PIKES PEAK HOSPICE FOUNDATION: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
PIKES PEAK HOSPICE FOUNDATION (EIN 84-1453050)
Tax period
2011-10-01 to 2012-09-30
Filed
2013-03-21
IRS object ID
201320809349300512
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-03-21T12:34:21-05:00Timestamp
Tax Period End Date2012-09-30TaxPeriodEndDate

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 Date2011-10-01TaxPeriodBeginDate

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 Signed2013-03-19DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameDORI J EGGETTName
PTINP00645252PTIN
Phone3037409400Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

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 Receipts8083607GrossReceipts
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 Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers524TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1117707ContributionsGrantsPriorYear
Contributions Grants Current Year5584768ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year388291InvestmentIncomePriorYear
Investment Income Current Year197585InvestmentIncomeCurrentYear
Other Revenue Prior Year-27279OtherRevenuePriorYear
Other Revenue Current Year-38844OtherRevenueCurrentYear
Total Revenue Prior Year1478719TotalRevenuePriorYear
Total Revenue Current Year5743509TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year39226GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY4288721GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year196359SalariesEtcPriorYear
Salaries Etc Current Year232107SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year484282TotalFundrsngExpCurrentYear
Other Expense Prior Year256932OtherExpensePriorYear
Other Expenses Current Year401988OtherExpensesCurrentYear
Total Expenses Prior Year492517TotalExpensesPriorYear
Total Expenses Current Year4922816TotalExpensesCurrentYear
Revenues Less Expenses Prior Year986202RevenuesLessExpensesPriorYear
Revenues Less Expenses CY820693RevenuesLessExpensesCY
Total Assets BOY12168949TotalAssetsBOY
Total Assets EOY14032328TotalAssetsEOY
Total Liabilities BOY32507TotalLiabilitiesBOY
Total Liabilities EOY38536TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY12136442NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY13993792NetAssetsOrFundBalancesEOY
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
Expense4344296Expense
Grants4288721Grants
DescriptionPIKES PEAK HOSPICE FOUNDATION IS A SUPPORTING ORGANIZATION FOR PIKES PEAK HOSPICE & PALLIATIVE CARE, INC. WHICH PROVIDED SERVICES TO 1975 PATIENTS IN FISCAL YEAR 2012. AMOUNT TRANSFERRED TO PPHPC WAS $4,288,721 IN FISCAL YEAR 2012. $1,304,094 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 Expense4344296TotalProgramServiceExpense
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 Activities1FundraisingActivities
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
Transaction Related Entity0TransactionRelatedEntity
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 Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
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 Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members13NumberIndependentVotingMembers
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 (15 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
JEFF ROSACKER
CHAIR1.00XX000
DORIS BAKER
VICE-CHAIR1.00XX000
DAN WINTER
TREASURER1.00XX000
PATRICIA MARTIN
SECRETARY1.00XX000
TOM DERMODY
MEMBER-AT-LARGE1.00X000
BILL BERENZ
TRUSTEE1.00X000
KATHRYN CURRY
TRUSTEE1.00X000
SCOTT DAVIS
TRUSTEE1.00X000
CARLA HARTSELL
TRUSTEE1.00X000
ROGER HILL
TRUSTEE1.00X000
GAIL NUTH
TRUSTEE1.00X000
STEVE RODEMER
TRUSTEE1.00X000
SCOTT ROSS DO
TRUSTEE1.00X000
MARTHA BARTON
PRESIDENT/CEO0.00XX01754299347
JOAN SELMAN
EXECUTIVE DIRECTOR40.00X0893262607
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs264755TotalReportableCompFrmRltdOrgs
Total Other Compensation11954TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Federated Campaigns53810FederatedCampaigns
Fundraising Events91230FundraisingEvents
All Other Contributions5439728AllOtherContributions
Noncash Contributions1859468NoncashContributions
Total Contributions5584768TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column252639TotalRevenueColumn
Exclusion$252,639ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities2246200Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities2301254Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-55054Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-55054TotalRevenueColumn
Exclusion-$55,054ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events0GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events91230CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses38844FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-38844TotalRevenueColumn
Exclusion-$38,844ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column5743509TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$158,741ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total4288721Total
Program Services4288721ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total94140Total
Fundraising94140Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total105836Total
Management And General1900ManagementAndGeneral
Fundraising103936Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total3675Total
Management And General142ManagementAndGeneral
Fundraising3533Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total14315Total
Management And General481ManagementAndGeneral
Fundraising13834Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total14141Total
Fundraising14141Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total5924Total
Management And General5924ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total35435Total
Management And General35435ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total84880Total
Fundraising84880Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total94174Total
Fundraising94174Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total10810Total
Management And General10810ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total26699Total
Management And General26699ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total1433Total
Management And General1433ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total7381Total
Management And General7381ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total4033Total
Management And General4033ManagementAndGeneral

