2014-01-29T08:00:05-06:00 2013-06-30 CROWE HORWATH LLP 70 West Madison Street Suite 700 Chicago IL 606024903 990 2012-07-01 251529649 FAMILY HOSPICE AND PALLIATIVE CARE FAMI 4125728800 50 Moffett Street Pittsburgh PA 15243 FRANCO INSANA 2014-01-27 true Nicole Bencik P00756195 3128997000 2012 2015-11-30 17:44:51Z FRANCO INSANA 50 Moffett Street Pittsburgh PA 15243 26135613 false X WWW.FAMILYHOSPICE.COM X 1980 PA TO PROVIDE COMPASSIONATE, QUALITY CARE FOR PEOPLE WITH LIFE-LIMITING ILLNESSES & THEIR FAMILIES. 15 14 335 495 0 0 724263 427542 21361980 25590252 205 -3477 88187 33720 22174635 26048037 0 0 0 0 12794545 15460179 0 0 405130 7667535 9249227 20462080 24709406 1712555 1338631 15122551 16621623 4972645 5084733 10149906 11536890 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 20246335 0 24958880 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 3,235 PATIENTS CONSISTING OF 163,240 VISITS BY PHYSICIANS, NURSING, SOCIAL SERVICE, COUNSELING, THERAPY AND BEREAVEMENT STAFF. ALSO, THE ORGANIZATION PROVIDED $150,573 OF UNCOMPENSATED MANDATORY CARE TO 18 PATIENTS. THIS INCLUDED SERVICES PROVIDED BY PHYSICIANS, NURSING, COUNSELING AND BEREAVEMENT, IN ADDITION TO PHARMACEUTICALS, SUPPLIES AND DURABLE MEDICAL EQUIPMENT. 518711 0 643419 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 8,687 VISITS BY A PHYSICIAN, NURSES, SOCIAL SERVICE STAFF, COUNSELORS, AND THERAPY STAFF. ALSO, THE ORGANIZATION PROVIDED $2,346 OF UNCOMPENSATED MANDATORY CARE TO 1 PATIENT. THIS INCLUDED SERVICES PROVIDED BY PHYSICIANS, NURSING AND COUNSELING. 178108 0 0 THE ORGANIZATION OFFERS COMPLIMENTARY SERVICES AND PROVIDES THE FOLLOWING PROGRAMS TO BENEFIT THE COMMUNITY: COMPLIMENTARY SERVICES: 551 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 $123,832. (CONTINUED IN SCHEDULE O). 20943154 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 false false false false false true 118 0 true 335 true false false false false false true true false false false false X 15 14 true false true false true true false true true false false true true true true true true false false false PA X Franco Insana CFO 4125728800 50 Moffett Street Pittsburgh PA 15243 BOB BUTTER 5.00 X X 0 0 0 DEBORAH BRODINE 3.00 X X 0 0 0 FRANCO INSANA 40.00 X X 112733 0 26949 RAFAEL SCIULLO 40.00 X X 234038 0 13889 SANDRA R TOMLINSON 2.00 X X 0 0 0 BEVERLY DORMAN 2.00 X 0 0 0 BRUCE AUSTIN 2.00 X 0 0 0 DAVID FRIEDLAND MD 2.00 X 0 0 0 G ALAN YEASTED MD 2.00 X 0 0 0 JOANNE HAHEY 2.00 X 0 0 0 JON ALLEGRETTI 2.00 X 0 0 0 JONATHAN LUSHKO 2.00 X 0 0 0 KIM WARD BURNS 2.00 X 0 0 