2013-02-01T10:00:21-06:00 2012-06-30 CROWE HORWATH LLP 70 West Madison Street Suite 700 Chicago IL 606024903 990 2011-07-01 251529649 FAMILY HOSPICE AND PALLIATIVE CARE FAMI 4125728800 50 Moffett Street Pittsburgh PA 15243 FRANCO INSANA 2012-01-30 false Nicole Bencik P00756195 3128997000 2011 2016-02-25 16:41:14Z FRANCO INSANA 50 Moffett Street Pittsburgh PA 15243 22211275 false X WWW.FAMILYHOSPICE.COM X 1980 PA TO PROVIDE COMPASSIONATE, QUALITY CARE FOR PEOPLE WITH LIFE-LIMITING ILLNESSES & THEIR FAMILIES. 15 14 294 480 0 0 705383 724263 19260589 21361980 618 205 128512 88187 20095102 22174635 0 0 0 0 12038215 12794545 0 0 404035 7258445 7667535 19296660 20462080 798442 1712555 13458564 15122551 5024854 4972645 8433710 10149906 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 16126375 0 20638850 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 2,819 PATIENTS CONSISTING OF 149,825 VISITS BY PHYSICIANS, NURSING, SOCIAL SERVICE, COUNSELING, THERAPY AND BEREAVEMENT STAFF. ALSO, THE ORGANIZATION PROVIDED $53,256 OF UNCOMPENSATED MANDATORY CARE TO 14 PATIENTS. THIS INCLUDED SERVICES PROVIDED BY PHYSICIANS, NURSING, COUNSELING AND BEREAVEMENT, IN ADDITION TO PHARMACEUTICALS, SUPPLIES AND DURABLE MEDICAL EQUIPMENT. 686228 0 749769 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 861 PATIENTS CONSISTING OF 10,881 VISITS BY PHYSICIAN, NURSING, SOCIAL SERVICE, COUNSELING, THERAPY STAFF. ALSO, THE ORGANIZATION PROVIDED $10,133 OF UNCOMPENSATED MANDATORY CARE TO 7 PATIENTS. THIS INCLUDED SERVICES PROVIDED BY PHYSICIANS, NURSING AND COUNSELING. 146085 0 0 THE ORGANIZATION OFFERS COMPLIMENTARY SERVICES AND PROVIDES THE FOLLOWING PROGRAMS TO BENEFIT THE COMMUNITY: COMPLIMENTARY SERVICES: 472 PATIENTS RECEIVED ART, MASSAGE, MUSIC AS A SUPPLEMENT TO TRADITIONAL HOSPICE MODEL 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 $92,104. (CONTINUED IN SCHEDULE O). 16958688 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 72 0 true 294 true false false false false false true true false false false false X 15 14 false false false 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 3.00 X X 0 0 0 DEBORAH BODINE 3.00 X X 0 0 0 PAUL WINKLER 5.00 X X 0 0 0 RAFAEL SCIULLO 40.00 X X 209002 0 13893 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 IRENE MCFADDEN 20.00 X 7639 0 50 JOANNE HAHEY 2.00 X 0 0 0 JON ALLEGRETTI 2.00 X 0 0 0 KIM WARD BURNS 2.00 X 0 0 0 ROBERT C JACKSON JR 2.00 X 0 0 0 SANDRA R TOMLINSON 2.00 X 0 0 0 STANLEY S WETSCHLER MD 2.00 X 0 0 0 SUSAN NITZBERG 2.00 X 0 0 0 FRANCO INSANA 40.00 X 107839 0 26762 MARY BETH SALAMA 40.00 X 180604 0 7543 THERESA GUALTERI 55.00 X 104686 0 6661 609770 0 54909 4 false true false UNIVERSITY OF PITTSBURGH PHYSICIANS 3550 TERRACE STREET PITTSBURGH PA 15261 PHYSICIAN 314675 CURA HOSPITALITY PO BOX 827276 PHILADELPHIA PA 19182 DIETARY SERVICES 206926 ELIZABETH TOWNSHIP AREA EMS PO BOX 539 BUENA VISTA PA 15018 AMBULANCE 151669 3 23977 0 42722 0 40000 617564 10000 724263 NET PATIENT REVENUE 623990 21361980 21361980 0 0 0 0 21361980 205 205 0 0 1420 0 5171 0 -3751 0 -3751 -3751 0 0 0 65110 42722 31469 33641 33641 0 0 FOOD SERVICE 722210 31658 31658 MISCELLANEOUS 900099 26639 26639 0 0 0 0 58297 22174635 21388619 0 61753 0 0 0 0 365185 365185 0 9938644 8358104 1373230 207310 150235 126892 19228 4115 1598353 1322692 238451 37210 