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalFundraisingFundraisingProgram ServicesProgramServices
OTHER EXPENSES7564475644
DIRECT PATIENT SERVICES5557555575

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total4922816Total
Program Services4344296ProgramServices
Management And General94238ManagementAndGeneral
Fundraising484282Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY300BOY
EOY300EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1156244BOY
EOY920038EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY157600BOY
EOY1623960EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1321BOY
EOY1019EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis78288LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec56124LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY12233BOY
EOY22164EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY9593488BOY
EOY10202020EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1247763BOY
EOY1262827EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY12168949BOY
EOY14032328EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY16727BOY
EOY23652EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY15780BOY
EOY14884EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY32507BOY
EOY38536EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY9029842BOY
EOY8700104EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY236757BOY
EOY2257583EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY2869843BOY
EOY3036105EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY12136442BOY
EOY13993792EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY12168949BOY
EOY14032328EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses820693ReconcilationRevenueExpenses
Reconcilation Other Changes1036657ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
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
Supported Organization Notified1SupportedOrganizationNotified
Organized In US1OrganizedInUS
Amount$4,288,721Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts4288721SumOfAmounts

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 Balance2106113BeginningOfYearBalance
Contributions203440Contributions
Investment Earnings Or Losses344561InvestmentEarningsOrLosses
End Of Year Balance2654114EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

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

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance1749395BeginningOfYearBalance
Contributions131307Contributions
Investment Earnings Or Losses190188InvestmentEarningsOrLosses
End Of Year Balance2070890EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.25080BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.68680PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.06240TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis66288OtherCostOrOtherBasis
Depreciation56124Depreciation
Book Value10164BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis12000OtherCostOrOtherBasis
Book Value12000BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings22164TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
BENEFICIAL INTEREST IN PERPETUAL TRUST1213409
BENEFICIAL INTEREST IN CHARITABLE REMAINDER TRUST49418
FieldValueIRS element (for citing)
Total Book Value Other Assets1262827TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionANNUITY OBLIGATIONSDescription
Amount$14,884Amount
FieldValueIRS element (for citing)
Total Of Amounts14884TotalOfAmounts
Total Revenue5743509TotalRevenue
Total Expenses4922816TotalExpenses
Excess Or Deficit For Year820693ExcessOrDeficitForYear
Net Unrealized GL On Investments1102835NetUnrealizedGLOnInvestments
Donated Services And Facilities47025DonatedServicesAndFacilities
Other-$113,203OtherAmount
Total Adjustments1036657TotalAdjustments
Excess Or Deficit Per FS1857350ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt6948390TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments1102835NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities47025DonatedSrvcAndUseOfFacilities
Other Revenues55021OtherRevenues
Revenue Not Rptd F9901204881RevenueNotRptdF990
Revenue Subtotal5743509RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form9905743509TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt802319TotExpensesEtcAuditedFinclStmt
Other Expenses Included168224OtherExpensesIncluded
Expenses Not Rptd F990168224ExpensesNotRptdF990
Expenses Subtotal634095ExpensesSubtotal
Other Expenses Not Included4288721OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt4288721ExpensesNotRptdOnFinStmt
Total Expenses Per Form9904922816TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (6 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 $2,257,583 AND 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: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, 2012 AND 2011. 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, 2012 AND 2011. TAX YEARS THAT REMAIN SUBJECT TO EXAMINATION INCLUDE 2008 THROUGH THE CURRENT PERIOD FOR THE COLORADO RETURN.
PART XI, LINE 8 - OTHER ADJUSTMENTS:CHANGE IN VALUE OF BENEFICIAL INTEREST IN CHARITABLE REMAINDER TRUST 4,569. CHANGE IN VALUE OF BENEFICIAL INTEREST IN PERPETUAL TRUST 10,495. CHANGE IN VALUE OF BENEFICIAL INTEREST IN CGA TRUST 1,113. UNCOLLECTIBLE PLEDGES -129,380. TOTAL TO SCHEDULE D, PART XI, LINE 8: -113,203.
PART XII, LINE 2D - OTHER ADJUSTMENTS:CHANGE IN VALUE OF BENEFICIAL INTEREST IN CHARITABLE REMAINDER TRUST 4,569. CHANGE IN VALUE OF BENEFICIAL INTEREST IN PERPETUAL TRUST 10,495. CHANGE IN VALUE OF BENEFICIAL INTEREST IN CGA TRUST 1,113. SPECIAL EVENTS EXPENSE 38,844.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:SPECIAL EVENTS EXPENSE 38,844. UNCOLLECTIBLE PLEDGES 129,380.
PART XIII, LINE 4B - OTHER ADJUSTMENTS:TRANSFERS TO PIKES PEAK HOSPICE AND PALLIATIVE CARE 4,288,721.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1TREES OF LIFENameOfEvent1
Gross Receipts Event191230GrossReceiptsEvent1
Charitable Contributions Event191230CharitableContributionsEvent1
Other Direct Expenses Event138844OtherDirectExpensesEvent1
Gross Receipts Total91230GrossReceiptsTotal
Charitable Contributions Total91230CharitableContributionsTotal
Other Direct Expenses Total Events38844OtherDirectExpensesTotalEvents
Direct Expense Summary Events38844DirectExpenseSummaryEvents
Net Income Summary-38844NetIncomeSummary

