2014-11-17T16:00:16-06:00 2013-12-31 990 2013-01-01 592935928 Hospice of the Comforter Inc HOSP 4076820808 480 W Central Parkway Altamonte Springs FL 32714 Ernesto Lopez Administrator 4076820808 2014-11-07 2013 2015-11-30 17:44:51Z Ernesto Lopez 480 W Central Parkway Altamonte Springs FL 32714 25069171 0 X www.Hospiceofthecomforter.org X 1990 FL To provide compassionate & expert care to hospice patients. 9 9 368 301 0 0 700579 304264 30472041 24664907 62349 69514 10000 0 31244969 25038685 0 10348 0 0 19887259 15878275 0 0 0 11059987 13882114 30947246 29770737 297723 -4732052 19033609 16908914 5902079 8509436 13131530 8399478 X Hospice of the Comforter is compassionate people providing compassionate and expert end of life care. Hospice is guided by the highest ethical principles while caring for the physical, emotional and spiritual needs of the patients and their families facing an incurable illness. 0 0 22646776 10348 22664907 Hospice services in Orange, Seminole, and Osceola counties - we were privileged in 2013 to provide end-of-life compassionate care to 2,313 adults and children living in Orange, Seminole and Osceola county and also at Hospice House or Robison Residence on our campus. We keep our promise that no patient will be turned away due to an inability to pay and the generosity of donors in our community provided $254,685 in charity care. In 2013, 368 staff members and 301 active volunteers joined together believing in one mission. As the leader in innovative, compassionate and expert care recognized throughout Central Florida we cooperated with community partners to provide 21 internal and external presentations. We were recognized by the Orlando Sentinel in the top 100 companies for working families for the 9th year in a row. Our patients and families believe in our work and we are privileged to believe in our mission first. More information can be found on our website: www.hospiceofthecomforter.org or on our foundation website at www.comforterfoundation.org Hospice House - "I don't know what I would have done without Hospice House when my husband needed around the clock care. They are there for him and for me and I will never forget them..." MargieIn 2013, 885 patients were cared for at Hospice House with an average length of stay of 5.3 days. As the only free-standing hospice facility in the Tri-County service community, 16 private suites with a private lanaii welcome patients and families 24 hours a day with a children's area, chapel and cafeteria."Robison Residence - when there is no one or no able caregiver."On a quiet wooded lot is a renovated beautiful home with six private bedrooms for hospice residents greeted by staff and volunteers every day - it's their home. During 2013, 32 hospice patients called Robison Residence home. Horizons Bereavement Center - We are the experts in grief and care for families of our patients for 13 months after a death. This commitment is seen at our Horizon's loss program for adults in 2013 providing 963 individual counseling sessions in addition to 115 group sessions offered at no cost to adults regardless of whether their loved one was served by our organization. Children are the "forgotten grievers" and our licensed counselors saw three children in one public school during their school day. Bereavement support is not reimbursed and is provided at no cost through the generosity of our community. 22646776 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 48 0 1 368 1 0 0 0 0 0 0 0 0 0 0 X 9 9 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 1 0 X Jay Oh 4076820808 480 W Central Parkway Altamonte Springs FL 32714 Robert G Wilson President/CEO (end 8/13) 1.00 41.00 X X 0 434412 18886 Jack D Cadden Treasurer 0.30 0.00 X X 0 0 0 Dwan M McAndrews Director 0.30 0.00 X 0 0 0 Jo C Simonini Chairman 0.30 0.30 X X 0 0 0 Bonnie J Hannah Director 0.30 0.00 X 0 0 0 Robert J Watson Vice Chairman 0.30 0.70 X X 0 0 0 Suzan Chick Director 0.30 0.00 X 0 0 0 Sandra Randolph Secretary 0.30 0.00 X X 0 0 0 Farlen Halikman Director 0.30 0.00 X 0 0 0 Troy Kishbaugh Director (beg 9/13) 0.30 0.00 X 0 0 0 Eric Moore Chief Medical Officer 40.00 0.00 X 276289 0 22566 Julius Garner MD Physician 40.00 0.00 X 211452 0 389 Rosalie Jefferson IPU Director 40.00 0.00 X 109164 0 8422 596905 434412 50263 3 0 1 0 Fowler White Boggs PA 501 E Kennedy Blvd 1700 Tampa FL 33602 Legal Services 203879 Intelliatriage 781 S Midlothian Rd 314 Mundelein IL 60060 Service Contracts 191848 Samuel Jean 480 W Central Parkway Altamonte Springs FL 32714 Physician Services 190516 Central Florida Nursing Services 2443 Lee Road Winter Park FL 32789 Nursing Services 153076 4 304264 304264 Net Patient Service 900099 24644015 24644015 Cafe Sales 900099 16310 16310 