HOSPICE OF PALM BEACH COUNTY INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
HOSPICE OF PALM BEACH COUNTY INC (EIN 59-1825937)
Tax period
2011-10-01 to 2012-09-30
Filed
2013-08-12
IRS object ID
201312249349301906
Schema version
2011v1.2
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

FieldValueIRS element (for citing)
Timestamp2013-08-12T14:00:10-05:00Timestamp
Tax Period End Date2012-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CROWE HORWATH LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line170 West Madison StreetAddressLine1
Address Line2Suite 700AddressLine2
CityChicagoCity
StateILState
ZIP Code606024903ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN591825937EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1HOSPICE OF PALM BEACH COUNTY INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlHOSPNameControl
Phone5618485200Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line15300 East AvenueAddressLine1
CityWest Palm BeachCity
StateFLState
ZIP Code33407ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameRICHARD CALCOTEName
TitleVICE PRESIDENT & CFOTitle
Date Signed2013-08-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameNicole BencikName
PTINP00756195PTIN
Phone3128997000Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Name Of Principal Officer Business NameOfPrincipalOfficerBusiness

FieldValueIRS element (for citing)
Business Name Line1DAVID C FIELDINGBusinessNameLine1

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line15300 East AvenueAddressLine1
CityWest Palm BeachCity
StateFLState
ZIP Code33407ZIPCode
FieldValueIRS element (for citing)
Gross Receipts92096059GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.HPBC.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1978YearFormation
State Legal DomicileFLStateLegalDomicile
Activity Or Mission DescriptionTHE ORGANIZATION'S MISSION IS TO PROVIDE PREMIER HEALTHCARE TO ALL PEOPLE FACING END-OF-LIFE ISSUES THROUGH DYNAMIC SERVICES THAT ENHANCE THE QUALITY OF LIFE AND ADDRESS SPECIFIC NEEDS OF OUR COMMUNITY.ActivityOrMissionDescription
Nbr Voting Members Governing Body7NbrVotingMembersGoverningBody
Nbr Independent Voting Members7NbrIndependentVotingMembers
Total Nbr Employees885TotalNbrEmployees
Total Nbr Volunteers727TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year4891198ContributionsGrantsPriorYear
Contributions Grants Current Year4311172ContributionsGrantsCurrentYear
Program Service Revenue Prior Year85743372ProgramServiceRevenuePriorYear
Program Service Revenue CY87644487ProgramServiceRevenueCY
Investment Income Prior Year-67InvestmentIncomePriorYear
Investment Income Current Year-93654InvestmentIncomeCurrentYear
Other Revenue Prior Year95044OtherRevenuePriorYear
Other Revenue Current Year140384OtherRevenueCurrentYear
Total Revenue Prior Year90729547TotalRevenuePriorYear
Total Revenue Current Year92002389TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year21175GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year53860591SalariesEtcPriorYear
Salaries Etc Current Year59464787SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year31162165OtherExpensePriorYear
Other Expenses Current Year33220943OtherExpensesCurrentYear
Total Expenses Prior Year85043931TotalExpensesPriorYear
Total Expenses Current Year92685730TotalExpensesCurrentYear
Revenues Less Expenses Prior Year5685616RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-683341RevenuesLessExpensesCY
Total Assets BOY65206224TotalAssetsBOY
Total Assets EOY57085597TotalAssetsEOY
Total Liabilities BOY20107136TotalLiabilitiesBOY
