Family Hospice and Palliative Care: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
Family Hospice and Palliative Care (EIN 25-1529649)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-01-27
IRS object ID
201140279349300504
Schema version
2009v1.7
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)
Timestamp2011-01-27T10:09:45-06:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1PARENTEBEARD LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1444 LIBERTY AVENUE SUITE 1800AddressLine1
CityPITTSBURGHCity
StatePAState
ZIP Code15222ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN251529649EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1FAMILY HOSPICE AND PALLIATIVE CAREBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlFAMINameControl
Phone4125728800Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line150 MOFFETT STREETAddressLine1
CityPITTSBURGHCity
StatePAState
ZIP Code15243ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameFRANCO INSANAName
TitleCHIEF FINANCIAL OFFICERTitle
Phone4125728800Phone
Date Signed2011-01-25DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone4126976400Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonRAFAEL SCIULLONameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line150 MOFFETT STREETAddressLine1
CityPITTSBURGHCity
StatePAState
ZIP Code15243ZIPCode
FieldValueIRS element (for citing)
Gross Receipts19243300GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.FAMILYHOSPICE.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1980YearFormation
State Legal DomicilePAStateLegalDomicile
Activity Or Mission DescriptionTHE MISSION OF FAMILY HOSPICE AND PALLIATIVE CARE IS TO PROVIDE COMPASSIONATE, QUALITY COMFORT CARE THAT ENHANCES THE LIVES OF PEOPLE WITH LIFE-LIMITING ILLNESS AND THEIR FAMILIES.ActivityOrMissionDescription
Nbr Voting Members Governing Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members15NbrIndependentVotingMembers
Total Nbr Employees260TotalNbrEmployees
Total Nbr Volunteers426TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year748994ContributionsGrantsPriorYear
Contributions Grants Current Year672952ContributionsGrantsCurrentYear
Program Service Revenue Prior Year17746799ProgramServiceRevenuePriorYear
Program Service Revenue CY18444014ProgramServiceRevenueCY
Investment Income Prior Year5876InvestmentIncomePriorYear
Investment Income Current Year1139InvestmentIncomeCurrentYear
Other Revenue Prior Year386266OtherRevenuePriorYear
Other Revenue Current Year97863OtherRevenueCurrentYear
Total Revenue Prior Year18887935TotalRevenuePriorYear
Total Revenue Current Year19215968TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year10653599SalariesEtcPriorYear
Salaries Etc Current Year11000898SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year421519TotalFundrsngExpCurrentYear
Other Expense Prior Year7643591OtherExpensePriorYear
Other Expenses Current Year7142379OtherExpensesCurrentYear
Total Expenses Prior Year18297190TotalExpensesPriorYear
Total Expenses Current Year18143277TotalExpensesCurrentYear
Revenues Less Expenses Prior Year590745RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1072691RevenuesLessExpensesCY
Total Assets BOY12473153TotalAssetsBOY
Total Assets EOY13378827TotalAssetsEOY
Total Liabilities BOY5835330TotalLiabilitiesBOY
Total Liabilities EOY5739167TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY6637823NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY7639660NetAssetsOrFundBalancesEOY
Mission DescriptionFor those experiencing a life-limiting illness, Family Hospice and Palliative Care provides a complete continuum of care - unlike any other hospice in region.Since 1980, Family Hospice and Palliative Care has been a leading not-for-profit hospice and palliative care organization in Western Pennsylvania. Its heritage of compassionate care leads to the innovation that is setting the standards for the future of hospice and palliative care.Family Hospice and Palliative Care is committed to quality patient care, caregiver support, education, research and advocacy.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense13959517Expense
Revenue17455446Revenue
DescriptionThe organization provides hospice care and support to terminally ill patients and their families regardless of ability to pay. Services include general assistance, education, emotional and bereavement services. The organization provided care to 2,708 patients consisting of 133,439 visits by physicians, nursing, social service, counseling, therapy and bereavement staff.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense953029Expense
Revenue1191700Revenue
DescriptionThe 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 714 patients consisting of 9,110 visits by physician, nursing, social service, counseling and therapy staff.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense141107Expense
Revenue-203132Revenue
DescriptionThe organization offers complimentary services and provides the following programs to benefit the community:Uncompensated Care: Cost of mandatory care provided to 32 patients, but not compensated. This includes services provided by physicians, nursing, counseling and bereavement, in addition to pharmaceuticals, supplies and durable medical equipment. The total of uncompensated care was $203,132.Complimentary Services: 312 Patients receive art, massage, music as a supplement to the 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 $141,107.Growing Thru Grief: Six week educational program, open to the public, registration required. 97 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, library, community centers.Monthly Bereavement Support Groups: Open to the public, no pre-registration required. Walk-ins welcome. Family Hospice and Palliative Care staff or volunteers facilitate and explore the issues presented and offers coping/adjustment considerations. Designed to meet the identified needs of those attending who are coping with the death of a loved one. Offered at Center for Compassionate Care, Baldwin Church, Senior Center (Hermitage), St Paul's Home, Greenville, Southminister Church, Mt Lebanon. Approximately 415 attendees.Camp Healing Hearts: One-day camp outreach for children, ages 6-12 who have experienced a loss, and their parent or guardian. Open to the public, hosted at the center for compassionate care. 16 attendees.Grief and the Holidays: 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. Hosted at churches, libraries, long-term care facilities, funeral homes, senior centers (wherever requested). Approximately 155 attendees.Difficult yet Critical Conversations: Community at large, healthcare providers. Presentation is intended to highlight the vital importance of discussing end of life issues and identifying routine and urgent times to have a conversation. Presented at long-term-care facilities, assisted living facilities, hospitals, senior centers and community service sites. 18 attendees.Hospice and The End of Life Experience: Opportunities in Long Term Care: To increase understanding and awareness and added value and care augmentation with a hospice collaborative team approach for residents with a life limiting illness. Physicans, nurses, social workers spiritual care at long-term care facilities. 85 attendees.Bereavement Support and Education: Education support and debriefing related to grief and loss within partnership continuum (community, staff, survivors). 230 attendees.Operation Respect: Specialized Veterans program: Provide education and information & advocacy related to palliative and hospice care, highlighting the unique components that Family Hospice and Palliative Care would incorporate into a specialized plan of care for Veterans, addressing their unique needs and those of their families. Identified the complementary services and the opportunity to share their story utilizing the Gift of Legacy. 108 patients.Caregiver Training: Training & Education program sponsored by Family Hospice and Palliative Care, facilitated by a nurse educator & physical therapist. Offering specialized and individual instruction to caregivers on the provision of care for patients prior to admission or during the course of decline. 86 attendees.Spiritual Care at the End of Life: Beyond Bedside Prayers: A program to enhance awareness and understanding of the differentiation between religion, faith and spirituality and the intrinsic nature of care and support as a person begins to prepare for end of life. 80 attendees.Quality of Life: Education and insight into the invaluable impact the non-traditional interventions can offer to patients and their loved ones. Highlighing the value of story telling as a Gift of Legacy and reflect on the value of art, music and massage. Audience is the community at large and long-term care facilities. 59 participants.Palliative Home: the difference from a traditional Home Care Program: The model of a palliative approach to a home care patient is presented. Highlighted is the opportunity to focus on a particular patient population and plan of care that affords curative goals yet integrates a holistic approach to treatment and services. 67 attendees.Description
FieldValueIRS element (for citing)
Total Program Service Expense15053653TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising1ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
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 Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109652NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees260NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
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
Nbr Voting Governing Body Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members15NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs1ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
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 CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledPAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonFRANCO INSANA CHIEF FINANCIAL OFFINamePerson
Telephone Number4125728800TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line150 MOFFETT STREETAddressLine1
CityPITTSBURGHCity
StatePAState
ZIP Code15243ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (19 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
PAUL WINKLER
CHAIRPERSON5.00XX000
ANNA MARIE GAGLIA CSJ
VICE CHAIRPERSON5.00XX000
ANNE MULLANEY
SECRETARY5.00XX000
ROBERT C JACKSON JR
DIRECTOR2.00X000
IRENE MCFADDEN
DIRECTOR2.00X000
SUSAN NITZBERG
DIRECTOR2.00X000
DAVID FRIEDLAND MD
DIRECTOR2.00X000
STANLEY S WETSCHLER M
DIRECTOR2.00X000
G ALAN YEASTED MD
DIRECTOR2.00X000
JON ALLEGRETTI
DIRECTOR2.00X000
BOB BUTTER
DIRECTOR2.00X000
REV B DENEICE WELCH
DIRECTOR2.00X000
SANDRA R TOMLINSON
DIRECTOR2.00X000
DEBORAH BRODINE
DIRECTOR2.00X000
RAFAEL SCIULLO
PRESIDENT AND CEO40.00XX21143109428
JOANNE HAHEY
DIRECTOR2.00X000
FRANCO INSANA
CHIEF FINANCIAL OFFICER40.00X98084016816
THERESA GUALTERI
CLINICAL SUPERVISOR60.0013097202570X
CARYN WAYMAN
REGISTERED NURSE60.0010250206595X
FieldValueIRS element (for citing)
Total Reportable Comp From Org542989TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation35409TotalOtherCompensation
Number Individuals GT100 K3NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
UNIVERSITY OF PITTSBURGH PHYSICIANS
3550 TERRACE STREETPITTSBURGHPA15261PHYSICIAN498463
CURA HOSPITALITY
PO BOX 827276PHILADELPHIAPA19182DIETARY AND FOOD212099
ELIZABETH TOWNSHIP AREA EMS
PO BOX 539BUENA VISTAPA15018AMBULANCE126423
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Number Of Contractors GT100 K3NumberOfContractorsGT100K
Fundraising Events65449FundraisingEvents
Government Grants10000GovernmentGrants
All Other Contributions597503AllOtherContributions
Total Contributions672952TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionGROSS PATIENT REVENUEDescription
Business Code623990BusinessCode
Total Revenue Column18444014TotalRevenueColumn
Related Or Exempt Function Income18444014RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue18444014TotalProgramServiceRevenue