0 LISA TURBEVILLE MARKOWSKI 2.00 X 0 0 0 PAUL WINKLER 3.00 X 0 0 0 ROBERT C JACKSON JR 2.00 X 0 0 0 MARY BETH SALAMA 40.00 X 186327 0 6351 THERESA GUALTERI 55.00 X 116870 0 10920 649968 0 58109 4 false true false UPMC COMMUNITY PROVIDER SERVICES 200 LOTHROP STREET PITTSBURGH PA 15213 PHYSICIANS AND NURSE PRACTITIONERS 525762 UNIVERSITY OF PITTSBURGH PHYSICIANS 3550 TERRACE STREET PITTSBURGH PA 15261 PHYSICIAN 248517 CURA HOSPITALITY PO BOX 827276 PHILADELPHIA PA 19182 DIETARY SERVICES 211506 ELIZABETH TOWNSHIP AREA EMS PO BOX 539 BUENA VISTA PA 15018 AMBULANCE 190506 MBM CONTRACTING 4999 OLD CLAIRTON RD PITTSBURGH PA 15236 BUILDING IMPROVEMENTS 134371 5 21033 0 67019 0 0 339490 0 427542 NET PATIENT REVENUE 623990 25590252 25590252 0 0 0 0 0 0 0 0 25590252 18 18 0 0 6000 9167 -3167 0 -3167 -3167 0 0 0 3495 0 -3495 -3495 -3495 68715 67019 74914 -6199 -6199 0 0 0 0 0 0 FOOD SERVICE 722210 31039 31039 MISCELLANEOUS 900099 12047 12047 0 0 0 0 0 43086 26048037 25602299 0 18196 0 0 0 0 387609 0 387609 0 0 11949997 10314228 1375475 260294 166214 141258 20472 4484 2054477 1718243 300258 35976 901882 744682 137640 19560 0 48804 246 48558 0 50691 0 50691 0 0 0 0 2215563 1912221 293474 9868 131966 42853 89101 12 737380 503964 166916 66500 118073 936 116762 375 0 486292 486292 0 0 621519 522521 94788 4210 0 0 121323 72709 47668 946 0 337490 110080 225977 1433 145212 145212 0 0 PATIENT-RELATED EXPENSES 3116643 3116643 0 0 INPATIENT HOSPITAL FEES 790353 790353 0 0 BAD DEBT 302633 302633 0 TRAINING & RECRUITMENT 19441 12236 5733 1472 5844 5844 0 0 24709406 20943154 3361122 405130 0 4108126 4875791 365867 413541 91926 0 2262250 2976950 0 0 346662 359101 9857508 1898927 7907387 7958581 0 0 0 0 40333 37659 15122551 16621623 1584901 1758878 6407 3493 3279278 3112890 0 171656 102059 37816 4972645 5084733 X 9847707 11359268 302199 177622 10149906 11536890 15122551 16621623 1338631 48353 0 0 0 0 X false true X true false X 748994 672952 705383 700287 427542 3255158 0 0 748994 672952 705383 700287 427542 3255158 207684 3047474 10676 5996 5323 1625 6018 29638 0 442271 119895 160949 147383 111801 982299 4267095 102403634 0.71420 0.70390 X OTHER INCOME, SCHEDULE A, PART II, LINE 10, DESCRIPTION - GROSS INCOME FROM FUNDRAISING EVENTS, COLUMN A - 103541, COLUMN B - 27197, COLUMN C - 82310, COLUMN D - 89086, COLUMN E - 68715, COLUMN F - 370849; DESCRIPTION - OTHER INCOME, COLUMN A - 338730, COLUMN B - 92698, COLUMN C - 78639, COLUMN D - 58297, COLUMN E - 43086, COLUMN F - 611450;, RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 1922 1922 false Description of the activities reported on Lines 1a through 1i Schedule C, Part II-B, Line 1 THE ORGANIZATION PAYS DUES TO NATIONAL HOSPICE AND PALLIATIVE CARE ORGANIZATION. A PORTION OF THOSE DUES ARE USED FOR LOBBYING. 