2015-03-24T15:00:03-05:00 2014-06-30 CROWE HORWATH LLP 225 WEST WACKER DRIVE SUITE 2600 CHICAGO IL 606061224 990 2013-07-01 251529649 FAMILY HOSPICE AND PALLIATIVE CARE FAMI 4125728800 50 Moffett Street Pittsburgh PA 15243 BARBARA IVANKO CEO 2015-03-19 true Nicole Bencik P00756195 3128997000 2013 2016-02-25 16:41:14Z BARBARA IVANKO 50 Moffett Street Pittsburgh PA 15243 25247965 false X WWW.FAMILYHOSPICE.COM X 1980 PA TO PROVIDE COMPASSIONATE, QUALITY CARE FOR PEOPLE WITH LIFE-LIMITING ILLNESSES & THEIR FAMILIES. 16 14 338 396 0 0 427542 509776 25590252 24621907 -3477 1274 33720 41576 26048037 25174533 0 0 0 0 15460179 17111849 0 0 488626 9249227 9468775 24709406 26580624 1338631 -1406091 16621623 15347562 5084733 5232985 11536890 10114577 X THE MISSION OF FAMILY HOSPICE AND PALLIATIVE CARE IS TO PROVIDE COMPASSIONATE, QUALITY COMFORT CARE THAT ENHANCES THE LIVES OF PEOPLE WITH LIFE-LIMITING ILLNESSES AND THEIR FAMILIES. false false 21604598 0 23831001 THE ORGANIZATION PROVIDES HOSPICE CARE AND SUPPORT TO TERMINALLY ILL PATIENTS AND THEIR FAMILIES REGARDLESS OF THEIR ABILITY TO PAY. SERVICES INCLUDE GENERAL ASSISTANCE, EDUCATION, EMOTIONAL AND BEREAVEMENT SERVICES. THE ORGANIZATION PROVIDED CARE TO 3,168 PATIENTS CONSISTING OF 489,184 VISITS BY PHYSICIANS, NURSING, SOCIAL SERVICE, COUNSELING, THERAPY AND BEREAVEMENT STAFF. ALSO, THE ORGANIZATION PROVIDED $176,283 OF UNCOMPENSATED MANDATORY CARE TO 21 PATIENTS. THIS INCLUDED SERVICES PROVIDED BY PHYSICIANS, NURSING, COUNSELING AND BEREAVEMENT, IN ADDITION TO PHARMACEUTICALS, SUPPLIES AND DURABLE MEDICAL EQUIPMENT. 553510 0 806866 THE ORGANIZATION PROVIDES PALLIATIVE CARE TO TERMINALLY ILL PATIENTS. SERVICES INCLUDE SYMPTOM AND PAIN MANAGEMENT, GENERAL ASSISTANCE FOR DAILY ACTIVITIES, EDUCATION AND EMOTIONAL SERVICES. THE ORGANIZATION PROVIDED CARE TO 548 PATIENTS CONSISTING OF 11,657 VISITS BY A PHYSICIAN, NURSES, SOCIAL SERVICE STAFF, COUNSELORS, AND THERAPY STAFF. ALSO, THE ORGANIZATION PROVIDED $5,368 OF UNCOMPENSATED MANDATORY CARE TO 2 PATIENTS. THIS INCLUDED SERVICES PROVIDED BY PHYSICIANS, NURSING AND COUNSELING. 126125 0 0 THE ORGANIZATION OFFERS COMPLIMENTARY SERVICES AND PROVIDES THE FOLLOWING PROGRAMS TO BENEFIT THE COMMUNITY: COMPLIMENTARY SERVICES: 434 PATIENTS RECEIVED ART, MASSAGE AND MUSIC THERAPY AS A SUPPLEMENT TO TRADITIONAL HOSPICE AND PALLIATIVE MODELS OF CARE. THESE ADJUNCT SERVICES PROMOTE COMFORT AND CREATE ALTERNATIVE WAYS OF EXPRESSION, AFFIRMING LIFE, PALLIATING SYMPTOMS AND AFFORDING RELAXATION. THE EXPENSE OF COMPLIMENTARY SERVICES WAS $126,125. (CONTINUED IN SCHEDULE O). 22284233 true true false true false false false false false true false false false true true true false false false false false false false true false false false false true true false false false false false false false false false true false false false false false true true true false false true 132 0 true 338 true false false false false false true true false false false false X 16 14 true false true false true true false true true false false true true true true true true true false false PA X Barbara Ivanko 4125728800 50 Moffett Street Pittsburgh PA 15243 BARBARA IVANKO