CHAPTERS HEALTH FOUNDATION INC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- CHAPTERS HEALTH FOUNDATION INC (EIN 59-3467282)
- Tax period
- 2011-10-01 to 2012-09-30
- Filed
- 2013-08-12
- IRS object ID
- 201312249349302621
- Schema version
- 2011v1.5
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-08-12T16:51:15-05:00 | Timestamp |
| Tax Period End Date | 2012-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 593070669 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOORE STEPHENS LOVELACE PA | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 311 PARK PLACE BLVD SUITE 100 | AddressLine1 |
| City | CLEARWATER | City |
| State | FL | State |
| ZIP Code | 337593923 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 593467282 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOSPICE FOUNDATION INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | HOSP | NameControl |
| Phone | 7278637971 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12107 MAJESTIC BLVD | AddressLine1 |
| City | HUDSON | City |
| State | FL | State |
| ZIP Code | 34667 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | THOMAS BARB | Name |
| Title | CHIEF EXECUTIVE OFFICER | Title |
| Phone | 7278637971 | Phone |
| Date Signed | 2013-08-12 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MELANIE A MCPEAK | Name |
| PTIN | P01346034 | PTIN |
| Phone | 7275314477 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HPH FOUNDATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | THOMAS BARB | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12107 MAJESTIC BLVD | AddressLine1 |
| City | HUDSON | City |
| State | FL | State |
| ZIP Code | 34667 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 4155383 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.HPH-HOSPICE.ORG/DONATIONS-SPECIAL-GIFTS | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1997 | YearFormation |
| State Legal Domicile | FL | StateLegalDomicile |
| Activity Or Mission Description | THE ORGANIZATION OPERATES TO ADVANCE UNDERSTANDING, PARTICIPATION AND SUPPORT OF THE MISSION AND PROGRAMS OF HERNANDO-PASCO HOSPICE, INC. AND ITS AFFILIATED NON-FOR-PROFIT ORGANIZATIONS, HONORING OUR COMMUNITY'S SACRED TRUST THROUGH SOUND STEWARDSHIP. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 6 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 4 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1827884 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1450014 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 0 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 0 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 997929 | InvestmentIncomePriorYear |
| Investment Income Current Year | 855512 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 228741 | OtherRevenuePriorYear |
| Other Revenue Current Year | 256878 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 3054554 | TotalRevenuePriorYear |
| Total Revenue Current Year | 2562404 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 839676 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 664922 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 329939 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 330511 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 329160 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 190062 | OtherExpensePriorYear |
| Other Expenses Current Year | 185923 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 1359677 | TotalExpensesPriorYear |
| Total Expenses Current Year | 1181356 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 1694877 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 1381048 | RevenuesLessExpensesCY |
| Total Assets BOY | 15670485 | TotalAssetsBOY |
| Total Assets EOY | 18291797 | TotalAssetsEOY |
