CHAPTERS HEALTH FOUNDATION INC: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- CHAPTERS HEALTH FOUNDATION INC (EIN 59-3467282)
- Tax period
- 2013-10-01 to 2014-09-30
- Filed
- 2015-08-17
- IRS object ID
- 201522309349301002
- Schema version
- 2013v4.0
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-08-17T12:45:00-05:00 | ReturnTs |
| Tax Period End | 2014-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 593070669 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOORE STEPHENS LOVELACE PA | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 311 PARK PLACE BLVD SUITE 100 | AddressLine1 |
| City | CLEARWATER | City |
| State | FL | State |
| ZIP Code | 337593923 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 593467282 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOSPICE FOUNDATION INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HOSP | BusinessNameControlTxt |
| Phone | 7278637971 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12470 TELECOM DRIVE | AddressLine1 |
| City | TEMPLE TERRACE | City |
| State | FL | State |
| ZIP Code | 33637 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | THOMAS BARB | PersonNm |
| Person Title | CHIEF EXECUTIVE OFFICER | PersonTitleTxt |
| Phone | 7278637971 | PhoneNum |
| Signature | 2015-08-18 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | KURT A ALTER CPA | PreparerPersonNm |
| PTIN | P00059492 | PTIN |
| Phone | 7275314477 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HPH FOUNDATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | THOMAS BARB | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12470 TELECOM DRIVE | AddressLine1 |
| City | TEMPLE TERRACE | City |
| State | FL | State |
| ZIP Code | 33637 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $16,495,833 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.HPH-HOSPICE.ORG/DONATIONS-SPECIAL-GIFTS | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1997 | FormationYr |
| Legal Domicile State | FL | LegalDomicileStateCd |
| Activity Or Mission | THE ORGANIZATION OPERATES TO ADVANCE UNDERSTANDING, PARTICIPATION AND SUPPORT OF THE MISSION AND PROGRAMS OF HERNANDO-PASCO HOSPICE, INC. AND ITS AFFILIATED NON-FOR-PROFIT ORGANIZATIONS, HONORING OUR COMMUNITY'S SACRED TRUST THROUGH SOUND STEWARDSHIP. | ActivityOrMissionDesc |
| Voting Members Governing Body | 6 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 4 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,561,876 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,922,480 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,144,608 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,477,564 | CYInvestmentIncomeAmt |
| PY Other Revenue | $262,847 | PYOtherRevenueAmt |
| CY Other Revenue | -$291,755 | CYOtherRevenueAmt |
| PY Total Revenue | $2,969,331 | PYTotalRevenueAmt |
| CY Total Revenue | $3,108,289 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $748,629 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $1,111,105 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $282,375 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $225,634 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $218,650 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $142,803 | PYOtherExpensesAmt |
| CY Other Expenses | $155,562 | CYOtherExpensesAmt |
| PY Total Expenses | $1,173,807 | PYTotalExpensesAmt |
| CY Total Expenses | $1,492,301 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,795,524 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,615,988 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $19,854,653 | TotalAssetsBOYAmt |