PRESIDENT AND CEO - PARTIAL YEAR 42.00 X X 94113 0 11203 BOB BUTTER CHAIRPERSON 5.00 X X 0 0 0 DEBORAH BRODINE VICE CHAIRPERSON 3.00 X X 0 0 0 FRANCO INSANA CFO AND TREASURER 40.00 X X 126464 0 26815 SANDRA R TOMLINSON SECRETARY 2.00 X X 0 0 0 BARRY LEMBERSKY MD DIRECTOR 2.00 X 0 0 0 BEVERLY DORMAN DIRECTOR 2.00 X 0 0 0 BRUCE AUSTIN DIRECTOR 2.00 X 0 0 0 DAVID FRIEDLAND MD DIRECTOR 2.00 X 0 0 0 G ALAN YEASTED MD DIRECTOR 2.00 X 0 0 0 JOANNE HAHEY DIRECTOR - PARTIAL YEAR 2.00 X 0 0 0 JON ALLEGRETTI DIRECTOR - PARTIAL YEAR 2.00 X 0 0 0 JONATHON LUSHKO DIRECTOR - PARTIAL YEAR 2.00 X 0 0 0 JOSEPH KENNEDY DIRECTOR 2.00 X 0 0 0 KATHI BOYLE DIRECTOR 2.00 X 0 0 0 KIM WARD BURNS DIRECTOR 2.00 X 0 0 0 LISA TURBEVILLE MARKOWSKI DIRECTOR 2.00 X 0 0 0 PAUL WINKLER IMMEDIATE PAST CHAIRPERSON 3.00 X 0 0 0 ROBERT C JACKSON JR DIRECTOR 2.00 X 0 0 0 CYNTHIA ROCHE V.P. CLINICAL SERVICES 40.00 X 101133 0 24893 KAREN CAMMARATA CERTIFIED REGISTERED NURSE PRACTITIONER 40.00 X 104057 0 21964 KAREN ROSE V.P. OPERATIONS 40.00 X 103221 0 22970 MARY BETH SALAMA PHYSICIAN 40.00 X 196768 0 16198 THERESA GUALTERI CLINICAL SUPERVISOR 55.00 X 109711 0 17673 835467 0 141716 6 false true false UNIVERSITY OF PITTSBURGH PHYSICIANS 3550 TERRACE STREET PITTSBURGH PA 15261 PHYSICIAN 571343 UPMC COMMUNITY PROVIDER SERVICES 200 LOTHROP STREET PITTSBURGH PA 15213 PHYSICIANS AND NURSE PRACTITIONERS 457238 CURA HOSPITALITY PO BOX 827276 PHILADELPHIA PA 19182 DIETARY SERVICES 223810 ELIZABETH TOWNSHIP AREA EMS PO BOX 539 BUENA VISTA PA 15018 AMBULANCE 203567 4 20364 73676 415736 15190 509776 NET PATIENT REVENUE 623990 24621907 24621907 0 0 0 0 0 0 0 0 24621907 1274 1274 0 0 6000 8740 -2740 0 -2740 -2740 0 0 0 59138 73676 64692 -5554 -5554 0 0 FOOD SERVICE 722210 33910 33910 MISCELLANEOUS 900099 15960 15960 0 0 0 0 0 49870 25174533 24637867 0 26890 0 0 0 0 293739 293739 0 13325874 11193333 1818916 313625 208856 164077 40050 4729 2279227 1805097 430492 43638 1004153 810027 171721 22405 0 30821 30821 49056 49056 0 0 0 767500 523254 192935 51311 94287 1041 84813 8433 480586 261851 185158 33577 383530 252298 131232 0 476108 476108 686185 569283 108958 7944 0 0 106925 103352 2627 946 0 350963 111453 238077 1433 164280 160780 3500 PATIENT-RELATED EXPENSES 4918696 4918696 INPATIENT HOSPITAL FEES 666325 666325 BAD DEBT 227300 227300 TRAINING & RECRUITMENT 66213 39958 25670 585 0 0 0 0 26580624 22284233 3807765 488626 0 4875791 3592637 413541 467473 0 2976950 3127685 0 0 0 0 359101 430693 9941305 2247216 7958581 7694089 0 0 0 0 37659 34985 16621623 15347562 1758878 2105013 3493 11293 3112890 2940350 0 0 171656 122291 37816 54038 5084733 5232985 X 11359268 9978567 177622 136010 11536890 10114577 16621623 15347562 -1406091 -16222 0 X false true X true false X 672952 705383 700287 427542 509776 3015940 0 0 672952 705383 700287 427542 509776 3015940 105720 2910220 5996 5323 1625 6018 7274 26236 0 119895 160949 147383 111801 109008 649036 3691212 109278742 0.78840 0.71420 X Schedule A, Part II, Line 10, Other Income DESCRIPTION - GROSS INCOME FROM FUNDRAISING EVENTS, COLUMN A - 27197, COLUMN B - 82310, COLUMN C - 89086, COLUMN D - 68715, COLUMN E - 59138, COLUMN F - 326446; DESCRIPTION - OTHER INCOME, COLUMN A - 92698, COLUMN B - 78639, COLUMN C - 58297, COLUMN D - 43086, COLUMN E - 49870, COLUMN F - 322590; RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 1903 1903 false Schedule C, Part II-B, Line 1, Description of the activities reported on Lines 1a through 1i THE ORGANIZATION PAYS DUES TO NATIONAL HOSPICE AND PALLIATIVE CARE ORGANIZATION. A PORTION OF THOSE DUES ARE USED FOR LOBBYING. 