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THE FOUNDATION FOR THE CENTER FOR HOSPICE AND PALLIATIVE CARE INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
THE FOUNDATION FOR THE CENTER FOR HOSPICE AND PALLIATIVE CARE INC (EIN 30-0433147)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-10-20
IRS object ID
201142939349300504
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)
Timestamp2011-10-20T10:00:24-05:00Timestamp
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)
EIN300433147EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1THE FOUNDATION FOR THE CENTER FOR HOSPICE AND PALLIATIVE CARE INCBusinessNameLine1
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 Signed2011-10-19DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone3128997000Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1HOSPICE FOUNDATIONBusinessNameLine1

Name Of Principal Officer Business NameOfPrincipalOfficerBusiness

FieldValueIRS element (for citing)
Business Name Line1MARK M MURRAYBusinessNameLine1

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1111 Sunnybrook CourtAddressLine1
CitySouth BendCity
StateINState
ZIP Code46637ZIPCode
FieldValueIRS element (for citing)
Gross Receipts21237782GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
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 Employees5TotalNbrEmployees
Total Nbr Volunteers50TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1086130ContributionsGrantsPriorYear
Contributions Grants Current Year833536ContributionsGrantsCurrentYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year173213InvestmentIncomePriorYear
Investment Income Current Year375340InvestmentIncomeCurrentYear
Other Revenue Prior Year-466OtherRevenuePriorYear
Other Revenue Current Year24866OtherRevenueCurrentYear
Total Revenue Prior Year1258877TotalRevenuePriorYear
Total Revenue Current Year1233742TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year5579GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY22381GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year558370SalariesEtcPriorYear
Salaries Etc Current Year524085SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year288274TotalFundrsngExpCurrentYear
Other Expense Prior Year581359OtherExpensePriorYear
Other Expenses Current Year591165OtherExpensesCurrentYear
Total Expenses Prior Year1145308TotalExpensesPriorYear
Total Expenses Current Year1137631TotalExpensesCurrentYear
Revenues Less Expenses Prior Year113569RevenuesLessExpensesPriorYear
Revenues Less Expenses CY96111RevenuesLessExpensesCY
Total Assets BOY13843447TotalAssetsBOY
Total Assets EOY14703203TotalAssetsEOY
Total Liabilities BOY2949TotalLiabilitiesBOY
Total Liabilities EOY1788TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY13840498NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY14701415NetAssetsOrFundBalancesEOY
Mission DescriptionTHE MISSION OF 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 ChangefalseSignificantChange
Expense341760Expense
Grants22381Grants
Revenue0Revenue
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 HEALTHCARE 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 Expense341760TotalProgramServiceExpense
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 EquipfalseReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
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
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
Info In Schedule O Part VXInfoInScheduleOPartV
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees5NumberOfEmployees
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
Excess Business HoldingsfalseExcessBusinessHoldings
Indoor Tanning ServicesfalseIndoorTanningServices
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
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 OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledINStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Karl HoldermanBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5742433100TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1111 Sunnybrook CourtAddressLine1
CitySouth BendCity
StateINState
ZIP Code46637ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (8 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationIndividual Trustee Or DirectorIndividualTrusteeOrDirector
MARK MURRAY
PRESIDENT/CEO10X022305638907
MICHAEL WARGO
VP/COO40X13597501495
KARL HOLDERMAN
CFO10X01081824105
DREW P WILSON
CHAIRMAN-ELECT1X000X
TERRY RODINO
DIRECTOR1000X
AMY KUHAR MAURO
TREASURER1X000X
SUSIE MAHLER
SECRETARY1X000X
CATHERINE HILER
CHAIRMAN1X000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org135975TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs331238TotalReportableCompFrmRltdOrgs
Total Other Compensation44507TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Fundraising Events96201FundraisingEvents
All Other Contributions737335AllOtherContributions
Total Contributions833536TotalContributions

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 Column355140TotalRevenueColumn
Exclusion$355,140ExclusionAmount

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)
Securities20011730Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities19991530Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities20200Securities
Other0Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column20200TotalRevenueColumn
Exclusion$20,200ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events35625GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events96201CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses12510FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column23115TotalRevenueColumn
Exclusion$23,115ExclusionAmount

