PIKES PEAK HOSPICE FOUNDATION: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
PIKES PEAK HOSPICE FOUNDATION (EIN 84-1453050)
Tax period
2012-10-01 to 2013-09-30
Filed
2014-03-17
IRS object ID
201400779349300600
Schema version
2012v2.1
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)
Timestamp2014-03-17T07:21:59-05:00Timestamp
Tax Period End Date2013-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN461497033EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1EKS&H LLLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line17979 E TUFTS AVENUE SUITE 400AddressLine1
CityDENVERCity
StateCOState
ZIP Code802372521ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN841453050EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1PIKES PEAK HOSPICE FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlPIKENameControl
Phone7196333400Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12550 TENDERFOOT HILL STREETAddressLine1
CityCOLORADO SPRINGSCity
StateCOState
ZIP Code80906ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMARTHA BARTONName
TitlePRESIDENT & CEOTitle
Phone7196333400Phone
Date Signed2014-02-27DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameDORI J EGGETTName
PTINP00645252PTIN
Phone3037409400Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMARTHA BARTONNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12550 TENDERFOOT HILL STREETAddressLine1
CityCOLORADO SPRINGSCity
StateCOState
ZIP Code80906ZIPCode
FieldValueIRS element (for citing)
Gross Receipts3648282GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.PIKESPEAKHOSPICE.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1998YearFormation
State Legal DomicileCOStateLegalDomicile
Activity Or Mission DescriptionTO GENERATE AND DISTRIBUTE FUNDS IN SUPPORT OF PIKES PEAK HOSPICE & PALLIATIVE CARE, INC.ActivityOrMissionDescription
Nbr Voting Members Governing Body13NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers612TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year5584768ContributionsGrantsPriorYear
Contributions Grants Current Year1812045ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year197585InvestmentIncomePriorYear
Investment Income Current Year472738InvestmentIncomeCurrentYear
Other Revenue Prior Year-38844OtherRevenuePriorYear
Other Revenue Current Year55OtherRevenueCurrentYear
Total Revenue Prior Year5743509TotalRevenuePriorYear
Total Revenue Current Year2284838TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year4288721GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY3354273GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year232107SalariesEtcPriorYear
Salaries Etc Current Year243682SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year367244TotalFundrsngExpCurrentYear
Other Expense Prior Year401988OtherExpensePriorYear
Other Expenses Current Year305051OtherExpensesCurrentYear
Total Expenses Prior Year4922816TotalExpensesPriorYear
Total Expenses Current Year3903006TotalExpensesCurrentYear
Revenues Less Expenses Prior Year820693RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-1618168RevenuesLessExpensesCY
Total Assets BOY14032328TotalAssetsBOY
Total Assets EOY12808588TotalAssetsEOY
Total Liabilities BOY38536TotalLiabilitiesBOY
Total Liabilities EOY36939TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY13993792NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY12771649NetAssetsOrFundBalancesEOY
Mission DescriptionTHE 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.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense3403909Expense
Grants3354273Grants
DescriptionPIKES PEAK HOSPICE FOUNDATION IS A SUPPORTING ORGANIZATION FOR PIKES PEAK HOSPICE & PALLIATIVE CARE, INC. WHICH PROVIDED SERVICES TO 1606 PATIENTS IN FISCAL YEAR 2013. AMOUNT TRANSFERRED TO PPHPC WAS $3,354,273 IN FISCAL YEAR 2013. $1,313,466 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.Description
Total Program Service Expense3403909TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Excess Business Holdings0ExcessBusinessHoldings
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members13NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1VALERIE HERLBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7196333400TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12550 TENDERFOOT HILL STREETAddressLine1
CityCOLORADO SPRINGSCity
StateCOState
ZIP Code80906ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (14 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationAverage Hours Per Week RelatedAverageHoursPerWeekRelated
DORIS BAKER
SECRETARY1.00XX000
PATRICIA MARTIN
MEMBER-AT-LARGE1.00XX000
TOM DERMODY
VICE-CHAIR1.00XX000
STEVE HOCHSTETTER
TREASURER1.00XX000
BILL BERENZ
CHAIR1.00XX000
SHARON HARE
BOARD LIASON1.00X0001.00
SCOTT DAVIS
TRUSTEE1.00X000
CARLA HARTSELL
TRUSTEE1.00X000
SCOTT ROSS DO
TRUSTEE1.00X000
BRIAN WAGNER
TRUSTEE1.00X000
BILL JOHANNSEN
TRUSTEE1.00X000
MARTHA BARTON
PRESIDENT/CEO1.00XX0194587496740.00
ROGER HILL
TRUSTEE1.00X000
JOAN SELMAN
EXECUTIVE DIRECTOR40.00X0963382670
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs290925TotalReportableCompFrmRltdOrgs
Total Other Compensation7637TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Federated Campaigns47763FederatedCampaigns
All Other Contributions1764282AllOtherContributions
Noncash Contributions42650NoncashContributions
Total Contributions1812045TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column286859TotalRevenueColumn
Exclusion$286,859ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities1549323Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities1363444Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities185879Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column185879TotalRevenueColumn
Exclusion$185,879ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionART OF LIVINGDescription
Business Code900099BusinessCode
Total Revenue Column55TotalRevenueColumn
Exclusion$55ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue55TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column2284838TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$472,793ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total3354273Total
Program Services3354273ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total101882Total
Management And General5094ManagementAndGeneral
Fundraising96788Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total107263Total
Management And General2145ManagementAndGeneral
Fundraising105118Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total656Total
Management And General13ManagementAndGeneral
Fundraising643Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total16717Total
Management And General334ManagementAndGeneral
Fundraising16383Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total17164Total
Management And General547ManagementAndGeneral
Fundraising16617Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total6417Total
Fundraising6417Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total11801Total
Management And General11801ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total39854Total
Management And General39854ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total10500Total
Fundraising10500Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total100897Total
Fundraising100897Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total5087Total
Management And General5087ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total15348Total
Management And General15348ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total18617Total
Management And General18617ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total3362Total
Management And General3362ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total27019Total
Management And General27019ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total2632Total
Management And General2632ManagementAndGeneral