| Total Liabilities BOY | 246075 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 263232 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 15424410 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 18028565 | NetAssetsOrFundBalancesEOY |
| Mission Description | THE ORGANIZATION OPERATES TO ADVANCE UNDERSTANDING, PARTICIPATION AND SUPPORT OF THE MISSION AND PROGRAMS OF HERNANDO-PASCO HOSPICE, INC. AND ITS AFFILIATED NOT-FOR-PROFIT ORGANIZATIONS, HONORING OUR COMMUNITY'S SACRED TRUST THROUGH SOUND STEWARDSHIP. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 690886 | Expense |
| Revenue | 1624397 | Revenue |
| Description | THE ORGANIZATION ACCEPTS DONATIONS FROM THE PUBLIC AND CONDUCTS ITS OWN FUND RAISING ACTIVITIES. THE ORGANIZATION ALSO OPERATES TWO THRIFT STORES, BOTH IN PASCO COUNTY. THE NET PROCEEDS OF THESE VARIOUS ACTIVITIES FLOW TO HERNANDO-PASCO HOSPICE, INC., (HPH) TO SUPPORT ITS END-OF-LIFE HOSPICE SERVICES WITHIN HPH'S THREE COUNTY SERVICE AREA. BY DIRECTION OF THE BOARD OF DIRECTORS, ANY BEQUESTS RECEIVED FLOW TO A BOARD DESIGNATED ENDOWMENT TO BE INVESTED AND HELP TO HELP SECURE THE FUTURE OF HPH. | Description |
| Total Program Service Expense | 690886 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 0 | ReportLandBldgEquip |
| Report Invest Oth Securities | 1 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 1 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 1 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 1 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Excess Business Holdings | 0 | ExcessBusinessHoldings |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 6 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 4 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | KATHERINE MEOTTI | NamePerson |
| Telephone Number | 7278637971 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12107 MAJESTIC BLVD | AddressLine1 |
| City | HUDSON | City |
| State | FL | State |
| ZIP Code | 34667 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (6 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|---|
| CLARENCE PREVATT | ||||||
| CHAIRMAN | 1.50 | X | X | 0 | 0 | 0 |
| THERESA BROCK | ||||||
| VICE CHAIRMAN | 1.50 | X | X | 0 | 0 | 0 |
| MIKE MCHUGH | ||||||
| SECRETARY/TREASURER | 1.50 | X | X | 0 | 0 | 0 |
| GEORGE GERMANN | ||||||
| DIRECTOR | 1.50 | X | 0 | 0 | 0 | |
| THOMAS BARB | ||||||
| CHIEF EXECUTIVE OFFICER | 5.00 | X | X | 0 | 220462 | 74883 |
| W RICHARD YOUNG | ||||||
| CHIEF FINANCIAL OFFICER | 5.00 | X | X | 0 | 157568 | 11482 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 0 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 378030 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 86365 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (2 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| EAST RICHEY SQUARE CENTER INC | |||||
| 6137 SR 54 | NEW PORT RICHEY | FL | 34653 | RENT | 125614 |
| WESTGATE SQUARE CENTER | |||||
| 10912 N 56 STREET | TEMPLE TERRACE | FL | 33614 | RENT | 115183 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 2 | NumberOfContractorsGT100K |
| Federated Campaigns | 30000 | FederatedCampaigns |
| All Other Contributions | 1420014 | AllOtherContributions |
| Noncash Contributions | 5000 | NoncashContributions |
| Total Contributions | 1450014 | TotalContributions |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 636599 | TotalRevenueColumn |
| Exclusion | $636,599 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1192388 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 973475 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 218913 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 218913 | TotalRevenueColumn |
| Exclusion | $218,913 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 119435 | GrossIncomeFundraisingEvents |
| Fundraising Direct Expenses | 36940 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 82495 | TotalRevenueColumn |
