2016-11-03T18:29:17-05:00 2016-06-30 Redfern & Company 631 3rd Street Suite 102 Encinitas CA 92024 990 2015-07-01 953275679 THE ELIZABETH HOSPICE INC ELIZ 7607372050 500 LA TERRAZA BLVD SUITE 130 ESCONDIDO CA 920253876 Kiprian Skavinski CFO 7607372050 2016-10-10 1 Paul Redfern CPA P00743084 7606341120 2016-10-10 2015 2017-02-10 21:41:12Z JANET JONES 500 LA TERRAZA BLVD SUITE 130 ESCONDIDO CA 920253876 34341879 0 X WWW.ELIZABETHHOSPICE.ORG X 1985 CA TO ENHANCE THE QUALITY OF LIFE FOR THOSE NEARING THE END OF LIFE'S JOURNEY AND FOR THOSE WHO GRIEVE THROUGH RESPONSIVE MEDICAL, EMOTIONAL, AND SPIRITUAL SUPPORT. 15 14 408 265 0 0 153593 83386 34006608 34257212 397 1281 0 0 34160598 34341879 0 0 0 0 22708829 25361488 0 0 0 12213632 9363670 34922461 34725158 -761863 -383279 9416132 8260891 4272866 3500904 5143266 4759987 TO ENHANCE THE QUALITY OF LIFE FOR THOSE NEARING THE END OF LIFE'S JOURNEY AND FOR THOSE WHO GRIEVE THROUGH RESPONSIVE MEDICAL, EMOTIONAL, AND SPIRITUAL SUPPORT. 0 0 28273990 34124621 FOUNDED IN 1978, THE ELIZABETH HOSPICE IS A PIONEER IN THE HOSPICE MOVEMENT AND REGARDED AS THE MOST EXPERIENCED AND LARGEST NONPROFIT HOSPICE PROGRAM IN THE REGION, WITH SERVICES PROVIDED THROUGHOUT SAN DIEGO COUNTY AND SOUTH RIVERSIDE COUNTY (INLAND EMPIRE). THE ELIZABETH HOSPICE PROVIDES ITS COMPREHENSIVE PROGRAMS AND SERVICES TO ADULTS AND CHILDREN IMPACTED BY ILLNESS, GRIEF AND LOSS. THE ELIZABETH HOSPICE IS AN INDEPENDENT, NONPROFIT ORGANIZATION THAT RELIES ON CHARITABLE CONTRIBUTIONS TO ENSURE THAT OUR SERVICES ARE AVAILABLE TO ALL WHO NEED THEM, REGARDLESS OF INSURANCE COVERAGE OR THEIR ABILITY TO PAY. ALL PROCEEDS SUPPORT OUR LOCAL PROGRAMS AND SERVICES FOR ALL AGES. 400924 107703 PALLIATIVE CARE SERVICES ARE AVAILABLE TO THOSE LIVING WITH A CHRONIC OR SERIOUS ILLNESS, BUT WHO ARE NOT YET ON HOSPICE SERVICE. OUR UNIQUELY QUALIFIED STAFF OF PALLIATIVE CARE PROFESSIONALS WORK IN CONJUNCTION WITH THE REFERRING PHYSICIAN TO CREATE A PLAN OF CARE THAT ADDRESSES HEALTH CARE GOALS AND PROVIDES GUIDANCE THROUGH ILLNESS CARE CHOICES. PALLIATIVE CARE FOCUSES ON PAIN MANAGEMENT AND RELIEF FROM SYMPTOMS AND STRESS, WITH THE GOAL OF IMPROVING QUALITY OF LIFE FOR THE PATIENT, AND SUPPORT FOR FAMILY MEMBERS. 594686 24888 THE CENTER FOR COMPASSIONATE CARE OF THE ELIZABETH HOSPICE OFFERS COMPREHENSIVE BEREAVEMENT SUPPORT FOR ALL AGES TO THE LOVED ONES OF OUR HOSPICE PATIENTS AND TO THE COMMUNITY-AT-LARGE. INDIVIDUAL COUNSELING AND GROUP SUPPORT ARE AVAILABLE TO ADULTS AND CHILDREN, REGARDLESS OF THE TYPE OF LOSS EXPERIENCED. OUR SPECIALIZED CHILDREN'S BEREAVEMENT PROGRAM IS UNIQUE IN SAN DIEGO COUNTY, WITH SERVICES OFFERED AT VARIOUS LOCATIONS, AS WELL AS AT LOCAL SCHOOL DISTRICTS, WHERE OUR UNIQUELY QUALIFIED PROFESSIONALS PROVIDE CURRICULA AND TRAIN STAFF TO WORK WITH CHILDREN EXPERIENCING GRIEF. 29269600 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 117 0 1 408 1 0 0 0 0 0 0 0 0 X 15 14 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X X KIPRIAN SKAVINSKI 7607372050 500 LA TERRAZA BLVD SUITE 130 ESCONDIDO CA 920253876 GUY ANASTASIA DIRECTOR 1.00 X 0 0 0 DENISE BOREN DIRECTOR 1.00 X 0 0 0 IRMA COTA DIRECTOR 1.00 X 0 0 0 ROBERT HEMKER DIRECTOR 1.00 X 0 0 0 EDWARD CROFT DIRECTOR 1.00 X 0 0 0 MICHELLE HAYS DIRECTOR 1.00 X 0 0 0 DEBRA LANGE DIRECTOR 1.00 1.00 X 0 0 0 GARY KLOEHN DIRECTOR 1.00 1.00 X 0 0 0 MARK NEU DIRECTOR 1.00 X 0 0 0 NANCY MCCOY DIRECTOR 1.00 X 0 0 0 LAURETTE MCGUIRE DIRECTOR 1.00 X 0 0 0 LORI RAPPAPORT DIRECTOR 1.00 X 0 0 0 CHRIS WEISSMAN DIRECTOR 1.00 X 0 0 0 MICHELLE SULLIVAN DIRECTOR 1.00 X 0 0 0 JANET JONES CEO 40.00 1.00 X 203760 87325 16220 KIPRIAN SKAVINSKI CFO 40.00 1.00 X 149006 26295 6907 CHERYL FARST CORPORATE SECRETARY 40.00 1.00 X 72138 0 8375 DR GLENN PANZER CHIEF MED OFFICER 40.00 X 289638 0 14913 ANDREA GOODWIN COO 40.00 X 179609 0 6707 JEFFREY WHITE COO 40.00 X 160799 0 8074 PATRICIA SHADER DIR OF CLINICAL SERVICES 40.00 X 154010 0 16594 PHAEDRA KUNZE DIR OF BUSINESS DEVELOPMENT 40.00 X 145056 0 15091 ROBERT BURGETT DIRECTOR OF IT 40.00 X 141662 0 20812 1495678 113620 113693 18 0 1 0 DR GEORGE DELGADO 28345 TRICIA PLACE ESCONDIDO CA 92026 MEDICAL SERVICE 250384 DR SANDHYA BHALLA-REGEV 13754 BOQUITA DRIVE DEL MAR CA 92014 MEDICAL SERVICE 203033 DR NEGIN SALIMI 5260 FIORE TERRACE APT 1201 SAN DIEGO CA 92122 MEDICAL SERVICE 202702 DUCKOR SPRADLING METZGER & WAYNNE 3043 7TH STREET SAN DIEGO CA 92103 LEGAL 145293 4 83386 83386 HOSPICE SERVICES 621610 33838155 33838155 OTHER 900099 419057 419057 34257212 1281 1281 34341879 34257212 0 1281 700767 285977 414790 19774574 16875481 2899093 428683 375599 53084 2910595 2489691 420904 1546869 1306364 240505 83079 3220 79859 33902 33902 1489239 1225805 263434 30449 30449 468693 382585 86108 726006 413610 312396 1431890 1271414 160476 867499 791693 75806 146041 59962 86079 284620 241927 42693 167832 8053 159779 MEDICATIONS 1023990 1023990 MEDICAL EQUIPMENT 1020925 1020925 MEDICAL SUPPLIES 658186 658186 BAD DEBT 491244 491244 440075 343874 96201 34725158 29269600 5455558 0 777983 248513 404470 2540653 1204261 681490 5769794 3618500 176688 152685 2607396 1661595 1006615 945801 76321 73249 9416132 8260891 4272866 3494827 0 6077 4272866 3500904 X 5143266 4759987 5143266 4759987 9416132 8260891 -383279 0 X 0 1 X 1 0 X 251440 124995 154198 153593 83386 767612 28791542 34345758 33504334 34006608 34257212 164905454 29042982 34470753 33658532 34160201 34340598 165673066 0 0 0 165673066 651 740 0 379 1281 3051 651 740 379 1281 3051 29043633 34471493 33658532 34160580 34341879 165676117 1.00000 1.00000 0.00000 0.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3107610 -7170 128658 2971782 3098283 145624 136297 3107610 3012265 345388 259370 3098283 2765247 332018 85000 3012265 2810032 -4004 40781 2765247 0.01000 0.87000 0.12000 0 0 918085 432020 486065 1689311 1229575 459736 945801 SECURITY DEPOSIT HELD 6077 6077 35128349 786470 786470 34341879 0 34341879 35501227 776069 776069 34725158 0 34725158 Part XI, Line 2d - Other Adjustments: REVENUE FROM RELATED ORGANIZATION 1,256,106. CONSOLIDATED FINANCIALS ELIMINATING ENTRIES -447,364. INVESTMENT RETURN FROM RELATED ORGANIZATION -22,272. Part XII, Line 2d - Other Adjustments: EXPENSES FROM RELATED ORGANIZATION 1,223,433. CONSOLIDATED FINANCIALS ELIMINATING ENTRIES -447,364. X X X 0 0 0 0 0 0 0 0 0 JANET JONES CEO 201870 86515 1890 810 0 0 5482 2350 4672 3716 213914 93391 0 0 KIPRIAN SKAVINSKI CFO 147577 26043 1429 252 0 0 4310 761 1561 275 154877 27331 0 0 DR GLENN PANZER CHIEF MED OFFICER 286851 0 2787 0 0 0 8079 0 6834 0 304551 0 0 0 ANDREA GOODWIN COO 177300 0 1709 0 600 0 5408 0 1299 0 186316 0 0 0 JEFFREY WHITE COO 159845 0 954 0 0 0 2164 0 5910 0 168873 0 0 0 PATRICIA SHADER DIR OF CLINICAL SERVICES 152546 0 1464 0 0 0 4209 0 12385 0 170604 0 0 0 PHAEDRA KUNZE DIR OF BUSINESS DEVELOPMENT 143189 0 1267 0 600 0 4160 0 10931 0 160147 0 0 0 ROBERT BURGETT DIRECTOR OF IT 140325 0 1337 0 0 0 4193 0 16619 0 162474 0 0 0 Form 990, Part VI, Section A, line 1 MATERIAL DIFFERENCES IN VOTING RIGHTS AMONG MEMBERS OF GOVERNING BODY, OR IF THE GOVERNING BODY DELEGATED BROAD AUTHORITY TO AN EXECUTIVE COMMITTEE OR SIMILAR COMMITTEE THE BOARD OF DIRECTORS AS OUTLINED IN THE BYLAWS OF THE CORPORTATION HAS A DESIGNATED EXECUTIVE COMMITTEE AND DELEGATE TO SUCH COMMITTEE ANY OF THE POWERS AND AUTHORITY OF THE BOARD IN THE MANAGMENT OF THE BUSINESS AND AFFAIRS OF THE CORPORATION WITH SOME EXCEPTIONS AS PROVIDED IN THE ORGANIZATIONS BYLAWS. BY MAJORITY VOTE OF THE DIRECTORS THEN IN OFFICE, THE BOARD MAY AT ANY TIME REVOKE OR MODIFY ANY OR ALL OF THE AUTHORITY SO DELEGATED, INCREASE OR DECREASE BUT NOT BELOW TWO (2) THE NUMBER OF COMMITTEE MEMBERS, AND FILL VACANCIES THEREIN FROM THE MEMBERS OF THE BOARD. Form 990, Part VI, Section B, line 11 MANAGEMENT AT THE ELIZABETH HOSPICE WORKS WITH AN OUTSIDE TAX FIRM IN THE PREPARATION AND REVIEW OF THE IRS FORM 990. THE BOARD OF DIRECTORS HAS DELEGATED ITS AUTHORITY TO THE AUDIT COMMITTEE WHO REVIEWS A DRAFT OF THE IRS FORM 990 WITH MANAGMENT AND THE TAX FIRM. ONCE THE AUDIT COMMITTEE HAS APPROVED THE 990 AND PRIOR TO THE TAX FIRM FILING THE 990 THE APPROVED DRAFT IS SENT TO THE BOARD OF DIRECTORS FOR REVIEW. THE TAX FIRM ALSO PRESENTS THE APPROVED 990 AT A REGULARLY SCHEDULED BOARD MEETING. Form 990, Part VI, Section B, line 12c BOARD MEMBERS, OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES ARE REQUIRED TO COMPLETE ANNUAL CONFLICTS OF INTEREST DISCLOSURE STATEMENTS. Form 990, Part VI, Section B, line 15 BUDGET PERMITTING, A SALARY SURVEY IS CONDUCTED EVERY 2 TO 3 YEARS. BASED ON THE RESULTS, WE REVIEW EACH POSITION, TAKING INTO ACCOUNT THE LEVEL OF EXPERIENCE THE INDIVIDUAL HAS AND MAKE ADJUSTMENTS IF WARRANTED. Form 990, Part VI, Section C, line 19 DOCUMENTS ARE AVAILABLE FOR VIEWING UPON REQUEST AT 500 LA TERRAZA BLVD, SUITE 130, ESCONDIDO, CA 92025-3876. THE ELIZABETH HOSPICE FOUNDATION 500 LA TERRAZA BLVD SUITE 130 ESCONDIDO CA 92025 820549103 SUPPORT CA 501(c)(3) Line 7 N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 1 1 The Elizabeth Hospice Foundation C 83386 Fair Market Value The Elizabeth Hospice Foundation N 363978 Fair Market Value