2024-11-15T12:56:44-06:00 2023-12-31 561706742 DAVIDSON HOLLAND WHITESELL & CO PLLC 209 13TH AVE PLACE NW SUITE 200 HICKORY NC 28601 990 2023-01-01 742200596 HOSPICE AUSTIN HOSP 5123424700 4107 SPICEWOOD SPRINGS ROAD 100 AUSTIN TX 78759 HERB DYER EXECUTIVE DIRECTOR 5123424700 2024-11-14 1 1 MATTHEW MCKINNEY P01707028 8283222070 2024-11-14 2023 2024-10-15 13:58:12Z HERB DYER 4107 SPICEWOOD SPRINGS ROAD 100 AUSTIN TX 78759 50696589 0 X WWW.HOSPICEAUSTIN.ORG X 1981 TX HOSPICE AUSTIN IS A NON-PROFIT ORGANIZATION THAT EASES THE PHYSICAL, EMOTIONAL AND SPIRITUAL PAIN OF ANY PERSON IN OUR COMMUNITY FACING THE FINAL MONTHS OF A SERIOUS ILLNESS BY PROVIDING EXPERT AND COMPASSIONATE CARE, EDUCATION AND BEREAVEMENT SUPPORT. 17 17 318 203 0 0 2818492 4641283 27694974 25999156 112147 419844 323879 106541 30949492 31166824 1028119 875944 0 0 19463413 18552736 0 0 510301 13153064 12208197 33644596 31636877 -2695104 -470053 16275077 16001117 2674522 2906797 13600555 13094320 HOSPICE AUSTIN IS A NON-PROFIT ORGANIZATION THAT EASES THE PHYSICAL, EMOTIONAL AND SPIRITUAL PAIN OF ANY PERSON IN OUR COMMUNITY FACING THE FINAL MONTHS OF A SERIOUS ILLNESS BY PROVIDING EXPERT AND COMPASSIONATE CARE, EDUCATION AND BEREAVEMENT SUPPORT. 0 0 26779864 875944 26314987 HOSPICE IS DESIGNED TO PROVIDE CARE AND RESTORE A SENSE OF DIGNITY AND PERSONAL FULFILLMENT TO THE DYING. THE PROGRAM PROVIDES HOME CARE, INPATIENT CARE, AND BEREAVEMENT SUPPORT. 26779864 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0 0 1 104 0 1 318 1 0 0 0 0 0 0 0 0 0 0 0 0 X 17 17 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X HERB DYER 5123424700 4107 SPICEWOOD SPRINGS ROAD 100 AUSTIN TX 78759 FRANK CEDENO DIRECTOR 0.50 X 0 0 0 CYNTHIA DUGGINS DIRECTOR 0.50 X 0 0 0 ANN KAISER DIRECTOR 0.50 X 0 0 0 SHELTON GREEN DIRECTOR 0.50 X 0 0 0 DR RICHARD HIMES DIRECTOR 0.50 X 0 0 0 DR KATHRYN HUDSON DIRECTOR 0.50 X 0 0 0 JOCELYN JOHNSON DIRECTOR 0.50 X 0 0 0 SUE PHILLIPS DIRECTOR 0.50 X 0 0 0 TAMI TAYLOR DIRECTOR 0.50 X 0 0 0 JETTA TODARO DIRECTOR 0.50 X 0 0 0 C MICHELLE ROBINSON GREGORY AT LARGE 0.50 X 0 0 0 OSCAR ROBINSON DIRECTOR 0.50 X 0 0 0 ROBERT HOWELL DIRECTOR 0.50 X 0 0 0 RAY MUNGIA SECRETARY 0.50 X X 0 0 0 KEVIN KAYLAKIE TREASURER 0.50 X X 0 0 0 SYLVIA MAGGIO VICE CHAIR 0.50 X X 0 0 0 BRENT ANNEAR CHAIR 0.50 X X 0 0 0 KEVIN KAYLAKIE TREASURER 0.50 X X 0 0 0 ROBIN CLEMONS CHIEF DEVELOPMENT OFFICER 40.00 X 127099 0 13059 BRIAN KING NURSE PRACTITIONER 40.00 X 127419 0 8986 JO ANN CARDENAS NURSE PRACTITIONER 40.00 X 121297 0 8986 KEISHA JONES DIRECTOR OF INPATIENT SERVICES 40.00 X 130240 0 10597 ANNA MICHELE TAYLOR NURSE PRACTITIONER 40.00 X 110425 0 8668 616480 0 50296 10 0 1 0 QUALIS MANAGEMENT 3801 SUNSET AVE ROCKY MOUNT NC 27804 DME 575433 SHB LLC - ADVANCE MANAGEMENT 3436 MAGAZINE STREET 622 NEW ORLEANS LA 70115 CONTRACT STAFFING 310769 STONEBRIDGE SN HEALTH CENTER 11127 CIRCLE DR AUSTIN TX 78736 INPATIENT HOSPITAL 236470 TRS MANAGED SERVICES 171 NAPLES ST SPRINGDALE AR 72762 CONTRACT STAFFING 226144 ST DAVIDS S AUS MED CTR 901 W BEN WHITE BLVD AUSTIN TX 78704 NURSING HOME 221814 13 796074 200000 3645209 192206 4641283 PATIENT SERVICES 621990 24809037 24809037 REIMBURSED PROVIDER SERVICES 621990 1190119 1190119 25999156 415476 415476 19276075 19242575 29132 33500 -29132 4368 4368 45921 796074 258058 -212137 -212137 OFFICE MANAGEMENT - CTPCA 621990 313908 313908 VENDING MACHINE INCOME 621990 2847 2847 MISCELLANEOUS INCOME 621990 1923 1923 318678 31166824 26314987 0 210554 X 875944 875944 140158 140158 15379813 12632454 2372377 374982 1890603 1537284 305759 47560 1142162 928713 184717 28732 65134 65134 47474 47474 9288 9288 222020 200 221820 21693 17347 3144 1202 38975 35808 3167 678022 557524 93828 26670 735831 700993 34838 3278 565 2393 320 144583 83776 56300 4507 182898 157390 22112 3396 NURSING HOME 1928127 1928127 PROVIDER AND NP SERVICE 1358833 1358833 CONTRACT STAFFING 1305154 765425 539729 PHARMACY 1220214 1220214 4246673 3979267 244474 22932 31636877 26779864 4346712 510301 1101942 2297688 9257083 8381030 282689 586303 2449380 1616663 10472 17449 190368 164958 5536635 2999431 2679831 2537204 303312 399822 16275077 16001117 2674522 2906797 2674522 2906797 X 12767885 11933125 832670 1161195 13600555 13094320 16275077 16001117 -470053 -36182 0 X X 0 1 X 1 0 X 3198745 3653276 4180491 2818492 4641283 18492287 27666084 28185191 28094141 27694974 25999156 137639546 6616 1009 7625 30871445 31839476 32274632 30513466 30640439 156139458 1014790 957011 1010754 827149 3809704 0 1014790 957011 1010754 827149 3809704 152329754 191985 70401 4627 110219 415476 792708 191985 70401 4627 110219 415476 792708 265616 322316 288112 323879 318678 1518601 31329046 32232193 32567371 30947564 31374593 158450767 0.96140 0.96670 0.00500 0.00380 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MANAGEMENT FEES - 2019 AMOUNT: $ 152,688. 2020 AMOUNT: $ 199,188. 2021 AMOUNT: $ 132,984. 2022 AMOUNT: $ 313,908. 2023 AMOUNT: $ 313,908. OTHER - 2019 AMOUNT: $ 112,928. 2020 AMOUNT: $ 123,128. 2021 AMOUNT: $ 155,128. 2022 AMOUNT: $ 9,971. 2023 AMOUNT: $ 4,770. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 5992507 98837 753533 208782 50626 6585469 6598209 867986 -692648 735579 45461 5992507 5695751 148448 814729 60719 6598209 4975849 154990 614994 50082 5695751 4222486 125023 675500 47160 4975849 1.00000 0 1 1 1520521 1520521 2392300 1654491 737809 62671 43734 18937 1561143 1301206 259937 2537204 31408544 -36182 287190 251008 31157536 9288 9288 31166824 31914779 287190 287190 31627589 9288 9288 31636877 PART V, LINE 4: THE EARNINGS AND CORPUS OF THE HOSPICE AUSTIN FUND ARE USED FOR THE MAINTENANCE, SUPPORT, AND OPERATIONS OF HOSPICE AUSTIN PROGRAMS. PART XI, LINE 2D - OTHER ADJUSTMENTS: FIXED ASSET GAIN/LOSS 29,132. FUNDRAISING EXPENSES 258,058. PART XII, LINE 2D - OTHER ADJUSTMENTS: FIXED ASSET GAIN/LOSS 29,132. FUNDRAISING EXPENSES 258,058. BEAUTY OF LIFE 841995 796074 45921 106354 86154 65550 841995 796074 45921 106354 86154 65550 258058 -212137 0 CENTRAL TEXAS PALLIATIVE CARE 4107 SPICEWOOD SPRINGS RD AUSTIN TX 78759 743000910 501(C)(3) 875944 0 CASH FINANCIAL SUPPORT X X X X X X 0 0 0 0 0 1 1 0 0 PART I, LINE 6 THE EXECUTIVE DIRECTOR HAS CONSOLIDATED CHANGE IN NET ASSETS (NET INCOME) AS ONE OF THEIR BONUS GOALS. THERE ARE MULTIPLE GOALS WITH EACH ASSIGNED A WEIGHTED VALUE IN ARRIVING AT THE OVERALL PERCENT OF GOALS ACHIEVED. ONE OF THE MULTIPLE BONUS GOALS IS MEETING OR EXCEEDING THE CONSOLIDATED CHANGE IN NET ASSETS PRIOR TO INTEREST INCOME AND INVESTMENT RETURNS (NET INCOME PRIOR TO INTEREST INCOME AND INVESTMENT RETURNS) FOR HOSPICE AUSTIN, CENTRAL TEXAS PALLIATIVE CARE ASSOCIATES AND THE HOSPICE AUSTIN FUND, RELATED ENTITIES. X 32961 COMPARABLE SELLING PRICE X 3 13996 FMV 0 1 1 PART I, LINE 32B: HOSPICE AUSTIN USES PUBLIC AUTO AUCTIONS TO PROCESS CAR DONATIONS. THE DONATED CARS ARE AUCTIONED OFF AND HOSPICE AUSTIN RECEIVES THE NET PROCEEDS. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS REVIEWED BY BOTH HOSPICE AUSTIN'S FISCAL MANAGEMENT COMMITTEE AND FULL BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C DIRECTORS AND OFFICERS DISCLOSE ANY CONFLICTS OF INTEREST ON AN ANNUAL BASIS AND RECUES THEMSELVES FROM VOTING ON ANY MATTERS WITH WHICH THEY HAVE A CONFLICT. ADDITIONALLY, AT EVERY BOARD MEETING, ONE OF THE FIRST AGENDA ITEMS IS INQUIRY ABOUT ANY CONFLICTS OF INTEREST THAT REQUIRE DISCLOSURE. FORM 990, PART VI, SECTION B, LINE 15 LINE 15A: DETERMINING COMPENSATION FOR THE TOP MANAGEMENT OFFICIAL INCLUDES THE COLLECTION OF COMPARABLE DATA (COMPARABLE POSITIONS OF COMPARABLE ORGANIZATIONS OBTAINED FROM PUBLISHED SALARY SURVEY REPORTS AND FORM 990S OF OTHER ORGANIZATIONS). THE DATA IS REVIEWED AND DISCUSSED BY THE BOARD OF DIRECTORS. ONCE AN APPROPRIATE SALARY IS AGREED UPON, IT IS SUBMITTED TO THE BOARD OF DIRECTORS FOR APPROVAL. AFTER REVIEW AND DISCUSSION, THE COMMITTEES AND BOARD'S DECISIONS ARE DOCUMENTED. NO INDIVIDUAL WITH A CONFLICT OF INTEREST IS INVOLVED IN THE DECISION. LINE 15B: THE PROCESS FOR DETERMINING COMPENSATION AND PAY GRADE FOR ALL OTHER EMPLOYEES INCLUDES THE COLLECTION AND REVIEW OF COMPARABLE DATA (COMPARABLE POSITIONS OF COMPARABLE ORGANIZATIONS OBTAINED FROM PUBLISHED SALARY SURVEY REPORTS). THE DATA IS REVIEWED AND DISCUSSED BY THE PERSONNEL AND COMPENSATION COMMITTEE. AFTER REVIEW AND DISCUSSION, THE COMMITTEE'S RECOMMENDATION IS DOCUMENTED AND SUBMITTED TO THE EXECUTIVE COMMITTEE AND THE FULL BOARD OF HOSPICE AUSTIN FOR APPROVAL. AFTER REVIEW AND DISCUSSION, THE COMMITTEES AND BOARD'S DECISIONS ARE DOCUMENTED. NO INDIVIDUAL WITH A CONFLICT OF INTEREST IS INVOLVED IN THE DECISION. FORM 990, PART VI, SECTION C, LINE 19 UPON WRITTEN REQUEST, THESE DOCUMENTS WILL BE MADE AVAILABLE FOR PUBLIC INSPECTION. THE RETURN IS ALSO LISTED ON THE GUIDESTAR WEBSITE. FORM 990, PART IX, LINE 11G CONSULTING FEES : PROGRAM SERVICE EXPENSES 200. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 200. CONSULTING FEES : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 216,467. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 216,467. CLAIMS PROCESSING FEES : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 5,353. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,353. FORM 990, PART IX, LINE 24E HOSPITAL INPATIENT CARE : PROGRAM SERVICE EXPENSES 832,845. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 832,845. DURABLE MEDICAL EQUIPMENT : PROGRAM SERVICE EXPENSES 805,304. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 805,304. PATIENT CARE EXPENSES : PROGRAM SERVICE EXPENSES 693,359. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 693,359. MEDICAL SUPPLIES : PROGRAM SERVICE EXPENSES 599,025. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 599,025. BUILDING EXPENSE : PROGRAM SERVICE EXPENSES 315,499. MANAGEMENT AND GENERAL EXPENSES 75,468. FUNDRAISING EXPENSES 6,042. TOTAL EXPENSES 397,009. MISCELLANEOUS EXPENSES : PROGRAM SERVICE EXPENSES 250,003. MANAGEMENT AND GENERAL EXPENSES 44,168. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 294,171. COMMUNICATION : PROGRAM SERVICE EXPENSES 224,611. MANAGEMENT AND GENERAL EXPENSES 14,014. FUNDRAISING EXPENSES 2,799. TOTAL EXPENSES 241,424. SECURITY : PROGRAM SERVICE EXPENSES 165,330. MANAGEMENT AND GENERAL EXPENSES 3,070. FUNDRAISING EXPENSES 246. TOTAL EXPENSES 168,646. PERSONNEL COSTS : PROGRAM SERVICE EXPENSES 16,649. MANAGEMENT AND GENERAL EXPENSES 101,352. FUNDRAISING EXPENSES 128. TOTAL EXPENSES 118,129. PRINTING : PROGRAM SERVICE EXPENSES 50,226. MANAGEMENT AND GENERAL EXPENSES 3,258. FUNDRAISING EXPENSES 12,284. TOTAL EXPENSES 65,768. EQUIPMENT RENTAL : PROGRAM SERVICE EXPENSES 16,539. MANAGEMENT AND GENERAL EXPENSES 3,144. FUNDRAISING EXPENSES 483. TOTAL EXPENSES 20,166. IN-KIND GOODS AND SERVICES : PROGRAM SERVICE EXPENSES 9,877. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,877. ADMIN SUPPLIES : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 950. TOTAL EXPENSES 950. FORM 990, PART XII, LINE 2C,AUDIT OVERSIGHT/SELECTION OF INDEPENDENT ACCT OVERSIGHT PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. HOSPICE AUSTIN FUND 4107 SPICEWOOD SPRINGS RD 100 AUSTIN TX 78759 742927948 TYPE 1 SUPPORTING ORGANIZATION OF HOSPICE AUSTIN TX 501(C)(3) LINE 12A, I 1 CENTRAL TEXAS PALLIATIVE CARE ASSOCIATION 4107 SPICEWOOD SPRINGS RD 100 AUSTIN TX 78759 743000910 PROVIDES MEDICAL DIRECTOR SERVICES TO HOSPICE AUSTIN TX 501(C)(3) LINE 10 1 0 1 1 0 1 0 0 0 0 0 0 1 1 1 1 0 1 0 0 HOSPICE AUSTIN FUND E 1204 CASH CENTRAL TEXAS PALLIATIVE CARE ASSOCIATES B 875944 CASH CENTRAL TEXAS PALLIATIVE CARE ASSOCIATES L 313908 CASH CENTRAL TEXAS PALLIATIVE CARE ASSOCIATES Q 1189369 CASH CENTRAL TEXAS PALLIATIVE CARE ASSOCIATES M 1440840 CASH HOSPICE AUSTIN FUND C 200000 CASH