835195X
FieldValueIRS element (for citing)
Total Reportable Comp From Org191957TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs295936TotalReportableCompFrmRltdOrgs
Total Other Compensation40681TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Fundraising Events121545FundraisingEvents
All Other Contributions580448AllOtherContributions
Total Contributions701993TotalContributions
Total Program Service Revenue0TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column288454TotalRevenueColumn
Exclusion$288,454ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities2035188Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities2000408Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities34780Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column34780TotalRevenueColumn
Exclusion$34,780ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events311513GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events121545CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses21870FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column289643TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionBOOK INCOMEDescription
Business Code900099BusinessCode
Total Revenue Column2104TotalRevenueColumn
Exclusion$2,104ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue2104TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column1316974TotalRevenueColumn
Exclusion$325,338ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total10886Total
Program Services10886ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total34736Total
Program Services34736ProgramServices

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total191957Total
Program Services72253ProgramServices
Management And General98676ManagementAndGeneral
Fundraising21028Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total243268Total
Program Services88594ProgramServices
Management And General52820ManagementAndGeneral
Fundraising101854Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total102933Total
Program Services38041ProgramServices
Management And General35830ManagementAndGeneral
Fundraising29062Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total33134Total
Program Services12246ProgramServices
Management And General11533ManagementAndGeneral
Fundraising9355Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total143794Total
Program Services53142ProgramServices
Management And General50053ManagementAndGeneral
Fundraising40599Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total10848Total
Program Services4009ProgramServices
Management And General3776ManagementAndGeneral
Fundraising3063Fundraising

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)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total0Total

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total60091Total
Program Services22208ProgramServices
Management And General20917ManagementAndGeneral
Fundraising16966Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total31858Total
Program Services11774ProgramServices
Management And General11089ManagementAndGeneral
Fundraising8995Fundraising

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total114848Total
Program Services42445ProgramServices
Management And General39977ManagementAndGeneral
Fundraising32426Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total774Total
Program Services286ProgramServices
Management And General269ManagementAndGeneral
Fundraising219Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total44241Total
Program Services16350ProgramServices
Management And General15400ManagementAndGeneral
Fundraising12491Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total23764Total
Program Services8783ProgramServices
Management And General8271ManagementAndGeneral
Fundraising6710Fundraising

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
TELEPHONE & PAGING16463608457314648
PUBLIC RELATIONS2763927639
HOSPICE OUTREACH3267632676
Fund Raising Expense125759473806124480
EDUCATION13905513948403926

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total4565Total
Program Services1687ProgramServices
Management And General1589ManagementAndGeneral
Fundraising1289Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total1268139Total
Program Services489451ProgramServices
Management And General361577ManagementAndGeneral
Fundraising417111Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY18397BOY
EOY1411678EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY132026BOY
EOY145585EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY274688BOY
EOY45690EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY13268BOY
EOY0EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY25578BOY
EOY27468EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis985738LandBuildingsEquipmentBasis

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
EOY985738EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY13230548BOY
EOY13188301EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY558786BOY
EOY537405EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY449912BOY
EOY15560EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY14703203BOY
EOY16357425EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1788BOY
EOY79311EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
EOY1869232EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1788BOY
EOY1948543EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY14590127BOY
EOY14307489EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY111288BOY
EOY101393EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY14701415BOY
EOY14408882EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY14703203BOY
EOY16357425EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses48835ReconcilationRevenueExpenses
Reconcilation Other Changes-341368ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired
Federal Grant Audit PerformedfalseFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type2XSupportingOrg509a3Type2
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 Line1THE CENTER FOR HOSPICE AND PALLIATIBusinessNameLine1
FieldValueIRS element (for citing)
EIN310952866EIN
Type Of Organization9TypeOfOrganization
Listed In Governing DoctrueListedInGoverningDoc
Supported Organization NotifiedtrueSupportedOrganizationNotified
Organized In UStrueOrganizedInUS
Amount$0Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs

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 D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance558786BeginningOfYearBalance
Investment Earnings Or Losses1395InvestmentEarningsOrLosses
Other Expenditures22776OtherExpenditures
End Of Year Balance537405EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance518209BeginningOfYearBalance
Investment Earnings Or Losses60618InvestmentEarningsOrLosses
Other Expenditures20041OtherExpenditures
End Of Year Balance558786EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance438354BeginningOfYearBalance
Contributions6000Contributions
Investment Earnings Or Losses93434InvestmentEarningsOrLosses
Other Expenditures19579OtherExpenditures
End Of Year Balance518209EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance1.00000BoardDesignatedEOYBalance
Endowments Held By Unrelated OrgstrueEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis985738OtherCostOrOtherBasis
Book Value985738BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings985738TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO AFFILIATEDescription
Amount$1,869,232Amount
FieldValueIRS element (for citing)
Total Of Amounts1869232TotalOfAmounts
Total Revenue1316974TotalRevenue
Total Expenses1268139TotalExpenses
Excess Or Deficit For Year48835ExcessOrDeficitForYear
Net Unrealized GL On Investments-341368NetUnrealizedGLOnInvestments
Total Adjustments-341368TotalAdjustments
Excess Or Deficit Per FS-292533ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt975606TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-341368NetUnrealizedGainsInvestments
Revenue Not Rptd F990-341368RevenueNotRptdF990
Revenue Subtotal1316974RevenueSubtotal
Total Revenue Per Form9901316974TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt1268139TotExpensesEtcAuditedFinclStmt
Expenses Subtotal1268139ExpensesSubtotal
Total Expenses Per Form9901268139TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part XPart X : FIN48 FootnoteTHE ORGANIZATION IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3)OF THE INTERNAL REVENUE CODE AND STATE INCOME TAXES UNDER CORRESPONDING PROVISIONS OF INDIANA TAX LAW. ACCORDINGLY, NO PROVISION HAS BEEN MADE FOR FEDERAL OR STATE INCOME TAXES.CURRENT ACCOUNTING STANDARDS REQUIRE THE ORGANIZATION TO ADDRESS THE DETERMINATION OF WHETHER TAX BENEFITS CLAIMED, ON A TAX RETURN SHOULD BE RECORDED IN THE FINANCIAL STATEMENTS. UNDER THIS GUIDANCE, THE ORGANIZATION 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 TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. EXAMPLES OF TAX POSITIONS INCLUDE THE TAX-EXEMPT STATUS OF THE ORGANIZATION, AND VARIOUS POSITIONS RELATED TO THE POTENTIAL SOURCES OF UNRELATED BUSINESS TAXABLE INCOME. THE TAX BENEFITS THAT COULD BE RECOGNIZED IN THE FINANCIAL STATEMENTS FROM SUCH POSITIONS WOULD BE MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50 PERCENT LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. THE GUIDANCE ON ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES ALSO ADDRESSES DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES ON INCOME TAXES, AND ACCOUNTING IN INTERIM PERIODS. AT DECEMBER 31, 2011 AND 2010, THERE WERE NO UNRECOGNIZED TAX BENEFITS IDENTIFIED OR RECORDED AS LIABILITIES. THE ORGANIZATION FILES FORM 990 AND THE RELATED STATE OF INDIANA RETURN, AND HAS NOT BEEN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE IN THE PAST THREE YEARS.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 INDIANA FOR THE LAST THREE YEARS. 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 AS JUNE 30,2011 AND 2010.
Part V, Line 4Part V, Line 4: Intended uses of the endowment fund.THE ORGANIZATION'S BOARD DESIGNATED ENDOWMENT CONSISTS OF POOLED FUNDS INVESTED AND MANAGED BY THREE AREA COUNTY COMMUNITY FOUNDATIONS (COMMUNITY FOUNDATION OF ST JOSEPH COUNTY, MARSHALL COUNTY COMMUNITY FOUNDATION, AND ELKHART COUNTY COMMUNITY FOUNDATION). THESE FOUNDATIONS HAVE ESTABLISHED A FUND DESIGNATED AS THE "HOSPICE FUND" TO RECEIVE GIFTS FOR THE PURPOSE OF PROVIDING SUPPORT TO THE ORGANIZATION IN ORDER TO FURTHER ITS MISSION AND TAX EXEMPT PURPOSE. THE AMOUNTS CONTRIBUTED BY THE ORGANIZATION ARE RECORDED AS BENEFICIAL INTEREST IN ASSETS HELD BY COMMUNITY FOUNDATIONS. THE ORGANIZATION EXPECTS TO RECEIVE ONLY THE INCOME EARNED ON THE ASSETS HELD IN PERPETUITY. DISTRIBUTIONS FROM THE FUNDS ARE BASED UPON THE INDIVIDUAL FOUNDATION'S SPENDING POLICY, WHICH CURRENTLY PROVIDE FOR AN APPROXIMATE ANNUAL SPENDING RATE OF FIVE PERCENT PER YEAR OF THE MARKET VALUE OF THE FUND.