515000 515000 7430207 1066125 6364082 502230 87154 415076 1410071 745648 664423 0 0 0 7958581 0 INTEREST RATE SWAP AGREEMENTS 37816 37816 X FIN 48 (ASC 740) footnote Schedule D, Part X, Line 2 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, 2013 AND 2012. GOLF OUTING 90014 60012 30002 1500 13849 14653 5307 0 6626 MEMORIAL WALK 30025 7007 23018 0 0 300 0 100 13981 1 15695 0 15695 0 0 8013 223 3500 6862 135734 67019 68715 1500 13849 22966 5530 3600 27469 74914 -6199 X true true X X X X false false false false false false false true false RAFAEL SCIULLO 234038 0 0 0 0 0 5686 0 8203 0 247927 0 0 0 MARY BETH SALAMA 186218 0 109 0 0 0 5586 0 765 0 192678 0 0 0 Tax indemnification and gross-up payments Schedule J, Part I, Line 1a MARY BETH SALAMA AND THERESA GUALTIERI EACH RECEIVED A BONUS PAYMENT WHICH WAS GROSSED-UP. Non-fixed payments Schedule J, Part I, Line 7 SOME NON-FIXED PAYMENTS WERE PROVIDED TO INTERESTED PERSONS DURING THE YEAR. A WILKINS AREA INDUSTRIAL DEVELOPMENT AUTHORITY 251410750 2009-03-20 1234326 FINANCING OF BUILDINGS AND STRUCTURES USED FOR TAX-EXEMPT PURPOSES false false false B WILKINS AREA INDUSTRIAL DEVELOPMENT AUTHORITY 251410750 2009-03-20 2895846 FINANCING OF BUILDINGS AND STRUCTURES USED FOR TAX-EXEMPT PURPOSES false false false A 554256 0 1234326 0 0 0 20770 0 0 1213556 0 0 2009 false false true true B 463027 0 2895846 0 0 0 0 0 0 0 2895846 0 2009 true false true true A false false false false false false 0.0000 0.0000 0.0000 false false 0.0000 false true B false false false false false false 0.0000 0.0000 0.0000 false false 0.0000 false true A false true false false true true HUNTINGTON NATIONAL BANK 5.0 false false false 0 false false true B false true false false true true HUNTINGTON NATIONAL BANK 5.0 false false false 0 false false true A true B true RX PARTNERS DEBORAH BRODINE, DIRECTOR OF FHPC, IS A DIRECTOR OF RX PARTNERS 920807 FHPC PURCHASES PATIENT-RELATED SUPPLIES FROM RX PARTNERS. false CHARTWELL DEBORAH BRODINE, DIRECTOR OF FHPC, IS A DIRECTOR OF CHARTWELL. 327423 FHPC PURCHASES PATIENT-RELATED SUPPLIES FROM CHARTWELL. false CHARTWELL JOANNE HAHEY, DIRECTOR OF FHPC, IS A DIRECTOR OF CHARTWELL. 