Investment Income InvestmentIncome

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Total Revenue Column696TotalRevenueColumn
Exclusion$696ExclusionAmount

Gross Rents GrossRents

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Real5300Real

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Real6311Real

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Real-1011Real

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Total Revenue Column-1011TotalRevenueColumn
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Gross Amount Sales Assets GrossAmountSalesAssets

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Gain Or Loss GainOrLoss

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Securities443Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

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Total Revenue Column443TotalRevenueColumn
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FieldValueIRS element (for citing)
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Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column6176TotalRevenueColumn
Exclusion$6,176ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
RESALE SHOP62399051648$51,648
MISCELLANEOUS INCOME90009941050$41,050
FieldValueIRS element (for citing)
Total Other Revenue92698TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column19215968TotalRevenueColumn
Related Or Exempt Function Income18444014RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$99,002ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total335759Total
Management And General335759ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total8463411Total
Program Services7064786ProgramServices
Management And General1176022ManagementAndGeneral
Fundraising222603Fundraising

Pension Plan Contributions PensionPlanContributions

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Program Services116414ProgramServices
Management And General28099ManagementAndGeneral
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Other Employee Benefits OtherEmployeeBenefits

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Payroll Taxes PayrollTaxes

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Program Services517092ProgramServices
Management And General103932ManagementAndGeneral
Fundraising16314Fundraising

Fees For Services Legal FeesForServicesLegal

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Fees For Services Other FeesForServicesOther

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Fundraising57173Fundraising

Advertising Advertising

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Program Services4171ProgramServices
Management And General73450ManagementAndGeneral
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Office Expenses OfficeExpenses

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Total483388Total
Program Services343481ProgramServices
Management And General103636ManagementAndGeneral
Fundraising36271Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total23193Total
Management And General23193ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total239493Total
Program Services176924ProgramServices
Management And General62569ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total484817Total
Program Services439528ProgramServices
Management And General37600ManagementAndGeneral
Fundraising7689Fundraising

Interest Interest

FieldValueIRS element (for citing)
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Program Services21456ProgramServices
Management And General118534ManagementAndGeneral
Fundraising279Fundraising

Depreciation Depletion DepreciationDepletion

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Total282688Total
Program Services111441ProgramServices
Management And General169797ManagementAndGeneral
Fundraising1450Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total103000Total
Program Services103000ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
PATIENT EXPENSE2560548256054800
INPATIENT HOSPITAL FEES1022888102288800
BAD DEBT EXPENSE17000017000000
TRAINING AND RECRUITMEN13305195610999350
MISCELLANEOUS879572001098497

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total669Total
Fundraising669Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total18143277Total
Program Services15053653ProgramServices
Management And General2668105ManagementAndGeneral
Fundraising421519Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1438723BOY
EOY2501994EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY226829BOY
EOY199345EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY43553BOY
EOY34510EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2041997BOY
EOY2051206EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY156576BOY
EOY199948EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis9387154LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1042715LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY8513145BOY
EOY8344439EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY52330BOY
EOY47385EOY

Total Assets TotalAssets

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BOY12473153BOY
EOY13378827EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1541333BOY
EOY1812756EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
EOY13739EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY4093704BOY
EOY3694479EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY200293BOY
EOY218193EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY5835330BOY
EOY5739167EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY6098859BOY
EOY7565448EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY538964BOY
EOY74212EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6637823BOY
EOY7639660EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY12473153BOY
EOY13378827EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1867822CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1129014CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1514381CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year748994CurrentTaxYearMinus1Year
Current Tax Year672952CurrentTaxYear
Total5933163Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1867822CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1129014CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1514381CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year748994CurrentTaxYearMinus1Year
Current Tax Year672952CurrentTaxYear
Total5933163Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total1209877AmountsSubstContributorsTotal
Public Support Total1704723286PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years93CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years24647CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years32436CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10676CurrentTaxYearMinus1Year
Current Tax Year5996CurrentTaxYear
Total73848Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years160085CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years220623CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years162573CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year442271CurrentTaxYearMinus1Year
Current Tax Year119895CurrentTaxYear
Total1105447Total
FieldValueIRS element (for citing)
Total Support7112458TotalSupport
Gross Receipts From Admissions Etc79343983GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.66410PublicSupportPertcentage170
Public Support Pertcent Prior Year0.64570PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

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 C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations1GrantsOtherOrganizations
Grants Other Organizations$48,270GrantsOtherOrganizationsAmount
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities0OtherActivities
Total Lobbying Expenditures IIB48270TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPart II-B, Line 1i:Identifier
Return ReferenceExplanation of Other Lobbying Activities:ReturnReference
ExplanationMark Knouse of the Pembroke Group provides lobbying services on behalf of Family Hospice and Palliative Care. Activities include meeting regularly with state and federal legislators, arranging meetings between legislators and Family Hospice and Palliative Care's management, presenting funding requests to state and federal representatives and updating management of Family Hospice and Palliative Care on the status of such requests.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis515000OtherCostOrOtherBasis
Book Value515000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis7430207OtherCostOrOtherBasis
Depreciation523105Depreciation
Book Value6907102BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis302397OtherCostOrOtherBasis
Depreciation49868Depreciation
Book Value252529BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1109426OtherCostOrOtherBasis
Depreciation459742Depreciation
Book Value649684BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis30124OtherCostOrOtherBasis
Depreciation10000Depreciation
Book Value20124BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings8344439TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
CAPITAL LEASE OBLIGATION$132,775
DERIVATIVE FINANCIAL INSTRUMENT$85,418
FieldValueIRS element (for citing)
Total Of Amounts218193TotalOfAmounts
Total Revenue19215968TotalRevenue
Total Expenses18143277TotalExpenses
Excess Or Deficit For Year1072691ExcessOrDeficitForYear
Net Unrealized GL On Investments-70854NetUnrealizedGLOnInvestments
Total Adjustments-70854TotalAdjustments
Excess Or Deficit Per FS1001837ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt19172446TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-70854NetUnrealizedGainsInvestments
Revenue Not Rptd F990-70854RevenueNotRptdF990
Revenue Subtotal19243300RevenueSubtotal
Other Revenues Not Included-27332OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-27332RevenueNotRptdOnFinStmt
Total Revenue Per Form99019215968TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt18170609TotExpensesEtcAuditedFinclStmt
Other Expenses Included27332OtherExpensesIncluded
Expenses Not Rptd F99027332ExpensesNotRptdF990
Expenses Subtotal18143277ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99018143277TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierExplanationExplanation
Part XII, Line 4b - Other Adjustments:SPECIAL EVENTS: -21021. RENTAL EXPENSES: -6311.
Part XIII, Line 2d - Other Adjustments:SPECIAL EVENTS: 21021. RENTAL EXPENSES: 6311.

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsXMailSolicitations
Email SolicitationsXEmailSolicitations
In Person SolicitationsXInPersonSolicitations
Solicitation Of Non Govt GrantsXSolicitationOfNonGovtGrants
Solicitation Of Govt GrantsXSolicitationOfGovtGrants
Special Fundraising EventsXSpecialFundraisingEvents
Agreement Ref Fundraising0AgreementRefFundraising

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1MEMORIAL WALKNameOfEvent1
Gross Receipts Event153556GrossReceiptsEvent1
Charitable Contributions Event152249CharitableContributionsEvent1
Gross Revenue Event11307GrossRevenueEvent1
Rent Facility Costs Event11046RentFacilityCostsEvent1
Other Direct Expenses Event116945OtherDirectExpensesEvent1
Name Of Event2GOLF OUTINGNameOfEvent2
Gross Receipts Event239090GrossReceiptsEvent2
Charitable Contributions Event213200CharitableContributionsEvent2
Gross Revenue Event225890GrossRevenueEvent2
Other Direct Expenses Event23030OtherDirectExpensesEvent2
Gross Receipts Total92646GrossReceiptsTotal
Charitable Contributions Total65449CharitableContributionsTotal
Gross Revenue Total Events27197GrossRevenueTotalEvents
Rent Facility Costs Total Events1046RentFacilityCostsTotalEvents
Other Direct Expenses Total Events19975OtherDirectExpensesTotalEvents
Direct Expense Summary Events21021DirectExpenseSummaryEvents
Net Income Summary6176NetIncomeSummary

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
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

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1RAFAEL SCIULLOBusinessNameLine1
FieldValueIRS element (for citing)
Base Compensation Filing Org159231BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org45000BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org7200OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org0DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org9428NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org220859TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org163573CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
SANDRA R TOMLINSON
DIRECTOR OF THE ORGANIZATION1232540Organization, in arms-length transactions approved by the Board of Directors, purchases services from a provider. Interested person is a key employee of provider.0
DEBORAH BRODINE
DIRECTOR OF THE ORGANIZATION728604Organization, in arms-length transactions approved by the Board of Directors, purchases patient-related supplies from a provider. Interested person is a director of provider.0
DEBORAH BRODINE
DIRECTOR OF THE ORGANIZATION368707Organization, in arms-length transactions approved by the Board of Directors, purchases patient-related supplies from a provider. Interested person is a director of provider.0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierExplanationExplanation
Form 990, Part VI, Section A, line 4Bylaws were amended & approved by the Board of Directors June 21, 2010.
Form 990, Part VI, Section A, line 7aCertain other corporations 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.
Form 990, Part VI, Section B, line 11The Finance Committee reviewed the final Form 990 January 6, 2011, recommending approval to the Board of Directors. The Board of Directors approved the final version on January 24, 2011.
Form 990, Part VI, Section B, line 12cFamily Hospice and Palliative Care requires its interested persons (which include its Board of Directors, Board 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 conformity 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 conflict 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.
Form 990, Part VI, Section B, line 15In 2007 the Board of Directors utilized an independent compensation consultant, which provided a compensation study as a basis to determine compensation for the President/CEO in 2008. 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 goals and objectives. The Board of Directors also considers the scope of the President/CEO's responsibilities and executive compensation of other comparable organizations. The minutes of all relevant Board of Directors meetings contemporaneously document the discussion, review and approval process for compensation of key employees. The President/CEO evaluates annual compensation for other 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.
Form 990, Part VI, Section C, line 19THE ORGANIZATION MAKES ALL REQUIRED FEDERAL TAX FORMS AVAILABLE UPON REQUEST. GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC.

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