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 Column1751TotalRevenueColumn
Exclusion$1,751ExclusionAmount

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 Revenue1751TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column1233742TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$400,206ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total8211Total
Program Services8211ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total14170Total
Program Services14170ProgramServices

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total137470Total
Program Services3437ProgramServices
Management And General134033ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total263237Total
Program Services110986ProgramServices
Management And General65469ManagementAndGeneral
Fundraising86782Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total8310Total
Program Services2410ProgramServices
Management And General4072ManagementAndGeneral
Fundraising1828Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total84445Total
Program Services24559ProgramServices
Management And General41226ManagementAndGeneral
Fundraising18660Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total30623Total
Program Services8774ProgramServices
Management And General15192ManagementAndGeneral
Fundraising6657Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total10700Total
Program Services3066ProgramServices
Management And General5308ManagementAndGeneral
Fundraising2326Fundraising

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)
Total32294Total
Management And General32294ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total127115Total
Program Services36422ProgramServices
Management And General63060ManagementAndGeneral
Fundraising27633Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total84818Total
Program Services24303ProgramServices
Management And General42077ManagementAndGeneral
Fundraising18438Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total10917Total
Program Services3128ProgramServices
Management And General5416ManagementAndGeneral
Fundraising2373Fundraising

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total117406Total
Program Services33640ProgramServices
Management And General58244ManagementAndGeneral
Fundraising25522Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total516Total
Program Services148ProgramServices
Management And General256ManagementAndGeneral
Fundraising112Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total175Total
Program Services50ProgramServices
Management And General87ManagementAndGeneral
Fundraising38Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total29589Total
Program Services8478ProgramServices
Management And General14679ManagementAndGeneral
Fundraising6432Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total20015Total
Program Services5735ProgramServices
Management And General9929ManagementAndGeneral
Fundraising4351Fundraising

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
FUNDRAISING/MISCELLANEOUS8089419548780212
HOSPICE OUTREACH4494144941
PUBLIC RELATIONS18655534592554055
EDUCATION6697191933221456
DUES350010031736761

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total2933Total
Program Services840ProgramServices
Management And General1455ManagementAndGeneral
Fundraising638Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total1137631Total
Program Services341760ProgramServices
Management And General507597ManagementAndGeneral
Fundraising288274Fundraising

Total Joint Costs TotalJointCosts

FieldValueIRS element (for citing)
Total0Total

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY16902BOY
EOY18397EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY419337BOY
EOY132026EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY562954BOY
EOY274688EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY26510BOY
EOY13268EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY26100BOY
EOY25578EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis0LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec0LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
EOY0EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY11932282BOY
EOY13230548EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY518209BOY
EOY558786EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY341153BOY
EOY449912EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY13843447BOY
EOY14703203EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2949BOY
EOY1788EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
EOY0EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2949BOY
EOY1788EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY13720456BOY
EOY14590127EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY120042BOY
EOY111288EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY13840498BOY
EOY14701415EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY13843447BOY
EOY14703203EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses96111ReconcilationRevenueExpenses
Reconcilation Other Changes764806ReconcilationOtherChanges
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 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 PALLIATIVE CARE INCBusinessNameLine1
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
Sum Of Amounts0SumOfAmounts

