2014-03-05T16:26:20-06:00 2013-06-30 954538761 GORELICK & USLANER CPAS A PROF CORP 15260 VENTURA BLVD SUITE 1705 SHERMAN OAKS CA 91403 990 2012-07-01 770475425 HOSPICE PARTNERS INC HOSP 8055477025 285 SOUTH STREET NO J SAN LUIS OBISPO CA 93401 TRICIA RITCHIE 8055477025 2014-03-05 1 BRUCE G BURG P00264515 3104441889 2012 2015-11-30 17:44:51Z TRICIA RITCHIE 285 SOUTH STREET NO J SAN LUIS OBISPO CA 93401 11759765 0 X WWW.WILSHIREHCS.ORG X 1998 CA PROVIDING COMFORT, COMPASSION, AND CHOICE TO PATIENTS AND FAMILIES FACING END-OF-LIFE ISSUES. 8 6 149 159 0 0 1142546 1672632 10589878 10065997 -22385 4889 -4059 -10993 11705980 11732525 1500 500 0 0 7546076 6525905 0 32965 158867 4929982 4767473 12477558 11326843 -771578 405682 3672314 3829448 4130348 3864404 -458034 -34956 OUR TEAM OF CAREGIVERS ARE DEDICATED TO PROVIDING COMFORT, COMPASSION, AND CHOICE TO PATIENTS AND FAMILIES FACING END-OF-LIFE ISSUES. 0 0 10147940 500 10065997 HOSPICE SERVICES - HOSPICE PARTNERS PROVIDES A COMPREHENSIVE AND PROGRESSIVE HOSPICE PROGRAM, INCLUDING HANDS-ON HOSPICE CARE. HOSPICE CARE IS A FAMILY-CENTERED APPROACH THAT INCLUDES, AT A MINIMUM, A TEAM OF DOCTORS, NURSES, SOCIAL WORKERS, COUNSELORS, AND TRAINED VOLUNTEERS. THEY WORK COLLABORATIVELY - FOCUSING ON THE DYING PATIENT'S NEEDS, BE THEY PHYSICAL, PSYCHOLOGICAL, OR SPIRITUAL. THE GOAL IS TO HELP KEEP THE PATIENT IN THE ENVIRONMENT OF CHOICE, AS PAIN AND SYMPTOM-FREE AND LUCID AS DESIRED, WITH LOVED ONES NEARBY UNTIL DEATH.IN ADDITION, HOSPICE PARTNERS ALSO PROVIDES MANY ADDITIONAL HOSPICE RELATED SERVICES SUCH AS COMMUNITY EDUCATION, MUSIC THERAPY AND PET THERAPY TO HOSPICE PATIENTS, AND EXTENDED ONE-ON-ONE BEREAVEMENT COUNSELING. 10147940 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 1 1 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 45 1 1 149 1 0 0 0 0 0 1 1 0 0 0 0 X 8 6 0 0 0 0 1 0 0 1 0 0 1 1 1 1 1 1 1 1 0 0 0 CA X TRICIA RITCHIE 8055477025 285 SOUTH STREET SUITE J SAN LUIS OBISPO CA 93401 IRA ALPERT 1.00 4.00 X 0 1200 0 TED GREENBERG 8.00 24.00 X X 0 81279 228 THOMAS GORDON 1.00 1.00 X 0 1200 0 CLARE RICHARDSON 1.00 1.00 X 0 1200 0 TRICIA RITCHIE 13.00 27.00 X X 0 295130 3500 ANTHONY HARRIS 1.00 1.00 X 0 900 0 STEPHEN GROSSMAN 1.00 1.00 X 0 1200 0 GARY HARKINS 1.00 1.00 X 0 600 0 CAROLE WETMORE 30.00 10.00 X 0 134845 4822 SUZANNE CIKOWSKI 40.00 X 114613 0 9000 WENDY KNIGHT 40.00 X 110452 0 5255 MEGAN PRENDEVILLE 40.00 X 102260 0 7089 327325 517554 29894 3 0 1 0 WILSHIRE HEALTH AND COMMUNITY SERVICES 285 SOUTH ST SUITE J SAN LUIS OBISPO CA 93401 BILLING SERVICES & MANAGEMENT FEE 788551 BAYSIDE CARE CENTER 1405 TERESA DRIVE MORRO BAY CA 93442 CONVALESCENT