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 Grant4288721AmountOfCashGrant
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
Base Compensation Filing Org0BaseCompensationFilingOrg
Comp Based On Related Orgs172829CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs2600BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org0DeferredCompFilingOrg
Deferred Comp Related Orgs5433DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org0NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs3914NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org0TotalCompensationFilingOrg
Total Compensation Related Orgs184776TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTraded

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions7NumberOfContributions
Noncash Contribs Rptd F9901812443NoncashContribsRptdF990
Method Of Determining RevenuesFAIR MARKET VALUEMethodOfDeterminingRevenues

Other Non Cash Contributions Table OtherNonCashContributionsTable (4 entries)

Non Cash CheckboxNonCashCheckboxDescriptionDescriptionNumber Of ContributionsNumberOfContributionsNoncash Contribs Rptd F990NoncashContribsRptdF990Method Of Determining RevenuesMethodOfDeterminingRevenues
XFUNERAL PLOTS58075DONOR VALUED
XMEDICAL EQUIP11750DONOR VALUED
XFURNITURE223000DONOR VALUED
XLABOR & EQUIP614200DONOR VALUED
FieldValueIRS element (for citing)
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 CONTRIBUTORS:Identifier
Return ReferencePART I, COLUMN (B):ReturnReference
ExplanationTHE PUBLICLY TRADED STOCKS, FUNERAL PLOTS AND VAULTS, AND MEDICAL EQUPIMENT ARE SHOWN AS NUMBER OF ITEMS CONTRIBUTED. OFFICE FURNITURE AND MATERIALS AND LABOR FOR NEW HEADQUARTERS ARE SHOWN AS NUMBER OF CONTRIBUTORS.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
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 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.
FORM 990, PART XI, LINE 5:NET UNREALIZED GAINS ON INVESTMENTS: 1,102,835. DONATED SERVICES AND USE OF FACILITIES: 47,025. CHANGE IN VALUE OF BENEFICIAL INTEREST IN CHARITABLE REMAINDER TRUST 4,569. CHANGE IN VALUE OF BENEFICIAL INTEREST IN PERPETUAL TRUST 10,495. CHANGE IN VALUE OF BENEFICIAL INTEREST IN CGA TRUST 1,113. UNCOLLECTIBLE PLEDGES -129,380. TOTAL TO FORM 990, PART XI, LINE 5: 1,036,657.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
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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