327423 FHPC PURCHASES PATIENT-RELATED SUPPLIES FROM CHARTWELL. false PROGRAM DESCRIPTION FORM 990, PART III, LINE 4C (CONTINUED FROM PART III) QUALITY OF LIFE: EDUCATION AND INSIGHT INTO THE INVALUABLE IMPACT THE NON-TRADITIONAL INTERVENTIONS CAN OFFER TO PATIENTS AND THEIR LOVED ONES. HIGHLIGHTING THE VALUE OF STORY TELLING AS A GIFT OF LEGACY AND REFLECT ON THE VALUE OF ART, MUSIC AND MASSAGE. THE AUDIENCE IS THE COMMUNITY AT LARGE AND LONG-TERM CARE FACILITIES. THERE WERE 90 PARTICIPANTS. THE COST OF QUALITY OF LIFE SERVICES WAS $65,744. SPIRITUALITY AND END OF LIFE CARE: WEBINAR FOR HEALTH CARE PROFESSIONALS ABOUT END-OF-LIFE CARE. ATTENDED BY 74 PARTICIPANTS. KEEPING THE SPIRITUAL SPARK: ATTENDED BY 16 PARTICIPANTS. GROWING THRU GRIEF: THE "GROWING THRU GRIEF" PROGRAM IS A SIX WEEK EDUCATIONAL PROGRAM THAT IS OPEN TO THE PUBLIC WITH REGISTRATION REQUIRED. 113 ATTENDEES WERE PRESENTED WITH AN ADULT LEARNING MODEL TO EXPLORE THE IMPACT OF THEIR LOSS ON LIFE AND DEVELOP COPING MECHANISMS. REGIONALLY OFFERED AND HOSTED AT CHURCHES, LIBRARIES, COMMUNITY CENTERS. MONTHLY BEREAVEMENT SUPPORT GROUPS: THESE GROUPS ARE OPEN TO THE PUBLIC WITH NO PRE-REGISTRATION REQUIRED. WALK-INS ARE WELCOME. FAMILY HOSPICE AND PALLIATIVE CARE STAFF OR VOLUNTEERS FACILITATE AND EXPLORE THE ISSUES PRESENTED AND OFFERS COPING/ADJUSTMENT CONSIDERATIONS. THE GROUPS ARE DESIGNED TO MEET THE IDENTIFIED NEEDS OF THOSE WHO ARE COPING WITH THE DEATH OF A LOVED ONE. THE GROUPS WERE ATTENDED BY 330 PEOPLE. CAMP HEALING HEARTS: ONE DAY CAMP OUTREACH FOR CHILDREN, AGES 6-12 WHO HAVE EXPERIENCED A LOSS, AND THEIR PARENT OR GUARDIAN. THE CAMP IS OPEN TO THE PUBLIC AND PROVIDED AT SEVERAL LOCATIONS. THERE WERE 76 ATTENDEES. GRIEF AND THE HOLIDAYS: THIS PROGRAM IS 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. THE PROGRAM IS HOSTED AT CHURCHES, LIBRARIES, LONG-TERM CARE FACILITIES, FUNERAL HOMES AND SENIOR CENTERS. THERE WERE 159 ATTENDEES. DIFFICULT YET CRITICAL CONVERSATIONS: PRESENTED TO THE COMMUNITY AT LARGE AND HEALTHCARE PROVIDERS. IT IS INTENDED TO HIGHLIGHT THE VITAL IMPORTANCE OF DISCUSSING END OF LIFE ISSUES AND IDENTIFYING ROUTINE AND URGENT TIMES TO HAVE A CONVERSATION. PRESENTED AT SEVERAL LONG-TERM CARE FACILITIES, HOSPITALS, SENIOR CENTERS AND COMMUNITY SERVICE SITES. THERE WERE 49 ATTENDEES DURING THE YEAR. WHEN TO MAKE A REFERRAL - TRADITIONAL VS. PALLIATIVE HOME CARE: OBJECTIVES OF THIS PROGRAM WERE TO DEFINE AND DIFFERENTIATE PALLIATIVE HOME CARE AND HOSPICE SERVICES, DESCRIBE THE BENEFITS AND REQUIREMENTS, AND TO IDENTIFY OPPORTUNITIES TO INTRODUCE APPROPRIATE PROGRAMS TO THEIR BENEFICIARIES. THIS PROGRAM IS PRESENTED TO INSURERS, CASE MANAGERS, AND HEALTH CARE PROFESSIONALS. THERE WERE 