PIKES PEAK HOSPICE FOUNDATION: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
PIKES PEAK HOSPICE FOUNDATION (EIN 84-1453050)
Tax period
2010-10-01 to 2011-09-30
Filed
2012-04-04
IRS object ID
201220959349300742
Schema version
2010v3.4
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)
Timestamp2012-04-04T19:19:29-05:00Timestamp
Tax Period End Date2011-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Logan Thomas & Johnson LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line15023 W 120th Ave 165AddressLine1
CityBroomfieldCity
StateCOState
ZIP Code80020ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-10-01TaxPeriodBeginDate

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 Line1825 E Pikes Peak Avenue Suite 600AddressLine1
CityColorado SpringsCity
StateCOState
ZIP Code809033624ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMartha BartonName
TitlePresident & CEOTitle
Phone7196333400Phone
Date Signed2012-04-04DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJan ThomasName
Phone7196401188Phone
Date Prepared2012-04-04DatePrepared
Self EmployedXSelfEmployed
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMartha BartonNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1825 E Pikes Peak Avenue Suite 600AddressLine1
CityColorado SpringsCity
StateCOState
ZIP Code809033624ZIPCode
FieldValueIRS element (for citing)
Gross Receipts3902780GrossReceipts
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 Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers580TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year2099512ContributionsGrantsPriorYear
Contributions Grants Current Year1117707ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year532281InvestmentIncomePriorYear
Investment Income Current Year388291InvestmentIncomeCurrentYear
Other Revenue Prior Year-79599OtherRevenuePriorYear
Other Revenue Current Year-27279OtherRevenueCurrentYear
Total Revenue Prior Year2552194TotalRevenuePriorYear
Total Revenue Current Year1478719TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year124596GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY39226GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year201854SalariesEtcPriorYear
Salaries Etc Current Year196359SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year358477TotalFundrsngExpCurrentYear
Other Expense Prior Year169761OtherExpensePriorYear
Other Expenses Current Year256932OtherExpensesCurrentYear
Total Expenses Prior Year496211TotalExpensesPriorYear
Total Expenses Current Year492517TotalExpensesCurrentYear
Revenues Less Expenses Prior Year2055983RevenuesLessExpensesPriorYear
Revenues Less Expenses CY986202RevenuesLessExpensesCY
Total Assets BOY12035503TotalAssetsBOY
Total Assets EOY12168949TotalAssetsEOY
Total Liabilities BOY35324TotalLiabilitiesBOY
Total Liabilities EOY32507TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY12000179NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY12136442NetAssetsOrFundBalancesEOY
Mission DescriptionThe mission of Pikes Peak Hospice Foundation is to generate and distribute funds in support of the mission 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
Expense39226Expense
Grants39226Grants
DescriptionPikes Peak Hospice Foundation is a supporting organization for Pikes Peak Hospice and Palliative Care, Inc. which provided services to 1,809 patients in fiscal year 2011. Amount transferred to PPHPC was $39,226 for fiscal year 2011.Description
Total Program Service Expense39226TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
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 Contributions0DeductibleNonCashContributions
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
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members14NumberIndependentVotingMembers
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

FieldValueIRS element (for citing)
Name PersonValerie HerlNamePerson
Telephone Number7196333400TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1825 E Pikes Peak Ave 600AddressLine1
CityColorado SpringsCity
StateCOState
ZIP Code809033624ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (16 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
Martha Barton
President & CEO40.00XX035028213594
Tom Dermody
Member at large1.00X000
Jeff Rosacker
Treasurer1.00XX000
Patricia Martin
Vice Chair1.00XX000
Kathryn Curry
Trustee1.00X000
Scott Ross DO
Trustee1.00X000
Cathy D'Agnostio
Trustee1.00X000
Scott Davis
Chair1.00XX000
Doris Baker
Trustee1.00X000
Dan Winter
Secretary1.00XX000
Bill Berenz
Trustee1.00X000
Gail Nuth
Trustee1.00X000
Carla Hartsell
Trustee1.00X000
Roger Hill
Trustee1.00X000
Steve Rodemer
Trustee1.00X000
Joan Selman
Executive Director40.00X0891372709
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs439419TotalReportableCompFrmRltdOrgs
Total Other Compensation16303TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Federated Campaigns50722FederatedCampaigns
Fundraising Events139817FundraisingEvents
All Other Contributions927168AllOtherContributions
Noncash Contributions8695NoncashContributions
Total Contributions1117707TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column285232TotalRevenueColumn
Exclusion$285,232ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities2499841Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities2396782Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities103059Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column103059TotalRevenueColumn
Exclusion$103,059ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events0GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events139817CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses27279FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-27279TotalRevenueColumn
Exclusion-$27,279ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column1478719TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$361,012ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total39226Total
Program Services39226ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total91836Total
Fundraising91836Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total81108Total
Management And General2227ManagementAndGeneral
Fundraising78881Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total518Total
Management And General122ManagementAndGeneral
Fundraising396Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total8900Total
Management And General221ManagementAndGeneral
Fundraising8679Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total13997Total
Management And General405ManagementAndGeneral
Fundraising13592Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total5711Total
Management And General5711ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total64000Total
Fundraising64000Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total29289Total
Fundraising29289Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total5534Total
Management And General5534ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total33645Total
Management And General33645ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total1558Total
Fundraising1558Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total3966Total
Fundraising3966Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total34Total
Management And General34ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total6930Total
Management And General6930ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total3879Total
Management And General3879ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalFundraisingFundraisingManagement And GeneralManagementAndGeneral
Direct fundraising expe4600646006
Finance/investment expe3610636106
Other expense2027420274

