2011-07-29T10:13:12-05:00 2010-09-30 Logan Thomas & Johnson LLC 5023 W 120th Ave 165 Broomfield CO 80020 990 2009-10-01 841453050 Pikes Peak Hospice Foundation PIKE 7196333400 825 E Pikes Peak Avenue Suite 600 Colorado Springs CO 809033624 Martha Barton 7196333400 2011-07-29 1 Pauline Johnson 7196401188 2011-07-29 X 2009 2016-02-24 21:20:13Z Martha Barton 825 E Pikes Peak Avenue Suite 600 Colorado Springs CO 809033624 4519639 0 X www.pikespeakhospice.org X 1998 CO To generate and distribute funds in support of Pikes Peak Hospice & Palliative Care, Inc. 12 11 0 570 0 0 1456244 2099512 0 215037 532281 -66732 -79599 1604549 2552194 245005 124596 0 186532 201854 0 279419 177421 169761 608958 496211 995591 2055983 10311287 12035503 57731 35324 10253556 12000179 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 124596 124596 0 Pikes Peak Hospice Foundation is a supporting organization for Pikes Peak Hospice and Palliative Care, Inc. which provided services to 1,898 patients in fiscal year 2010. Amount transferred to PPHPC was $124,596 for fiscal year 2010. 124596 1 1 0 0 0 0 0 0 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 1 0 0 0 0 0 0 0 0 1 1 0 0 0 12 11 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 X Martha Barton 40.00 X X 0 349100 13306 Tom Dermody 1.00 X 0 0 0 Jeff Rosacker 1.00 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 Nelson 1.00 X 0 0 0 Scott Davis 1.00 X X 0 0 0 Sharon Hare 1.00 X 0 0 0 Dan Winter 1.00 X X 0 0 0 Mary Osborne 1.00 X X 0 0 0 Gail Nuth 1.00 X 0 0 0 Joan Selman 40.00 X 0 81745 2488 0 430845 15794 0 0 1 0 0 31714 187894 1879904 2099512 306461 306461 2112265 1886445 225820 225820 225820 1401 187894 81000 -79599 -79599 2552194 0 0 452682 124596 124596 91769 91769 86677 4334 82343 549 27 522 8090 405 7685 14769 738 14031 5553 5553 47 47 16426 16426 3772 3772 27662 27662 1639 1639 3638 3638 111 111 10032 10032 4531 4531 Finance/investment expe 35031 35031 Direct fundraising expe 27483 27483 Other expense 22118 22118 Anniversary expense 11718 11718 496211 124596 92196 279419 300 300 1701130 1537665 639381 532056 1865 1711 90381 81315 13823 9066 6979305 8896808 975483 1057897 10311287 12035503 40096 18626 17635 16698 57731 35324 X 7220331 8683123 580954 651280 2452271 2665776 10253556 12000179 10311287 12035503 X 0 1 1 X 0 X X X 0 0 0 Pikes Peak Hospice and Palliative Care Inc 840816047 9 1 1 1 124596 1 124596 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 8400676 2323442 708010 1309500 10122628 8341806 971256 280319 1192705 8400676 0.67230 0.26340 0.06430 0 0 32401 32401 0 57980 48914 9066 9066 Beneficial interest in perpetual trust 1008180 Beneficial interest in charitable remainder trust 49717 1057897 Annuity obligations 16698 16698 2552194 496211 2055983 380561 8778 -698699 -309360 1746623 19007131 380561 8778 16190194 16579533 2427598 124596 124596 2552194 16455258 16083643 16083643 371615 124596 124596 496211 Part V, Line 4: Description of Intended Use of Endowment Funds: 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 $651,280 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. Part XI, Line 8 - Other Adjustments: Intraentity transfer: -781113. Change in value of beneficial interest in charitable remainder trust: 216. Change in value of beneficial interest in perpetual trust: 82198. Part XII, Line 2d - Other Adjustments: Special events expense netted with revenue: 81000. Pikes Peak Hospice revenues reported on separate Form 990: 16026780. Change in value of beneficial interest in perpetual trust: 82198. Change in value of beneficial interest in charitable remainder trust: 216. Part XII, Line 4b - Other Adjustments: Contributions to Pikes Peak Hospice eliminated on consolidated financials: 124596. Part XIII, Line 2d - Other Adjustments: Special events expense netted with revenue: 81000. Pikes Peak Hospice expenses reported on separate Form 990: 16002643. Part XIII, Line 4b - Other Adjustments: Contributions to Pikes Peak Hospice eliminated on consolidated financials: 124596. Trees of Life 112408 112408 36981 Art of Living 76887 75486 1401 44019 189295 187894 1401 81000 81000 -79599 1 Pikes Peak Hospice & Palliative Care Inc 825 E Pikes Peak Avenue Suite 600 Colorado Springs CO 80903 840816047 501(c)(3) 124596 Organization supports Pikes Peak Hospice & Palliative Care, Inc. 1 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 171900 0 177200 0 0 0 9452 0 3854 0 362406 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. 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 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0