742128 598782 127611 15735 0 49639 1971 47668 39909 39909 0 0 0 1647699 1379031 195764 72904 141844 39820 101331 693 651399 467611 128928 54860 31623 31623 0 275032 275032 540888 464674 68708 7506 0 0 124291 74488 48834 969 0 303118 109740 191950 1428 127375 127375 PATIENT-RELATED EXPENSES 2731631 2731631 INPATIENT HOSPITAL FEES 858777 858777 BAD DEBT 119959 119959 TRAINING & RECRUITMENT 16519 14236 978 1305 7832 7832 0 0 20462080 16958688 3099357 404035 0 2888951 4108126 200595 365867 49814 91926 1998717 2262250 166823 346662 9544249 1636862 8111224 7907387 0 0 0 0 42440 40333 13458564 15122551 1407518 1584901 11538 6407 3439738 3279278 166060 102059 5024854 4972645 X 8200582 9847707 233128 302199 8433710 10149906 13458564 15122551 X 1712555 3641 X false true true X false X 1514381 748994 672952 705383 700287 4341997 0 0 1514381 748994 672952 705383 700287 4341997 518880 3823117 32436 10676 5996 5323 1625 56056 0 162573 442271 119895 160949 147383 1033071 5431124 16594998 0.70390 0.69700 X OTHER INCOME, SCHEDULE A, PART II, LINE 10, DESCRIPTION - GROSS INCOME FROM FUNDRAISING EVENTS, COLUMN A - 100612, COLUMN B - 103541, COLUMN C - 27197, COLUMN D - 82310, COLUMN E - 89086, COLUMN F - 970053; DESCRIPTION - OTHER INCOME, COLUMN A - 61961, COLUMN B - 338730, COLUMN C - 92698, COLUMN D - 78639, COLUMN E - 58297, COLUMN F - 630325;, RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 676 676 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 885119 6545088 311097 72031 239066 1231162 679712 551450 56783 56783 7907387 0 CAPITAL LEASE OBLIGATION 15890 INTEREST RATE SWAP AGREEMENTS 86169 102059 22174635 20462080 1712555 3641 0 3641 1716196 22214916 3641 36640 40281 22174635 0 0 22174635 20498720 36640 36640 20462080 0 0 20462080 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, 2012 AND 2011. GOLF OUTING 76655 33698 42957 1500 4565 8890 5541 0 3313 MEMORIAL WALK 31177 9024 22153 0 0 1047 0 150 6463 0 107832 42722 65110 1500 4565 9937 5541 150 9776 31469 33641 X X X X false false false false false false false true false RAFAEL SCIULLO 189002 0 20000 0 0 0 5420 0 8473 0 222895 0 0 0 MARY BETH SALAMA 180604 0 0 0 0 0 5441 0 2102 0 188147 0 0 0 Non-fixed payments Schedule J, Part I, Line 7 SOME NON-FIXED PAYMENTS WERE PROVIDED TO INTERESTED PERSONS DURING THE YEAR. WILKINS AREA INDUSTRIAL DEVELOPMENT AUTHORITY 251410750 2009-03-20 1234326 FINANCING OF BUILDINGS AND STRUCTURES USED FOR TAX-EXEMPT PURPOSES false false false WILKINS AREA INDUSTRIAL DEVELOPMENT AUTHORITY 251410750 2009-03-20 2895846 FINANCING OF BUILDINGS AND STRUCTURES USED FOR TAX-EXEMPT PURPOSES false false false 0 0 1234326 0 0 0 20770 0 0 1213556 0 0 2008 false false true true 347542 0 2895846 0 0 0 0 0 0 2895846 0 0 2008 true false true true false false false false 0.0000 0.0000 0.0000 true false false false false 0.0000 0.0000 0.0000 true false true true HUNTINGTON NATIONAL BANK 5.0 false false false false true false true true HUNTINGTON NATIONAL BANK 5.0 false false false 0.0 false true X RX PARTNERS DEBORAH BRODINE, DIRECTOR OF FHPC, IS A DIRECTOR OF RX PARTNERS 815306 FHPC PURCHASES PATIENT-RELATED SUPPLIES FROM RX PARTNERS. false CHARTWELL DEBORAH BRODINE, DIRECTOR OF FHPC, IS A DIRECTOR OF CHARTWELL. 375055 FHPC PURCHASES PATIENT-RELATED SUPPLIES FROM CHARTWELL. false CHARTWELL JOANNE HAHEY, DIRECTOR OF FHPC, IS A DIRECTOR OF CHARTWELL. 