2020-11-12T16:18:55-06:00 2019-12-31 450250958 EIDE BAILLY LLP 2950 E HARMONY RD STE 290 FORT COLLINS CO 805283429 990 2019-01-01 841453050 PIKES PEAK HOSPICE FOUNDATION PIKE 7196333400 2550 TENDERFOOT HILL STREET COLORADO SPRINGS CO 80230 JOAN SELMAN EXECUTIVE DIRECTOR 7196333400 2020-11-12 1 KYLE FRITCH CPA P01313374 9702238825 2020-11-12 71.205.71.115 2020-11-12 14:30:13 MS P 95ED5CAB5FB8D2750519DCD6613D81AA6EC75CA8 BBD53E55469E4B987BF8E8344891013371E39694 2019 2021-01-29 14:40:06Z GLORIA A BROOKS 2550 TENDERFOOT HILL STREET COLORADO SPRINGS CO 80230 1824263 0 X WWW.PIKESPEAKHOSPICE.ORG X 1998 CO TO GENERATE AND DISTRIBUTE FUNDS IN SUPPORT OF PIKES PEAK HOSPICE AND PALLIATIVE CARE, INC. 18 18 0 21 0 0 1137970 847891 0 0 743649 645087 0 2959 1881619 1495937 1497553 987701 0 0 242630 282625 0 0 554239 334725 328703 2074908 1599029 -193289 -103092 15745413 18593085 272992 850389 15472421 17742696 THE MISSION OF PIKES PEAK HOSPICE FOUNDATION IS TO GENERATE AND DISTRIBUTE FUNDS IN SUPPORT OF PIKES PEAK HOSPICE AND PALLIATIVE CARE, INC., SERVE THE CHARITABLE INTERESTS OF OUR DONORS AND PRUDENTLY MANAGE THEIR GIFTS. 0 0 987701 987701 2959 PIKES PEAK HOSPICE FOUNDATION IS A TYPE I SUPPORTING ORGANIZATION FOR PIKES PEAK HOSPICE & PALLIATIVE CARE, INC., WHICH PROVIDED SERVICES TO 1,450 PATIENTS FOR THE PERIOD ENDING DECEMBER 31, 2019. THE AMOUNT TRANSFERRED TO PPHPC WAS $987,701 IN THE SAME TIME PERIOD. 987701 1 1 0 0 0 0 0 1 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 2 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 18 18 0 1 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 CO X PAUL TOSETTI 3033212828 8289 E LOWRY BLVD DENVER CO 80230 X ERIN TILNEY EILMES CHAIR 1.00 0.00 X X 0 0 0 SUSAN DAVIS VICE CHAIR 1.00 0.00 X X 0 0 0 DANIEL J KORLESKI TRUSTEE/IMMEDIATE PAST CHAIR 1.00 0.00 X X 0 0 0 RAY NUNN SECRETARY 1.00 0.00 X X 0 0 0 BRIAN W HOMME TREASURER 1.00 0.00 X X 0 0 0 MICHELLE TALARICO TRUSTEE/MEMBER AT-LARGE 1.00 0.00 X X 0 0 0 TOM ASHLEY TRUSTEE 1.00 0.00 X 0 0 0 PEGGY CARMACK TRUSTEE 1.00 0.00 X 0 0 0 ANNE DEVRIES TRUSTEE 1.00 0.00 X 0 0 0 SHARON HARE TRUSTEE 1.00 0.00 X 0 0 0 CARLA HARTSELL TRUSTEE 1.00 0.00 X 0 0 0 WILLIAM HYBL JR TRUSTEE 1.00 0.00 X 0 0 0 SUSAN MULVIHILL TRUSTEE 1.00 0.00 X 0 0 0 ERIC SCOTT TRUSTEE 1.00 0.00 X 0 0 0 MARI SINTON-MARTINEZ TRUSTEE 1.00 0.00 X 0 0 0 RANDY STILES TRUSTEE 1.00 0.00 X 0 0 0 BRENDA WHITLOCK TRUSTEE 1.00 0.00 X 0 0 0 JOAN SELMAN EXECUTIVE DIRECTOR 40.00 1.00 X 0 134300 12481 CHERYL HAMILTON FRIED INTERIM PRESIDENT/CEO (FROM 10/19) 1.00 40.00 X 0 47681 109 GLORIA A BROOKS PRESIDENT & CEO (THRU 9/19) 1.00 40.00 X 0 160396 39200 0 342377 51790 0 0 1 0 0 13141 32086 802664 65115 847891 356413 356413 617000 328326 288674 288674 288674 OTHER INCOME 900099 2959 2959 2959 1495937 2959 0 645087 987701 987701 232066 232066 33605 33605 16954 16954 70648 70648 57089 57089 1750 1750 14989 14989 9821 9821 22001 22001 1504 1504 11821 11821 SIGNATURE EVENT EXPENSE 39694 39694 DONATIONS AND SPONSORSH 8804 8804 FUNCTIONS AND EVENTS 6738 6738 SUBSCRIPTIONS 1383 1383 82461 82461 1599029 987701 57089 554239 186081 798359 75000 15000 88587 93176 5571 5850 214138 38727 176129 175411 14325753 16560780 888292 944509 15745413 18593085 5554 6184 