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 Balance518209BeginningOfYearBalance
Contributions0Contributions
Investment Earnings Or Losses60618InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures20041OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance558786EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance438354BeginningOfYearBalance
Contributions6000Contributions
Investment Earnings Or Losses93434InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures19579OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance518209EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance587915BeginningOfYearBalance
Contributions10000Contributions
Investment Earnings Or Losses-141262InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures18299OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance438354EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance1.000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.000TermEndowmentEOYBalance
Endowments Held By Unrelated OrgstrueEndowmentsHeldByUnrelatedOrgs
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)
Book Value0BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings0TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability
Total Of Amounts0TotalOfAmounts
Total Revenue1233742TotalRevenue
Total Expenses1137631TotalExpenses
Excess Or Deficit For Year96111ExcessOrDeficitForYear
Net Unrealized GL On Investments724229NetUnrealizedGLOnInvestments
Other$40,577OtherAmount
Total Adjustments764806TotalAdjustments
Excess Or Deficit Per FS860917ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt1978765TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments724229NetUnrealizedGainsInvestments
Other Revenues53087OtherRevenues
Revenue Not Rptd F990777316RevenueNotRptdF990
Revenue Subtotal1201449RevenueSubtotal
Investment Expenses Not Included32293InvestmentExpensesNotIncluded
Other Revenues Not Included0OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt32293RevenueNotRptdOnFinStmt
Total Revenue Per Form9901233742TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt1117848TotExpensesEtcAuditedFinclStmt
Other Expenses Included12510OtherExpensesIncluded
Expenses Not Rptd F99012510ExpensesNotRptdF990
Expenses Subtotal1105338ExpensesSubtotal
Investment Expenses Not Included232293InvestmentExpensesNotIncluded2
Other Expenses Not Included0OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt32293ExpensesNotRptdOnFinStmt
Total Expenses Per Form9901137631TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Intended uses of endowment fundsSchedule D, Part V, Line 4THE 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.
FIN 48 (ASC 740) footnoteSchedule D, Part X, Line 2THE ORGANIZATION IS EXEMPT FROM INCOME TAXES ON INCOME FROM RELATED ACTIVITIES UNDER SECTION 501(C)(3) OF THE U.S. INTERNAL REVENUE CODE AND CORRESPONDING STATE TAX LAW. ACCORDINGLY, NO PROVISION HAS BEEN MADE FOR FEDERAL OR STATE INCOME TAXES. U.S. GAAP REQUIRES THAT A TAX POSITION IS RECOGNIZED AS A BENEFIT ONLY IF IT IS "MORE LIKELY THAN NOT" THAT THE TAX POSITION WOULD BE SUSTAINED IN A TAX EXAMINATION, WITH A TAX EXAMINATION BEING PRESUMED TO OCCUR. THE AMOUNT RECOGNIZED IS THE LARGEST AMOUNT OF TAX BENEFIT THAT IS GREATER THAN 50% LIKELY OF BEING REALIZED ON EXAMINATION. FOR TAX POSITIONS NOT MEETING THE "MORE LIKELY THAN NOT" TEST, NO TAX BENEFIT IS RECORDED. DUE TO ITS TAX-EXEMPT STATUS, THE ORGANIZATION IS NOT SUBJECT TO U.S. FEDERAL INCOME TAX OR STATE INCOME TAX. THE ORGANIZATION'S FORM 990 HAS NOT BEEN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE OR THE STATE OF INDIANA 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.
Other changes in net assetsSchedule D, Part XI, Line 8CHANGE IN BENEFICIAL INTEREST IN ASSETS HELD BY COMMUNITY FOUNDATIONS - 40577;
Other revenues in audited financial statements not in form 990Schedule D, Part XII, Line 2dFUNDRAISING EVENT EXPENSE - 12510; CHANGE IN BENEFICIAL INTEREST IN ASSETS HELD BY COMMUNITY FOUNDATIONS - 40577;
Other expenses in audited financial statements not in form 990Schedule D, Part XIII, Line 2dFUNDRAISING EVENT EXPENSE - 12510;

Schedule F IRS990ScheduleF

FieldValueIRS element (for citing)
Grant Records MaintainedfalseGrantRecordsMaintained

Accts Actvs Out US Table AcctsActvsOutUSTable

FieldValueIRS element (for citing)
RegionSUB SAHARAN AFRICARegion
Number Of Offices0NumberOfOffices
Number Of Employees0NumberOfEmployees
Type Of Activities ConductedGRANTSTypeOfActivitiesConducted
Total Expenditures14710TotalExpenditures
FieldValueIRS element (for citing)
Total Number Of Offices0TotalNumberOfOffices
Total Number Of Employees0TotalNumberOfEmployees
Total Amount Spent14710TotalAmountSpent