HOSPITAL 231086 MISSION VIEW HEALTH CENTER 1425 WOODSIDE DRIVE SAN LUIS OBISPO CA 93401 CONVALESCENT HOSPITAL 200119 BELLA VISTA TRANSITIONAL CARE CENTER 3033 AUGUSTA STREET SAN LUIS OBISPO CA 93401 SKILLED NURSING FACILITY 100447 ARROYO GRANDE CARE CENTER 1212 FARROLL AVENUE ARROYO GRANDE CA 93420 CONVALESCENT HOSPITAL 100417 5 60755 1611877 731044 1672632 PATIENT SERVICES 621610 10065997 10065997 10065997 4889 4889 9927 60755 22282 -12355 -12355 4560 4958 -398 -398 THRIFT SHOP REVENUE 453310 1760 1760 1760 11732525 10065997 0 -6104 500 500 5255617 5088029 112983 54605 11835 11457 255 123 782456 760902 16896 4658 475997 462157 10262 3578 17024 17024 36700 36700 32965 32965 136011 136011 170180 117465 52715 676322 666606 9716 220912 220405 507 4624 4624 9594 9594 268244 268244 57866 3477 54389 MGMT FEE AND BILLING SE 788551 788551 HOSPITALS AND CONVALESC 707660 707660 OUTSIDE SERVICES 689001 689001 PHARMACY 369913 369913 614871 614871 11326843 10147940 1020036 158867 959416 1466428 299175 300506 127235 63157 908688 726161 22471 23501 115957 129224 1681889 946805 835633 735084 343504 343504 60235 41883 3672314 3829448 836345 574451 13090 12980 3280913 3276973 4130348 3864404 X -604620 -135698 100361 54017 46225 46725 -458034 -34956 3672314 3829448 X 405682 17396 X 0 0 0 X 872626 834751 1629923 1142546 1672632 6152478 10072740 11397748 11236676 10589878 10065997 53363039 10945366 12232499 12866599 11732424 11738629 59515517 650 2095 10553 3335 425 17058 377290 377290 650 2095 10553 3335 377715 394348 59121169 9076 13307 15551 423 4889 43246 9076 13307 15551 423 4889 43246 -2671 49984 32215 -26867 -10595 42066 10951771 12295790 12914365 11705980 11732923 59600829 0.99200 0.99730 0.00070 0.00110 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 52756 500 4992 1784 56464 54731 -266 1709 52756 47268 9039 1576 54731 43577 150 5032 1491 47268 53387 200 -8545 1465 43577 1.00000 1 0 0 585871 304177 281694 869537 476714 392823 226481 165914 60567 735084 DUE TO AFFILIATE 3098073 CONTRACT PAYABLE 178900 3276973 X DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: HOSPICE PARTNERS, INC. IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF WILSHIRE HEALTH AND COMMUNITY SERVICES, INC. WHICH INCLUDED THE FOLLOWING FIN 48 NOTE: SINCE WILSHIRE IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES, NO PROVISION IS MADE FOR CURRENT OR DEFERRED TAXES. ITS RETURNS FOR THE YEARS ENDED JUNE 30, 2012, 2011 AND 2010 ARE SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES, GENERALLY THREE YEARS AFTER THEY ARE FILED. MANAGEMENT HAS CONSIDERED ITS TAX POSITIONS AND BELIEVES THAT ALL OF THE POSITIONS TAKEN