| Total Assets EOY | $21,215,600 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $254,199 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $258,849 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $19,600,454 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $20,956,751 | NetAssetsOrFundBalancesEOYAmt |
| Mission | THE ORGANIZATION OPERATES TO ADVANCE UNDERSTANDING, PARTICIPATION AND SUPPORT OF THE MISSION AND PROGRAMS OF HERNANDO-PASCO HOSPICE, INC. AND ITS AFFILIATED NOT-FOR-PROFIT ORGANIZATIONS, HONORING OUR COMMUNITY'S SACRED TRUST THROUGH SOUND STEWARDSHIP. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $1,129,705 | ExpenseAmt |
| Grant | $1,111,105 | GrantAmt |
| Revenue | $2,045,451 | RevenueAmt |
| Desc | THE ORGANIZATION ACCEPTS DONATIONS FROM THE PUBLIC AND CONDUCTS ITS OWN FUND RAISING ACTIVITIES. THE ORGANIZATION ALSO OPERATES TWO THRIFT STORES, BOTH IN PASCO COUNTY. THE NET PROCEEDS OF THESE VARIOUS ACTIVITIES FLOW TO HERNANDO-PASCO HOSPICE, INC., (HPH) TO SUPPORT ITS END-OF-LIFE HOSPICE SERVICES WITHIN HPH'S THREE COUNTY SERVICE AREA. BY DIRECTION OF THE BOARD OF DIRECTORS, ANY BEQUESTS RECEIVED FLOW TO A BOARD DESIGNATED ENDOWMENT TO BE INVESTED TO HELP SECURE THE FUTURE OF HPH. | Desc |
| Total Program Service Expenses | $1,129,705 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | 0 | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 2 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Excess Business Holdings | 0 | ExcessBusinessHoldingsInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 6 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 4 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JILL FITZPATRICK | PersonNm |
| Phone | 8138718167 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12470 TELECOM DRIVE | AddressLine1 |
| City | TEMPLE TERRANCE | City |
| State | FL | State |
| ZIP Code | 33637 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (6 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|---|
| CLARENCE PREVATT | |||||||
| CHAIRMAN | 1.50 | 1.50 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| THERESA BROCK | |||||||
| VICE CHAIRMAN | 1.50 | 1.50 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| MIKE MCHUGH | |||||||
| SECRETARY/TREASURER | 1.50 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| GEORGE GERMANN | |||||||
| DIRECTOR | 1.50 | 1.50 | Yes (X) | $0 | $0 | $0 | |
| THOMAS BARB | |||||||
| PRESIDENT/CEO | 5.00 | 40.00 | Yes (X) | Yes (X) | $0 | $242,235 | $71,244 |
| W RICHARD YOUNG | |||||||
| VP BUSINESS SERVICES/CFO | 5.00 | 40.00 | Yes (X) | Yes (X) | $0 | $164,894 | $11,093 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $407,129 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $82,337 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| WESTGATE SQUARE CENTER | |||||
| 10912 N 56 STREET | TEMPLE TERRACE | FL | 33614 | RENT | $115,234 |
| EAST RICHEY SQUARE CENTER INC | |||||
| 6137 SR 54 | NEW PORT RICHEY | FL | 34653 | RENT | $114,651 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $44,325 | FederatedCampaignsAmt |
| All Other Contributions | $1,878,155 | AllOtherContributionsAmt |
| Total Contributions | $1,922,480 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $837,279 | TotalRevenueColumnAmt |
| Exclusion | $837,279 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $13,390,109 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $12,749,824 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $640,285 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $640,285 | TotalRevenueColumnAmt |
| Exclusion | $640,285 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $126,686 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $26,412 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $100,274 | TotalRevenueColumnAmt |