Grants To Orgs Outside US GrantsToOrgsOutsideUS

FieldValueIRS element (for citing)
RegionSUB SAHARAN AFRICARegion
Purpose Of GrantGENERAL SUPPORTPurposeOfGrant
Amount Of Cash Grant14170AmountOfCashGrant
Manner Of Cash DisbursementCHECKMannerOfCashDisbursement
FieldValueIRS element (for citing)
Total Number Of501c3 Orgs1TotalNumberOf501c3Orgs
Total Number Of Other Orgs0TotalNumberOfOtherOrgs
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)
IdentifierProcedures for monitoring use of grant fundsIdentifier
Return ReferenceSchedule F, Part I, Line 2ReturnReference
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 ORGANIZATION'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

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1HELPING HANDS AWARD DINNERNameOfEvent1
Gross Receipts Event1131826GrossReceiptsEvent1
Charitable Contributions Event196201CharitableContributionsEvent1
Gross Revenue Event135625GrossRevenueEvent1
Other Direct Expenses Event112510OtherDirectExpensesEvent1
Gross Revenue Event20GrossRevenueEvent2
Gross Revenue Other Events0GrossRevenueOtherEvents
Gross Receipts Total131826GrossReceiptsTotal
Charitable Contributions Total96201CharitableContributionsTotal
Gross Revenue Total Events35625GrossRevenueTotalEvents
Cash Prizes Total Events0CashPrizesTotalEvents
Non Cash Prizes Total Events0NonCashPrizesTotalEvents
Rent Facility Costs Total Events0RentFacilityCostsTotalEvents
Food And Beverage Total Events0FoodAndBeverageTotalEvents
Entertainment Total Events0EntertainmentTotalEvents
Other Direct Expenses Total Events12510OtherDirectExpensesTotalEvents
Direct Expense Summary Events12510DirectExpenseSummaryEvents
Net Income Summary23115NetIncomeSummary

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of Grant"WE BELIEVE" - PATIENT ASSISTANCE GRANTSTypeOfGrant
Number Of Recipients41NumberOfRecipients
Amount Of Non Cash Assistance8211AmountOfNonCashAssistance
Method Of ValuationCOSTMethodOfValuation
Description Of Non Cash AssistanceMISCELLANEOUS ITEMSDescriptionOfNonCashAssistance

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierProcedures for monitoring use of grant fundsIdentifier
Return ReferenceSchedule I, Part I, Line 2ReturnReference
ExplanationFOR "WE BELIEVE", THE ORGANIZATION PURCHASES THE ITEMS FOR EACH PATIENT TO ENSURE THAT FUNDS ARE APPROPRIATELY USED FOR THEIR INTENDED PURPOSE.Explanation

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

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonMARK MURRAYNamePerson
Base Compensation Filing Org0BaseCompensationFilingOrg
Comp Based On Related Orgs193134CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs29517BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs405OtherCompensationRelatedOrgs
Deferred Comp Filing Org0DeferredCompFilingOrg
Deferred Comp Related Orgs35688DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org0NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs3219NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org0TotalCompensationFilingOrg
Total Compensation Related Orgs261963TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs9250CompReportPrior990RelatedOrgs

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierPROCESS USED TO ESTABLISH COMPENSATION OF CEO/EXECUTIVE DIRECTORIdentifier
Return ReferenceSCHEDULE J, PART I, LINE 3ReturnReference
ExplanationCOMPENSATION FOR THE ORGANIZATION'S CEO IS PAID BY THE CENTER FOR HOSPICE CARE, INC. (CHC), A RELATED TAX-EXEMPT ORGANIZATION. CHC UTILIZES THE FOLLOWING METHODS IN DETERMINING THE CEO'S COMPENSATION: COMPENSATION SURVEY OR STUDY AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
NUMBER OF EMPLOYEESFORM 990, PART I, 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.
Review of form 990 by governing bodyForm 990, Part VI, Section B, Line 11bTHE 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 2011). 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 ANYONE MAY HAVE REGARDING THE RETURN BEFORE IT IS FILED WITH THE IRS.
Conflict of interest policyForm 990, Part VI, Section B, Line 12cMEMBERS 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.
Process used to establish compensation of top management officialForm 990, Part VI, Section B, Line 15aCOMPENSATION FOR THE ORGANIZATION'S CEO IS PAID BY THE CENTER FOR HOSPICE CARE, INC. (CHC), A RELATED TAX-EXEMPT ORGANIZATION. AN ANNUAL WRITTEN EVALUATION OF THE CEO IS CONDUCTED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS, AND COMPENSATION IS REVIEWED AT THIS TIME. THE HOSPICE CEO COMPENSATION SURVEY, CONDUCTED BY EFFECTIVE PAY PRACTICES AND HUNTINGTON CONSULTING GROUP, WAS THE BASIS FOR DETERMINING THE CEO'S COMPENSATION. THIS SURVEY INCLUDES 10 PARTICIPANTS LOCATED IN 11 DIFFERENT STATES, WITH DATA ARRANGED BY OPERATING BUDGET, NUMBER OF EMPLOYEES, AND AVERAGE DAILY CENSUS. NO INDIVIDUAL WHO HAD AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST WITH RESPECT TO THE COMPENSATION ARRANGEMENT PARTICIPATED IN THE DELIBERATIONS, AND THE BOARD ADEQUATELY DOCUMENTED THE BASIS FOR ITS DETERMINATION IN THE MEETING MINUTES. THIS WAS LAST COMPLETED IN FEBRUARY 2010.
Public DisclosureForm 990, Part VI, Section C, Line 19THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
PROCESS USED TO ESTABLISH COMPENSATION OF OTHER OFFICERS/KEY EMPLOYEESFORM 990, PART VI, SECTION B, LINE 15BCOMPENSATION FOR OTHER OFFICERS IS PAID BY THE CENTER FOR HOSPICE AND PALLIATIVE CARE, INC., A RELATED TAX-EXEMPT ORGANIZATION. THE ORGANIZATION'S CEO UTILIZES THE HOSPITAL AND HEALTHCARE COMPENSATION SERVICE'S HOSPICE SALARY AND BENEFITS REPORT TO REVIEW AND DETERMINE APPROPRIATE COMPENSATION LEVELS FOR OTHER OFFICERS. THE LAST REVIEW WAS PERFORMED AT THE END OF 2009 WHEN THE ORGANIZATION'S 2010 BUDGET WAS REVIEWED.
OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, AND HIGHEST COMPENSATED EMPLOYEESFORM 990, PART VII, SECTION ATHE FOLLOWING BOARD MEMBERS DEVOTE APPROXIMATELY ONE HOUR PER WEEK TO THE CENTER FOR HOSPICE CARE, INC., (CHC), A RELATED TAX-EXEMPT ORGANIZATION: DREW P. WILSON (CHAIRMAN) TERRY RODINO (CHAIRMAN-ELECT) AMY KUHAR MAURO (TREASURER) SUSIE MAHLER (SECRETARY) CATHERINE HILER (DIRECTOR) MARK MURRAY (PRESIDENT/CEO) AND KARL HOLDERMAN (CFO) DEVOTE APPROXIMATELY 40 HOURS PER WEEK TO THE CENTER FOR HOSPICE CARE, A RELATED TAX-EXEMPT ORGANIZATION. MICHAEL WARGO (VP/COO) IS PAID BY THE CENTER FOR HOSPICE CARE, A RELATED TAX-EXEMPT ORGANIZATION, BUT ONLY PERFORMS SERVICES FOR THE FOUNDATION FOR THE CENTER FOR HOSPICE AND PALLIATIVE CARE, INC. D/B/A THE HOSPICE FOUNDATION; AS SUCH, HIS COMPENSATION IS REPORTED AS IF PAID BY THE HOSPICE FOUNDATION ON FORM 990, PARTS VII AND IX.
COMPENSATIONFORM 990, PART IX, LINES 5 AND 7-10THE AMOUNT OF COMPENSATION REPORTED ON THESE LINES IS PAID BY THE CENTER FOR HOSPICE CARE, A RELATED TAX-EXEMPT ORGANIZATION, FOR SERVICES PERFORMED FOR THE HOSPICE FOUNDATION.
Other changes in net assets or fund balancesForm 990, Part XI, Line 5NET UNREALIZED GAINS (LOSSES) ON INVESTMENTS - 724230; CHANGE IN BENEFICIAL INTEREST IN ASSETS HELD BY COMMUNITY FOUNDATIONS - 40576;

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 CARE INCBusinessNameLine1

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)
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 OrgtrueLoansOrGuaranteesToOtherOrg
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 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 OrgtrueOtherTransferFromOtherOrg