375055 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 98 PARTICIPANTS. THE COST OF QUALITY OF LIFE EDUCATION $53,981. HOSPICE FOUNDATION OF AMERICA END OF LIFE ETHICS: EDUCATION FORUM UTILIZING CASE STUDY, EXAMINING ETHICAL ISSUES AND DILEMMAS THAT EMERGE AT THE END OF LIFE. LIFE PANEL DISCUSSION FOLLOWING 2.5 HR SESSION. ATTENDED BY 25 HEALTH CARE PROFESSIONALS. NAMASTE: A HOLISTIC APPROACH EMBRACING HOSPICE AND PALLIATIVE CARE, PROVIDED TO 61 PARTICIPANTS. SICK GIRL SPEAKS' COMMUNITY PROGRAM AT THE CENTER FOR COMPASSIONATE CARE: OPEN TO THE PUBLIC AND HEALTH CARE PROFESSIONALS, FAMILY HOSPICE AND PALLIATIVE CARE HOSTED AN EVENING WITH AUTHOR TIFFANY CHRISTENSE, TWICE A RECIPIENT OF A DOUBLE LUNG TRANSPLANT, WHO SHARED LESSONS AND PONDERINGS ALONG THE ROAD TO ACCEPTANCE. GROWING THRU GRIEF: THE "GROWING THRU GRIEF" PROGRAM IS A SIX WEEK EDUCATIONAL PROGRAM THAT IS OPEN TO THE PUBLIC WITH REGISTRATION REQUIRED. 308 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 402 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 HOSTED AT THE CENTER FOR COMPASSIONATE CARE. THERE WERE 42 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 (WHEREVER REQUESTED). THERE WERE 82 ATTENDEES. LIFE'S LAST CHAPTER: THIS PROGRAM OFFERS INSIGHT INTO THE CHALLENGES AND OPPORTUNITIES WHEN THE COURSE OF LIFE TAKES A DETOUR THAT INCLUDES A LIFE LIMITING, LIFE THREATENTING ILLNESS. THERE WERE 53 ATTENDEES DURING THE YEAR, INCLUDING HEALTHCARE PROFESSIONALS AND STUDENTS. 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 190 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. THERE WERE 178 ATTENDEES. MEMORIAL SERVICE: THE MEMORIAL SERVICE AND RECEPTION WAS HELD FOR SURVIVORS OF PATIENTS ON BOTH PALLIATIVE HOME CARE AND HOSPICE. THE PROGRAM 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 723 ATTENDEES. "NOT ALL HOSPICES ARE CREATED EQUAL": PROGRAM LOOKS AT THE CORE SERVICES OF A HOSPICE PROGRAM IN ADDITION TO EXPLORING MODELS THAT INCLUDE INTEGRATIVE APPROACHES TO END OF LIFE CARE. THERE WERE 90 ATTENDEES. HOSPICE AND LEVELS OF CARE: EDUCATIONAL PRESENTATION FOR ALL HEALTH CARE PROFESSIONALS IN THE HOSPITAL SETTING, LONG TERM CARE AND THE COMMUNITY RELATED TO THE COMPONENTS OF HOSPICE AND THE 4 LEVELS OF CARE. THERE WERE 13 ATTENDEES. "BEYOND BEDSIDE PRAYERS": THIS PROGRAM IS AN EDUCATION CEU PROGRAM THAT HIGHLIGHTED SPIRITUAL CHALLENGES AND POTENTIAL INTERVENTIONS RELATIVE TO THE END OF LIFE JOURNEY. THE PROGRAM WAS PRESENTED TO HEALTH CARE PROFESSIONALS IN ALL VENUES. THERE WERE 40 ATTENDEES. DEATH AND DYING: THE ORGANIZATION PROVIDES INSIGHT AND EDUCATION INTO THE UNIQUE NEEDS, CHALLENGES AND CARE OPTIONS AS A PERSON ENTERS AN END OF LIFE EXPERIENCE. SEPARATE PRESENTATION OFFERED RELATED TO THE DEMENTIA PATIENT. THERE WERE 54 ATTENDEES. PALLIATIVE SEDATION: THIS PROGRAM COVERS PROFESSIONAL STANDARDS OF PRACTICE RELATED TO PAIN AND SYMPTOM MANAGEMENT FOR THE HEALTH CARE PROFESSIONAL. THERE WERE 153 ATTENDEES. NATIONAL DAY OF CONVERSATION: THE NATIONAL DAY OF CONVERSATION IS AN EDUCATIONAL FORUM THAT PROVIDED INSIGHT AND OPPORTUNITY TO REVIEW THE LEGAL DOCUMENT OF ADVANCE DIRECTIVES, LIVING WILLS AND UNIQUE ASPECTS OF THE PHYSICIAN ORDERS FOR LIFE-SUSTAINING TREATMENT (POLST). THERE WERE 19 ATTENDEES. IN-PATIENT LEVEL OF CARE IN THE