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total492517Total
Program Services39226ProgramServices
Management And General94814ManagementAndGeneral
Fundraising358477Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY300BOY
EOY300EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1537665BOY
EOY1156244EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY532056BOY
EOY157600EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1711BOY
EOY1321EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis99551LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec87318LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY9066BOY
EOY12233EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY8896808BOY
EOY9593488EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1057897BOY
EOY1247763EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY12035503BOY
EOY12168949EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY18626BOY
EOY16727EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY16698BOY
EOY15780EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY35324BOY
EOY32507EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY8683123BOY
EOY9029842EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY651280BOY
EOY236757EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY2665776BOY
EOY2869843EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY12000179BOY
EOY12136442EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY12035503BOY
EOY12168949EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses986202ReconcilationRevenueExpenses
Reconcilation Other Changes966921ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
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 and Palliative Care IncBusinessNameLine1
FieldValueIRS element (for citing)
EIN840816047EIN
Type Of Organization9TypeOfOrganization
Listed In Governing Doc1ListedInGoverningDoc
Supported Organization Notified1SupportedOrganizationNotified
Organized In US1OrganizedInUS
Amount$39,226Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts39226SumOfAmounts

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 Balance10122628BeginningOfYearBalance
Contributions994612Contributions
Investment Earnings Or Losses148406InvestmentEarningsOrLosses
Grants Or Scholarships692406GrantsOrScholarships
End Of Year Balance10573240EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance8400676BeginningOfYearBalance
Contributions2323442Contributions
Investment Earnings Or Losses708010InvestmentEarningsOrLosses
Grants Or Scholarships1309500GrantsOrScholarships
End Of Year Balance10122628EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance8341806BeginningOfYearBalance
Contributions971256Contributions
Investment Earnings Or Losses280319InvestmentEarningsOrLosses
Grants Or Scholarships1192705GrantsOrScholarships
End Of Year Balance8400676EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.70620BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.27140PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.02240TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis32401OtherCostOrOtherBasis
Depreciation32401Depreciation
Book Value0BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis67150OtherCostOrOtherBasis
Depreciation54917Depreciation
Book Value12233BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings12233TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
Beneficial interest in perpetual trust1202914
Beneficial interest in charitable remainder trust44849
FieldValueIRS element (for citing)
Total Book Value Other Assets1247763TotalBookValueOtherAssets