| Exclusion | $82,495 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | 756947 | GrossSalesOfInventory |
| Cost Of Goods Sold | 582564 | CostOfGoodsSold |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 174383 | TotalRevenueColumn |
| Related Or Exempt Function Income | 174383 | RelatedOrExemptFunctionIncome |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2562404 | TotalRevenueColumn |
| Related Or Exempt Function Income | 174383 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $938,007 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 664922 | Total |
| Program Services | 664922 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 281762 | Total |
| Program Services | 23176 | ProgramServices |
| Management And General | 66905 | ManagementAndGeneral |
| Fundraising | 191681 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 26975 | Total |
| Program Services | 1344 | ProgramServices |
| Management And General | 6991 | ManagementAndGeneral |
| Fundraising | 18640 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 21774 | Total |
| Program Services | 1089 | ProgramServices |
| Management And General | 5661 | ManagementAndGeneral |
| Fundraising | 15024 | Fundraising |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 65443 | Total |
| Management And General | 65443 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1390 | Total |
| Fundraising | 1390 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 55873 | Total |
| Fundraising | 55873 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 27268 | Total |
| Fundraising | 27268 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7128 | Total |
| Fundraising | 7128 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2889 | Total |
| Management And General | 2400 | ManagementAndGeneral |
| Fundraising | 489 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11164 | Total |
| Program Services | 355 | ProgramServices |
| Management And General | 1121 | ManagementAndGeneral |
| Fundraising | 9688 | Fundraising |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1205 | Total |
| Fundraising | 1205 | Fundraising |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 774 | Total |
| Fundraising | 774 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12789 | Total |
| Management And General | 12789 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1181356 | Total |
| Program Services | 690886 | ProgramServices |
| Management And General | 161310 | ManagementAndGeneral |
| Fundraising | 329160 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1200 | BOY |
| EOY | 1200 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 26087 | BOY |
| EOY | 45767 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 23000 | BOY |
| EOY | 196934 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13162 | BOY |
| EOY | 13162 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14000676 | BOY |
| EOY | 16594604 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1606360 | BOY |
| EOY | 1440130 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15670485 | BOY |
| EOY | 18291797 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 29055 | BOY |
| EOY | 44941 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 217020 | BOY |
| EOY | 218291 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 246075 | BOY |
| EOY | 263232 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15424410 | BOY |
| EOY | 18028565 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15424410 | BOY |
| EOY | 18028565 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15670485 | BOY |
| EOY | 18291797 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 1381048 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 1223107 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | X | SupportingOrganization509a3 |