515000 515000 7430207 1247133 6183074 502230 105196 397034 1473744 874763 598981 20124 20124 0 7694089 0 INTEREST RATE SWAP AGREEMENTS 54038 54038 X 25231743 -16222 73432 57210 25174533 0 0 25174533 26654056 73432 73432 26580624 0 0 26580624 Schedule D, Part X, Line 2, FIN 48 (ASC 740) footnote THE 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 GENERALLY 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 PENNSYLVANIA 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 JUNE 30, 2014 AND 2013. Schedule D, Part XI, Line 2d, Other revenues in audited financial statements not in form 990 FUNDRAISING EVENT EXPENSES - 64692; RENTAL EXPENSES - 8740; Schedule D, Part XII, Line 2d, Other expenses in audited financial statements not in form 990 FUNDRAISING EVENT EXPENSES - 64692; RENTAL EXPENSES - 8740; GOLF OUTING 105896 61398 44498 1500 15698 17210 8452 7401 MEMORIAL WALK 26918 12278 14640 300 150 13981 0 132814 73676 59138 1500 15698 17510 8452 150 21382 64692 -5554 X X X X false false false false false false false false false FRANCO INSANA CFO AND TREASURER 126464 0 0 0 0 0 3647 0 23168 0 153279 0 0 0 MARY BETH SALAMA PHYSICIAN 196768 0 0 0 0 0 5899 0 10299 0 212966 0 0 0 A WILKINS AREA INDUSTRIAL DEVELOPMENT AUTHORITY 251410750 2009-03-20 2895846 FINANCING OF BUILDINGS AND STRUCTURES USED FOR TAX-EXEMPT PURPOSES false false false B WILKINS AREA INDUSTRIAL DEVELOPMENT AUTHORITY 251410750 2009-03-20 1234326 FINANCING OF BUILDINGS AND STRUCTURES USED FOR TAX-EXEMPT PURPOSES false false false A 582798 0 2895846 0 0 0 0 0 0 0 2895846 0 2009 true false true true B 607023 0 1234326 0 0 0 20770 0 0 1213556 0 0 2009 false false true true A false false false false 0.00000 0.00000 0.00000 false false B false false false false 0.00000 0.00000 0.00000 false false A false true true true HUNTINGTON NATIONAL BANK 5.0 false false false false false B false true true true HUNTINGTON NATIONAL BANK 5.0 false false false false false A false B false SCHEDULE K, PART III, LINE 9, WRITTEN PROCEDURES THE ORGANIZATION IS IN THE PROCESS OF ADOPTING WRITTEN PROCEDURES TO ENSURE ALL NONQUALIFIED BONDS (IF ANY) OF THE ISSUE ARE REMEDIATED IN ACCORDANCE WITH THE ASSOCIATED REGULATIONS. THE ORGANIZATION STRIVES TO STAY ABREAST OF FEDERAL REGULATIONS AND CONSIDERS THE REPERCUSSIONS OF ALL SIGNIFICANT ACTIVITIES WHICH COULD FORESEEABLY HAVE AN IMPACT ON THE ORGANIZATION'S TAX EXEMPT BONDS AND THE ASSOCIATED FEDERAL TAX REGULATIONS. SCHEDULE K, PART IV, LINE 7, WRITTEN PROCEDURES THE ORGANIZATION IS IN THE PROCESS OF ADOPTING WRITTEN PROCEDURES TO MONITOR THE ORGANIZATION'S ABILITY TO REMAIN IN COMPLIANCE WITH THE ARBITRAGE REQUIREMENTS UNDER SECTION 148 OF THE INTERNAL REVENUE CODE. THE ORGANIZATION STRIVES TO STAY ABREAST OF FEDERAL