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionAnnuity obligationsDescription
Amount$15,780Amount
FieldValueIRS element (for citing)
Total Of Amounts15780TotalOfAmounts
Total Revenue1478719TotalRevenue
Total Expenses492517TotalExpenses
Excess Or Deficit For Year986202ExcessOrDeficitForYear
Net Unrealized GL On Investments-136243NetUnrealizedGLOnInvestments
Other$1,103,164OtherAmount
Total Adjustments966921TotalAdjustments
Excess Or Deficit Per FS1953123ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt17316628TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-136243NetUnrealizedGainsInvestments
Other Revenues16013378OtherRevenues
Revenue Not Rptd F99015877135RevenueNotRptdF990
Revenue Subtotal1439493RevenueSubtotal
Other Revenues Not Included39226OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt39226RevenueNotRptdOnFinStmt
Total Revenue Per Form9901478719TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt16478555TotExpensesEtcAuditedFinclStmt
Other Expenses Included16025264OtherExpensesIncluded
Expenses Not Rptd F99016025264ExpensesNotRptdF990
Expenses Subtotal453291ExpensesSubtotal
Other Expenses Not Included39226OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt39226ExpensesNotRptdOnFinStmt
Total Expenses Per Form990492517TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (7 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 $236,757 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 recognizes tax liabilities when, despite the Organization's belief that its tax return positions are supportable, the Organization believes that certain positions may not be fully sustained upon review by tax authorities. Benefits from tax positions are measured at the largest amount of benefit that is greater than fifty percent likely of being realized upon settlement. The Organization has concluded there is no tax liability or benefit required to be recorded as of September 30, 2011 and 2010.
Part XI, Line 8 - Other Adjustments:Intraentity transfer 903,562. Change in value of beneficial interest in charitable remainder trust 4,868. Change in value of beneficial interest in perpetual trust 194,734.
Part XII, Line 2d - Other Adjustments:Special events expense netted with revenue 27,279. Pikes Peak Hospice revenues reported on separate Form 990 15,796,233. Change in value of beneficial interest in perpetual trust 194,734. Change in value of beneficial interest in charitable remainder trust -4,868.
Part XII, Line 4b - Other Adjustments:Contributions to Pikes Peak Hospice eliminated on consolidated financials 39,226.
Part XIII, Line 2d - Other Adjustments:Special events expense netted with revenue 27,279. Pikes Peak Hospice expenses reported on separate Form 990 15,997,985.
Part XIII, Line 4b - Other Adjustments:Contributions to Pikes Peak Hospice eliminated on consolidated financials 39,226.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1Trees of LifeNameOfEvent1
Gross Receipts Event1139817GrossReceiptsEvent1
Charitable Contributions Event1139817CharitableContributionsEvent1
Other Direct Expenses Event127279OtherDirectExpensesEvent1
Gross Receipts Total139817GrossReceiptsTotal
Charitable Contributions Total139817CharitableContributionsTotal
Other Direct Expenses Total Events27279OtherDirectExpensesTotalEvents
Direct Expense Summary Events27279DirectExpenseSummaryEvents
Net Income Summary-27279NetIncomeSummary

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 Line1825 E Pikes Peak Avenue Suite 600AddressLine1
CityColorado SpringsCity
StateCOState
ZIP Code80903ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient840816047EINOfRecipient
IRC Section501(c)(3)IRCSection
Amount Of Cash Grant39226AmountOfCashGrant
Purpose Of GrantOrganization supports Pikes Peak Hospice & Palliative Care, Inc.PurposeOfGrant

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 Orgs172872CompBasedOnRelatedOrgs
Bonus Filing Org0BonusFilingOrg
Bonus Related Orgs177410BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org0DeferredCompFilingOrg
Deferred Comp Related Orgs9692DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org0NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs3902NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org0TotalCompensationFilingOrg
Total Compensation Related Orgs363876TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
Form 990, Part VI, Section B, line 11990 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 and for their individual review.
Annual education to board members and staff. All conflicts addressed by officers and contract legal counsel as needed.Form 990, Part VI, Section B, line 12c
These are at the Organization's location and are available upon request.Form 990, Part VI, Section C, line 19
Changes in Net Assets or Fund Balances:Net unrealized losses on investments: -136,243. Intraentity transfer 903,562. Change in value of beneficial interest in charitable remainder trust 4,868. Change in value of beneficial interest in perpetual trust 194,734. Total to Form 990, Part XI, Line 5: 966,921.Form 990, Part XI, line 5:
Form 990, Part XII, line 2c - The process has not changed from the prior year.
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.

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 Line1825 E Pikes Peak Ave 600AddressLine1
CityColorado SpringsCity
StateCOState
ZIP Code80903ZIPCode
FieldValueIRS element (for citing)
EIN840816047EIN
Primary ActivitiesCare of terminally illPrimaryActivities
Legal Domicile StateCOLegalDomicileState
Exempt Code Section501(c)(3)ExemptCodeSection
Public Charity Status509(a)(2)PublicCharityStatus
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 Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
Pikes Peak Hospice & Palliative Care Inc
Q942788
Pikes Peak Hospice & Palliative Care Inc
N196359
Pikes Peak Hospice & Palliative Care Inc
B39226

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