267438 844205 272992 850389 X 10855621 12744757 4616800 4997939 15472421 17742696 15745413 18593085 X -103092 2238973 134394 X 0 1 X 1 0 X X X 1 PIKES PEAK HOSPICE AND PALLIATIVE CARE INC 840816047 10 1 987701 0 1 987701 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 173000 X 0 3379893 9277 676815 129873 3936112 3571156 12512 -75697 128078 3379893 3147820 121560 426941 125165 3571156 2993626 123966 54209 23981 3147820 2376851 495864 216834 95923 2993626 0.68500 0.31500 0 0 41138 38727 2411 173000 173000 175411 BENEFICIAL INTEREST IN TRUSTS 840361 ASSETS - FUNERAL PLANS 104148 944509 DUE TO AFFILIATED ENTITIES 844205 844205 X 3812215 2238973 134394 2373367 1438848 57089 57089 1495937 1541940 0 1541940 57089 57089 1599029 PART III, LINE 4: ARTWORK IS MAINTAINED FOR AN AESTHETIC ENVIRONMENT FOR PATIENTS. PART V, LINE 4: OUR ENDOWMENT CONSISTS OF A SINGLE POOLED FUND ESTABLISHED BY DONORS TO PROVIDE ANNUAL FUNDING FOR FUTURE OPERATIONS. PART X, LINE 2: PIKES PEAK HOSPICE FOUNDATION IS ORGANIZED AS COLORADO NONPROFIT CORPORATION AND HAS BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE (IRS) AS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(A) OF THE INTERNAL REVENUE CODE AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3), QUALIFY FOR THE CHARITABLE CONTRIBUTION DEDUCTION UNDER SECTIONS 170(B)(1)(A)(VIII), AND HAS BEEN DETERMINED NOT TO BE PRIVATE FOUNDATION UNDER SECTION 509(A)(3), RESPECTIVELY. THE FOUNDATION IS ANNUALLY REQUIRED TO FILE A RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX (FORM 990) WITH THE IRS. IN ADDITION, THE FOUNDATION IS SUBJECT TO INCOME TAX ON NET INCOME THAT IS DERIVED FROM BUSINESS ACTIVITIES THAT ARE UNRELATED TO ITS EXEMPT PURPOSES. WE HAVE DETERMINED THE FOUNDATION IS NOT SUBJECT TO UNRELATED BUSINESS INCOME TAX AND HAS NOT FILED AN EXEMPT ORGANIZATION BUSINESS INCOME TAX RETURN (FORM 990-T) WITH THE IRS. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN BENEFICIAL INTERESTS IN CHARITABLE AND PERPETUAL TRUSTS 134,394. 1 PIKES PEAK HOSPICE & PALLIATIVE CARE INC 2500 TENDERFOOT HILL STREET COLORADO SPRINGS CO 80906 840816047 501(C)3 987701 GENERAL SUPPORT 1 0 PART I, LINE 2: PIKES PEAK HOSPICE AND PALLIATIVE CARE, INC. (PPHPC) IS A SUPPORTED ORGANIZATION OF THE FOUNDATION AND SOLE CORPORATE MEMBER OF THE FOUNDATION. NO SPECIFIC MONITORING OF GRANT FUNDS EXISTS SINCE FUNDS ARE ALL RAISED BY THE FOUNDATION FOR USE BY PPHPC. 0 0 0 0 0 0 0 0 0 GLORIA A BROOKS PRESIDENT & CEO (THRU 9/19) 0 128114 0 28963 0 3319 0 21773 0 17426 0 199595 0 0 PART I, LINE 3 THE ORGANIZATION RELIED ON A RELATED ORGANIZATION THAT USED ONE OR MORE OF THESE METHODS TO ESTABLISH THE COMPENSATION OF OFFICERS. X 3 2160 SELLING PRICE X 1 3259 FAIR MARKET VALUE X OTHER AUCTION ITEMS 99 59696 FAIR MARKET VALUE 0 0 0 0 FORM 990, PART VI, SECTION A, LINE 1 THE FOUNDATION'S EXECUTIVE COMMITTEE SHALL BE AUTHORIZED TO ACT IN THE PLACE OF THE FOUNDATION BOARD BETWEEN MEETINGS AND SHALL BE AUTHORIZED TO TAKE ALL ACTION NECESSARY IN THE EVENT THAT SUCH ACTION CANNOT WAIT FOR THE NEXT REGULARLY SCHEDULED FOUNDATION BOARD MEETING. IN THE EVENT THE EXECUTIVE COMMITTEE TAKES ACTION IN THE PLACE OF THE FOUNDATION BOARD BETWEEN REGULARLY SCHEDULED MEETINGS, THE EXECUTIVE