REGULATIONS AND CONSIDERS THE REPERCUSSIONS OF ALL SIGNIFICANT ACTIVITIES WHICH COULD FORESEEABLY HAVE AN IMPACT ON THE ORGANIZATION'S TAX EXEMPT BONDS AND THE ASSOCIATED FEDERAL TAX REGULATIONS. SCHEDULE K, PART V, WRITTEN PROCEDURES THE ORGANIZATION IS IN THE PROCESS OF ADOPTING WRITTEN PROCEDURES WHICH DICTATE HOW MANAGEMENT TIMELY IDENTIFIES AND CORRECTS VIOLATIONS OF FEDERAL TAX REQUIREMENTS USING THE VOLUNTARY CLOSING AGREEMENT PROGRAM PROVIDED BY THE IRS WHEN SELF-REMEDIATION IS NOT AVAILABLE TO THE ORGANIZATION. THE ORGANIZATION STRIVES TO STAY ABREAST OF FEDERAL REGULATIONS AND CONSIDERS THE REPERCUSSIONS OF ALL SIGNIFICANT ACTIVITIES WHICH COULD FORESEEABLY HAVE AN IMPACT ON THE ORGANIZATION'S TAX EXEMPT BONDS AND THE ASSOCIATED FEDERAL TAX REGULATIONS. IN THE EVENT A VIOLATION IS IDENTIFIED THE ORGANIZATION'S POLICY IS TO CORRECT THE VIOLATION AS SOON AS POSSIBLE, WHILE WORKING WITH THE FEDERAL AUTHORITIES AS NECESSARY TO ENSURE THAT SUFFICIENT CONTROLS ARE PRESENT WHICH WILL GUARD AGAINST FUTURE VIOLATIONS. RX PARTNERS DEBORAH BRODINE, DIRECTOR OF FHPC, IS A DIRECTOR OF RX PARTNERS 742836 FHPC PURCHASES PATIENT-RELATED SUPPLIES FROM RX PARTNERS. false CHARTWELL DEBORAH BRODINE, DIRECTOR OF FHPC, IS A DIRECTOR OF CHARTWELL. 452612 FHPC PURCHASES PATIENT-RELATED SUPPLIES FROM CHARTWELL. false FORM 990, PART III, LINE 4C, PROGRAM DESCRIPTION (CONTINUED FROM PART III) IMPROVING CARE FOR VETERANS FACING ILLNESS AND DEATH - WEBINAR: HOSPICE FOUNDATION OF AMERICA. EXAMINES THE IMPACT THAT THE MILITARY EXPERIENCE CAN HAVE ON VETERANS WHO ARE DYING OR FACING GRIEF AND LOSS; SPECIAL ISSUES IN TREATING VETERANS AT THE END OF LIFE, INCLUDING TANGIBLE CONCERNS SUCH AS PAIN MANAGEMENT, AS WELL AS EMOTIONAL ISSUES LIKE THE NEED FOR FORGIVENESS; AND GRIEF AND LOSS ISSUES FOR BOTH VETERANS AND MILITARY SURVIVORS. 25 PARTICIPANTS GROWING THRU GRIEF - 6 WEEK EDUCATIONAL PROGRAM, OPEN TO THE PUBLIC, REGISTRATION REQUIRED. ATTENDEES ARE PRESENTED WITH AN ADULT LEARNING MODEL TO EXPLORE THE IMPACT OF THEIR LOSS ON LIFE & DEVELOP COPING MECHANISMS. REGIONALLY OFFERED AND HOSTED AT CHURCHES, LIBRARY, AND COMMUNITY CENTERS. 146 PARTICIPANTS MONTHLY BEREAVEMENT SUPPORT GROUPS - OPEN TO THE PUBLIC, NO PRE-REGISTRATION. WALK-INS WELCOME. LEADER (FHPC STAFF/VOLUNTEER) FACILITATES & EXPLORES THE ISSUES PRESENTED AND OFFERS COPING/ADJUSTMENT CONSIDERATIONS DESIGNED TO MEET THE IDENTIFIED NEEDS OF THOSE ATTENDING WHO ARE COPING WITH THE DEATH OF A LOVED ONE. OFFERED AT CCC, BALDWIN CHURCH, SENIOR CENTER (HERMITAGE), ST PAUL'S HOME, GREENVILLE, SOUTHMINSTER CHURCH, MT. LEBANON. 397 PARTICIPANTS CAMP HEALING HEARTS - OUTREACH FOR CHILDREN, AGES 6-12 WHO HAVE EXPERIENCED A LOSS. CAMP FOR GRIEVING CHILDREN AND THEIR PARENT/GUARDIAN. OPEN TO THE PUBLIC MAILINGS SENT TO SCHOOL DISTRICTS, HOSTED AT THE CCC. 15 PARTICIPANTS GRIEF AND THE HOLIDAYS - OPEN TO THE PUBLIC AT LARGE. ATTENDEES ARE PRESENTED WITH AN UNDERSTANDING OF THE CHALLENGES AND OPPORTUNITIES IN COPING WITH SEASONS THAT REFLECT CELEBRATION HOWEVER NOW ACCENTUATE EMOTIONAL UPHEAVAL RELATED TO THE LOSS OF A LOVED ONE. HOSTED AT CHURCHES, LIBRARIES, LONG TERM CARE, FUNERAL HOMES, SENIOR CENTERS (WHERE EVER THE REQUEST IS) 72 PARTICIPANTS BEREAVEMENT SUPPORT AND EDUCATION - EDUCATION SUPPORT AND DEBRIEFING SESSION RELATED TO GRIEF AND LOSS EXPERIENCED BY STAFF IN THE LONG TERM CARE CONTINUUM (COMMUNITY, STAFF AND SURVIVORS) 246 PARTICIPANTS DIVERSITY & END OF LIFE CARE - HOSPICE FOUNDATION OF AMERICA ANNUAL TELECONFERENCE AT THE CCC. HEALTH CARE PROFESSIONALS INVITED TO ENHANCE AND HEIGHTEN AWARENESS OF THE UNIQUE AND DIVERSE NEEDS OF INDIVIDUALS IN SPECIAL POPULATIONS RELATED TO RESPONSE AND COPING WITH END OF LIFE. TRIUMPH OVER LOSS-TEEN CAMP - DESIGNED FOR TEENS 13-18 WHO ARE COPING WITH LOSS OR MAJOR LIFE TRANSITION. HELD AT AUBERLE'S THERAPEUTIC CHALLENGE COURSE TEENS HAVE THE OPPORTUNITY TO GAIN INCREASED CONFIDENCE, ENTHUSIASM AND PROBLEM SOLVING STRATEGIES BY OVERCOMING CHALLENGES IN A SUPPORTIVE AND SAFE ENVIRONMENT. OFFERS TEENS A SAFE PLACE FOR COPING WITH LOSS. THE GROUP HELPS PARTICIPANTS IDENTIFY THEIR EXPERIENCES, FIND HEALTHY COPING TECHNIQUES AND FIND WAYS TO MOVE FORWARD. LOSS MAY INCLUDE THE DEATH OF A LOVED ONE, ANTICIPATORY GRIEF SURROUNDING AN ILL LOVED ONE OR SITUATIONS LIKE DIVORCE, DEPLOYMENT OR INCARCERATION. 5 PARTICIPANTS MEMORIAL SERVICE - THE MEMORIAL SERVICE AND RECEPTION WAS HELD FOR SURVIVORS FOR PATIENTS ON BOTH PALLIATIVE HOME CARE AND HOSPICE PROGRAMS. THE SERVICE ENGAGES ATTENDEES IN A CELEBRATION AND ENCOURAGES REMEMBERING THEIR LOVED ONES WHO HAVE DIED IN THE PAST 6 - 12 MONTHS (DEPENDENT ON REGION) - 858 PARTICIPANTS IMPORTANCE OF LIVING WILLS AND ROLE OF POAS - STAFF OF HAVELOCH COMMONS IN MCDONALD, PA. THIS PRESENTATION WAS A COMPREHENSIVE REVIEW OF LIVING WILLS-WHAT THEY ARE, HOW TO COMPLETE THEM AND THE ROLE OF THE MEDICAL POWER OF ATTORNEYS IF A PATIENT IS NO LONGER ABLE TO DRIVE DECISIONS AT THE END OF LIFE. 6 PARTICIPANTS. END OF LIFE CONVERSATIONS UPMC HERITAGE RESIDENTS - THIS PRESENTATION INVOLVED REVIEWING PATIENT RIGHTS TO SELF-DETERMINATION, CURATIVE V PALLIATIVE AND DEFINITIONS OF HOSPICE BENEFITS. ALSO DISCUSSED WERE FEELINGS OF THE RESIDENTS WHO ARE NEARING THE END OF THEIR LIVES AND ANSWERING MANY QUESTIONS ABOUT CHOICES AT THE END OF LIFE. 19 PARTICIPANTS POLST-DECISIONS REGARDING CARE AT THE END OF LIFE - SPRUCEWOOD COMMONS FOR RESIDENTS. REVIEWING PATIENT RIGHTS TO SELF-DETERMINATION, CURATIVE V PALLIATIVE AND DEFINITIONS OF HOSPICE BENEFITS. ALSO DISCUSSED WERE FEELINGS OF THE RESIDENTS WHO ARE NEARING THE END OF THEIR LIVES AND ANSWERING MANY QUESTIONS ABOUT CHOICES AT THE END OF LIFE. ALSO EXPLAINED TO THE GROUP WAS THE PENNSYLVANIA LAW REGARDING WISHES FOR RESUSCITATION OR NOT AND HAVING THE DOCUMENT TO SHARE THEIR WISHES WHEN THEY ARE NOT ABLE TO DO SO. 2 PARTICIPANTS END OF LIFE MEDICATIONS - SHENANGO PRESBYTERIAN SENIOR CARE FOR STAFF. INVOLVED REVIEWING PATIENT RIGHTS TO SELF-DETERMINATION, CURATIVE V PALLIATIVE AND DEFINITIONS OF HOSPICE BENEFITS. ALSO DISCUSSED WERE FEELINGS OF THE RESIDENTS WHO ARE NEARING THE END OF THEIR LIVES AND ANSWERING MANY QUESTIONS ABOUT CHOICES AT THE END OF LIFE. SPECIAL FOCUS ON THE MEDICATIONS USED TO PROMOTE COMFORT THROUGH THE DYING PROCESS. 7 PARTICIPANTS SPIRITUALITY AT THE END OF LIFE - UPMC SENECA PLACE AND HERITAGE FOR STAFF. THIS PRESENTATION WAS PROVIDED FOR THE STAFF OF A LONG TERM CARE FACILITY TO ADDRESS CULTURAL ISSUES RELATED TO SPIRITUALITY AND SPIRITUALITY/RELIGION AT THE END OF LIFE. 39 PARTICIPANTS ROLE OF HOSPICE TEAM - UPMC CANTERBURY PLACE FOR STAFF, THE ROLE OF THE WHOLE HOSPICE TEAM-PHYSICIANS, NURSES, SOCIAL WORKERS AND CHAPLAINS WAS REVIEWED TO ASSIST THESE LONG TERM CARE EMPLOYEES IN UNDERSTAND THE BENEFIT OF HOSPICE. 14 PARTICIPANTS ICE CREAM SOCIAL AND OVERVIEW OF HOSPICE - FOR RESIDENTS AT VARIOUS LOCATIONS, THE SERVICES PROVIDED BY A HOSPICE PROVIDER AND SPECIFICALLY FHPC WERE SHARED SO THAT RESIDENTS COULD BE AWARE OF THEIR RIGHTS TO THE BENEFIT AND TO SUPPORT THEM IN THE FUTURE DECISIONS REGARDING HOSPICE. 26 PARTICIPANTS HOSPICE 101 - AN OVERVIEW OF HOSPICE TO SHARE THE DETAILS OF THE SERVICE AND BENEFITS AND HOW STAFF CAN INCLUDE HOSPICE AS PART OF THEIR PLANNING WHEN PATIENTS CAN NO LONGER BE RESTORED TO HEALTH. AT VARIOUS LOCATIONS FOR STAFF AND RESIDENTS, 113 PARTICIPANTS CLINICAL INFORMATION; INPATIENT HOSPICE TRANSFER PROCESSES - FOR STAFF AT PRESBYTERIAN SENIOR CARE 7TH FLOOR, THIS WAS A SPECIAL PRESENTATION REGARDING THE DETAILS OF THE TRANSFER PROCESS FROM THE SKILLED FACILITY TO THE INPATIENT CENTER (2 CHOICES) OF FHPC.10 PARTICIPANTS ADVANCE DIRECTIVES AND THE ROLE OF THE POA - FOR RESIDENTS AT SWEET BRIAR PLACE, THIS WAS A SPECIAL PRESENTATION REGARDING THE DETAILS OF THE TRANSFER PROCESS FROM THE SKILLED FACILITY TO THE INPATIENT CENTER (2 CHOICES) OF FHPC. 4 PARTICIPANTS WHO IS FHPC? - AT VARIOUS LOCATIONS FOR STAFF AND CUSTOMERS, THE SERVICES PROVIDED BY A HOSPICE PROVIDER AND SPECIFICALLY FHPC WERE SHARED SO THAT THE RESIDENTS COULD BE AWARE OF THEIR RIGHTS TO THE BENEFIT AND THEIR LOVED ONES' RIGHT AND TO SUPPORT THEM IN THE FUTURE DECISIONS REGARDING HOSPICE. WE PROVIDED A FOCUS ON THE DIFFERENCE BETWEEN OUR HOSPICE AND OTHERS. 31 PARTICIPANTS DEMENTIA AND THE ROLE OF HOSPICE - FOR RESIDENTS OF JUNIPER VILLAGE, THE DIAGNOSIS OF DEMENTIA IS REVIEWED AND THE ROLE OF HOSPICE WITH PATIENTS CARRYING THAT DIAGNOSIS WAS EXPLAINED. NOT ALL DEMENTIA PATIENTS ARE HOSPICE APPROPRIATE; THIS WAS EXPLAINED TO THE RESIDENTS. AN OVERVIEW OF HOSPICE BENEFIT WAS ALSO PROVIDED. 22 PARTICIPANTS REDUCING READMISSION TO THE HOSPITAL-THE VALUE OF HOSPICE - AT GROVE CITY MEDICAL CENTER FOR STAFF, DEMONSTRATED THE VALUE OF HOSPICE IN PROVIDING SUPPORTIVE CARE FOR MANY PATIENTS AT HIGH RISK FOR RETURNING TO THE HOSPITAL TOO SOON AFTER HOSPITALIZATION. 34 PARTICIPANTS HEART HEALTH - AT BUCHANAN MANOR FOR RESIDENTS, A FOCUS ON HEART HEALTH AND HOW TO STAY AS HEALTHY AS POSSIBLE WAS PROVIDED FOR THE RESIDENTS. AN OVERVIEW OF THE HOSPICE BENEFIT WAS ALSO SHARED. 7 PARTICIPANTS NARCOTICS ADMINISTRATION - AT ASBURY HEIGHTS FOR STAFF, SPECIAL PRESENTATION REGARDING THE APPROPRIATE USE OF NARCOTICS AT THE END OF LIFE. STAFF ARE SOMETIMES HESITANT TO USE CERTAIN DOSES OF NARCOTICS AND THIS PRESENTATION PROVIDED DATA TO SHOW WHAT WAS SAFE AND EFFECTIVE. 5 PARTICIPANTS SHINGLES AND WELLNESS - AT NESHANOCK WOODS FOR RESIDENTS, SPECIAL PRESENTATION ON HERPES ZOSTER (SHINGLES) FOR RESIDENTS AS PUBLIC SERVICE AND AN OVERVIEW OF HOSPICE SERVICES WAS PROVIDED AS WELL. 6 PARTICIPANTS HOSPICE AND MISCONCEPTIONS - THE SERVICES PROVIDED BY A HOSPICE PROVIDER AND SPECIFICALLY FHPC WERE SHARED SO THAT THE STAFF COULD BE AWARE OF THEIR PATIENTS' RIGHTS TO THE BENEFIT AND THEIR OWN RIGHT AS WELL AND TO SUPPORT THEM IN THE FUTURE DECISIONS REGARDING HOSPICE. THE MANY MYTHS ABOUT HOSPICE WERE DEBUNKED. AT UPMC GREENVILLE AND SHENANGO FOR STAFF, 461 PARTICIPANTS HOSPICE MEDICATIONS - AT ORCHARD MANOR FOR STAFF, SPECIAL PRESENTATION REGARDING THE APPROPRIATE USE OF NARCOTICS AT THE END OF LIFE. STAFF ARE SOMETIMES HESITANT TO USE CERTAIN DOSES OF NARCOTICS AND THIS PRESENTATION PROVIDED DATA TO SHOW WHAT WAS SAFE AND EFFECTIVE. OTHER MEDICATIONS AT THE END OF LIFE AND THROUGHOUT HOSPICE C Form 990, Part VI, Sec A, Line 1a, Delegate broad authority to a committee THE EXECUTIVE COMMITTEE, TO THE EXTENT PROVIDED IN THE RESOLUTION OF THE BOARD OF DIRECTORS, SHALL HAVE AND MAY EXERCISE ALL OF THE POWERS AND AUTHORITY OF THE BOARD OF DIRECTORS IN THE MANAGEMENT OF THE HOSPICE IN THE INTERVALS BETWEEN MEETINGS OF THE BOARD. Form 990, Part VI, Sec A, Line 2, Family/business relationships amongst interested persons DEBORAH BRODINE AND JOANNE HAHEY - BUSINESS RELATIONSHIP Form 990, Part VI, Sec A, Line 4, Significant changes to organizational documents THE ORGANIZATION'S BOARD OF DIRECTORS AMENDED THE ORGANIZATION'S BYLAWS TO BETTER DEFINE CORPORATE AFFILIATES WHICH CONSTITUTE BOARD DESIGNEES, EFFECTIVE JUNE 23, 2014. Form 990, Part VI, Sec A, Line 6, Classes of members or stockholders DIRECTORS OF THE BOARD SHALL BE ELECTED AT REGULARLY SCHEDULED MEETINGS OF THE BOARD. THE SLATE OF POTENTIAL DIRECTORS SHALL BE PREPARED BY THE GOVERNANCE COMMITTEE IN ACCORDANCE WITH APPLICABLE PROVISIONS OF THE BYLAWS. THE BOARD SHALL ELECT AND MAINTAIN A BOARD THAT REFLECTS DIVERSE SKILLS, INFLUENCES AND DEMOGRAPHICS AND MEETS THE FOLLOWING COMPOSITION: - ONE (1) CORPORATE AFFILIATE BOARD DESIGNEE PER CORPORATE AFFILIATE; - THE PRESIDENT OF THE HOSPICE, WHO SHALL SERVE AS AN EX-OFFICIO MEMBER WITH VOTE; AND - THE REMAINDER OF THE BOARD SHALL BE COMPRISED OF COMMUNITY MEMBERS AT LARGE. Form 990, Part VI, Sec A, Line 7a, Members or stockholders electing members of governing body THE CORPORATE MEMBERS HAVE THE CONTRACTUAL RIGHT TO APPOINT MEMBERS TO THE ORGANIZATION'S BOARD OF DIRECTORS, WHICH MUST BE APPROVED BY THE ORGANIZATION'S ENTIRE BOARD OF DIRECTORS. Form 990, Part VI, Sec B, Line 11b, Review of form 990 by governing body THE FINANCE COMMITTEE REVIEWED THE FINAL FORM 990 ON MARCH 2, 2015 AND RECOMMENDED APPROVAL TO THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS APPROVED THE FINAL VERSION PRIOR TO FILING WITH THE IRS. Form 990, Part VI, Sec B, Line 12c, Conflict of interest policy FAMILY HOSPICE AND PALLIATIVE CARE REQUIRES ITS INTERESTED PERSONS (WHICH INCLUDES ITS BOARD OF DIRECTORS, BOARD OF OFFICERS, BOARD-DELEGATED COMMITTEE MEMBERS, PRESIDENT, CHIEF EXECUTIVE OFFICER, VICE PRESIDENTS, DIRECTORS, OR ANY OTHER INDIVIDUAL WHO MAY EITHER INFLUENCE OR HAS THE AUTHORITY TO ENTER INTO AGREEMENTS ON BEHALF OF FAMILY HOSPICE AND PALLIATIVE CARE), TO DISCLOSE ANY FINANCIAL INTEREST TO THE BOARD OF DIRECTORS WHENEVER SUCH FINANCIAL INTEREST ARISES. ALSO, SUCH INTERESTED PERSONS MUST, ON AN ANNUAL BASIS, ACKNOWLEDGE RECEIPT OF A COPY OF FAMILY HOSPICE AND PALLIATIVE CARE'S CONFLICT OF INTEREST POLICY AND CONFIRM THE EXISTENCE AND NATURE OF ANY FINANCIAL INTERESTS. AFTER DISCLOSURE OF A FINANCIAL INTEREST, THE BOARD OF DIRECTORS SHALL DETERMINE WHETHER FAMILY HOSPICE AND PALLIATIVE CARE CAN OBTAIN WITH REASONABLE EFFORTS A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY POSSIBLE UNDER CIRCUMSTANCES NOT PRODUCING A CONFLICT OF INTEREST, THE BOARD OF DIRECTORS SHALL DETERMINE BY A MAJORITY VOTE OF ITS DISINTERESTED DIRECTORS WHETHER THE TRANSACTION OR ARRANGEMENT IS IN FAMILY HOSPICE AND PALLIATIVE CARE'S BEST INTEREST, FOR ITS OWN BENEFIT, AND WHETHER IT IS FAIR AND REASONABLE. IN CONFORMITY WITH THE ABOVE DETERMINATION THE BOARD OF DIRECTORS SHALL MAKE ITS DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT. IF THE BOARD OF DIRECTORS HAS REASONABLE CAUSE TO BELIEVE THAT A PERSON HAS VIOLATED ITS CONFLICT OF INTEREST POLICY BY FAILING TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, THE BOARD OF DIRECTORS SHALL INFORM THE PERSON OF THE BASIS FOR SUCH BELIEF AND AFFORD SUCH PERSON AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. IF AFTER HEARING THE PERSON'S RESPONSE AND AFTER MAKING SUCH FURTHER INVESTIGATION AS WARRANTED BY THE CIRCUMSTANCES, THE BOARD OF DIRECTORS DETERMINES THAT THE PERSON HAS FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, THE BOARD OF DIRECTORS SHALL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION. Form 990, Part VI, Sec B, Line 15a, Process to establish compensation of top management official THE BOARD OF DIRECTORS ESTABLISHES ANNUAL PERFORMANCE GOALS AND OBJECTIVES FOR THE PRESIDENT/CEO. AFTER COMPLETION AND APPROVAL OF ANNUAL AUDITED FINANCIAL STATEMENTS, THE BOARD OF DIRECTORS DETERMINES THE EXTENT OF COMPENSATION ADJUSTMENTS FOR THE PRESIDENT/CEO BASED ON ACHIEVEMENT OF THOSE PREDETERMINED GOALS AND OBJECTIVES. THE BOARD OF DIRECTORS ALSO CONSIDERS THE SCOPE OF THE PRESIDENT/CEO'S RESPONSIBILITIES. THE MINUTES OF ALL RELEVANT BOARD OF DIRECTORS MEETINGS CONTEMPORANEOUSLY DOCUMENT THE DISCUSSION, REVIEW AND APPROVAL PROCESS FOR COMPENSATION OF KEY EMPLOYEES. THIS PROCESS WAS LAST UNDERTAKEN IN 2013. FORM 990, PART VI, LINE 15B, COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES THE PRESIDENT/CEO EVALUATES ANNUAL COMPENSATION FOR OTHER OFFICERS AND KEY EMPLOYEES USING THE SAME PROCESS, BASED ON ANNUAL PERFORMANCE GOALS AND OBJECTIVES, THE KEY EMPLOYEE'S SCOPE OF RESPONSIBILITIES AND MANAGEMENT COMPENSATION PAID BY OTHER COMPARABLE ORGANIZATIONS. THE PROCESS IS DOCUMENTED IN EACH EMPLOYEE'S FILE. THE PROCESS WAS LAST UNDERTAKEN IN 2013. Form 990, Part VI, Sec C, Line 19, Required documents available to the public GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC. WOMEN'S CHRISTIAN ASSOCIATION 50 MOFFETT STREET PITTSBURGH PA 15243 256052744 INACTIVE PA 501(C)(3) 7 FAMILY HOSPICE AND PALLIATIVE CARE true false false false false false false false false false false false false false false false false false true false