Schedule F IRS990ScheduleF

FieldValueIRS element (for citing)
Grant Records MaintainedtrueGrantRecordsMaintained

Accts Actvs Out US Table AcctsActvsOutUSTable

FieldValueIRS element (for citing)
RegionSUB SAHARAN AFRICARegion
Number Of Offices0NumberOfOffices
Number Of Employees0NumberOfEmployees
Total Expenditures34736TotalExpenditures
FieldValueIRS element (for citing)
Subtotal Amount Spent34736SubtotalAmountSpent
Total Amount Spent34736TotalAmountSpent

Grants To Orgs Outside US GrantsToOrgsOutsideUS

FieldValueIRS element (for citing)
RegionSUB SAHARAN AF.Region
Purpose Of GrantGEN. SUPPORTPurposeOfGrant
Amount Of Cash Grant34736AmountOfCashGrant
Manner Of Cash DisbursementCHECKMannerOfCashDisbursement
FieldValueIRS element (for citing)
Total Number Of501c3 Orgs1TotalNumberOf501c3Orgs
Transfer To Foreign CorpfalseTransferToForeignCorp
Interest In Foreign TrustfalseInterestInForeignTrust
Own Foreign CorpfalseOwnForeignCorp
Passive Foreign Invest CofalsePassiveForeignInvestCo
Foreign PartnershipfalseForeignPartnership
Boycott CountriesfalseBoycottCountries

Form990 Schedule F Part V Form990ScheduleFPartV

FieldValueIRS element (for citing)
IdentifierGrantmaker's Description of How Grants are Used in Foreign CountryIdentifier
ExplanationTHE ORGANIZATION PROVIDES FUNDS TO THE FOUNDATION FOR HOSPICES IN SUB-SAHARAN AFRICA("FHSSA")TO FURTHER THAT ORGANIZATION'S MISSION TO SUPPORT HOSPICE IN SUB-SAHARAN AFRICA, AS WELL AS TO SUPPORT THE ORGANIZATIONS'S PARTNERSHIP(VIA FHSSA) WITH THE PALLIATIVE CARE ASSOCIATION OF UGANDA. THE GRANTS MADE TO FHSSA ARE UNRESTRICTED AND CAN BE USED IN ANY WAY THE ORGANIZATION SEES FIT TO FURTHER ITS MISSION.Explanation

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Agreement Ref FundraisingfalseAgreementRefFundraising

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1ANNUAL DINNERNameOfEvent1
Gross Receipts Event1166500GrossReceiptsEvent1
Charitable Contributions Event1121545CharitableContributionsEvent1
Gross Revenue Event144955GrossRevenueEvent1
Other Direct Expenses Event121870OtherDirectExpensesEvent1
Name Of Event2ANNUAL APPEALNameOfEvent2
Gross Receipts Event290453GrossReceiptsEvent2
Gross Revenue Event290453GrossRevenueEvent2
Total Number Of Other Events5TotalNumberOfOtherEvents
Gross Receipts Other Events175104GrossReceiptsOtherEvents
Gross Revenue Other Events175104GrossRevenueOtherEvents
Gross Receipts Total432057GrossReceiptsTotal
Charitable Contributions Total121545CharitableContributionsTotal
Gross Revenue Total Events310512GrossRevenueTotalEvents
Other Direct Expenses Total Events21870OtherDirectExpensesTotalEvents
Direct Expense Summary Events21870DirectExpenseSummaryEvents
Net Income Summary288642NetIncomeSummary

