2011-03-31T14:19:15-05:00 2010-09-30 Moore Stephens Lovelace PA 14400 NW 77th Court Suite 306 Miami Lakes FL 330161507 990 2009-10-01 593467282 Hospice Foundation Inc HOSP 7278637971 12107 Majestic Blvd Hudson FL 34667 Thomas Barb 7278637971 2011-03-31 1 Karin E Vickers 3058199555 2009 2016-02-24 21:20:13Z HPH Foundation Thomas Barb 12107 Majestic Blvd Hudson FL 34667 3030087 0 X www.hph-hospice.org X 1997 FL The organization operates to advance understanding, participation and support of the mission and programs of Hernando-Pasco Hospice, Inc. and its affiliated non-for-profit organizations, honoring our community's sacred trust through sound stewardship. 6 4 0 0 0 0 1974672 1802236 0 -969304 375495 551201 163827 1556569 2341558 727528 0 919188 351129 2100 376978 896074 211601 1815262 1292358 -258693 1049200 16759615 18893635 233405 283770 16526210 18609865 The organization operates to advance understanding, participation and support of the mission and programs of Hernando-Pasco Hospice, Inc. and its affiliated non-for-profit organizations, honoring our community's sacred trust through sound stewardship. 0 0 746637 The organization receives and invests funds for the benefit of Hernando-Pasco Hospice, Inc. and provides fundraising services to Hernando-Pasco Hospice, Inc. Hernando-Pasco Hospice, Inc. provides a full program of medical support services to Hernando, Pasco and Citrus Counties. 746637 1 1 0 0 0 0 0 0 0 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 1 0 0 0 0 0 0 0 0 0 0 6 4 0 0 1 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 FL X Katherine Meotti 7278637971 12107 Majestic Blvd Hudson FL 34667 X Clarence Prevatt 1.50 X X 0 0 0 Theresa Brock 1.50 X X 0 0 0 Mike McHugh 1.50 X X 0 0 0 George Germann 1.50 X 0 0 0 Thomas Barb 45.00 X X 0 292932 10852 W Richard Young 45.00 X X 0 239854 11259 Nancy Brown 40.00 X 0 124679 860 Dianne Skiles 40.00 X 0 115516 13104 William Wiggins 40.00 X 0 122905 6547 Thomas Uehlinger 40.00 X 0 118689 13116 0 1014575 55738 0 0 1 0 0 1802236 1802236 375495 375495 122330 41636 80694 80694 730026 646893 83133 83133 2341558 0 0 539322 727528 727528 287040 15530 74391 197119 1005 50 251 704 41236 2062 10309 28865 21848 1092 5462 15294 2100 2100 38287 38287 270 270 65221 65221 62117 24238 37879 15335 15335 3001 1409 1592 12705 375 1160 11170 1039 943 96 526 526 12023 12023 Building - Repairs and 1077 1077 1292358 746637 168743 376978 154818 17412 248639 40150 18935 13162 11821481 13835771 4515742 4987140 16759615 18893635 92790 54933 140615 228837 233405 283770 X 16526210 18609865 16526210 18609865 16759615 18893635 X 0 1 1 X 0 X X X 0 0 0 Hernando Pasco Hospice Inc 592217929 501(c)(3) 1 1 1 727528 1 727528 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 Money Market 246667 F Mutual Funds 12980195 F Annuity Funds 404339 F Real Estate - Endowment 204570 F 13835771 Legacy Fund 27211 Deposits 11509 Due from HPH Real Estate, Inc. 1847743 Due from HPH Real Estate, Inc. 280000 Due from Hernando Pasco Hospice, Inc. 2305677 Due from HPH South, Inc. 515000 4987140 Gift Annuity Obligations 228837 228837 Tree of Life 122330 122330 41636 122330 122330 41636 41636 80694 0 Hernando Pasco Hospice Inc 12107 Majestic Blvd Hudson FL 34667 592217929 501(c)(3) 727528 General Support 1 Procedure for Monitoring Grants in the U.S.: Part I, Line 2: Schedule I, Part I, Line 2: The organizations sole purpose is to support Hernando-Pasco Hospice, Inc, (HPH) a related 501(c)(3) organization. The majority of the board members of the organization are also board members of HPH and oversee all allocations of the grant money. 0 1 0 0 0 0 0 0 0 Thomas Barb 0 232082 0 60850 0 0 0 0 0 10852 0 303784 0 0 W Richard Young 0 162046 0 77808 0 0 0 0 0 11259 0 251113 0 0 Form 990, Part VI, Section A, line 4 The By-laws of Hospice Foundation, Inc. were amended in January 2010. The most significant change related to the by-laws was the creation of a separate Board of Trustees that includes one member of the community. Form 990, Part VI, Section B, line 11 A copy of the 990 is provided to the Board of Directors before being filed. Form 990, Part VI, Section B, line 12c The organization's conflict of interest policy covers all "Interested Persons," which includes all volunteers, employees, officers, directors, members of any committee of the Board, and all members of the immediate families of such individuals. The designated Compliance Officer routinely reviews the existing relationships between the Hospice, its staff, other care providers, educational institutions and payers to assure that all relationships are within the law and regulations. If any conflicts of interest are found to exist, the Compliance Officer immediately reports the potential conflict to the Chief Executive Officer. Any voting member involved in a conflict of interest must immediately disclose it to the Chairman of the Board and is disallowed from voting on any matters relating to any transaction with an "Interested Person" or entity. Form 990, Part VI, Section B, line 15 The organization ensures that a reasonable and competitive President and Chief Executive Officer compensation package consistent with market-based compensation practices is offered. An independent compensation and benefits committee is appointed by the Board to review the performance of the executive officers, including the President and Chief Executive Officer. Upon reporting to the Board at the subsequent Board meeting, the Board then approves the salary and benefits of the executive officers. The decisions of the Board regarding the compensation arrangement are documented within the meeting minutes. Form 990, Part VI, Section C, line 19 The organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request. Form 990, Part XI, Line 2c Oversight of Audit and Selection of Independent Accountant The Finance Committee is responsible for oversight of the audited financials and for interviewing independent accountants. They make their recommendation to the full Board, who vote to select the independent accountant. The process has not changed from the prior year. Hernando Pasco Hospice Inc 12107 Majestic Blvd Hudson FL 34667 592217929 Provide medical and support services to individuals facing terminal illness. FL 501(c)(3) 9 N/A HPH Real Estate Inc 12107 Majestic Blvd Hudson FL 34667 593467283 Provide and maintain physical facilities for related 501(c)(3) organizations FL 501(c)(2) N/A HPH South Inc 12107 Majestic Blvd Hudson FL 34667 271436121 Provide hospice and related health care services FL 501(c)(3) 9 N/A 0 1 0 1 1 0 0 0 0 1 0 0 1 1 0 0 0 0 HPH Real Estate Inc D 140250 HPH Real Estate Inc J 2818 HERNando Pasco Hospice Inc B 727528 HERNando Pasco Hospice Inc D 1366869 HERNando Pasco Hospice Inc E 119578 HERNando Pasco Hospice Inc M 26564 HERNando Pasco Hospice Inc N 556315 HPH South Inc D 515000 herNando Pasco Hospice Inc - Provident lease guarantee D 929785 HPH Real Estate Inc - Bond guarantee D 10916683