Rent from tax-exempt affiliate 531120 3696 3696 886 886 24664907 100000 30486 69514 69514 69514 25038685 24664907 0 69514 X 10348 10348 752153 752153 11532600 8935051 2597549 2612994 1937191 675803 980528 715581 264947 501446 501446 1244375 1015144 229231 60139 60139 1510049 264347 1245702 13672 13672 1426615 1426615 501739 393220 108519 35856 35856 136493 136493 162686 162686 Room & Board Expense 3176970 3176970 Medical Supplies 2871984 2871984 Bad Debt Expense 1571496 1571496 Outpatient Services 156480 156480 512114 512114 29770737 22646776 7123961 0 1449 3407 2235697 1470700 567730 158943 278479 118157 1527568 1067933 623352 459635 15 15 15326887 14698057 19033609 16908914 2582982 1495737 2220000 3319097 4793699 5902079 8509436 X 13011652 8279600 119878 119878 13131530 8399478 19033609 16908914 -4732052 0 X 0 1 X 1 0 X 1480041 1724982 1223974 700579 304264 5433840 45157978 45397275 37387983 30525878 24664907 183134021 46638019 47122257 38611957 31226457 24969171 188567861 0 0 0 188567861 115831 298216 417558 62349 893954 115831 298216 417558 62349 893954 10000 10000 46753850 47420473 39029515 31298806 24969171 189471815 0.99520 0.99420 0.00470 0.00490 X Schedule A, Part II, Line 12, Explanation of Other Income: Professional Services RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 7687 7687 0 1519881 1060246 459635 459635 Due from Related Parties 14698057 14698057 Accrued Settlement 2396661 Due to third parties 1171283 Due to Related 143048 Other liabilities 1082707 4793699 X Part X, Line 2: The Organization is a not-for-profit corporation as described in Section 501(c)(3) of the Internal Revenue Code (the Code) with exemption from federal income taxes on related income pursuant to Section 501(a) of the Code. The Organization's income tax returns are subject to review and examination by federal and state authorities. The Organization is not aware of any activities that would jeopardize its tax-exempt status. The Organization is not aware of any activities that are subject to tax on unrelated business income or excise or other taxes. The tax returns for the fiscal years ended 2010 to 2012 are open to examination by federal and state authorities. 1 Hospice of the Comforter Foundation Inc 480 W Central Parkway Altamonte Springs FL 32714 271858033 501(c)(3) 10348 General Support 1 0 Part I, Line 2: Grants are generally made only to the supported hospice organization that is exempt from federal income tax under IRC Section 501(c)(3). Accordingly, the filing organization has not established specific procedures for monitoring the use of grant funds in the United States as the filing organization does not have a grant making program that would necessitate such procedures. 0 0 0 0 0 0 0 0 0 Robert G Wilson President/CEO (end 8/13) 0 434412 0 0 0 0 0 0 0 18886 0 453298 0 0 Eric Moore Chief Medical Officer 276289 0 0 0 0 0 0 0 22566 0 298855 0 0 0 Julius Garner MD Physician 211452 0 0 0 0 0 0 0 389 0 211841 0 0 0 Form 990, Part VI, Section A, line 3 Effective May 1, 2012, Hospice of the Comforter, Inc. (the filing organization) entered into a Management Services Agreement with Adventist Health System Sunbelt Healthcare Corporation (AHSSHC). AHSSHC is the parent organization of a system of tax-exempt hospitals and other health care provider organizations that operate 44 hospitals in 10 states. AHSSHC is exempt from federal income tax under Internal Revenue Code Section 501(c)(3). Under the Management Services Agreement (the Agreement) with AHSSHC, the Board of Directors of the filing organization retains full responsibility and authority for and ultimate control of the Hospice operations conducted by the filing organization. Managerial services provided by AHSSHC included oversight with respect to the following functions: Personnel administration, including recruitment, hiring, training, promoting, directing and terminating personnel; Procurement, including the acquisition of food and beverage items, supplies, devices, furniture, and medical equipment; Health Information Management; Maintenance and Security; Contracting for services and consulting services; Implementation and maintenance of accounting functions; Development of operational and capital budgets; Billing and collection of receivables and remittances of payables; Patient safety and quality systems; Marketing; Regulatory compliance; Banking relationships; and Spiritual ministries. Form 990, Part VI, Section A, line 6 Hospice of the Comforter, Inc. (the filing organization) has one member. The sole member of the filing organization is The Comforter Health Care Group, Inc. (CHCG). CHCG is a Florida, not-for-profit corporation that is exempt from federal income tax under Internal Revenue Code (IRC) Section 501(c)(3). There are no other classes of membership in the filing organization. Form 990, Part VI, Section A, line 7a The sole member of the filing organization is The Comforter Health Care Group, Inc. (CHCG). The Board of Directors of the filing organization are appointed by the sole member, CHCG, who has the right to elect, appoint, or remove any member of the Board of Directors of the filing organization. Form 990, Part VI, Section A, line 7b CHCG, as the sole member of the filing organization, has certain reserved powers as set forth in the Bylaws of the filing organization. These reserved powers include the following: a) To adopt, amend, restate, and repeal the Articles of Incorporation or Bylaws of the filing organization, and the Medical Staff Bylaws; b) To elect, appoint, or remove members of the filing organization's Board of Directors; and c) Appoint the President of the filing organization. Form 990, Part VI, Section B, line 11 The filing organization's current year Form 990 was reviewed by the CEO and by the CFO prior to its filing with the IRS. The review conducted by the CEO and the CFO did not include the review of any supporting workpapers that were used in preparation of the current year Form 990, but did include a review of the entire Form 990 and all supporting schedules. Form 990, Part VI, Section B, line 12c The Conflict of Interest Policy of the filing organization applies to members of its Board of Directors, its principal officers, and its employees. In connection with any actual or possible conflict of interests, any member of the Board of Directors, any principal officer or employee of the filing organization must disclose the existence of any financial interest with the filing organization. Subsequent to any disclosure of any financial interest/arrangement and all material facts, and after discussion with the relevant individual, the Board of Directors (excluding any Board member who may be the discloser of the possible conflict of interest) or committee with board delegated powers shall discuss, analyze, and vote upon the potential financial interest/arrangement to determine if a conflict of interest exists. Annually, the members of the Board of Director and executive staff of the filing organization must provide written disclosure of all professional or personal relationships or interests, direct or indirect; that might present a conflict of interest. Such annual statements are kept on file at the filing organization. Form 990, Part VI, Section B, line 15b The current year compensation for the organization's COO, CFO, CIO, Chief Medical Officer, Associate Medical Directors, and Physicians were set by members of the Board of Directors, none of whom have a conflict of interest with respect to the compensation arrangement being considered. The CEO provides guidance and recommendations to the executive committee for each of the positions other than their own. The CEO is not present as the board deliberates and determines the final recommendations for all components of executive compensation. Form 990, Part VI, Section C, line 19 The filing organization's governing documents, conflict of interest policy and financial statements are available upon request. Form 990, Part IX, line 11g Contracted Labor: Program service expenses 333,039. Management and general expenses 47,088. Fundraising expenses 0. Total expenses 380,127. Payments to Healthcare Professionals: Program service expenses 203,029. Management and general expenses 0. Fundraising expenses 0. Total expenses 203,029. Contracted Services: Program service expenses 0. Management and general expenses 182,143. Fundraising expenses 0. Total expenses 182,143. Ambulance Services: Program service expenses 209,349. Management and general expenses 0. Fundraising expenses 0. Total expenses 209,349. Transcription: Program service expenses 10,491. Management and general expenses 0. Fundraising expenses 0. Total expenses 10,491. Therapy Services: Program service expenses 12,615. Management and general expenses 0. Fundraising expenses 0. Total expenses 12,615. Triage Services: Program service expenses 246,621. Management and general expenses 0. Fundraising expenses 0. Total expenses 246,621. The Comforter Health Care Group Inc 480 W Central Parkway Altamonte Springs FL 32714 271857940 Management Services FL 501(c)(3) Line 11c, III-FI N/A 0 Hospice of the Comforter Foundation Inc 480 W Central Parkway Altamonte Springs FL 32714 271858033 Fundraising for tax-exempt Hospice FL 501(c)(3) Line 7 The Comforter Health Care Group 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 The Comforter Health Care Group Inc K 1967412 Cost Hospice of the Comforter Foundation Inc C 304264 Actual Amount Received