SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2015
Open to Public
Inspection
Name of the organization
Hospice in the Pines Inc
 
Employer identification number

75-2126002
Return Reference Explanation
Form 990, Part VI, Line 11b: Form 990 Review Process The return is reviewed by the Executive Director and the accounting officer before it is filed.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts ANY INFORMATION ARISING REGARDING A POTENTIAL CONFLICT OF INTEREST IS DISCUSSED BY THE GOVERNING BOARD. AFTER A DISCUSSION, A PLAN IS IMPLEMENTED TO ADDRESS THE ISSUE.
Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management EXECUTIVE DIRECTOR COMPENSATION IS REVIEWED AND SET BY THE GOVERNING BODY AFTER THE COMPLETION OF AN ANNUAL PERFORMANCE REVIEW.
Form 990, Part VI, Line 19: Other Organization Documents Publicly Available HOSPICE IN THE PINES, INC. DOES NOT CURRENTLY HAVE A WRITTEN POLICY IN PLACE FOR MAKING ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC FOR REVIEW. HOWEVER, UPON WRITTEN REQUEST, COPIES OF THE GOVERNING DOCUMENTS WOULD BE PROVIDED FOR THE PUBLIC'S REVIEW.
Other Changes In Net Assets Or Fund Balances - Other Decreases Non cash Contribution of Services = -$117409
Other Changes In Net Assets Or Fund Balances - Other Increases Non Cash Contribution of Services = $117409
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2015


Additional Data


Software ID: 15000324
Software Version: 2015v2.0