| Exclusion | $100,274 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $734,279 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $611,308 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $122,971 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $122,971 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | FORGIVENESS OF INTERCOMPANY DEBT | Desc |
| Business | 999999 | BusinessCd |
| Total Revenue Column | -$515,000 | TotalRevenueColumnAmt |
| Exclusion | -$515,000 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | -$515,000 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,108,289 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $122,971 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,062,838 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,111,105 | TotalAmt |
| Program Services | $1,111,105 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $189,649 | TotalAmt |
| Program Services | $16,635 | ProgramServicesAmt |
| Management And General | $49,917 | ManagementAndGeneralAmt |
| Fundraising | $123,097 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,742 | TotalAmt |
| Program Services | $1,037 | ProgramServicesAmt |
| Management And General | $5,393 | ManagementAndGeneralAmt |
| Fundraising | $14,312 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,243 | TotalAmt |
| Program Services | $762 | ProgramServicesAmt |
| Management And General | $3,963 | ManagementAndGeneralAmt |
| Fundraising | $10,518 | FundraisingAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $62,155 | TotalAmt |
| Management And General | $62,155 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $630 | TotalAmt |
| Fundraising | $630 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,480 | TotalAmt |
| Fundraising | $28,480 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,412 | TotalAmt |
| Fundraising | $16,412 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,065 | TotalAmt |
| Fundraising | $17,065 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,286 | TotalAmt |
| Management And General | $4,020 | ManagementAndGeneralAmt |
| Fundraising | $1,266 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,832 | TotalAmt |
| Program Services | $166 | ProgramServicesAmt |
| Management And General | $522 | ManagementAndGeneralAmt |
| Fundraising | $4,144 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,726 | TotalAmt |
| Fundraising | $2,726 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,976 | TotalAmt |
| Management And General | $17,976 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,492,301 | TotalAmt |
| Program Services | $1,129,705 | ProgramServicesAmt |
| Management And General | $143,946 | ManagementAndGeneralAmt |
| Fundraising | $218,650 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,200 | BOYAmt |
| EOY | $1,200 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,065 | BOYAmt |
| EOY | $12,159 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $280,238 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,162 | BOYAmt |
| EOY | $13,162 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,419,372 | BOYAmt |
| EOY | $12,406,642 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,117,616 | BOYAmt |
| EOY | $8,782,437 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,854,653 | BOYAmt |
| EOY | $21,215,600 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $45,474 | BOYAmt |
| EOY | $43,107 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $208,725 | BOYAmt |
| EOY | $215,742 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $254,199 | BOYAmt |
| EOY | $258,849 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,600,454 | BOYAmt |
