2011-01-27T10:09:45-06:00 2010-06-30 PARENTEBEARD LLC 444 LIBERTY AVENUE SUITE 1800 PITTSBURGH PA 15222 990 2009-07-01 251529649 FAMILY HOSPICE AND PALLIATIVE CARE FAMI 4125728800 50 MOFFETT STREET PITTSBURGH PA 15243 FRANCO INSANA 4125728800 2011-01-25 1 4126976400 2009 2016-02-24 21:20:13Z RAFAEL SCIULLO 50 MOFFETT STREET PITTSBURGH PA 15243 19243300 0 X WWW.FAMILYHOSPICE.COM X 1980 PA THE 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. 16 15 260 426 0 0 748994 672952 17746799 18444014 5876 1139 386266 97863 18887935 19215968 0 0 10653599 11000898 0 421519 7643591 7142379 18297190 18143277 590745 1072691 12473153 13378827 5835330 5739167 6637823 7639660 For 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. 0 0 13959517 17455446 The 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. 953029 1191700 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 714 patients consisting of 9,110 visits by physician, nursing, social service, counseling and therapy staff. 141107 -203132 The 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. 15053653 1 1 0 1 0 0 0 0 0 1 1 0 0 0 0 0 0 1 1 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 52 0 1 260 1 0 0 0 0 0 1 1 0 0 0 16 15 0 0 1 0 0 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 PA X FRANCO INSANA CHIEF FINANCIAL OFFI 4125728800 50 MOFFETT STREET PITTSBURGH PA 15243 PAUL WINKLER 5.00 X X 0 0 0 ANNA MARIE GAGLIA CSJ 5.00 X X 0 0 0 ANNE MULLANEY 5.00 X X 0 0 0 ROBERT C JACKSON JR 2.00 X 0 0 0 IRENE MCFADDEN 2.00 X 0 0 0 SUSAN NITZBERG 2.00 X 0 0 0 DAVID FRIEDLAND MD 2.00 X 0 0 0 STANLEY S WETSCHLER M 2.00 X 0 0 0 G ALAN YEASTED MD 2.00 X 0 0 0 JON ALLEGRETTI 2.00 X 0 0 0 BOB BUTTER 2.00 X 0 0 0 REV B DENEICE WELCH 2.00 X 0 0 0 SANDRA R TOMLINSON 2.00 X 0 0 0 DEBORAH BRODINE 2.00 X 0 0 0 RAFAEL SCIULLO 40.00 X X 211431 0 9428 JOANNE HAHEY 2.00 X 0 0 0 FRANCO INSANA 40.00 X 98084 0 16816 THERESA GUALTERI 60.00 X 130972 0 2570 CARYN WAYMAN 60.00 X 102502 0 6595 542989 0 35409 3 0 1 0 UNIVERSITY OF PITTSBURGH PHYSICIANS 3550 TERRACE STREET PITTSBURGH PA 15261 PHYSICIAN 498463 CURA HOSPITALITY PO BOX 827276 PHILADELPHIA PA 19182 DIETARY AND FOOD 212099 ELIZABETH TOWNSHIP AREA EMS PO BOX 539 BUENA VISTA PA 15018 AMBULANCE 126423 3 65449 10000 597503 672952 GROSS PATIENT REVENUE 623990 18444014 18444014 18444014 696 696 5300 6311 -1011 -1011 -1011 443 443 443 443 27197 65449 21021 6176 6176 RESALE SHOP 623990 51648 51648 MISCELLANEOUS INCOME 900099 41050 41050 92698 19215968 18444014 0 99002 335759 335759 8463411 7064786 1176022 222603 148144 116414 28099 3631 1416246 1173365 219265 23616 637338 517092 103932 16314 62938 300 22671 39967 1457757 1219103 181481 57173 88631 4171 73450 11010 483388 343481 103636 36271 23193 23193 239493 176924 62569 484817 439528 37600 7689 140269 21456 118534 279 282688 111441 169797 1450 103000 103000 PATIENT EXPENSE 2560548 2560548 0 0 INPATIENT HOSPITAL FEES 1022888 1022888 0 0 BAD DEBT EXPENSE 170000 170000 0 0 TRAINING AND RECRUITMEN 13305 1956 10999 350 MISCELLANEOUS 8795 7200 1098 497 669 669 18143277 15053653 2668105 421519 1438723 2501994 226829 199345 43553 34510 2041997 2051206 156576 199948 9387154 1042715 8513145 8344439 52330 47385 12473153 13378827 1541333 1812756 13739 4093704 3694479 200293 218193 5835330 5739167 X 6098859 7565448 538964 74212 6637823 7639660 12473153 13378827 X 0 1 1 X 0 X 1867822 1129014 1514381 748994 672952 5933163 1867822 1129014 1514381 748994 672952 5933163 1209877 4723286 93 24647 32436 10676 5996 73848 160085 220623 162573 442271 119895 1105447 7112458 79343983 0.66410 0.64570 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 48270 0 0 0 48270 0 Part II-B, Line 1i: Explanation of Other Lobbying Activities: Mark 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. 515000 515000 7430207 523105 6907102 302397 49868 252529 1109426 459742 649684 30124 10000 20124 8344439 CAPITAL LEASE OBLIGATION 132775 DERIVATIVE FINANCIAL INSTRUMENT 85418 218193 19215968 18143277 1072691 -70854 -70854 1001837 19172446 -70854 -70854 19243300 -27332 -27332 19215968 18170609 27332 27332 18143277 0 18143277 Part XII, Line 4b - Other Adjustments: SPECIAL EVENTS: -21021. RENTAL EXPENSES: -6311. Part XIII, Line 2d - Other Adjustments: SPECIAL EVENTS: 21021. RENTAL EXPENSES: 6311. X X X X X X 0 MEMORIAL WALK 53556 52249 1307 1046 16945 GOLF OUTING 39090 13200 25890 3030 92646 65449 27197 1046 19975 21021 6176 X X X X X 0 0 0 0 0 0 0 0 0 RAFAEL SCIULLO 159231 0 45000 0 7200 0 0 0 9428 0 220859 0 163573 0 SANDRA R TOMLINSON DIRECTOR OF THE ORGANIZATION 1232540 Organization, 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 ORGANIZATION 728604 Organization, 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 ORGANIZATION 368707 Organization, 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 Form 990, Part VI, Section A, line 4 Bylaws were amended & approved by the Board of Directors June 21, 2010. Form 990, Part VI, Section A, line 7a Certain 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 11 The 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 12c Family 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 15 In 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 19 THE 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.