COMMITTEE SHALL REPORT ALL SUCH ACTION TO THE FOUNDATION BOARD AT THE NEXT REGULARLY SCHEDULED MEETING. FORM 990, PART VI, SECTION A, LINE 3 PIKES PEAK HOSPICE AND PALLIATIVE CARE, INC., A RELATED EXEMPT ORGANIZATION, PERFORMED MANAGEMENT SERVICES INCLUDING FINANCE AND ACCOUNTING, PAYROLL, INFORMATION TECHNOLOGY, HUMAN RESOURCES, QUALITY MANAGEMENT, COMPLIANCE, AND HIGH-LEVEL RISK MANAGEMENT SERVICES. FORM 990, PART VI, SECTION A, LINE 6 PIKES PEAK HOSPICE AND PALLIATIVE CARE, INC. IS THE SOLE MEMBER OF THE FOUNDATION. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBER, PIKES PEAK HOSPICE AND PALLIATIVE CARE, INC. HAS THE POWER TO ELECT AND REMOVE TRUSTEES OF THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY THE TREASURER AND THE CHIEF FINANCIAL OFFICER AND IS THEN PROVIDED TO THE BOARD OF TRUSTEES PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C ANNUAL EDUCATION IS PROVIDED TO THE BOARD MEMBERS OFFICERS, AND STAFF. ALL CONFLICTS ARE ADDRESSED BY OFFICERS AND CONTRACT LEGAL COUNSEL AS NEEDED. BOARD MEMBERS ARE REQUIRED TO SIGN AN ANNUAL CONFLICT OF INTEREST STATEMENT. BOARD MEMBERS WHO HAVE A CONFLICT WITH RESPECT TO A MATTER BEFORE THE BOARD ARE DIRECTED TO DISCLOSE THE CONFLICT AND ABSTAIN FROM VOTING ON THE MATTER. FORM 990, PART VI, SECTION B, LINE 15 PIKES PEAK HOSPICE AND PALLIATIVE CARE, INC., A RELATED TAX-EXEMPT ORGANIZATION, PROVIDES COMPREHENSIVE SALARY COMPARISON DATA FOR THE PRESIDENT/CEO AND THE EXECUTIVE DIRECTOR POSITION ANNUALLY TO THE PPHPC BOARD OF DIRECTORS, CHAIR, VICE CHAIR, AND SECRETARY. THEY REVIEW THE DATA AND PROVIDE SALARY/COMPENSATION RECOMMENDATIONS TO THE BOARD OF DIRECTORS' EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE BRINGS THE RECOMMENDATIONS TO THE BOARD OF DIRECTORS FOR APPROVAL. COMPENSATION SURVEYS ARE UTILIZED AND REVIEWED TO ENSURE THE SALARY RANGE IS APPROPRIATE; AFTER REVIEW AND APPROVAL BY THE BOARD, MARKET ADJUSTMENT IS APPLIED. THIS PROCESS IS COMPLETED BY PPHPC 'S PERFORMANCE AND COMPENSATION TASK FORCES (PCTF). PCTF USES THE FOLLOWING MARKET SALARY SURVEYS THAT ARE RELEVANT TO CURRENT POSITIONS AND INDUSTRY, REVIEWED AT LEAST ANNUALLY, MULTI-VIEW INCORPORATED (MVI) HOSPICE COMPENSATION SURVEY - MOUNTAIN STATES EMPLOYERS COUNCIL (MSEC) - HEALTH CARE COMPENSATION SURVEY - COLORADO COMPENSATION SURVEY - NON-PROFIT COMPENSATION SURVEY. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND FINANCIALS STATEMENTS ARE AT THE ORGANIZATION'S LOCATION AND ARE AVAILABLE UPON REQUEST. FORM 990, PART VII, SECTION A - EMPLOYEE WAGES PIKES PEAK HOSPICE & PALLIATIVE CARE, INC. (PPHPC) PAYS THE SALARIES FOR THE ORGANIZATION'S EMPLOYEES. THEREFORE, THE ORGANIZATION DOES NOT REPORT ANY COMPENSATION ON W-2S OR 1099-MISCS FOR ITS EMPLOYEES. IN ADDITION, THE SALARY, BENEFITS, AND PAYROLL TAX EXPENSES SHOWN ON LINES 7, 8, 9, AND 10 OF PART IX REPRESENT AMOUNTS PAID BY THE FOUNDATION TO PPHPC FOR THESE EMPLOYEES SERVICES. FORM 990, PART XI, LINE 9: CHANGE IN BENEFICIAL INTEREST IN PERPETUAL AND CHARITABLE TRUSTS 134,394. PIKES PEAK HOSPICE AND PALLIATIVE CARE INC 2550 TENDERFOOT HILL STREET COLORADO SPRINGS CO 80906 840816047 CARE OF THE TERMINALLY ILL CO 501(C)(3) LINE 10 N/A 0 0 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 0 0