ACUTE CARE ENVIRONMENT: THIS PROGRAM DEFINES THE COORDINATION OF CARE AND COMMUNICATION FOR A HOSPICE PATIENT RECEIVING HOSPICE SERVICES IN THE HOSPITAL; ALSO DISCUSSED IS THE ENVIRONMENT FOR A GENERAL INPATIENT LEVEL OF CARE AS DEFINED BY THE HOSPICE BENEFIT. THERE WERE 126 ATTENDEES. MY RESIDENT DIED: THIS PROGRAM COVERS THE IMPACT TO PROFESSIONAL CAREGIVERS RELATED TO GRIEF AND HEALTHY COPING. THERE WERE 3 ATTENDEES. TRANSITIONS: EDUCATION AND INFORMATION PROVIDED TO HEALTHCARE PROFESSIONALS RELATED TO FAMILY HOSPICE AND PALLIATIVE CARE'S PILOT PROGRAM, DESIGNED TO MEET THE UNIQUE NEED OF THE AFRICAN AMERICAN COMMUNITY FOLLOWING A LIFE LIMITING ILLNESS. THERE WERE 757 ATTENDEES. MISPERCEPTIONS (MYTHS) OF HOSPICE: EDUCATION TAILORED TO MEET THE UNIQUE INQUIRIES OF PHYSICIANS AS THEY CONSIDER HOSPICE AND A PALLIATIVE APPROACH FOR THEIR PATIENTS. THERE WERE 21 ATTENDEES. COMPLEMENTARY THERAPIES AND HOSPICE: THESE PROGRAMS EXPLORE AND DELINEATE THE VALUE OF A HOLISTIC APPROACH UTILIZING ART, MUSIC AND MASSAGE AS A COMPONENT OF THE HOSPICE AND PALLIATIVE CARE MODEL. THERE WERE 4 ATTENDEES. THE PROGRAM TITLED "HOSPICE, MEDICATIONS AND UTILIZATION OF DRUGS RELATED TO SYMPTOM MANAGEMENT AND SAFETY" HAD 7 ATTENDEES. HEALTHCARE PROFESSIONALS IN THE ACUTE CARE AND LONG TERM CARE CONTINUUM RECOGNIZE AND CELEBRATE THE VETERAN FACING A DIFFERENT 'BATTLE' - THIS PROGRAM HAD 308 ATTENDEES. SOCIAL WORK: KEY TO THE PATIENT AND FAMILY EXPERIENCE: EDUCATION, INSIGHT AND AWARENESS TO THOSE IN HEALTHCARE AND IN THE ACADEMIC ARENA TRAINING FOR THE PROFESSION OF SOCIAL WORK, KEY AREAS OF PROFESSIONAL SOCIAL WORKER INTERVENTION WITH PATIENTS AND FAMILIES. THERE WERE 48 ATTENDEES. CARING FOR THE CAREGIVER - RUNNING ON EMPTY: HEALTHCARE PROFESSIONALS IN ALL SETTINGS IDENTIFYING THE NATURE OF AND IMPACT OF STRESS, CUMULATIVE LOSS. THE PROGRAM DEFINES OPPORTUNITIES TO AVERT COMPASSION FATIGUE. THERE WERE 39 ATTENDEES. UNDERSTANDING MEMORY LOSS: THIS PROGRAM WAS PRESENTED TO HEALTHCARE PROFESSIONALS, PROVIDING INSIGHT INTO THE PHYSIOLOGICAL AND PSYCHO-SOCIAL DYNAMICS THAT OCCUR AS MEMORY IS COMPROMISED. THERE WERE 36 ATTENDEES. PEDIATRICS: HOSPICE AND PALLIATIVE APPROACH TO THE PLAN OF CARE: THIS PROGRAM DEFINES THE BENEFITS OF A PALLIATIVE APPROACH WITH CHILDREN AS PARENTS, HEALTHCARE PROVIDERS AND INSURERS PROVIDE AND INSURE CARE, TREATMENT AND SERVICE. THERE WERE 12 ATTENDEES. TEENS AND GRIEF: EXPLORING THE NATURE OF LOSS: PRESENTATION OF THE UNIQUE DEVELOPMENTAL STAGES OF ADOLESCENTS & TEENS AND THE IMPACT OF GRIEF. THE PROGRAM HELPS TO IDENTIFY OPPORTUNITIES FOR SUPPORT AND DIRECTION. THERE WERE 23 ATTENDEES. 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. 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 THESE BYLAWS. THE CORPORATE PARTICIPANTS ARE ST. CLAIR MEMORIAL HOSPITAL ("ST. CLAIR"), 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 ST. CLAIR; -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 8, 2013 AND RECOMMENDED APPROVAL TO THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS APPROVED THE FINAL VERSION ON JANUARY 28, 2013. 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 COMFORMITY 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. Other changes in net assets or fund balances Form 990, Part XI, Line 5 NET UNREALIZED GAINS (LOSSES) ON INVESTMENTS - 3641;