SCHEDULE O
(Form 990)

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.
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OMB No. 1545-0047
2021
Open to Public
Inspection
Name of the organization
DELAWARE HOSPICE INC
 
Employer identification number

51-0258883
Return Reference Explanation
FORM 990, PART VI, SECTION B, LINE 11B THE AUDIT COMMITTEE AND MANAGEMENT ARE CHARGED WITH REVIEWING AND APPROVING THE FORM 990. AFTER APPROVAL, FORM 990 IS MADE AVAILABLE TO THE FULL BOARD BEFORE IT IS FILED WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY MUST BE REVIEWED AND SIGNED BY BOARD MEMBERS, OFFICERS, AND KEY EMPLOYEES. BOARD MEMBERS, OFFICERS, AND KEY EMPLOYEES MUST REPORT CONFLICTS IN THE ANNUAL CONFLICT OF INTEREST STATEMENT. ANY CONFLICTS ARE REPORTED BY THE CEO TO THE BOARD. OUR CONFLICT OF INTEREST POLICY INCLUDES QUESTIONS REGARDING RELATIONSHIPS TO OTHER EMPLOYEES, WHETHER FAMILY OR BUSINESS RELATED. THE CHIEF FINANCIAL OFFICER MONITORS AND EVALUATES THE POLICY REPORTING ANY ISSUES TO THE ETHICS COMMITTEE. CONFLICTS ARE REPORTED TO THE BOARD BY THE CEO. CONFLICTS ARE REMOVED BY EMPHASIZING THE NEED TO ABSTAIN FROM DECISION MAKING OR VOTING ACTION.
FORM 990, PART VI, SECTION B, LINE 15 A COMPETITIVE COMPENSATION STUDY OF ALL STAFF MEMBERS IS CONDUCTED EVERY 2-3 YEARS BY AN INDEPENDENT THIRD PARTY CONSULTING FIRM. THE RESULTS ARE PRESENTED TO THE CEO AND EXECUTIVE TEAM AND THEN TO THE COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE AND THE PRESIDENT OF THE BOARD OF TRUSTEES EVALUATE THE PERFORMANCE OF THE CEO AND APPROVE COMPENSATION. THE CEO EVALUATES THE PERFORMANCE OF THE OFFICERS AND KEY EMPLOYEES AND MAKES RECOMMENDATIONS TO THE BOARD PRESIDENT WHO GETS APPROVAL FROM THE COMPENSATION COMMITTEE. ALL COMPENSATION DECISIONS ARE DOCUMENTED IN THE MINUTES OF THE COMPENSATION COMMITTEE.
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 VI, SECTION A, LINES 6 AND 7: DELAWARE LAW REQUIRES THAT NONSTOCK CORPORATIONS HAVE MEMBERS. IN THE CASE OF DELAWARE HOSPICE THOSE MEMBERS COMPRISE THE SAME INDIVIDUALS AS ITS BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 14: DELAWARE HOSPICE, INC. HAS A WRITTEN RETENTION AND DESTRUCTION POLICY FOR MEDICAL RECORDS. DELAWARE HOSPICE ALSO HAS A DOCUMENT OUTLINING THE NUMBER OF YEARS TO MAINTAIN ADMINISTRATIVE DOCUMENTS SUCH AS: 1. ACCOUNTING AND FISCAL, 2. ADMINISTRATIVE, CORPORATE, AND EXECUTIVE, 3. INSURANCE, 4. LEGAL, AND 5. PERSONNEL.
FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF DERIVATIVE FINANCIAL INSTRUMENT 294,040. CHANGE IN BENEFICIAL INTEREST IN PERPETUAL TRUST -8,594.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990) 2021


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