21 ATTENDEES. COMPASSIONATE CAREGIVER TRAINING: EDUCATIONAL TUTORIALS WERE OFFERED TO CAREGIVERS OF PATIENTS REFERRED TO FAMILY HOSPICE AND PALLIATIVE CARE'S PALLIATIVE HOME CARE OR HOSPICE PROGRAM. THE PROGRAM INCLUDES NURSE AND PHYSICAL THERAPY INTERACTION INTENDED TO INCREASE CAREGIVER CONFIDENCE, INCREASE PATIENT SAFETY AND ENHANCE QUALITY OF PATIENT EXPERIENCE. HOSPICE AND THE END OF LIFE EXPERIENCE: OPPORTUNITIES IN LONG TERM CARE: TO INCREASE UNDERSTANDING, AWARENESS, ADDED VALUE AND CARE AUGMENTATION WITH A HOSPICE COLLABORATIVE TEAM APPROACH FOR RESIDENTS WITH A LIFE LIMITING ILLNESS. PRESENTED TO 54 PARTICIPANTS INCLUDING PHYSICIANS, NURSES, SOCIAL WORKERS AND SPIRITUAL CARE STAFF AT LONG-TERM CARE FACILITIES. 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, SURVIVORS). THERE WERE 52 ATTENDEES. MEMORIAL SERVICE: THE MEMORIAL SERVICE AND RECEPTION WAS HELD FOR SURVIVORS OF PATIENTS ON BOTH PALLIATIVE HOME CARE AND HOSPICE PROGRAMS. THE MEMORIAL SERVICE ENGAGES ATTENDEES IN A CELEBRATION AND ENCOURAGES REMEMBERING THEIR LOVED ONES WHO HAVE DIED IN THE PAST 6-12 MONTHS (DEPENDENT ON REGION). THERE WERE 1,100 ATTENDEES. ADVANCE CARE PLANNING: LIVING WILLS, ADVANCE DIRECTIVES, POLST: DEFINES ALL AVENUES RELATED TO ADVANCE CARE PLANNING, DIFFERENTIATING POLST (PHYSICIAN ORDERS FOR LIFE-SUSTAINING TREATMENT) AS A PHYSICIAN'S ORDER. AUDIENCE INCLUDES HEALTH CARE PROFESSIONALS IN A VARIETY OF SETTINGS. ATTENDED BY 44 PARTICIPANTS. PAIN AND SYMPTOM MANAGEMENT: IDENTIFY AND DEFINE SPECTRUM OF SYMPTOMS ASSOCIATED WITH END OF LIFE. CLINICAL RECOMMENDATIONS RELATED TO SYMPTOMS ARE IDENTIFIED REFLECTIVE OF ACCEPTABLE AND RECOGNIZED PROTOCOLS. ATTENDED BY 66 HEALTH CARE PROFESSIONALS IN A VARIETY OF SETTINGS. THE DYING PROCESS: REVIEW THE COURSE OF DECLINE IN END OF LIFE CARE FROM MODEL OF CARE THAT INCLUDES BODY MIND AND SPIRIT WITHIN THE SYSTEM THE LIFE. ATTENDED BY 51 HEALTH CARE PROFESSIONALS IN A VARIETY OF SETTINGS. HOSPICE 101: CONVEY THE HISTORY OF THE HOSPICE MOVEMENT, BASIC FUNDAMENTALS OF HOSPICE FROM A REGULATORY AND CARE, TREATMENT AND SERVICES. THERE WERE 78 ATTENDEES. THE ROADS WE'VE TRAVELED: LEGACY & LIFE REVIEW: THE VALUE AND POSITIVE IMPACT OF TELLING OUR STORY AND CREATING A LIFE LEGACY. THIS PROCESS IS ALSO A VALUABLE TOOL AND A CATHARSIS FOR EMOTING FEELINGS RELATIVE ANTICIPATORY GRIEF AND MOURNING. AUDIENCE INCLUDES COMMUNITY AND HEALTHCARE PROFESSIONALS ALL SETTINGS. THERE WERE 28 ATTENDEES. WHEN TO MAKE A HOSPICE REFERRAL: CONVEY THE HISTORY OF THE HOSPICE MOVEMENT, BASIC FUNDAMENTALS OF HOSPICE