| Supporting Org509a3 Type2 | X | SupportingOrg509a3Type2 |
| Certification Checkbox | X | CertificationCheckbox |
| Contrib By Controlling Individual | 0 | ContribByControllingIndividual |
| Contribution By Related Party | 0 | ContributionByRelatedParty |
| Contrib By35 Controlled Entity | 0 | ContribBy35ControlledEntity |
Supported Org Information SupportedOrgInformation
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HERNANDO PASCO HOSPICE INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 592217929 | EIN |
| Type Of Organization | 9 | TypeOfOrganization |
| Listed In Governing Doc | 1 | ListedInGoverningDoc |
| Supported Organization Notified | 1 | SupportedOrganizationNotified |
| Organized In US | 1 | OrganizedInUS |
| Amount | $664,922 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of Supported Orgs | 1 | TotalNumberOfSupportedOrgs |
| Sum Of Amounts | 664922 | SumOfAmounts |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 15070741 | BeginningOfYearBalance |
| Contributions | 568584 | Contributions |
| Investment Earnings Or Losses | 2101015 | InvestmentEarningsOrLosses |
| Administrative Expenses | 65442 | AdministrativeExpenses |
| End Of Year Balance | 17674898 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 14173831 | BeginningOfYearBalance |
| Contributions | 736083 | Contributions |
| Investment Earnings Or Losses | 222534 | InvestmentEarningsOrLosses |
| Administrative Expenses | 61707 | AdministrativeExpenses |
| End Of Year Balance | 15070741 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 12090177 | BeginningOfYearBalance |
| Contributions | 716682 | Contributions |
| Investment Earnings Or Losses | 1429498 | InvestmentEarningsOrLosses |
| Administrative Expenses | 62526 | AdministrativeExpenses |
| End Of Year Balance | 14173831 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 11469494 | BeginningOfYearBalance |
| Contributions | 347061 | Contributions |
| Investment Earnings Or Losses | 350404 | InvestmentEarningsOrLosses |
| Administrative Expenses | 76782 | AdministrativeExpenses |
| End Of Year Balance | 12090177 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 1.00000 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.00000 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.00000 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
| Total Of Book Value Land Buildings | 0 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities (5 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| MONEY MARKET | 695781 | F |
| ANNUITY FUNDS | 365147 | F |
| REAL ESTATE - ENDOWMENT | 553017 | F |
| STOCK/EQUITIES | 4368687 | F |
| BONDS | 10611972 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 16594604 | TotalOfBookValueSecurities |
Other Assets OtherAssets (3 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| LEGACY FUND | 29361 |
| DEPOSITS | 11509 |
| DUE FROM AFFILIATES | 1399260 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 1440130 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | GIFT ANNUITY OBLIGATIONS | Description |
| Amount | $218,291 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 218291 | TotalOfAmounts |
| Total Revenue | 2562404 | TotalRevenue |
| Total Expenses | 1181356 | TotalExpenses |
| Excess Or Deficit For Year | 1381048 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 1249267 | NetUnrealizedGLOnInvestments |
| Other | -$26,160 | OtherAmount |
| Total Adjustments | 1223107 | TotalAdjustments |
| Excess Or Deficit Per FS | 2604155 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 4339573 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 1249267 | NetUnrealizedGainsInvestments |
| Other Revenues | 619504 | OtherRevenues |
| Revenue Not Rptd F990 | 1868771 | RevenueNotRptdF990 |
| Revenue Subtotal | 2470802 | RevenueSubtotal |
