2014-03-17T07:21:59-05:00 2013-09-30 461497033 EKS&H LLLP 7979 E TUFTS AVENUE SUITE 400 DENVER CO 802372521 990 2012-10-01 841453050 PIKES PEAK HOSPICE FOUNDATION PIKE 7196333400 2550 TENDERFOOT HILL STREET COLORADO SPRINGS CO 80906 MARTHA BARTON 7196333400 2014-02-27 1 DORI J EGGETT P00645252 3037409400 2012 2015-11-30 17:44:51Z MARTHA BARTON 2550 TENDERFOOT HILL STREET COLORADO SPRINGS CO 80906 3648282 0 X WWW.PIKESPEAKHOSPICE.ORG X 1998 CO TO GENERATE AND DISTRIBUTE FUNDS IN SUPPORT OF PIKES PEAK HOSPICE & PALLIATIVE CARE, INC. 13 12 0 612 0 0 5584768 1812045 0 0 197585 472738 -38844 55 5743509 2284838 4288721 3354273 0 0 232107 243682 0 0 367244 401988 305051 4922816 3903006 820693 -1618168 14032328 12808588 38536 36939 13993792 12771649 THE MISSION OF PIKES PEAK HOSPICE FOUNDATION IS TO GENERATE AND DISTRIBUTE FUNDS IN SUPPORT OF PIKES PEAK HOSPICE & PALLIATIVE CARE, INC., SERVE THE CHARITABLE INTERESTS OF OUR DONORS AND PRUDENTLY MANAGE THEIR GIFTS. 0 0 3403909 3354273 PIKES 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. 3403909 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 13 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X VALERIE HERL 7196333400 2550 TENDERFOOT HILL STREET COLORADO SPRINGS CO 80906 X DORIS BAKER 1.00 X X 0 0 0 PATRICIA MARTIN 1.00 X X 0 0 0 TOM DERMODY 1.00 X X 0 0 0 STEVE HOCHSTETTER 1.00 X X 0 0 0 BILL BERENZ 1.00 X X 0 0 0 SHARON HARE 1.00 1.00 X 0 0 0 SCOTT DAVIS 1.00 X 0 0 0 CARLA HARTSELL 1.00 X 0 0 0 SCOTT ROSS DO 1.00 X 0 0 0 BRIAN WAGNER 1.00 X 0 0 0 BILL JOHANNSEN 1.00 X 0 0 0 MARTHA BARTON 1.00 40.00 X X 0 194587 4967 ROGER HILL 1.00 X 0 0 0 JOAN SELMAN 40.00 X 0 96338 2670 0 290925 7637 0 0 1 0 0 47763 1764282 42650 1812045 286859 286859 1549323 1363444 185879 185879 185879 ART OF LIVING 900099 55 55 55 2284838 0 0 472793 3354273 3354273 101882 5094 96788 107263 2145 105118 656 13 643 16717 334 16383 17164 547 16617 6417 6417 11801 11801 39854 39854 10500 10500 100897 100897 5087 5087 15348 15348 18617 18617 3362 3362 27019 27019 2632 2632 DIRECT PATIENT SERVICES 49636 49636 13881 13881 3903006 3403909 131853 367244 300 300 920038 1108705 1623960 701933 1019 2883 152485 61845 22164 90640 10202020 9920285 1262827 983842 14032328 12808588 23652 26024 14884 10915 38536 36939 X 8700104 8729397 2257583 1224147 3036105 2818105 13993792 12771649 14032328 12808588 X -1618168 619185 -223160 X 0 1 X 1 0 X X X 0 0 0 PIKES PEAK HOSPICE & PALLIATIVE CARE 840816047 9 1 3354273 1 3354273 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2654114 62548 310034 3026696 2106113 203440 344561 2654114 2070890 9333 25890 2106113 1749395 131307 190188 2070890 0.62290 0.37710 0 0 76485 61845 14640 76000 76000 90640 BENEFICIAL INTEREST IN PERPETUAL TRUST 932861 BENEFICIAL INTEREST IN CHARITABLE REMAINDER TRUST 50981 983842 ANNUITY OBLIGATIONS 10915 10915 X 2633428 619185 5665 -276260 348590 2284838 0 2284838 501298 5665 -53100 -47435 548733 3354273 3354273 3903006 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. 1 PIKES PEAK HOSPICE & PALLIATIVE CARE INC 2550 TENDERFOOT HILL STREET COLORADO SPRINGS CO 80906 840816047 501(C)(3) 3354273 ORGANIZATION SUPPORTS PIKES PEAK HOSPICE & PALLIATIVE CARE, INC. 1 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: THE ENTITIES ARE RELATED. 0 0 0 0 0 0 0 0 0 MARTHA BARTON 0 191887 0 2700 0 0 0 4967 0 0 0 199554 0 0 X BURIAL PLOTS 7 20350 DONOR VALUED X COMPUTER HW 1 19800 DONOR VALUED X MUSICAL INST 1 2500 DONOR VALUED 0 0 1 0 METHOD FOR DETERMINING NUMBER OF CONTRIBUTIONS: PART I, COLUMN (B): BURIAL PLOTS - NUMBER OF ITEMS. COMPUTER HARDWARE AND MUSICAL INSTRUMENTS - NUMBER OF CONTRIBUTIONS FORM 990, PART VI, SECTION A, LINE 1 THE FOUNDATION'S EXECUTIVE COMMITTEE SHALL BE AUTHORIZED TO ACT IN THE PLACE OF THE FOUNDATION BOARD BETWEEN MEETINGS AND SHALL BE AUTHORIZED TO TAKE ALL ACTION NECESSARY IN THE EVENT THAT SUCH ACTION CANNOT WAIT FOR THE NEXT REGULARLY SCHEDULED FOUNDATION BOARD MEETING. IN THE EVENT THE EXECUTIVE COMMITTEE TAKES ACTION IN THE PLACE OF THE FOUNDATION BOARD BETWEEN REGULARLY SCHEDULED MEETINGS, THE EXECUTIVE COMMITTEE SHALL REPORT ALL SUCH ACTION TO THE FOUNDATION BOARD AT THE NEXT REGULARLY SCHEDULED MEETING. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS REVIEWED BY THE TREASURER AND VP OF BUSINESS 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 12C ANNUAL EDUCATION TO BOARD MEMBERS AND STAFF. ALL CONFLICTS ADDRESSED BY OFFICERS AND CONTRACT LEGAL COUNSEL AS NEEDED. FORM 990, PART VI, SECTION C, LINE 19 THESE DOCUMENTS ARE AT THE ORGANIZATION'S LOCATION AND ARE AVAILABLE UPON REQUEST. FORM 990, PART VII, SECTION A PIKES PEAK HOSPICE & PALLIATIVE CARE, INC. PAYS THE SALARIES FOR THE ORGANIZATION'S EMPLOYEES. THEREFORE, THE ORGANIZATION DOES NOT REPORT ANY COMPENSATION ON W-2S OR 1099-MISCS FOR ITS EMPLOYEES. CHANGES IN NET ASSETS OR FUND BALANCES: 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. PIKES PEAK HOSPICE & PALLIATIVE CARE INC 2550 TENDERFOOT HILL STREET COLORADO SPRINGS CO 80906 840816047 CARE OF TERMINALLY ILL CO 501(C)(3) LINE 9 N/A 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0