IN ITS FEDERAL AND STATE EXEMPT ORGANIZATION TAX RETURNS ARE MORE LIKELY THAN NOT TO BE SUSTAINED UPON EXAMINATION. X X X X X X 1 YVON GRESSER PO BOX 1543 PISMO BEACH CA 93448 GENERAL FUNDRAISING 0 963938 32965 930973 963938 32965 930973 CA HOEDOWN SPECIAL EVENT AND AUCTION 70682 60755 9927 1035 8932 7703 1975 2636 70682 60755 9927 1035 8932 7703 1975 2636 22281 -12354 0 1 0 0 0 0 0 1 0 TRICIA RITCHIE 0 295130 0 0 0 0 0 3500 0 0 0 298630 0 0 PART I, LINE 4B EMPLOYEES PARTICIPATING IN THE NONQUALIFIED 457(B) PLAN, AND THE CONTRIBUTIONS ACCRUED FOR THEM FOR THE YEAR ENDING JUNE 30, 2013: TRICIA RITCHIE - $3,500 PART I, LINE 7 THE CEO/PRESIDENT'S COMPENSATION IS SET BY THE BOARD OF DIRECTORS. 10% OF COMPENSATION IS BASED UPON A PRE-DETERMINED SET OF GOALS AND OBJECTIVES. FOLLOWING THE END OF THE FISCAL YEAR, THE BOARD OF DIRECTORS REVIEWS THESE GOALS AND OBJECTIVES TO SEE IF THEY HAVE BEEN MET AND TO DETERMINE INCENTIVE COMPENSATION, IF ANY. X 710454 RESALE VALUE X AUCTION PRIZES 45 9180 SELLING PRICE X RAFFLE PRIZES 14 3500 FAIR MARKET VALUE X EVENT EXPENSES 33 9670 FAIR MARKET VALUE 0 1 0 FORM 990, PART VI, SECTION A, LINE 6 HOSPICE PARTNERS INC (HPI) WAS ORGANIZED BY WILSHIRE HEALTH AND COMMUNITY SERVICES, INC. (WHCS). WHCS IS THE SOLE MEMBER OF HPI. FORM 990, PART VI, SECTION A, LINE 8B N/A - THERE IS NO COMMITTEE WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11 A COPY OF THE RETURNS ARE PROVIDED TO ALL BOARD MEMBERS. THE BOARD MEMBERS REVIEW THE RETURNS AND ARE ENCOURAGED TO ASK THE PREPARER ANY QUESTIONS THEY MIGHT HAVE. ABSENT ANY OBJECTIONS, THE RETURNS ARE FILED. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY THROUGH QUESTIONNAIRES PROVIDED TO ALL BOARD MEMBERS. FORM 990, PART VI, SECTION B, LINE 15A. & 15B. THE CEO AND OTHER OFFICERS DO NOT RECEIVE COMPENSATION FROM THIS ORGANIZATION. COMPENSATION OF THE ADMINISTRATORS IS DETERMINED BY THE PRESIDENT. FORM 990, PART VI, SECTION C, LINE 19 UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: AMORTIZATION OF LICENSE 15,556. AMORTIZATION OF START UP COSTS 1,840. WILSHIRE HEALTH & COMMUNITY SERVICES INC 285 SOUTH STREET SUITE J SAN LUIS OBISPO CA 93401 952374185 OPERATE HOME HEALTH AGENCIES & AN INVESTMENT IN A HEALTH CARE JV CA 501(C)(3) 9 N/A 0 WILSHIRE COMMUNITY SERVICES INC 285 SOUTH STREET SUITE J SAN LUIS OBISPO CA 93401 205885093 SENIOR SERVICE PROGRAMS, MEDIATION, FACILITATION & TRAINING SERVICES CA 501(C)(3) 9 N/A 0 WILSHIRE MANAGEMENT SERVICES INC 285 SOUTH STREET SUITE J SAN LUIS OBISPO CA 93401 954570093 OPERATES BACK OFFICE SERVICES FOR OTHER ENTITIES CA N/A C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 1 1