FROM A REGULATORY AND CARE, TREATMENT AND SERVICES. AUDIENCE INCLUDES ALL HEALTH CARE PROFESSIONALS ALL SETTINGS. THERE WERE 42 ATTENDEES. DON'T LET THE "H" WORD SCARE YOU: DISPEL THE MYTHS OF HOSPICE AND IDENTIFY OPPORTUNITIES TO PROVIDE A MODEL OF CARE. AUDIENCE TO INCLUDE ALL COMMUNITY AND HEALTH CARE STAKEHOLDERS. THERE WERE 18 ATTENDEES. COMFORT MEDICATIONS UTILIZED IN HOSPICE: REVIEW SIGNS AND SYMPTOMS AT END OF LIFE, MANAGEMENT STRATEGIES, BENEFITS AND CHALLENGES, COMMUNICATION TO FAMILY. ATTENDED BY 94 HEALTHCARE PROFESSIONALS, ALL SETTINGS. DISPELLING THE MYTHS ABOUT HOSPICE: CLARIFY AND EDUCATION ABOUT THE COMPONENTS OF HOSPICE, REVIEW THE HISTORY, CONVEY THE LIFE-AFFIRMING NATURE OF THE PLAN OF CARE DRIVEN BY PATIENT AND FAMILY. ATTENDED BY 39 COMMUNITY AND HEALTHCARE STAKEHOLDERS. WOODWELL: AN END OF LIFE COLLABORATIVE: REVIEW THE WOODWELL PROGRAM AS A UNIQUE PARTNERSHIP OF PSC AND FHPC. DESCRIBE THE HOLISTIC COMPREHENSIVE CARE THAT EXPANDS CARE OPTIONS. ATTENDED BY 2 PARTICIPANTS. DEMENTIA CARE AT THE END OF LIFE: THE PRESENTER, A NATIONALLY RECOGNIZED DEMENTIA EXPERT PROVIDED EDUCATION AND INSIGHT RELATIVE TO THE NEEDS, ASSESSMENT AND INTERVENTION OPPORTUNITIES FOR THE PATIENT AND FAMILY AT END OF LIFE. AUDIENCE INCLUDED HEALTHCARE PROVIDERS, PRACTICING IN ALL SETTINGS (2 CONTINUING EDUCATION UNITS). THERE WERE 59 ATTENDEES. PROFESSIONAL BOUNDARIES: IDENTIFY THE COMPLEX, SENSITIVE AND CRITICAL OF RECOGNITION OF THE PROFESSIONAL RELATION, POTENTIAL PROBLEMATIC SITUATIONS, AND IDENTIFY POTENTIAL STRATEGIES TO MANAGE THE BOUNDARIES. ATTENDED BY 14 HEALTHCARE PROVIDERS. HOSPICE AND PHYSICAL THERAPY: MAKING THE MOST OF LIFE: A PROGRAM CREATED AND PRESENTED TO UNDERSTAND THE PURPOSE OF HOSPICE AND PALLIATIVE CARE AND THE MEDICARE ENTITLEMENT, REALIZE THE PHYSICAL THERAPIST'S ROLE IN ASSESSMENT OF CAREGIVER ABILITY AND ENVIRONMENTAL SAFETY IN CONCERT WITH THE PHYSICAL AND FUNCTIONAL ABILITIES OF PATIENTS. PROVIDED FOR 11 HEALTH CARE PROFESSIONALS FROM ALL SETTINGS. COMMUNICATING WITH THE GRIEVING FAMILY: OFFER INSIGHT AND UNDERSTANDING OF THE NATURE OF DEATH AND DYING, GRIEF, LOSS AND MOURNING, AND RECOMMENDED COMMUNICATION CONSIDERATIONS. ATTENDED BY 12 PARTICIPANTS. HOSPICE AND PALLIATIVE CARE AS PART OF THE AGING SERVICES CONTINUUM: IDENTIFY AND PROVIDE CASE STUDIES THAT ENHANCE UNDERSTANDING OF OPPORTUNITIES TO CONSIDER AN ALTERNATIVE PLAN OF CARE REFLECTIVE OF PROGNOSIS, DISEASE TRAJECTORY. ATTENDED BY 30 HEALTH CARE PROVIDERS FROM ALL SETTINGS. MEDICATION MANAGEMENT AND FALLS: HEALTHCARE PROVIDERS REVIEW