Capital Hospice

“The 990 for capital hospice is reviewed by the controller and the executive vice president/chief financial officer, who will sign the return when it is finalized. Next the 990 is sent to all the members of the board of trustees including the president of capital hospice for their review and to solicit any comments or questions. The audit committee of the board meets to review and discuss the form 990 in detail. This meeting is open to all board members including the compensation and other committee chairs. After the form 990 has been reviewed by the board and any comments or questions from board members have been responded to, the form 990 will be finalized, signed and filed.”

“All board members, officers and key managers are required to report any real or potential or perceived conflict of interest involving them or another person by promptly filing a written disclosure statement with the president or chair of the board of trustees. The president will review all such statements and the annual disclosure statements and discuss with the chair of the board any potential conflicts of interest. If the president and the chair of the board determine that a potential conflict exists, then the board shall inform the person of the basis for such belief and allow the person to explain and disclose. For any transaction/arrangement discussed during a board meeting for which a conflict of interest is deemed to exist, the affected board member shall not be counted in determining the quorom for the meeting but shall be permitted to briefly state his position on the matter and answer pertinent questions of other board members before vacating the governing board. The board member shall leave the governing board and a majority of the remaining board members shall determine whether to undertake such transaction/arrangement. If the board decides that a person has failed to disclose a conflict of interest, the board shall take corrective action.”

“The independent compensation committee of capital hospice has engaged towers watson, an independent consulting group, experienced in this work, to conduct a survey to gather comparable, valid market data of executive compensation from both tax-exempt and for-profit employers, of similar size and comparable scope for the ceo and other key personnel. The report was reviewed and approved by the independent compensation committee after thorough discussion of the data, it sources and the findings. Capital hospice, as subject to intermediate sanctions under internal revenue code (irc) section 4958, considers that the intermediate sanctions market benchmarking methodology for disqualified individuals, conducted by towers watson, has provided a valid and robust means of determining market based compensation competitiveness. Capital hospice has appointed an independent compensation committee to review and approve (with contemporaneous substantiation of the deliberation and decision) the compensation for other officers and key employees of capital hospice. The review is done in conjunction with independent market review and findings presented from towers watson.”

“The organization makes its governing documents, conflict of interest policy and financial statements available to the public upon request.”

“Physician services: program service expenses 239,871. Management and general expenses 0. Fundraising expenses 0. Total expenses 239,871. Contract services nursing home: program service expenses 13,166,259. Management and general expenses 0. Fundraising expenses 0. Total expenses 13,166,259. Contract services labor: program service expenses 131,559. Management and general expenses 13,791. Fundraising expenses 21,842. Total expenses 167,192. Contract services consultants: program service expenses 99,484. Management and general expenses 672,431. Fundraising expenses 264,234. Total expenses 1,036,149. Contract services inpatient: program service expenses 683,330. Management and general expenses 0. Fundraising expenses 0. Total expenses 683,330. Contract services other patient related: program service expenses 688,140. Management and general expenses 83. Fundraising expenses 45. Total expenses 688,268. Contract services other: program service expenses 269,527. Management and general expenses 270,229. Fundraising expenses 461. Total expenses 540,217.”

“Unrealized loss on interest rate swap -44,739.”