| EOY | $20,956,751 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,600,454 | BOYAmt |
| EOY | $20,956,751 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,854,653 | BOYAmt |
| EOY | $21,215,600 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $1,615,988 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$241,086 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$18,605 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | Yes (X) | SupportingOrganization509a3Ind |
| Supporting Org Type2 | Yes (X) | SupportingOrgType2Ind |
| Certification | Yes (X) | CertificationInd |
| Contribution Controller | 0 | ContributionControllerInd |
| Contribution Family | 0 | ContributionFamilyInd |
| Contribution35 Controlled | 0 | Contribution35ControlledInd |
Supported Org Information SupportedOrgInformationGrp
Supported Organization Name SupportedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HERNANDO PASCO HOSPICE INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 592217929 | EIN |
| Organization Type | 9 | OrganizationTypeDesc |
| Governing Document Listed | Yes (1) | GoverningDocumentListedInd |
| Supported Org Notified | Yes (1) | SupportedOrgNotifiedInd |
| US Organized | Yes (1) | USOrganizedInd |
| Support | $1,111,105 | SupportAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 1 | SupportedOrganizationsTotalCnt |
| Support Sum | $1,111,105 | SupportSumAmt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $17,536,785 | BeginningYearBalanceAmt |
| Contributions | $1,102,336 | ContributionsAmt |
| Investment Earnings Or Losses | $1,230,811 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $6,496,107 | OtherExpendituresAmt |
| Administrative Expenses | $62,155 | AdministrativeExpensesAmt |
| End Year Balance | $13,311,670 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $17,674,898 | BeginningYearBalanceAmt |
| Contributions | $703,223 | ContributionsAmt |
| Investment Earnings Or Losses | $940,187 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,710,000 | OtherExpendituresAmt |
| Administrative Expenses | $71,523 | AdministrativeExpensesAmt |
| End Year Balance | $17,536,785 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $15,070,741 | BeginningYearBalanceAmt |
| Contributions | $568,584 | ContributionsAmt |
| Investment Earnings Or Losses | $2,101,015 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $65,442 | AdministrativeExpensesAmt |
| End Year Balance | $17,674,898 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $14,173,831 | BeginningYearBalanceAmt |
| Contributions | $736,083 | ContributionsAmt |
| Investment Earnings Or Losses | $222,534 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $61,707 | AdministrativeExpensesAmt |
| End Year Balance | $15,070,741 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $12,090,177 | BeginningYearBalanceAmt |
| Contributions | $716,682 | ContributionsAmt |
| Investment Earnings Or Losses | $1,429,498 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $62,526 | AdministrativeExpensesAmt |
| End Year Balance | $14,173,831 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 1.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.00000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
| Total Book Value Land Buildings | $0 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (5 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| MONEY MARKET | $752,567 | F |
| ANNUITY FUNDS | $370,900 | F |
| REIT - ENDOWMENT | $453,445 | F |
| STOCK/EQUITIES | $4,145,961 | F |
| BONDS | $6,683,769 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $12,406,642 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| LEGACY FUND | $38,603 |
| DEPOSITS | $11,509 |
| DUE FROM AFFILIATES | $8,732,325 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $8,782,437 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | GIFT ANNUITY OBLIGATIONS | Desc |
| Amt | $215,742 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $215,742 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $3,906,334 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $241,086 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $637,719 | OtherRevenueAmt |
| Revenue Not Reported | $878,805 | RevenueNotReportedAmt |
| Revenue Subtotal | $3,027,529 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $62,155 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | $18,605 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $80,760 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $3,108,289 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $2,067,865 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $637,719 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $637,719 | ExpensesNotReportedAmt |
| Expenses Subtotal | $1,430,146 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $62,155 | InvestmentExpensesNotIncld2Amt |
| Expenses Not Rpt Fincl Stmt | $62,155 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $1,492,301 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | THE ORGANIZATION'S ENDOWMENT FUNDS ARE INTENDED TO PROVIDE FUTURE CASH FLOW FOR OPERATION AND OTHER DESIGNATED UNRESTRICTED PURPOSES USED BY THE BOARD OF DIRECTORS OF HERNANDO PASCO HOSPICE, INC. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | THRIFT STORE COGS 611,308. FUNDRAISING EVENT EXPENSES 26,411. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | GIFT ANNUITY ADJUSTMENT 18,605. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | THRIFT STORE COGS 611,308. FUNDRAISING EVENT EXPENSES 26,411. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | TREE OF LIFE | NameOfEvent1Amt |
| Gross Receipts Event1 | $111,108 | GrossReceiptsEvent1Amt |
| Gross Revenue Event1 | $111,108 | GrossRevenueEvent1Amt |
| Other Direct Expenses Event1 | $23,703 | OtherDirectExpensesEvent1Amt |
| Name Of Event2 | GET ROLLING FOR HOSPICE | NameOfEvent2Amt |
| Gross Receipts Event2 | $15,578 | GrossReceiptsEvent2Amt |
| Gross Revenue Event2 | $15,578 | GrossRevenueEvent2Amt |
| Other Direct Expenses Event2 | $2,709 | OtherDirectExpensesEvent2Amt |
| Gross Receipts Total | $126,686 | GrossReceiptsTotalAmt |
| Gross Revenue Total Events | $126,686 | GrossRevenueTotalEventsAmt |
| Oth Direct Expnss Total Events | $26,412 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $26,412 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $100,274 | NetIncomeSummaryAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | 0 | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HERNANDO PASCO HOSPICE INC | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12470 TELECOM DRIVE | AddressLine1 |
| City | TEMPLE TERRACE | City |
| State | FL | State |
| ZIP Code | 33637 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 592217929 | RecipientEIN |
| IRC Section | 501(C)(3) | IRCSectionDesc |
| Cash Grant | $1,111,105 | CashGrantAmt |
| Purpose Of Grant | GENERAL SUPPORT | PurposeOfGrantTxt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATIONS SOLE PURPOSE IS TO SUPPORT HERNANDO-PASCO HOSPICE, INC, (HPH) A RELATED 501(C)(3) ORGANIZATION. THE MAJORITY OF THE BOARD MEMBERS OF THE ORGANIZATION ARE ALSO BOARD MEMBERS OF HPH AND OVERSEE ALL ALLOCATIONS OF THE GRANT MONEY. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| THOMAS BARB | ||||||||||||||
| PRESIDENT/CEO | $0 | $242,235 | $0 | $0 | $0 | $0 | $0 | $60,000 | $0 | $11,244 | $0 | $313,479 | $0 | $0 |
| W RICHARD YOUNG | ||||||||||||||
| VP BUSINESS SERVICES/CFO | $0 | $164,894 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $11,093 | $0 | $175,987 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 4B | FormAndLineReferenceDesc |
| Explanation | HERNANDO PASCO HOSPICE, INC. MAINTAINS A NONQUALIFIED EMPLOYEE DEFERRED COMPENSATION PLAN, OPEN TO CERTAIN KEY EMPLOYEES UNDER INTERNAL REVENUE CODE SECTION 457(F). THE 457(F) PLAN PROVIDES FOR VOLUNTARY CONTRIBUTIONS TO BE MADE ON BEHALF OF ELIGIBLE PARTICIPANTS. THESE FUNDS REMAIN THE PROPERTY OF HERNANDO PASCO HOSPICE, INC., WHO ALSO HAS A FIDUCIARY DUTY OF ACCOUNTABILITY FOR THESE FUNDS. CONTRIBUTIONS ARE AT THE DISCRETION OF THE BOARD OF DIRECTORS. NO CURRENT YEAR CONTRIBUTIONS WERE MADE. THE PARTICIPANTS WILL RECEIVE A LUMP SUM PAYMENT ON THEIR NORMAL RETIREMENT DATE, AS DEFINED BY THE PLAN, OR AT CERTAIN OTHER SPECIFIC EVENTS AS ALSO DEFINED IN THE PLAN. HERNANDO PASCO HOSPICE, INC. ALSO OFFERS A NONQUALIFIED PENSION BENEFIT THROUGH A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN FOR ONE KEY EXECUTIVE OFFICER. THE PARTICIPANT WILL RECEIVE A LUMP SUM BENEFIT PAYMENT ON HIS NORMAL RETIREMENT DATE, AS DEFINED BY THE PLAN, OR AT CERTAIN OTHER SPECIFIC EVENTS AS ALSO DEFINED IN THE PLAN. THIS IS CALCULATED TO BE THE DISCOUNTED AMOUNT OF ANNUAL INCOME, PAYABLE FOR THE ESTIMATED REMAINING LIFE OF THE PARTICIPANT, EQUAL TO 2.5% OF THE PARTICIPANT'S FINAL AVERAGE COMPENSATION MULTIPLIED BY HIS YEARS OF SERVICE. NO BENEFIT SHALL ACCRUE TO THE PARTICIPANT AFTER HIS NORMAL RETIREMENT DATE. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 7A | COMPOSITION OF THE BOARD OF TRUSTEES: THE TOTAL MEMBERSHIP OF THE BOARD OF TRUSTEES SHALL AT ALL TIMES BE REPRESENTED BY THE HOSPICE COMMUNITY OF ENTITIES AS FOLLOWS: (A) CARE SECTOR: FOUR TRUSTEES SHALL BE CURRENT MEMBERS IN GOOD STANDING OF THE BOARD OF DIRECTORS OF HERNANDO PASCO HOSPICE, INC. (THE CURRENT OPERATING ENTITY). SUCH TRUSTEES SHALL BE APPOINTED BY THE BOARD OF DIRECTORS OF HERNANDO PASCO HOSPICE, INC. AND SHALL SERVE UNTIL THEY ARE NO LONGER MEMBERS OF SUCH BOARD OR UNTIL THEY ARE REPLACED BY THE BOARD, WHICHEVER OCCURS FIRST. (B) MANAGEMENT SECTOR: ONE TRUSTEE SHALL BE THE PRESIDENT/CHIEF EXECUTIVE OFFICER OF HERNANDO PASCO HOSPICE, INC. WHO SHALL SERVE UNTIL HE RESIGNS OR IS TERMINATED FROM OFFICE BY HERNANDO PASCO HOSPICE, INC. ONE TRUSTEE SHALL BE A PERSON EMPLOYED IN A MANAGERIAL POSITION BY HERNANDO PASCO HOSPICE, INC. AND SHALL BE APPOINTED BY THE HPH BOARD OF DIRECTORS. HE/SHE SHALL SERVE UNTIL S/HE IS NO LONGER EMPLOYED BY HERNANDO PASCO HOSPICE, INC. OR UNTIL REPLACED BY HPH BOARD OF DIRECTORS, WHICHEVER OCCURS FIRST. (C) AT LARGE SECTOR: ONE TRUSTEE SHALL BE APPOINTED ANNUALLY BY THE BOARD OF TRUSTEES OF HOSPICE FOUNDATION, INC. |
| FORM 990, PART VI, SECTION A, LINE 7B | RESTRICTIONS ON AUTHORITY OF THE BOARD OF TRUSTEES: NOTWITHSTANDING ANYTHING IN THE BYLAWS TO THE CONTRARY, UNLESS OTHERWISE APPROVED BY THE AFFIRMATIVE VOTE OF NOT LESS THAN SEVENTY-FIVE PERCENT OF BOTH THE BOARD OF TRUSTEES AND THE BOARD OF DIRECTORS OF HERNANDO PASCO HOSPICE, INC., THE BOARD OF TRUSTEES SHALL NOT HAVE THE AUTHORITY TO DO ANY OF THE FOLLOWING ACTS ON BEHALF OF THE CORPORATION: (A) AMEND, REPEAL OR ALTER, IN WHOLE OR IN PART, ANY PROVISION OF THE CORPORATION'S ARTICLE OF INCORPORATION OR BYLAWS, OR ADOPT NEW ARTICLES OF INCORPORATION OR BYLAWS; (B) REMOVE ANY TRUSTEE FROM OFFICE PRIOR TO THE EXPIRATION OF SUCH TRUSTEE'S TERM; (C) SELL, LEASE OR OTHERWISE DISPOSE OF SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION; (D) MERGE OR CONSOLIDATE THE CORPORATION WITH OR INTO ANY