Stein Hospice Services Inc.

“A copy of the 990 is given to finance committee of the board of directors. The finance committee reviewed the 990 for accuracy and approved the 990 to be filed.”

“Board members, director level positions and all employees are all covered under this policy. Board members sign the statement annually. For board members and director level positions, conflict determinations and actual conflicts would be handled by the board either by discussion, formal action, for policy revision(s) and/or changes to policies, if required. In the event there would be restrictions imposed based upon existing or new conflicts, the respective board committee chair would be responsible for asking the individual to excuse themselves or abstain from voting priviledges. Each employee signs a conflict of interest policy disclosure statement that would cover director level positions within the organization, from there potential conflicts and conflicts flow to hr and then the ceo if required. Beyond the ceo, the board would deliberate the situation and/or issue surrounding the potential conflict or conflict in the same manner the board polices itself. Upon hire, employees sign for receipt of the conflict of interest policy. Refusal to comply with compliance directives of the board could result in suspension and/or removal from their respective positions.”

“Annually the executive director's salary is reviewed, a survey of the director's performance is sent to all board members with the results being tabulated by a finance committee member and any increase is first recommended by the president of the board based on the survey and approved by the board of trustees based on information used from the hospice salary and benefits report.”

“Annually management reviews the pay scales for all employees and compares current pay to hospice salary and benefits report.”

“Governing documents, conflict of interest policy, and financial statements are available to the public upon request.”

“Mileage 637,571 0 0 medical supplies 520,664 0 0 in-patient days 411,363 0 0 mobile phones and pagers 340,373 0 0 non-reimbursable service 333,526 0 0 oxygen 249,599 0 0 continuing education 89,741 22,435 0 ambulance 110,807 0 0 dues and licenses 93,418 7,031 0 therapies 78,443 0 0 dietary supplements 70,113 0 0 telephone 44,312 8,309 2,770 respite care 49,205 0 0 postage 20,721 6,376 4,782 imaging services 31,139 0 0 lab 26,198 0 0 miscellaneous 18,998 5,066 1,267 bereavement 24,399 0 0 physician services 18,804 0 0 fundraising 0 0 11,199 patient special needs 5,386 0 0 emergency room 2,682 0 0 total 3,177,462 49,217 20,018”

“Non-reimbursable services expense -333,526 contractual adjustments -700,490 direct expenses from fundraising events 136,837 direct expenses from fundraising events -136,837 non-reimbursable service expenses 333,526 contractual adjustments 700,490”