SAFETY AND CAUTIONARY CONCERNS OF SPECIFIC MEDICATIONS, BOTH BURDENS AND BENEFITS. ATTENDED BY 23 PARTICIPANTS. HOSPICE INPATIENT CARE AND THE USE OF HOSPICE MEDS: REVIEW SIGNS AND SYMPTOMS AT END OF LIFE, MANAGEMENT STRATEGIES, BENEFITS AND CHALLENGES, COMMUNICATION TO FAMILY. AUDIENCE INCLUDED 19 HEALTHCARE PROFESSIONALS FROM ALL SETTINGS. HOSPICE GENERAL INPATIENT LEVEL OF CARE AND GENERAL CRITERIA: PROVIDED TO 36 HEALTHCARE PROFESSIONALS FROM VARIETY OF CARE SETTINGS. PALLIATIVE HOME CARE VS TRADITIONAL HOME CARE: PRESENTATION TO 18 HEALTH CARE PROFESSIONALS IN ALL SETTINGS THAT DEFINED THE DIFFERENCES PROGRAMMATICALLY. DEMENTIA: CAREGIVERS PROGRAM: HEALTH CARE PROFESSIONALS FROM ALL SETTINGS REVIEW THE NON VERBAL SIGNS AND OPPORTUNITIES FOR ASSESSMENT AND INTERVENTION. ATTENDED BY 8 PARTICIPANTS. PROGRAM DESCRIPTION FORM 990, PART III, LINE 4C (CONTINUED) COPING WITH MULTIPLE LOSSES: EXPLORE THE IMPACT, CHALLENGES AND COPING WITHIN THE CONTEXT OF A HEALTH CARE SETTING AS A PERSON CARES FOR PATIENTS AND RESIDENTS AND SIMULTANEOUSLY EXPERIENCES PERSONAL CHALLENGES. PROVIDED FOR 24 HEALTH CARE PROFESSIONALS FROM ALL SETTINGS. THE GRIEVING FAMILY: EXPLORE WAYS TO SUPPORT PEOPLE GRIEVING. PROVIDED TO 10 COMMUNITY AND HEALTH CARE PROFESSIONALS. MY RESIDENT DIED: INSIGHT AND EXPLORATION OF FEELINGS AND RELATIONSHIPS AFTER THE EVENT OF DEATH. ATTENDED BY 20 PARTICIPANTS. END OF LIFE ETHICAL CONSIDERATION: 18 HEALTH CARE PROVIDERS FROM ALL SETTINGS EXPLORE ETHICAL PRINCIPLES, AREAS OF CONFLICT, OPPORTUNITIES FOR COMMUNICATION AND GOALS OF CARE. FACING THE CHALLENGE COPING WITH COMPLICATED SITUATIONS: 11 HEALTH CARE PROFESSIONALS FROM ALL CARE ENVIRONMENTS REVIEW THE NATURE OF LISTENING, IDENTIFYING CHALLENGING CIRCUMSTANCES, COMPLICATED SITUATIONS AND FACILITATING DIALOGUE. TRANSITIONS - HOW TO TALK TO YOUR DOCTOR: COMMUNITY PRESENTATION IDENTIFYING PREPARATION AND APPROACH TO DISCUSSING HEALTH CARE CONCERNS AND GOALS WITH A PHYSICIAN. ATTENDED BY 30 SENIOR CENTER RESIDENTS. DELIRIUM AND DEPRESSION: DEFINE AND DIFFERENTIATE BOTH DELIRIUM AND DEPRESSION, IDENTIFYING THE CHALLENGES IN ASSESSING AND OFFERING TREATMENT RECOMMENDATIONS. ATTENDED BY 17 PARTICIPANTS. ASK THE NURSE: ATTENDED BY 46 SENIOR CENTER RESIDENTS. NUTRITION: ATTENDED BY 50 SENIOR CENTER RESIDENTS. Delegate broad authority to a committee Form 990, Part VI, Section A, Line 1a 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. Family/business relationships amongst interested persons Form 990, Part VI, Section A, Line 2 DEBORAH BRODINE AND JOANNE HAHEY - BUSINESS RELATIONSHIP Significant changes to organizational documents Form 990, Part VI, Section A, Line 4 THE ORGANIZATION'S BOARD OF DIRECTORS AMENDED THE ORGANIZATION'S BYLAWS BY UNANIMOUS CONSENT, TERMINATING THE STATUS OF ST. CLAIR MEMORIAL HOSPITAL AS A CORPORATE MEMBER OF THE ORGANIZATION, EFFECTIVE JANUARY 31, 2013. Classes of members or stockholders Form 990, Part VI, Section A, Line 6 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 CORPORATE PARTICIPANTS ARE JEFFERSON REGIONAL MEDICAL CENTER ("JRMC"), UPMC HEALTH SYSTEM ("UPMC"), PRESBYTERIAN SENIORCARE ("PRESBYTERIAN") AND GROVE CITY MEDICAL CENTER ("GCMC") AND ANY OTHER ENTITY WHICH THE BOARD MAY FROM TIME TO TIME DESIGNATE. THE BOARD SHALL ELECT AND MAINTAIN A BOARD THAT REFLECTS DIVERSE SKILLS, INFLUENCES AND DEMOGRAPHICS AND MEETS THE FOLLOWING COMPOSITION: -ONE (1) MEMBER FROM THOSE NAMES SUBMITTED BY JRMC; -ONE (1) MEMBER FROM THOSE NAMES SUBMITTED BY UPMC; -ONE (1) MEMBER FROM THOSE NAMES SUBMITTED BY PRESBYTERIAN; -ONE (1) MEMBER FROM THOSE NAMES SUBMITTED BY GCMC; -ONE (1) MEMBER FROM THOSE NAMES PRESENTED BY ANY ENTITY THAT IS A CORPORATE PARTICIPANT TO THE EXTENT NOT SPECIFICALLY ADDRESSED ABOVE; -THE PRESIDENT OF THE HOSPICE, WHO SHALL SERVE AS AN EX-OFFICIO MEMBER WITH VOTE; -THE CHAIRPERSON OF THE BOARD FOR INSTITUTIONAL ADVANCEMENT (THE "BIA") WHO SHALL SERVE AS AN EX-OFFICIO MEMBER WITH VOTE; AND -THE REMAINDER OF THE BOARD SHALL BE COMPRISED OF COMMUNITY MEMBERS AT LARGE. Members or stockholders electing members of governing body Form 990, Part VI, Section A, Line 7a 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. Review of form 990 by governing body Form 990, Part VI, Section B, Line 11b THE FINANCE COMMITTEE REVIEWED THE FINAL FORM 990 ON JANUARY 14, 2014 AND RECOMMENDED APPROVAL TO THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS APPROVED THE FINAL VERSION ON JANUARY 27, 2014. Conflict of interest policy Form 990, Part VI, Section B, Line 12c 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 CONFICT 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. COMPENSATION OF THE TOP MANAGEMENT OFFICIAL FORM 990, PART VI, LINE 15A 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 2011. COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES FORM 990, PART VI, LINE 15B 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 2011. Governing documents, conflict of interest policy and financial statements available to the public Form 990, Part VI, Section C, Line 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC.