2015-03-02T10:11:07-06:00 2014-09-30 461497033 EKS&H LLLP 7979 E TUFTS AVENUE SUITE 400 DENVER CO 802372521 990 2013-10-01 841453050 PIKES PEAK HOSPICE FOUNDATION PIKE 7196333400 2550 TENDERFOOT HILL STREET COLORADO SPRINGS CO 80906 MARTHA BARTON PRESIDENT & CEO 7196333400 2015-02-27 1 DORI J EGGETT P00645252 3037409400 2013 2016-02-25 16:41:14Z MARTHA BARTON 2550 TENDERFOOT HILL STREET COLORADO SPRINGS CO 80906 1676038 0 X WWW.PIKESPEAKHOSPICE.ORG X 1998 CO TO GENERATE AND DISTRIBUTE FUNDS IN SUPPORT OF PIKES PEAK HOSPICE & PALLIATIVE CARE, INC. 12 11 0 567 0 0 1812045 903349 0 0 472738 498663 55 29 2284838 1402041 3354273 545215 0 0 243682 244122 0 0 375498 305051 263907 3903006 1053244 -1618168 348797 12808588 13831489 36939 137178 12771649 13694311 THE MISSION OF PIKES PEAK HOSPICE FOUNDATION IS TO GENERATE AND DISTRIBUTE FUNDS IN SUPPORT OF PIKES PEAK HOSPICE & PALLIATIVE CARE, INC., SERVE THE CHARITABLE INTERESTS OF OUR DONORS AND PRUDENTLY MANAGE THEIR GIFTS. 0 0 545215 545215 PIKES PEAK HOSPICE FOUNDATION IS A SUPPORTING ORGANIZATION FOR PIKES PEAK HOSPICE & PALLIATIVE CARE, INC. WHICH PROVIDED SERVICES TO 1639 PATIENTS IN FISCAL YEAR 2014. AMOUNT TRANSFERRED TO PPHPC WAS $545,215 IN FISCAL YEAR 2014. $382,440 OF THE AMOUNT TRANSFERRED WAS RAISED THROUGH THE WE CARE CAPITAL CAMPAIGN AND EARMARKED FOR THE NEW HEADQUARTERS LOCATED AT 2550 TENDERFOOT HILL STREET, COLORADO SPRINGS, COLORADO. 545215 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 12 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X VALERIE HERL 7196333400 2550 TENDERFOOT HILL STREET COLORADO SPRINGS CO 80906 X PATRICIA MARTIN MEMBER-AT-LARGE 1.00 X X 0 0 0 TOM DERMODY VICE-CHAIR 1.00 X X 0 0 0 STEVE HOCHSTETTER TREASURER 1.00 X X 0 0 0 BILL BERENZ CHAIR 1.00 X X 0 0 0 SHARON HARE BOARD LIASON 1.00 1.00 X 0 0 0 BRIAN WAGNER SECRETARY 1.00 X 0 0 0 BILL JOHANNSEN TRUSTEE 1.00 X 0 0 0 MARTHA BARTON PRESIDENT/CEO 1.00 40.00 X X 0 193409 2544 DAN KORLESKI TRUSTEE 1.00 X 0 0 0 MARY OSBORNE TRUSTEE 1.00 X 0 0 0 ERIN EILMES TRUSTEE 1.00 X 0 0 0 BRIAN HOMME TRUSTEE 1.00 X 0 0 0 JOAN SELMAN EXECUTIVE DIRECTOR 40.00 X 0 102567 1358 0 295976 3902 2 0 1 0 0 35431 867918 88646 903349 291402 291402 481258 273997 207261 207261 207261 MISCELLANEOUS INCOME 900099 29 29 29 1402041 0 0 498692 545215 545215 104696 5235 99461 106285 2126 104159 355 7 348 14716 294 14422 18070 361 17709 1401 1401 10963 10963 42123 42123 51 51 123554 123554 5383 5383 13461 13461 19592 19592 491 491 27655 27655 4840 4840 OTHER EXPENSES 14393 14393 1053244 545215 132531 375498 300 300 1108705 1482720 701933 96063 2883 1475 209698 32354 90640 177344 9920285 10952368 983842 1121219 12808588 13831489 26024 126904 10915 10274 36939 137178 X 8729397 9510372 1224147 1210284 2818105 2973655 12771649 13694311 12808588 13831489 X 348797 392481 181384 X 0 1 X 1 0 X X X 0 0 0 PIKES PEAK HOSPICE & PALLIATIVE CARE 840816047 9 1 545215 1 545215 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 117500 X 0 2395647 20937 256751 156588 2516747 2137361 62548 310034 114296 2395647 1708366 203440 344561 119006 2137361 1777404 9333 25890 104261 1708366 1528270 131307 190188 72361 1777404 0.75740 0.24260 0 0 41138 32354 8784 168560 168560 177344 BENEFICIAL INTEREST IN PERPETUAL TRUST 1067474 BENEFICIAL INTEREST IN CHARITABLE REMAINDER TRUST 53745 1121219 ANNUITY OBLIGATIONS 10274 10274 X 1931524 392481 137002 529483 1402041 0 1402041 463647 -44382 -44382 508029 545215 545215 1053244 PART III, LINE 4: THE ARTWORK IS MAINTAINED FOR AN AESTHETIC ENVIRONMENT FOR THE PATIENTS. PART V, LINE 4: PERMANENTLY RESTRICTED ENDOWMENT FUNDS ARE THOSE FOR WHICH DONORS HAVE STIPULATED UNDER TERMS OF THE GIFT INSTRUMENT THAT THE PRINCIPAL OF THE FUND IS NOT EXPENDABLE AND IS TO BE INVESTED FOR THE PURPOSE OF PRODUCING PRESENT AND FUTURE INCOME. THE INCOME GENERATED IS AVAILABLE FOR ANY AND ALL USES REQUIRED BY PIKES PEAK HOSPICE TO FURTHER AND ENHANCE END-OF-LIFE CARE SERVICES OFFERED TO THE COMMUNITY. TEMPORARILY RESTRICTED NET ASSETS ARE RESTRICTED BY THE DONORS FOR VARIOUS PROGRAMS. BOARD DESIGNATED FUNDS ARE UNRESTRICTED FUNDS THAT THE PPHF BOARD OF TRUSTEES HAS DETERMINED WILL BE RETAINED AND INVESTED. THE PRINCIPAL AS WELL AS THE INCOME IS AVAILABLE FOR ANY AND ALL USES REQUIRED BY PPHPC WITH APPROVAL OF THE PPHF BOARD OF TRUSTEES. PART X, LINE 2: THE ORGANIZATION APPLIES A MORE-LIKELY-THAN-NOT MEASUREMENT METHODOLOGY TO REFLECT THE CONSOLIDATED FINANCIAL STATEMENT IMPACT OF UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A RETURN. AFTER EVALUATING THE TAX POSITIONS TAKEN, NONE ARE CONSIDERED TO BE UNCERTAIN. THEREFORE, NO AMOUNTS HAVE BEEN RECOGNIZED AS OF SEPTEMBER 30, 2014 AND 2013. IF INCURRED, INTEREST AND PENALTIES ASSOCIATED WITH TAX POSITIONS ARE RECORDED IN THE PERIOD ASSESSED AS OTHER EXPENSE. NO INTEREST OR PENALTIES HAVE BEEN ASSESSED AS OF SEPTEMBER 30, 2014 AND 2013. TAX YEARS THAT REMAIN SUBJECT TO EXAMINATION INCLUDE 2011 THROUGH THE CURRENT PERIOD FOR THE FEDERAL RETURN AND 2010 THROUGH THE CURRENT PERIOD FOR THE COLORADO RETURN. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN VALUE OF BENEFICIAL INTEREST IN CHARITABLE REMAINDER TRUST 2,764. CHANGE IN VALUE OF BENEFICIAL INTEREST IN PERPETUAL TRUST 134,614. CHANGE IN VALUE OF BENEFICIAL INTEREST IN CGA TRUST -376. PART XII, LINE 2D - OTHER ADJUSTMENTS: UNCOLLECTIBLE PLEDGES -44,382. PART XII, LINE 4B - OTHER ADJUSTMENTS: TRANSFERS TO PIKES PEAK HOSPICE AND PALLIATIVE CARE 545,215. 1 PIKES PEAK HOSPICE & PALLIATIVE CARE INC 2550 TENDERFOOT HILL STREET COLORADO SPRINGS CO 80906 840816047 501(C)(3) 545215 ORGANIZATION SUPPORTS PIKES PEAK HOSPICE & PALLIATIVE CARE, INC. 1 PART I, LINE 2: THE ENTITIES ARE RELATED. 0 0 0 0 0 0 0 0 0 MARTHA BARTON PRESIDENT/CEO 0 190779 0 2630 0 0 0 2544 0 0 0 195953 0 0 X 3 61132 VALUE UPON RECEIPT X COMPUTER SERV 1 18334 DONOR VALUED X BURIAL PLOTS 4 9180 DONOR VALUED 0 0 1 0 PART I, COLUMN (B): BURIAL PLOTS - NUMBER OF ITEMS. COMPUTER SERVER LICENSES AND STOCK - NUMBER OF CONTRIBUTORS 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 B, LINE 11 THE FORM 990 IS REVIEWED BY THE TREASURER AND VP OF BUSINESS SERVICES AND IS THEN PRESENTED TO THE AUDIT COMMITTEE FOR APPROVAL. AN ELECTRONIC COPY OF THE 990 IS FORWARDED TO THE ENTIRE BOARD OF DIRECTORS FOR THEIR INDIVIDUAL REVIEW. FORM 990, PART VI, SECTION B, LINE 12C ANNUAL EDUCATION TO BOARD MEMBERS AND STAFF. ALL CONFLICTS ADDRESSED BY OFFICERS AND CONTRACT LEGAL COUNSEL AS NEEDED. FORM 990, PART VI, SECTION C, LINE 19 THESE DOCUMENTS ARE AT THE ORGANIZATION'S LOCATION AND ARE AVAILABLE UPON REQUEST. FORM 990, PART VII, SECTION A PIKES PEAK HOSPICE & PALLIATIVE CARE, INC. 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. FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF BENEFICIAL INTEREST IN CHARITABLE REMAINDER TRUST 2,764. CHANGE IN VALUE OF BENEFICIAL INTEREST IN PERPETUAL TRUST 134,614. CHANGE IN VALUE OF BENEFICIAL INTEREST IN CGA TRUST -376. UNCOLLECTIBLE PLEDGES 44,382. PIKES PEAK HOSPICE & PALLIATIVE CARE INC 2550 TENDERFOOT HILL STREET COLORADO SPRINGS CO 80906 840816047 CARE OF TERMINALLY ILL CO 501(C)(3) LINE 9 N/A 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0