2012-04-04T19:19:29-05:00 2011-09-30 Logan Thomas & Johnson LLC 5023 W 120th Ave 165 Broomfield CO 80020 990 2010-10-01 841453050 Pikes Peak Hospice Foundation PIKE 7196333400 825 E Pikes Peak Avenue Suite 600 Colorado Springs CO 809033624 Martha Barton 7196333400 2012-04-04 1 Jan Thomas 7196401188 2012-04-04 X 2010 2016-02-24 21:20:13Z Martha Barton 825 E Pikes Peak Avenue Suite 600 Colorado Springs CO 809033624 3902780 0 X www.pikespeakhospice.org X 1998 CO To generate and distribute funds in support of Pikes Peak Hospice & Palliative Care, Inc. 15 14 0 580 0 0 2099512 1117707 0 0 532281 388291 -79599 -27279 2552194 1478719 124596 39226 0 0 201854 196359 0 0 358477 169761 256932 496211 492517 2055983 986202 12035503 12168949 35324 32507 12000179 12136442 The 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. 0 0 39226 39226 Pikes 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. 39226 1 1 0 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 X 15 14 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 0 0 0 X Valerie Herl 7196333400 825 E Pikes Peak Ave 600 Colorado Springs CO 809033624 Martha Barton 40.00 X X 0 350282 13594 Tom Dermody 1.00 X 0 0 0 Jeff Rosacker 1.00 X X 0 0 0 Patricia Martin 1.00 X X 0 0 0 Kathryn Curry 1.00 X 0 0 0 Scott Ross DO 1.00 X 0 0 0 Cathy D'Agnostio 1.00 X 0 0 0 Scott Davis 1.00 X X 0 0 0 Doris Baker 1.00 X 0 0 0 Dan Winter 1.00 X X 0 0 0 Bill Berenz 1.00 X 0 0 0 Gail Nuth 1.00 X 0 0 0 Carla Hartsell 1.00 X 0 0 0 Roger Hill 1.00 X 0 0 0 Steve Rodemer 1.00 X 0 0 0 Joan Selman 40.00 X 0 89137 2709 0 439419 16303 0 0 1 0 0 50722 139817 927168 8695 1117707 285232 285232 2499841 2396782 103059 103059 103059 0 139817 27279 -27279 -27279 1478719 0 0 361012 39226 39226 91836 91836 81108 2227 78881 518 122 396 8900 221 8679 13997 405 13592 5711 5711 64000 64000 29289 29289 5534 5534 33645 33645 1558 1558 3966 3966 34 34 6930 6930 3879 3879 Direct fundraising expe 46006 46006 Finance/investment expe 36106 36106 Other expense 20274 20274 492517 39226 94814 358477 300 300 1537665 1156244 532056 157600 1711 1321 99551 87318 9066 12233 8896808 9593488 1057897 1247763 12035503 12168949 18626 16727 16698 15780 35324 32507 X 8683123 9029842 651280 236757 2665776 2869843 12000179 12136442 12035503 12168949 X 986202 966921 X X 0 1 1 X 0 X X X 0 0 0 Pikes Peak Hospice and Palliative Care Inc 840816047 9 1 1 1 39226 1 39226 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 10122628 994612 148406 692406 10573240 8400676 2323442 708010 1309500 10122628 8341806 971256 280319 1192705 8400676 0.70620 0.27140 0.02240 0 0 32401 32401 0 67150 54917 12233 12233 Beneficial interest in perpetual trust 1202914 Beneficial interest in charitable remainder trust 44849 1247763 Annuity obligations 15780 15780 1478719 492517 986202 -136243 1103164 966921 1953123 17316628 -136243 16013378 15877135 1439493 39226 39226 1478719 16478555 16025264 16025264 453291 39226 39226 492517 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. Trees of Life 139817 139817 27279 139817 139817 27279 27279 -27279 1 Pikes Peak Hospice & Palliative Care Inc 825 E Pikes Peak Avenue Suite 600 Colorado Springs CO 80903 840816047 501(c)(3) 39226 Organization supports Pikes Peak Hospice & Palliative Care, Inc. Procedure for Monitoring Grants in the U.S.: Part I, Line 2: Schedule I, Part I, Line 2: The entities are related. 0 0 0 0 0 0 0 0 0 Martha Barton 0 172872 0 177410 0 0 0 9692 0 3902 0 363876 0 0 Form 990, Part VI, Section B, line 11 990 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 and for their individual review. Form 990, Part VI, Section B, line 12c Annual education to board members and staff. All conflicts addressed by officers and contract legal counsel as needed. Form 990, Part VI, Section C, line 19 These are at the Organization's location and are available upon request. Changes in Net Assets or Fund Balances: Form 990, Part XI, line 5: 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 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. Pikes Peak Hospice & Palliative Care Inc 825 E Pikes Peak Ave 600 Colorado Springs CO 80903 840816047 Care of terminally ill CO 501(c)(3) 509(a)(2) N/A 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 Pikes Peak Hospice & Palliative Care Inc Q 942788 Pikes Peak Hospice & Palliative Care Inc N 196359 Pikes Peak Hospice & Palliative Care Inc B 39226