Other Expenses OtherExpenses

FieldValueIRS element (for citing)
DescriptionDIRECT PATIENT SERVICESDescription
Total49636Total
Program Services49636ProgramServices

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total13881Total
Fundraising13881Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total3903006Total
Program Services3403909ProgramServices
Management And General131853ManagementAndGeneral
Fundraising367244Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY300BOY
EOY300EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY920038BOY
EOY1108705EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY1623960BOY
EOY701933EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1019BOY
EOY2883EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis152485LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec61845LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY22164BOY
EOY90640EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY10202020BOY
EOY9920285EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1262827BOY
EOY983842EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY14032328BOY
EOY12808588EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY23652BOY
EOY26024EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY14884BOY
EOY10915EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY38536BOY
EOY36939EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY8700104BOY
EOY8729397EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY2257583BOY
EOY1224147EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY3036105BOY
EOY2818105EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY13993792BOY
EOY12771649EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY14032328BOY
EOY12808588EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-1618168ReconcilationRevenueExpenses
Reconciliation Unrealized Invest619185ReconciliationUnrealizedInvest
Reconcilation Other Changes-223160ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type1XSupportingOrg509a3Type1
Certification CheckboxXCertificationCheckbox
Contrib By Controlling Individual0ContribByControllingIndividual
Contribution By Related Party0ContributionByRelatedParty
Contrib By35 Controlled Entity0ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1PIKES PEAK HOSPICE & PALLIATIVE CAREBusinessNameLine1
FieldValueIRS element (for citing)
EIN840816047EIN
Type Of Organization9TypeOfOrganization
Listed In Governing Doc1ListedInGoverningDoc
Amount$3,354,273Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts3354273SumOfAmounts

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 D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance2654114BeginningOfYearBalance
Contributions62548Contributions
Investment Earnings Or Losses310034InvestmentEarningsOrLosses
End Of Year Balance3026696EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance2106113BeginningOfYearBalance
Contributions203440Contributions
Investment Earnings Or Losses344561InvestmentEarningsOrLosses
End Of Year Balance2654114EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance2070890BeginningOfYearBalance
Contributions9333Contributions
Investment Earnings Or Losses25890InvestmentEarningsOrLosses
End Of Year Balance2106113EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance1749395BeginningOfYearBalance
Contributions131307Contributions
Investment Earnings Or Losses190188InvestmentEarningsOrLosses
End Of Year Balance2070890EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance0.62290PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.37710TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis76485OtherCostOrOtherBasis
Depreciation61845Depreciation
Book Value14640BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis76000OtherCostOrOtherBasis
Book Value76000BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings90640TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
BENEFICIAL INTEREST IN PERPETUAL TRUST932861
BENEFICIAL INTEREST IN CHARITABLE REMAINDER TRUST50981
FieldValueIRS element (for citing)
Total Book Value Other Assets983842TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionANNUITY OBLIGATIONSDescription
Amount$10,915Amount
FieldValueIRS element (for citing)
Total Of Amounts10915TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt2633428TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments619185NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities5665DonatedSrvcAndUseOfFacilities
Other Revenues-276260OtherRevenues
Revenue Not Rptd F990348590RevenueNotRptdF990
Revenue Subtotal2284838RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form9902284838TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt501298TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities5665DonatedServicesUseOfFacilities
Other Expenses Included-53100OtherExpensesIncluded
Expenses Not Rptd F990-47435ExpensesNotRptdF990
Expenses Subtotal548733ExpensesSubtotal
Other Expenses Not Included3354273OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt3354273ExpensesNotRptdOnFinStmt
Total Expenses Per Form9903903006TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: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.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: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, 2013 AND 2012. 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, 2013 AND 2012. TAX YEARS THAT REMAIN SUBJECT TO EXAMINATION INCLUDE 2010 THROUGH THE CURRENT PERIOD FOR THE FEDERAL RETURN AND 2009 THROUGH THE CURRENT PERIOD FOR THE COLORADO RETURN.
PART XI, LINE 2D - OTHER ADJUSTMENTS:CHANGE IN VALUE OF BENEFICIAL INTEREST IN CHARITABLE REMAINDER TRUST 1,563. CHANGE IN VALUE OF BENEFICIAL INTEREST IN PERPETUAL TRUST -280,548. CHANGE IN VALUE OF BENEFICIAL INTEREST IN CGA TRUST 2,725.
PART XII, LINE 2D - OTHER ADJUSTMENTS:UNCOLLECTIBLE PLEDGES -53,100.
PART XII, LINE 4B - OTHER ADJUSTMENTS:TRANSFERS TO PIKES PEAK HOSPICE AND PALLIATIVE CARE 3,354,273.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1PIKES PEAK HOSPICE & PALLIATIVE CARE INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12550 TENDERFOOT HILL STREETAddressLine1
CityCOLORADO SPRINGSCity
StateCOState
ZIP Code80906ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient840816047EINOfRecipient
IRC Section501(C)(3)IRCSection
Amount Of Cash Grant3354273AmountOfCashGrant
Purpose Of GrantORGANIZATION SUPPORTS PIKES PEAK HOSPICE & PALLIATIVE CARE, INC.PurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: THE ENTITIES ARE RELATED.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonMARTHA BARTONNamePerson
TitlePRESIDENT/CEOTitle
Base Compensation Filing Org0BaseCompensationFilingOrg
Comp Based On Related Orgs191887CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs2700BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org0DeferredCompFilingOrg
Deferred Comp Related Orgs4967DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org0NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org0TotalCompensationFilingOrg
Total Compensation Related Orgs199554TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Schedule M IRS990ScheduleM

Other Non Cash Contributions Table OtherNonCashContributionsTable (3 entries)

Non Cash CheckboxNonCashCheckboxDescriptionDescriptionNumber Of ContributionsNumberOfContributionsNoncash Contribs Rptd F990NoncashContribsRptdF990Method Of Determining RevenuesMethodOfDeterminingRevenues
XBURIAL PLOTS720350DONOR VALUED
XCOMPUTER HW119800DONOR VALUED
XMUSICAL INST12500DONOR VALUED
FieldValueIRS element (for citing)
Number Of8283 Received0NumberOf8283Received
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts1ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII

FieldValueIRS element (for citing)
IdentifierMETHOD FOR DETERMINING NUMBER OF CONTRIBUTIONS:Identifier
Return ReferencePART I, COLUMN (B):ReturnReference
ExplanationBURIAL PLOTS - NUMBER OF ITEMS. COMPUTER HARDWARE AND MUSICAL INSTRUMENTS - NUMBER OF CONTRIBUTIONSExplanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 1THE 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 11THE FORM 990 IS REVIEWED BY THE TREASURER AND VP OF BUSINESS OPERATIONS 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 12CANNUAL EDUCATION TO BOARD MEMBERS AND STAFF. ALL CONFLICTS ADDRESSED BY OFFICERS AND CONTRACT LEGAL COUNSEL AS NEEDED.
FORM 990, PART VI, SECTION C, LINE 19THESE DOCUMENTS ARE AT THE ORGANIZATION'S LOCATION AND ARE AVAILABLE UPON REQUEST.
FORM 990, PART VII, SECTION APIKES 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 1,563. CHANGE IN VALUE OF BENEFICIAL INTEREST IN PERPETUAL TRUST -280,548. CHANGE IN VALUE OF BENEFICIAL INTEREST IN CGA TRUST 2,725. UNCOLLECTIBLE PLEDGES 53,100.CHANGES IN NET ASSETS OR FUND BALANCES:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1PIKES PEAK HOSPICE & PALLIATIVE CARE INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12550 TENDERFOOT HILL STREETAddressLine1
CityCOLORADO SPRINGSCity
StateCOState
ZIP Code80906ZIPCode
FieldValueIRS element (for citing)
EIN840816047EIN
Primary ActivitiesCARE OF TERMINALLY ILLPrimaryActivities
Legal Domicile StateCOLegalDomicileState
Exempt Code Section501(C)(3)ExemptCodeSection
Public Charity StatusLINE 9PublicCharityStatus
Direct Controlling Entity NAN/ADirectControllingEntityNA
Controlled Org0ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

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