| Investment Expenses Not Included | 65442 | InvestmentExpensesNotIncluded |
| Other Revenues Not Included | 26160 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 91602 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 2562404 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 1735418 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 619504 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 619504 | ExpensesNotRptdF990 |
| Expenses Subtotal | 1115914 | ExpensesSubtotal |
| Investment Expenses Not Included2 | 65442 | InvestmentExpensesNotIncluded2 |
| Expenses Not Rptd On Fin Stmt | 65442 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 1181356 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: | PART V, LINE 4: | THE ORGANIZATION'S ENDOWMENT FUNDS ARE INTENDED TO PROVIDE FUTURE CASH FLOW FOR OPERATION AND OTHER DESIGNATED UNRESTRICTED PURPOSES USED BY THE BOARD OF DIRECTORS OF HERNANDO PASCO HOSPICE, INC. |
| PART XI, LINE 8 - OTHER ADJUSTMENTS: | GIFT ANNUITY ADJUSTMENT -26,160. | |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | THRIFT STORE COGS 582,564. FUNDRAISING EVENT EXPENSES 36,940. | |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | GIFT ANNUITY ADJUSTMENT 26,160. | |
| PART XIII, LINE 2D - OTHER ADJUSTMENTS: | THRIFT STORE COGS 582,564. FUNDRAISING EVENT EXPENSES 36,940. |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | TREE OF LIFE | NameOfEvent1 |
| Gross Receipts Event1 | 119435 | GrossReceiptsEvent1 |
| Gross Revenue Event1 | 119435 | GrossRevenueEvent1 |
| Other Direct Expenses Event1 | 36940 | OtherDirectExpensesEvent1 |
| Gross Receipts Total | 119435 | GrossReceiptsTotal |
| Gross Revenue Total Events | 119435 | GrossRevenueTotalEvents |
| Other Direct Expenses Total Events | 36940 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 36940 | DirectExpenseSummaryEvents |
| Net Income Summary | 82495 | NetIncomeSummary |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 0 | RecordsMaintained |
Recipient Table RecipientTable
Recipient Name Business RecipientNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HERNANDO PASCO HOSPICE INC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12107 MAJESTIC BLVD | AddressLine1 |
| City | HUDSON | City |
| State | FL | State |
| ZIP Code | 34667 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN Of Recipient | 592217929 | EINOfRecipient |
| IRC Section | 501(C)(3) | IRCSection |
| Amount Of Cash Grant | 664922 | AmountOfCashGrant |
| Purpose Of Grant | GENERAL SUPPORT | PurposeOfGrant |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 1 | TotalNbrOf501C3AndGovtGrants |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | SCHEDULE I, PART I, LINE 2: THE ORGANIZATIONS SOLE PURPOSE IS TO SUPPORT HERNANDO-PASCO HOSPICE, INC, (HPH) A RELATED 501(C)(3) ORGANIZATION. THE MAJORITY OF THE BOARD MEMBERS OF THE ORGANIZATION ARE ALSO BOARD MEMBERS OF HPH AND OVERSEE ALL ALLOCATIONS OF THE GRANT MONEY. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| THOMAS BARB | |||||||||||||
| 0 | 220462 | 0 | 0 | 0 | 0 | 0 | 61173 | 0 | 13710 | 0 | 295345 | 0 | 0 |
| W RICHARD YOUNG | |||||||||||||
| 0 | 157568 | 0 | 0 | 0 | 0 | 0 | 1576 | 0 | 9906 | 0 | 169050 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | PART I, LINE 4B | ReturnReference |
| Explanation | HERNANDO PASCO HOSPICE, INC., A RELATED ORGANIZATION, MAINTAINS A NONQUALIFIED EMPLOYEE DEFERRED COMPENSATION PLAN, OPEN TO CERTAIN KEY EMPLOYEES UNDER INTERNAL REVENUE CODE SECTION 457(F). THE 457(F) PLAN PROVIDES FOR VOLUNTARY CONTRIBUTIONS TO BE MADE ON BEHALF OF ELIGIBLE PARTICIPANTS. THESE FUNDS REMAIN THE PROPERTY OF HERNANDO PASCO HOSPICE, INC., WHO ALSO HAS A FIDUCIARY DUTY OF ACCOUNTABILITY FOR THESE FUNDS. NO CURRENT YEAR CONTRIBUTIONS WERE MADE. ON THE PARTICIPANT'S NORMAL RETIREMENT DATE, AS DEFINED IN THE PLAN, THE BENEFICIARY WILL RECEIVE A LUMP-SUM PAYMENT. THIS IS CALCULATED TO BE THE DISCOUNTED AMOUNT OF ANNUAL INCOME, PAYABLE FOR THE ESTIMATED REMAINING LIFE OF THE PARTICIPANT, EQUAL TO 2.5% OF THE PARTICIPANT'S FINAL AVERAGE COMPENSATION MULTIPLIED BY HIS YEARS OF SERVICE. NO BENEFIT SHALL ACCRUE TO THE PARTICIPANT AFTER HIS NORMAL RETIREMENT DATE. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (9 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 7A | COMPOSITION OF THE BOARD OF TRUSTEES: THE TOTAL MEMBERSHIP OF THE BOARD OF TRUSTEES SHALL AT ALL TIMES BE REPRESENTED BY THE HOSPICE COMMUNITY OF ENTITIES AS FOLLOWS: (A) CARE SECTOR: FOUR TRUSTEES SHALL BE CURRENT MEMBERS IN GOOD STANDING OF THE BOARD OF DIRECTORS OF HERNANDO PASCO HOSPICE, INC. (THE CURRENT OPERATING ENTITY). SUCH TRUSTEES SHALL BE APPOINTED BY THE BOARD OF DIRECTORS OF HERNANDO PASCO HOSPICE, INC. AND SHALL SERVE UNTIL THEY ARE NO LONGER MEMBERS OF SUCH BOARD OR UNTIL THEY ARE REPLACED BY THE BOARD, WHICHEVER OCCURS FIRST. (B) MANAGEMENT SECTOR: ONE TRUSTEE SHALL BE THE PRESIDENT/CHIEF EXECUTIVE OFFICER OF HERNANDO PASCO HOSPICE, INC. WHO SHALL SERVE UNTIL HE RESIGNS OR IS TERMINATED FROM OFFICE BY HERNANDO PASCO HOSPICE, INC. ONE TRUSTEE SHALL BE A PERSON EMPLOYED IN A MANAGERIAL POSITION BY HERNANDO PASCO HOSPICE, INC. AND SHALL BE APPOINTED BY THE HPH BOARD OF DIRECTORS. HE/SHE SHALL SERVE UNTIL S/HE IS NO LONGER EMPLOYED BY HERNANDO PASCO HOSPICE, INC. OR UNTIL REPLACED BY HPH BOARD OF DIRECTORS, WHICHEVER OCCURS FIRST. (C) AT LARGE SECTOR: ONE TRUSTEE SHALL BE APPOINTED ANNUALLY BY THE BOARD OF TRUSTEES OF HOSPICE FOUNDATION, INC. | |
| FORM 990, PART VI, SECTION A, LINE 7B | RESTRICTIONS ON AUTHORITY OF THE BOARD OF TRUSTEES: NOTWITHSTANDING ANYTHING IN THE BYLAWS TO THE CONTRARY, UNLESS OTHERWISE APPROVED BY THE AFFIRMATIVE VOTE OF NOT LESS THAN SEVENTY-FIVE PERCENT OF BOTH THE BOARD OF TRUSTEES AND THE BOARD OF DIRECTORS OF HERNANDO PASCO HOSPICE, INC., THE BOARD OF TRUSTEES SHALL NOT HAVE THE AUTHORITY TO DO ANY OF THE FOLLOWING ACTS ON BEHALF OF THE CORPORATION: (A) AMEND, REPEAL OR ALTER, IN WHOLE OR IN PART, ANY PROVISION OF THE CORPORATION'S ARTICLE OF INCORPORATION OR BYLAWS, OR ADOPT NEW ARTICLES OF INCORPORATION OR BYLAWS; (B) REMOVE ANY TRUSTEE FROM OFFICE PRIOR TO THE EXPIRATION OF SUCH TRUSTEE'S TERM; (C) SELL, LEASE OR OTHERWISE DISPOSE OF SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION; (D) MERGE OR CONSOLIDATE THE CORPORATION WITH OR INTO ANY CORPORATION, PARTNERSHIP, LIMITED LIABILITY COMPANY OR OTHER ENTITY, OR ENTER INTO ANY PARTNERSHIP, JOINT VENTURE OR ALLIANCE, OR FORM ANY SUBSIDIARY, OR DISSOLVE AND WIND UP THE CORPORATION; (E) CHANGE THE NAME OR PURPOSE OF THE CORPORATION OR CHANGE THE NATURE OF THE BUSINESS OF THE CORPORATION OR DO ANY ACT THAT WOULD MAKE IT IMPOSSIBLE TO CARRY ON THE ORDINARY BUSINESS OF THE CORPORATION OR CHANGE THE PRINCIPAL PLACE OF BUSINESS OF THE CORPORATION; (F) ADMIT ANY PERSON OR ENTITY AS A MEMBER OF THE CORPORATION OR ISSUE, BY SALE, OPTION, WARRANT, FOR PROPERTY, SERVICES OR OTHERWISE, ANY ADDITIONAL VOTING MEMBERSHIP INTERESTS IN THE CORPORATION; (G) ENTER INTO, GIVE OR GRANT ANY MORTGAGES, DEEDS OF TRUST, PLEDGES OR OTHER SECURITY INTERESTS, IN ANY REAL PROPERTY OWNED OR ACQUIRED BY THE CORPORATION, OR ANY PORTION THEREOF; (H) FILE FOR BANKRUPTCY, APPOINT A RECEIVER OR TRUSTEE TO MAKE A TRANSFER FOR THE BENEFIT OF CREDITORS; OR (I) ESTABLISH OR MODIFY ANY TAX-RELATED STRATEGY OR POSITION, OR OTHERWISE TAKE ANY ACTION WHICH WOULD HAVE A MATERIAL IMPACT ON THE TAX MATTERS RELATING TO THE CORPORATION, INCLUDING ANY DECISION TO CHANGE THE TAX-EXEMPT STATUS OF THE CORPORATION. | |
