2023-08-02T15:30:13+00:00 2022-09-30 350921680 CROWE LLP 401 East Las Olas Blvd Suite 1100 Fort Lauderdale FL 333014230 990 2021-10-01 592328806 Big Bend Hospice Inc BIGB 8508785310 1723 Mahan Center Boulevard Tallahassee FL 32308 TERRI CARDOSI CFO 8508785310 2023-08-02 true BILL WERTMAN 999009999 GINA ARDILLO P01395893 9542028600 2021 2023-04-26 12:10:37Z WILLIAM WERTMAN 1723 Mahan Center Boulevard Tallahassee FL 32308 26131828 false X www.bigbendhospice.org X 1983 FL BIG BEND HOSPICE (BBH) INSPIRES HOPE BY POSITIVELY IMPACTING THE WAY OUR COMMUNITY EXPERIENCES ILLNESS OR GRIEF. BBH PROVIDES QUALITY HEALTHCARE FOR THE WHOLE PERSON, INCLUDING THEIR PHYSICAL, SPIRITUAL EMOTIONAL NEEDS. 22 22 247 268 0 0 3787678 1103165 20818654 24088682 112465 206436 17782 17796 24736579 25416079 0 0 0 14424708 16873222 0 0 6324365 7361349 20749073 24234571 3987506 1181508 18913144 18796663 3142836 2831629 15770308 15965034 FOR OVER 35 YEARS, BIG BEND HOSPICE ("BBH OR "BIG BEND") HAS BEEN INSPIRING HOPE BY POSITIVELY IMPACTING THE WAY OUR COMMUNITY EXPERIENCES SERIOUS ILLNESS OR GRIEF, ONE FAMILY AT A TIME. (CONTINUED ON SCHEDULE O) false false 18665067 0 24106478 Big Bend Hospice (Big Bend) is a not-for-profit community-based health care organization that coordinates care by professionals and volunteers specifically trained to help terminally ill patients and their families in the big bend Florida area. big bend is here to take the fear out of the unknown and guide patients and their families through the difficulties of dealing with a life limiting illness. we provide each patient with a care team composed of the patient's own physician, a hospice nurse, home health aide, family support counselor, music therapist, chaplain, and trained volunteers. we are here to support the patients and their families by providing a holistic approach that includes medical, emotional, social, and spiritual care, maximizing the quality of life when the quantity of life cannot be extended. (Continued on Schedule O) 18665067 true true false true false false false false true true false false false true true false true false false false false false false false false false false false true false false false false false false false false false false false false true true true true false false true 65 0 true 247 true false false false false false false false false false false false false X 22 22 false false false false false false false true true false false true true true true true true true true false X TERRI CARDOSI 8508785310 1723 MAHAN CENTER BOULEVARD TALLAHASSEE FL 32308 Diana Oropallo Secretary 1.0 0 X X 0 0 0 GARY CRAYTON Treasurer 1.0 0 X X 0 0 0 Janegale Boyd Chair 1.0 1.0 X X 0 0 0 John Harvard Vice Chair 1.0 1.0 X X 0 0 0 Alicia Crew Foundation Appointee 1.0 1.0 X 0 0 0 BARBARA WILLIAMS BOARD MEMBER 1.0 0 X 0 0 0 Bennett Napier BOARD MEMBER 1.0 0 X 0 0 0 Brant Copeland board member (thru Jan 2022) 1.0 0 X 0 0 0 Bruce Gould board member 1.0 0 X 0 0 0 Claudette Harrell board member 1.0 0 X 0 0 0 Darrell White board member 1.0 0 X 0 0 0 Gwynn Virostek Foundation Chair 1.0 1.0 X 0 0 0 Jeannine Silberman BOARD MEMBER 1.0 0 X 0 0 0 Judy Greenwald Board Member 1.0 0 X 0 0 0 Katie Webb Esq BOARD MEMBER 1.0 0 X 0 0 0 Kenneth Pratt BOARD MEMBER 1.0 0 X 0 0 0 KEVIN CLEARY BOARD MEMBER 1.0 0 X 0 0 0 Rheb Harbison Immediate Past Chair 1.0 0 X 0 0 0 Scott Harrell BOARD MEMBER 1.0 0 X 0 0 0 Suma Dondapati BOARD MEMBER 1.0 0 X 0 0 0 Tamara Aitken board member 1.0 0 X 0 0 0 Tim Sanders Board Member 1.0 0 X 0 0 0 William Smith III BOARD MEMBER 1.0 0 X 0 0 0 Jon Wood COO/CFO 35.0 5.0 X 207927 0 15245 WILLIAM WERTMAN CEO/Administrator 35.0 5.0 X 257987 0 24160 Fredrick B Lutz MD Hospice Physician 40.0 0 X 213212 0 10759 Grace LeClair Senior Director of Business Administration 40.0 0 X 118947 0 16584 Jennifer Lynes DO Hospice Physician 40.0 0 X 203356 0 26485 JOEL GARR CIO 40.0 0 X 151125 0 22896 VIRGINIA WEST Chief Clinical Officer 40.0 0 X 154871 0 35933 1307425 0 152062 13 false true false Core Medical Group PO Box 306478 Nashville TN 372306478 Staffing 743062 INVASERV LLC dba STATESERV NETWORK SVC 1201 S Alma School Rd Mesa AZ 852101148 DME Management Software 574967 SEVEN HILLS HEALTH AND REHAB CENTER 3333 CAPITAL MEDICAL BLVD TALLAHASSEE FL 32308 ROOM and BOARD 480142 Eden Spring Centers for LTC 4679 Crawfordville Highway Crawfordville FL 32327 Room and Board 329515 NETSMART TECHNOLOGIES INC PO Box 713519 Philadelphia PA 19171 CONSULTING 290049 17 304998 798167 1103165 HOSPICE SERVICE REVENUE 623990 24088682 24088682 0 0 0 0 24088682 218036 218036 0 0 672484 31665 713597 2152 -41113 29513 -11600 -11600 Other revenue 623990 17796 17796 0 0 0 0 17796 25416079 24106478 0 206436 505319 505319 13558525 10994764 2563761 377626 288393 89233 1399463 1130003 269460 1032289 816160 216129 126797 126797 67974 67974 1534607 1348638 185969 0 85932 44544 41388 660920 470555 190365 367883 242291 125592 572987 209588 363399 546997 490036 56961 69751 36277 33474 9841 9841 674510 505932 168578 272274 99748 172526 OTHER PATIENT SERVICES 419453 419125 328 Durable Medical equipment 815433 815433 Pharmaceuticals 669246 669246 Memberships and Dues 111956 21980 89976 354788 62354 292434 0 24234571 18665067 5569504 0 2088603 2227503 2621183 3179044 0 0 0 0 23767 23329 336817 295955 13014902 6897754 6108237 6117148 7627543 6800470 0 0 106994 153214 18913144 18796663 2800877 2602034 0 0 0 0 0 341959 229595 3142836 2831629 X 15770308 15965034 0 0 15770308 15965034 18913144 18796663 1181508 -986782 0 X false true X true false X 1047108 820889 948614 3787678 1103165 7707454 19003145 19879429 19121584 20818654 24088682 102911494 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 20050253 20700318 20070198 24606332 25191847 110618948 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 110618948 31242 101696 43776 117860 218036 512610 0 0 0 0 0 0 31242 101696 43776 117860 218036 512610 0 0 0 0 0 0 36743 28558 10866 17782 17796 111745 20118238 20830572 20124840 24741974 25427679 111243303 0.9944 0.9958 0 0.0 X Schedule A, Part III, Line 12 Other Income DESCRIPTION - OTHER INCOME, COLUMN A - 36743.0, COLUMN B - 28558.0, COLUMN C - 10866.0, COLUMN D - 17782.0, COLUMN E - 17796.0, COLUMN F - 111745.0; RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 2367 2367 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY A PORTION OF THE AMOUNTS PAID TO NHPCO, NPHI, AND FHPCA IS USED FOR LOBBYING. 3309911 0 -468112 2841799 2689978 0 619933 3309911 2454716 25970 209292 0 0 0 2689978 2520880 0 59880 0 126044 0 2454716 2293242 0 227638 0 0 0 2520880 0.0247 0.6406 0.3347 false true true 824335 824335 6327674 2653402 3674272 97117 85717 11400 3744506 2954308 790198 2021270 1204327 816943 6117148 CAPITAL LEASES PAYABLE 229595 229595 X Schedule D, Part V, Line 4 Intended uses of endowment funds Big Bend Hospice Foundation, Inc. possesses endowment funds in the form of long-term investments whose earnings are intended to support the mission of Big Bend Hospice. Big Bend Hospice Foundation has adopted investment and spending policies that attempt to provide a perpetual source of support to programs supported by the endowment while seeking to preserve the purchasing power of the endowment assets. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote The Organization is exempt from income taxes on income from related activities under Section 501(c)(3) of the U.S. Internal Revenue Code and corresponding state tax law. Accordingly, no provision has been made for federal or state income taxes. Additionally, the Foundation has been determined not to be a private foundation under Section 509(a) of the Internal Revenue Code. U.S. GAAP requires that a tax position is recognized as a benefit only if it is "more likely than not" that the tax position would be sustained in a tax examination, with a tax examination being presumed to occur. The amount recognized is the largest amount of tax benefit that is greater than 50% likely of being realized on examination. For tax positions not meeting the "more likely than not" test, no tax benefit is recorded. Hospice's Form 990 has not been subject to examination by the Internal Revenue Service or the state of Florida for the last three years. During 2019, the Foundation's Form 990 was subject to examination by the Internal Revenue Service for the year ended September 30, 2017. The return was accepted as filed. The Organization does not expect the total amount of unrecognized tax benefits to significantly change in the next 12 months. The Organization recognizes interest and/or penalties related to income tax matters in income tax expense. The Organization did not have any amounts accrued for interest and penalties at September 30, 2022 and 2021. X X X false false false false false false false true false WILLIAM WERTMAN CEO/Administrator 235187 0 22800 0 0 0 10237 0 13923 0 282147 0 0 0 Jon Wood COO/CFO 185127 0 22800 0 0 0 4808 0 10437 0 223172 0 0 0 Jennifer Lynes DO Hospice Physician 202456 0 900 0 0 0 8362 0 18123 0 229841 0 0 0 Fredrick B Lutz MD Hospice Physician 212312 0 900 0 0 0 8919 0 1840 0 223971 0 0 0 VIRGINIA WEST Chief Clinical Officer 139571 0 15300 0 0 0 6404 0 29529 0 190804 0 0 0 JOEL GARR CIO 143325 0 7800 0 0 0 0 0 22896 0 174021 0 0 0 Schedule J, Part I, Line 7 Non-fixed payments The bonus of the CEO/ADMINISTRATOR is written into an employment contract. The dollar amounts of other bonuses are determined at the discretion of the board with distribution authority given to the CEO. Form 990, Part III, Line 4a PROGRAM SERVICE ACCOMPLISHMENTS The house is licensed as a 12-bed inpatient facility to provide hospice care for those patients with a higher level of acuity and who may require round-the-clock (24 hour) skilled nursing care. the organization provides services to its hospice patients and families, as well as to the community at large, for which no reimbursement is received. such services include hospice care to indigent patients/families, specialized grief and loss counseling to children, teens, and adults, and music therapy as an enhancement to basic hospice care. DURING FYE 9/30/2022, BIG BEND HOSPICE ADMITTED AND SERVED 2,137 PATIENTS. BBH'S DOZIER HOUSE SERVED 531 PATIENTS AND BBH SUPPORTED 335 PATIENTS IN SKILLED NURSING FACILITIES AND ASSISTED LIVING FACILITIES. FOLLOWING A TERMINAL DIAGNOSIS, PATIENTS AND FAMILIES STRUGGLING WITH ANTICIPATORY GRIEF ARE ASSISTED BY TRAINED STAFF. FOLLOWING A HOSPICE PATIENT'S DEATH, HOSPICE CONTINUES TO PROVIDE BEREAVEMENT SUPPORT TO GRIEVING FAMILIES. OUR COMMUNITY BEREAVEMENT PROGRAM IS ALSO AVAILABLE TO ANYONE WHO HAS LOST A LOVED ONE. DURING FYE 9/30/2022, THE BEREAVEMENT DEPARTMENT SUPPORTED 1,427 INDIVIDUALS. 735 INDIVIDUALS ATTENDED COMMUNITY SUPPORT SESSIONS AND 7 SIX-WEEK GRIEF AND LOSS SUPPORT GROUPS WERE FACILITATED, IN ADDITION TO 2 HOPE FOR THE HOLIDAYS GROUPS, 11 SURVIVORS OF SUICIDE LOSS GROUPS, AND 5 COMMUNITY CRISIS INTERVENTION EVENTS. TO ADDRESS THE NEEDS OF OUR YOUTH DEMOGRAPHIC, BEREAVEMENT SERVICES FACILITATED 12 CHILDRENS NIGHT GRIEF AND LOSS SUPPORT GROUPS, 9 TEEN NIGHT GRIEF AND LOSS SUPPORT GROUPS, AS WELL AS 9 SIX-WEEK SCHOOL BASED GRIEF AND LOSS SUPPORT GROUPS. COMPLEMENTARY THERAPIES PROVIDED TO PATIENTS DURING FYE 9/30/2022 INCLUDE 365 HOURS OF ANIMAL THERAPY, 5,044 MUSIC THERAPY VISITS, AND 2,183 SPIRITUAL CARE VISITS. Form 990, Part III, Line 1 ORGANIZATION'S MISSION BBH HAS DEEP ROOTS THROUGHOUT OUR EIGHT-COUNTY SERVICE AREA, SUPPORTING INDIVIDUALS AND THEIR LOVED ONES IN THE BIG BEND. BBH'S HOLISTIC APPROACH IS FOUNDED ON PROVIDING QUALITY HEALTHCARE FOR THE WHOLE PERSON, INCLUDING THEIR PHYSICAL, SPIRITUAL AND EMOTIONAL NEEDS. BBH CONSIDERS THE PATIENT'S ENTIRE FAMILY AS THE "UNIT OF CARE". BBH HELPS PATIENTS AND FAMILIES MAKE CHOICES ABOUT END-OF-LIFE ISSUES AND ENABLES PATIENTS AND THEIR LOVED ONES TO HAVE GREATER CONTROL OVER THESE CHOICES. Form 990, Part VI, Line 1a Delegate broad authority to a committee The board of directors shall have an executive committee composed of all officers of the board as well as the immediate past chair of the big bend hospice board, and the chair of the big bend hospice foundation, which shall have and shall exercise the authority of the board in the management of the business of the corporation between meetings of the board. Form 990, Part VI, Line 11b Review of form 990 by governing body A copy of the form 990 is provided to each board member prior to filing with the IRS. Form 990, Part VI, Line 12c Conflict of interest policy At the time of appointment and at least annually thereafter (or at the time of occurrence), board members and executive staff complete an annual disclosure statement to disclose to the CEO and the board chairperson any business or other employment relationships which represent potential conflicts of interest with big bend hospice. If there is a potential conflict of interest, the CEO and board chairperson review the statement and determine if there is an actual conflict of interest. The audit committee annually reviews all conflict-of-interest statements. Board members are required to abstain from voting on matters which present a conflict of interest as described above and shall excuse themselves from the meeting during discussion and the voting process. Form 990, Part VI, Line 15a Process to establish compensation of top management official The process for determining the compensation of the organization's CEO includes a review by the executive committee of the board of directors. Compensation surveys are used to determine the amount of compensation. The last review took place during FYE 9/30/2022 and was documented in the minutes of the executive session. Form 990, Part VI, Line 15b Process to establish compensation of other employees The organization's CEO reviews and approves the compensation amounts for all employees. The amount available for salary increases is approved by the CEO and presented as part of the overall budget to the Board of Directors when the annual budget is reviewed and approved. Form 990, Part VI, Line 19 Required documents available to the public The organization's governing documents, conflict of interest policy, and financial statements are made available to the public upon request. 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