CORPORATION, PARTNERSHIP, LIMITED LIABILITY COMPANY OR OTHER ENTITY, OR ENTER INTO ANY PARTNERSHIP, JOINT VENTURE OR ALLIANCE, OR FORM ANY SUBSIDIARY, OR DISSOLVE AND WIND UP THE CORPORATION; (E) CHANGE THE NAME OR PURPOSE OF THE CORPORATION OR CHANGE THE NATURE OF THE BUSINESS OF THE CORPORATION OR DO ANY ACT THAT WOULD MAKE IT IMPOSSIBLE TO CARRY ON THE ORDINARY BUSINESS OF THE CORPORATION OR CHANGE THE PRINCIPAL PLACE OF BUSINESS OF THE CORPORATION; (F) ADMIT ANY PERSON OR ENTITY AS A MEMBER OF THE CORPORATION OR ISSUE, BY SALE, OPTION, WARRANT, FOR PROPERTY, SERVICES OR OTHERWISE, ANY ADDITIONAL VOTING MEMBERSHIP INTERESTS IN THE CORPORATION; (G) ENTER INTO, GIVE OR GRANT ANY MORTGAGES, DEEDS OF TRUST, PLEDGES OR OTHER SECURITY INTERESTS, IN ANY REAL PROPERTY OWNED OR ACQUIRED BY THE CORPORATION, OR ANY PORTION THEREOF; (H) FILE FOR BANKRUPTCY, APPOINT A RECEIVER OR TRUSTEE TO MAKE A TRANSFER FOR THE BENEFIT OF CREDITORS; OR (I) ESTABLISH OR MODIFY ANY TAX-RELATED STRATEGY OR POSITION, OR OTHERWISE TAKE ANY ACTION WHICH WOULD HAVE A MATERIAL IMPACT ON THE TAX MATTERS RELATING TO THE CORPORATION, INCLUDING ANY DECISION TO CHANGE THE TAX-EXEMPT STATUS OF THE CORPORATION. |
| FORM 990, PART VI, SECTION B, LINE 11 | A COPY OF THE 990 IS PROVIDED TO THE BOARD OF DIRECTORS BEFORE BEING FILED. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION'S CONFLICT OF INTEREST POLICY COVERS ALL "INTERESTED PERSONS," WHICH INCLUDES OFFICERS, DIRECTORS, MEMBERS OF ANY COMMITTEE OF THE BOARD, AND MEMBERS OF THE IMMEDIATE FAMILIES OF SUCH INDIVIDUALS. THE DESIGNATED COMPLIANCE OFFICER ROUTINELY REVIEWS THE EXISTING RELATIONSHIPS BETWEEN THE HOSPICE AND ITS "INTERESTED PERSONS", OTHER CARE PROVIDERS, EDUCATIONAL INSTITUTIONS AND PAYERS TO ASSURE THAT ALL RELATIONSHIPS ARE WITHIN THE LAW AND REGULATIONS. IF ANY CONFLICTS OF INTEREST ARE FOUND TO EXIST, THE COMPLIANCE OFFICER IMMEDIATELY REPORTS THE POTENTIAL CONFLICT TO THE CHIEF EXECUTIVE OFFICER. ANY VOTING MEMBER INVOLVED IN A CONFLICT OF INTEREST MUST IMMEDIATELY DISCLOSE IT TO THE CHAIRMAN OF THE BOARD AND IS DISALLOWED FROM VOTING ON ANY MATTERS RELATING TO ANY TRANSACTION WITH AN "INTERESTED PERSON" OR ENTITY. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART XI, LINE 9: | GIFT ANNUITY ADJUSTMENT -18,605. |
| FORM 990, PART XII, LINE 2C | THE FINANCE COMMITTEE IS RESPONSIBLE FOR OVERSIGHT OF THE AUDITED FINANCIALS AND FOR INTERVIEWING INDEPENDENT ACCOUNTANTS. THEY MAKE THEIR RECOMMENDATION TO THE FULL BOARD, WHO VOTE TO SELECT THE INDEPENDENT ACCOUNTANT. THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| HERNANDO PASCO HOSPICE INC | |||||||||||
| 12470 TELECOM DRIVE | TEMPLE TERRACE | FL | 33637 | 592217929 | PROVIDE MEDICAL AND SUPPORT SERVICES TO INDIVIDUALS FACING TERMINAL ILLNESS. | FL | 501(C)(3) | LINE 9 | N/A | 0 | |
| HPH REAL ESTATE INC | |||||||||||
| 12470 TELECOM DRIVE | TEMPLE TERRACE | FL | 33637 | 593467283 | PROVIDE AND MAINTAIN PHYSICAL FACILITIES FOR RELATED 501(C)(3) ORGANIZATIONS | FL | 501(C)(2) | 0 | HERNANDO PASCO HOSPICE INC | ||
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HPH SOUTH INC | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12470 TELECOM DRIVE | AddressLine1 |
| City | TEMPLE TERRACE | City |
| State | FL | State |
| ZIP Code | 33637 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 271436121 | EIN |
| Primary Activities | PROVIDE HOSPICE AND RELATED HEALTH CARE SERVICES | PrimaryActivitiesTxt |
| Legal Domicile State | FL | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HERNANDO PASCO HOSPICE INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C | EntityTypeTxt |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Comments