| FORM 990, PART VI, SECTION B, LINE 11 | A COPY OF THE 990 IS PROVIDED TO THE BOARD OF DIRECTORS BEFORE BEING FILED. | |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION'S CONFLICT OF INTEREST POLICY COVERS ALL "INTERESTED PERSONS," WHICH INCLUDES OFFICERS, DIRECTORS, MEMBERS OF ANY COMMITTEE OF THE BOARD, AND MEMBERS OF THE IMMEDIATE FAMILIES OF SUCH INDIVIDUALS. THE DESIGNATED COMPLIANCE OFFICER ROUTINELY REVIEWS THE EXISTING RELATIONSHIPS BETWEEN THE HOSPICE AND ITS "INTERESTED PERSONS", OTHER CARE PROVIDERS, EDUCATIONAL INSTITUTIONS AND PAYERS TO ASSURE THAT ALL RELATIONSHIPS ARE WITHIN THE LAW AND REGULATIONS. IF ANY CONFLICTS OF INTEREST ARE FOUND TO EXIST, THE COMPLIANCE OFFICER IMMEDIATELY REPORTS THE POTENTIAL CONFLICT TO THE CHIEF EXECUTIVE OFFICER. ANY VOTING MEMBER INVOLVED IN A CONFLICT OF INTEREST MUST IMMEDIATELY DISCLOSE IT TO THE CHAIRMAN OF THE BOARD AND IS DISALLOWED FROM VOTING ON ANY MATTERS RELATING TO ANY TRANSACTION WITH AN "INTERESTED PERSON" OR ENTITY. | |
| FORM 990, PART VI, SECTION B, LINE 15 | THE ORGANIZATION ENSURES THAT A REASONABLE AND COMPETITIVE PRESIDENT AND CHIEF EXECUTIVE OFFICER COMPENSATION PACKAGE CONSISTENT WITH MARKET-BASED COMPENSATION PRACTICES IS OFFERED. AN INDEPENDENT COMPENSATION AND BENEFITS COMMITTEE IS APPOINTED BY THE BOARD TO REVIEW THE PERFORMANCE OF THE EXECUTIVE OFFICERS, INCLUDING THE PRESIDENT AND CHIEF EXECUTIVE OFFICER. UPON REPORTING TO THE BOARD AT THE SUBSEQUENT BOARD MEETING, THE BOARD THEN APPROVES THE SALARY AND BENEFITS OF THE EXECUTIVE OFFICERS. THE DECISIONS OF THE BOARD REGARDING THE COMPENSATION ARRANGEMENT ARE DOCUMENTED WITHIN THE MEETING MINUTES. | |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. | |
| FORM 990, PART VII, SECTION A, #1A, COLUMN (B) | THE CEO AND CFO SERVE THE FILING ORGANIZATION AND RELATED ORGANIZATIONS AND WORK 45 HOURS PER WEEK, IN TOTAL. THE ALLOCATION OF HOURS AMONG THE RELATED ORGANIZATIONS IS AS FOLLOWS: HERNANDO PASCO HOSPICE, INC. - 38 HRS HPH REAL ESTATE, INC. - 2 HRS HOSPICE FOUNDATION, INC. - 5 HRS | ALLOCATION OF HOURS WORKED |
| FORM 990, PART XI, LINE 5: | NET UNREALIZED GAINS ON INVESTMENTS: 1,249,267. GIFT ANNUITY ADJUSTMENT -26,160. TOTAL TO FORM 990, PART XI, LINE 5: 1,223,107. | CHANGES IN NET ASSETS OR FUND BALANCES: |
| FORM 990, PART XII, LINE 2C | THE FINANCE COMMITTEE IS RESPONSIBLE FOR OVERSIGHT OF THE AUDITED FINANCIALS AND FOR INTERVIEWING INDEPENDENT ACCOUNTANTS. THEY MAKE THEIR RECOMMENDATION TO THE FULL BOARD, WHO VOTE TO SELECT THE INDEPENDENT ACCOUNTANT. THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. | OVERSIGHT OF AUDIT AND SELECTION OF INDEPENDENT ACCOUNTANT |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| HERNANDO PASCO HOSPICE INC | |||||||||||
| 12107 MAJESTIC BLVD | HUDSON | FL | 34667 | 592217929 | PROVIDE MEDICAL AND SUPPORT SERVICES TO INDIVIDUALS FACING TERMINAL ILLNESS. | FL | 501(C)(3) | LINE 9 | N/A | 0 | |
| HPH REAL ESTATE INC | |||||||||||
| 12107 MAJESTIC BLVD | HUDSON | FL | 34667 | 593467283 | PROVIDE AND MAINTAIN PHYSICAL FACILITIES FOR RELATED 501(C)(3) ORGANIZATIONS | FL | 501(C)(2) | 0 | HERNANDO PASCO HOSPICE INC | ||
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HPH SOUTH INC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12107 MAJESTIC BLVD | AddressLine1 |
| City | HUDSON | City |
| State | FL | State |
| ZIP Code | 34667 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 271436121 | EIN |
| Primary Activity | PROVIDE HOSPICE AND RELATED HEALTH CARE SERVICES | PrimaryActivity |
| Legal Domicile State | FL | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HERNANDO PASCO HOSPICE INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Entity | C | TypeOfEntity |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 1 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 1 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| HPH REAL ESTATE INC | ||
| E | 120000 | CASH |
| HPH REAL ESTATE INC | ||
| D | 182875 | CASH |
Comments