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
No Grant More Than5000XNoGrantMoreThan5000
Total Nbr Of501 C3 And Govt Grants0TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantPATIENT ASSISTANCE GRANTSTypeOfGrant
Number Of Recipients54NumberOfRecipients
Amount Of Non Cash Assistance10866AmountOfNonCashAssistance
Method Of ValuationCOSTMethodOfValuation
Description Of Non Cash AssistanceMISCELLANEOUS ITEMSDescriptionOfNonCashAssistance

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
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
Rebuttable Presumption ProcedurefalseRebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonMARK M MURRAYNamePerson
Base Compensation Filing Org34561BaseCompensationFilingOrg
Comp Based On Related Orgs168349CompBasedOnRelatedOrgs
Bonus Related Orgs30079BonusRelatedOrgs
Deferred Comp Related Orgs31885DeferredCompRelatedOrgs
Nontaxable Benefits Related Orgs3310NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org34561TotalCompensationFilingOrg
Total Compensation Related Orgs233623TotalCompensationRelatedOrgs
Comp Report Prior990 Related Orgs30079CompReportPrior990RelatedOrgs

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART 1 LINE 5 AND PART V, LINES 2A-BTHE ORGANIZATION'S EMPLOYEES REPORTED ON THESE LINES ARE PAID BY THE CENTER FOR HOSPICE CARE(CHC), A RELATED TAX-EXEMPT ORGANIZATION ACCORDINGLY, CHC HAS FILED ALL REQUIRED FEDERAL EMPLOYMENT TAX RETURNS FOR THE INDIVIDUALS REPORTED.
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableTHE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.Form 990, Part VI, Line 19
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsMEMBERS OF THE BOARD OF DIRECTORS RECEIVE ORIENTATION PRIOR TO JOINING THE BOARD, AND ARE REQUIRED TO SIGN A CONFLICT OF INTEREST STATEMENT IN ADDITION, ALL BOARD MEMBERS AND OFFICERS COMPLETE AN AUTOMATED CONFLICT OF INTEREST QUESTIONNAIRE ANNUALLY. THE CFO REVIEWS THE QUESTIONNAIRES FOR ANY POTENTIAL CONFLICTS OF INTEREST. DETERMINATIONS OF WHETHER A CONFLICT EXISTS ARE BASED ON THE IRS DEFINITION OF A FAMILY OR BUSINESS RELATIONSHIP. ANY INTERESTED PARTY WITH A POTENTIAL CONFLICT OF INTEREST IS RECUSED FROM ALL BOARD DISCUSSION/ACTION REGARDING THE POTENTIAL CONFLICTING SITUATION SINCE ITS INCEPTION, THE ORGANIZATION HAS NOT HAD ANY CONFLICTS OF INTEREST.Form 990, Part VI, Line 12c
Form 990, Part VI, Line 11: Form 990 Review ProcessTHE FORM 990 IS REVIEWED IN DETAIL BY MANAGEMENT, THEN A BOARD MEETING IS HELD WITH OUR TAX ADVISORS TO PRESENT AND DISCUSS A FINAL DRAFT OF THE FULL FORM 990 AND ALL APPLICABLE SCHEDULES(OCTOBER 2012). AT THE BOARD MEETING, OUR TAX ADVISORS GIVE A "BOARD SUMMARY" PRESENTATION, WHICH HIGHLIGHTS AND EXPLAINS KEY POINTS OF THE RETURN TO EACH OF THE BOARD MEMBERS, AS WELL AS ANSWER ANY QUESTIONS ANY ONE MAY HAVE REGARDING THE RETURN BEFORE IS IS FILED WITH THE IRS.Form 990, Part VI, Line 11

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1THE CENTER FOR HOSPICE AND PALLIATIVE INBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1111 SUNNYBROOK COURTAddressLine1
CitySOUTH BENDCity
StateINState
ZIP Code46637ZIPCode
FieldValueIRS element (for citing)
EIN310952866EIN
Primary ActivitiesHOSPICE CAREPrimaryActivities
Legal Domicile StateINLegalDomicileState
Exempt Code Section501(C)(3)ExemptCodeSection
Public Charity Status9PublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Controlled OrgfalseControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgtrueLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg