HARBOR PALLIATIVE CARE SERVICES INC: Form 990EZ, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- HARBOR PALLIATIVE CARE SERVICES INC (EIN 80-0674849)
- Tax period
- 2012-10-01 to 2013-09-30
- Filed
- 2013-12-26
- IRS object ID
- 201400129349200205
- Schema version
- 2012v2.3
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-12-26T09:20:01-06:00 | Timestamp |
| Tax Period End Date | 2013-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Crowe Horwath LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 70 W MADISON SUITE 700 | AddressLine1 |
| City | CHICAGO | City |
| State | IL | State |
| ZIP Code | 606024903 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990EZ | ReturnType |
| Tax Period Begin Date | 2012-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 800674849 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SOUTH FLORIDA PALLIATIVE MEDICINE | BusinessNameLine1 |
| Business Name Line2 | SPECIALISTSINC | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % RICHARD CALCOTE | InCareOfName |
| Name Control | SOUT | NameControl |
| Phone | 5612732240 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5300 EAST AVENUE | AddressLine1 |
| Address Line2 | Suite | AddressLine2 |
| City | WEST PALM BEACH | City |
| State | FL | State |
| ZIP Code | 33407 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DAVID FIELDING | Name |
| Title | PRESIDENT | Title |
| Phone | 5618407800 | Phone |
| Date Signed | 2014-02-15 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3128997000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990-EZ IRS990EZ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Schedule B Not Required | X | ScheduleBNotRequired |
| Web Site | sfpms.com | WebSite |
| Organization501c3 | X | Organization501c3 |
| Gross Receipts | 174385 | GrossReceipts |
| Info In Schedule O Part I | X | InfoInScheduleOPartI |
| Program Service Revenue | 174385 | ProgramServiceRevenue |
| Cost Other Basis And Sales Expenses | 0 | CostOtherBasisAndSalesExpenses |
| Gain Or Loss From Sale Of Assets | 0 | GainOrLossFromSaleOfAssets |
| Special Events Direct Expenses | 0 | SpecialEventsDirectExpenses |
| Special Events Net Income Loss | 0 | SpecialEventsNetIncomeLoss |
| Cost Of Goods Sold | 0 | CostOfGoodsSold |
| Gro Profit Loss Sales Of Inventory | 0 | GroProfitLossSalesOfInventory |
| Total Revenue | 174385 | TotalRevenue |
| Salaries Other Comp Empl Benefits | 496578 | SalariesOtherCompEmplBenefits |
| Fees And Oth Pymt To Ind Contractors | 550 | FeesAndOthPymtToIndContractors |
| Other Expenses Total | 45943 | OtherExpensesTotal |
| Total Expenses | 543071 | TotalExpenses |
| Excess Or Deficit For Year | -368686 | ExcessOrDeficitForYear |
| Net Assets Or Fund Balances BOY | -414890 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -783576 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part II | X | InfoInScheduleOPartII |
Cash Savings And Investments CashSavingsAndInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12005 | BOY |
| EOY | 141382 | EOY |
Land And Buildings LandAndBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 27601 | BOY |
| EOY | 60460 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 39606 | BOY |
| EOY | 201842 | EOY |
Sum Of Total Liabilities SumOfTotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 454496 | BOY |
| EOY | 985418 | EOY |
Net Assets Or Fund Balances NetAssetsOrFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -414890 | BOY |
| EOY | -783576 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Primary Exempt Purpose | South Florida Palliative Medicine Specialists, Inc. (SFPMS) provides specialized medical care for people with life-limiting illnesses. SFPMS provides relief from the symptoms, pain and stress of serious illness at any stage. The organization's goal is to relieve suffering and provide the best possible quality of life for patients and their families. | PrimaryExemptPurpose |
Program Service Accomplishment ProgramServiceAccomplishment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Program Service Accom | SFPMS provides palliative care and other medical services to alleviate pain and discomfort and improve quality of life for individuals. This stand-alone service provides the public with palliative medicine care from medical professionals who draw on skill-sets from their association with Hospice of Palm Beach County, Inc. This service is provided in local hospitals and supplements skills that other care givers and medical specialists are providing to chronically ill patients. | DescriptionProgramServiceAccom |
| Program Service Expenses | 512492 | ProgramServiceExpenses |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | 512492 | TotalProgramServiceExpenses |
| Info In Schedule O Part IV | X | InfoInScheduleOPartIV |
Officer Director Trustee Key Empl OfficerDirectorTrusteeKeyEmpl (10 entries)
| TitleTitle | Avg Hours Per Wk Devoted To PositionAvgHoursPerWkDevotedToPosition | CompensationCompensation | Contri To Empl Benefit Plans EtcContriToEmplBenefitPlansEtc | Expense Account Other AllowancesExpenseAccountOtherAllowances |
|---|---|---|---|---|
| SUSAN DAUB | ||||
| SECRETARY | 1.0 | 0 | 0 | 0 |
| JOHN MARINO | ||||
| CHAIRMAN | 1.0 | 0 | 0 | 0 |
| RANDY LEVITT | ||||
| vice chairman | 1.0 | 0 | 0 | 0 |
| THOMAS TRACY | ||||
| director | 1.0 | 0 | 0 | 0 |
| BARBARA BOLTON LITTEN | ||||
| DIRECTOR | 1.0 | 0 | 0 | 0 |
| john herring | ||||
| treasurer | 1.0 | 0 | 0 | 0 |
| JOHN HOWARD | ||||
| director | 1.0 | 0 | 0 | 0 |
| RICHARD CALCOTE | ||||
| VICE PRESIDENT & CFO | 1.0 | 0 | 0 | 0 |
| DAVID FIELDING | ||||
| President & CEO | 1.0 | 0 | 0 | 0 |
| HEATHER SIEGEL MILLER | ||||
| DIRECTOR | 1.0 | 0 | 0 | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Not Previously Rpt | false | ActivitiesNotPreviouslyRpt |
| Made Changes To Orgnzng Etc Doc | false | MadeChangesToOrgnzngEtcDoc |
| Organization Had UBI | false | OrganizationHadUBI |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Organization Dissolved Etc | false | OrganizationDissolvedEtc |
| Did Org File Form1120 POL This Year | false | DidOrgFileForm1120POLThisYear |
| Made Loans To From Officers | false | MadeLoansToFromOfficers |
| Initiation Fees And Capital Contri | 0 | InitiationFeesAndCapitalContri |
| Gross Receipts For Public Use | 0 | GrossReceiptsForPublicUse |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTrans |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | RICHARD CALCOTE | NamePerson |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5300 EAST AVENUE | AddressLine1 |
| City | WEST PALM BEACH | City |
| State | FL | State |
| ZIP Code | 33407 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 5618485200 | TelephoneNumber |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Foreign Financial Account | false | ForeignFinancialAccount |
| Foreign Office | false | ForeignOffice |
| Maintain Any Donor Advised Funds | false | MaintainAnyDonorAdvisedFunds |
| Does Org Have Hospital | false | DoesOrgHaveHospital |
| Tanning Services Provided | false | TanningServicesProvided |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction With Control Entity | false | TransactionWithControlEntity |
| Engage Political Cmpgn Activities | false | EngagePoliticalCmpgnActivities |
| Engage In Lobbying Activities | false | EngageInLobbyingActivities |
| Operating School | false | OperatingSchool |
| Trnsfrs Exempt Non Char Related Org | false | TrnsfrsExemptNonCharRelatedOrg |
| Filed Schedule A | true | FiledScheduleA |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
| Contrib By Controlling Individual | false | ContribByControllingIndividual |
| Contribution By Related Party | false | ContributionByRelatedParty |
| Contrib By35 Controlled Entity | false | ContribBy35ControlledEntity |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 0 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 0 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 5225 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 0 | CurrentTaxYearMinus1Year |
| Current Tax Year | 0 | CurrentTaxYear |
| Total | 5225 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | 5062 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 55946 | CurrentTaxYearMinus1Year |
| Current Tax Year | 174385 | CurrentTaxYear |
| Total | 235393 | Total |
Gross Receipts From Non UBI GrossReceiptsFromNonUBI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 0 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 0 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 10287 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 55946 | CurrentTaxYearMinus1Year |
| Current Tax Year | 174385 | CurrentTaxYear |
| Total | 240618 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 240618 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Post1975 UBTI Post1975UBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Net Income From Other UBI NetIncomeFromOtherUBI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 0 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 0 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 10287 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 55946 | CurrentTaxYearMinus1Year |
| Current Tax Year | 174385 | CurrentTaxYear |
| Total | 240618 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| First5 Years509 | X | First5Years509 |
| Public Support Percentage509 | 0.00000 | PublicSupportPercentage509 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| OTHER EXPENSES SCHEDULE | FORM 990EZ PART I LINE 16 | Description:BAD DEBT Amount:15491 |
| OTHER EXPENSES SCHEDULE | FORM 990EZ PART I LINE 16 | Description:MANAGEMENT FEES Amount:28994 |
| OTHER EXPENSES SCHEDULE | FORM 990EZ PART I LINE 16 | Description:FUNDRAISING EXPENSES Amount:1035 |
| OTHER EXPENSES SCHEDULE | FORM 990EZ PART I LINE 16 | Description:EMPLOYEE UNIFORMS Amount:374 |
| OTHER LIABILITIES SCHEDULE | FORM 990EZ PART II LINE 26 | Description:DUE TO AFFILIATES BOY Amount:454496 EOY Amount:985418 |
Comments