Total Liabilities EOY19903150TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY45099088NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY37182447NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE MISSION OF HOSPICE OF PALM BEACH COUNTY, INC. (HPBC) IS TO PROVIDE PREMIER HEALTHCARE TO ALL PEOPLE FACING END-OF-LIFE ISSUES THROUGH DYNAMIC SERVICES THAT ENHANCE THE QUALITY OF LIFE AND ADDRESS THE SPECIFIC NEEDS OF OUR COMMUNITY. (CONTINUED IN SCHEDULE O)MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense78206998Expense
Grants0Grants
Revenue87784871Revenue
DescriptionHOSPICE OF PALM BEACH COUNTY, INC. (HPBC) OFFERS MANY PROGRAMS AND SERVICES DESIGNED TO MEET END OF LIFE CARE NEEDS OF OUR COMMUNITY. INDIVIDUALS' NEEDS INVOLVE PHYSICAL, SOCIAL, EMOTIONAL, AND SPIRITUAL CARE, AS WELL AS INTERPERSONAL RELATIONSHIPS WITH FAMILY AND CLOSE FRIENDS. HOSPICES CARE FOR THE PATIENT AND FAMILY AS A UNIT, AND THUS EMPLOY THE SKILLS AND EXPERTISE OF MANY DISCIPLINES. DURING THE PERIOD ENDED SEPTEMBER 30, 2012, HPBC ADMITTED AND SERVED 6,569 PATIENTS. HPBC PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE AT AMOUNTS LESS THAN ITS ESTABLISHED RATES. BECAUSE HPBC DOES NOT EXPECT PAYMENT, CHARGES ARE NOT INCLUDED IN THE NET PATIENT SERVICE REVENUES. THE COST OF CHARITY CARE PROVIDED DURING THE YEAR ENDED SEPTEMBER 30, 2012 AMOUNTED TO $1,215,000.Description
Total Program Service Expense78206998TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvesttrueReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Info In Schedule O Part VXInfoInScheduleOPartV
Number Forms Transmitted With1096109NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees885NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members7NbrVotingGoverningBodyMembers
Number Independent Voting Members7NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiestrueDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOfalseCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledFLStatesWhereCopyOfReturnIsFiled
Own WebsiteXOwnWebsite
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1RICHARD CALCOTEBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number5618485200TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line15300 EAST AVENUEAddressLine1
Citywest palm beachCity
StateFLState
ZIP Code33407ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (18 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
JOHN MARINO
CHAIRMAN1.00XX000
RANDY LEVITT
TREASURER1.00XX000
SUSAN DAUB
SECRETARY1.00XX000
BARBARA LITTEN
DIRECTOR1.00X000
JOHN HERRING
DIRECTOR1.00X000
JOHN HOWARD
DIRECTOR1.00X000
THOMAS TRACY
DIRECTOR1.00X000
BARBARA IVANKO
VICE PRESIDENT & COO40.00X724331215328245
DAVID FIELDING
PRESIDENT & CEO40.00X067631234225
FAUSTINO GONZALEZ MD
VP MEDICAL AFFAIRS40.00X035768333574
FRED WATSON
VICE PRESIDENT & CAO40.00X029027537186
JACQUELINE LOPEZ-DEVINE
CHIEF CLINICAL OFFICER40.00X211949028641
RICHARD CALCOTE
VICE PRESIDENT & CFO40.00X024285335840
DR BARRY LERNER MD
ASSOCIATE MEDICAL DIRECTOR40.002047406154318336X
DR BARRY MISKIN MD
ASSOCIATE MEDICAL DIRECTOR40.0020093115309237799X
DR KAREN KENNEDY DO
MEDICAL DIRECTOR40.0013541614734418775X
DR MIRTA GALANTE MD
UNIT MEDICAL DIRECTOR40.0016399010706015377X
DR RICHARD LEVENE DO
DIRECTOR OF MEDICAL EDUCATION40.0017764416592035770X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1101913TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs2514235TotalReportableCompFrmRltdOrgs
Total Other Compensation323768TotalOtherCompensation
Number Individuals GT100 K27NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
HOMECARE HOMEBASE
6688 NORTH CENTRAL EXPRESSWAYDALLASTX75206IT CONSULTING716072
CUMBERLAND CONSULTING GROUP
103 CONTINENTAL PL 120BRENTWOODTN32027IT CONSULTING664566
TRILLIUM CONSTRUCTION INC
1450 KINETIC ROADLAKE PARKFL33403CONSTRUCTION SERVICES440869
JL BUSINESS INTERIORS
515 SCHOENHAAR DRIVE PO 303WEST BENDWI53095CONSTRUCTION SERVICES346124
EXCELSIOR DEFENSE INC
2232 CENTRAL AVEST PETERSBURGFL33712SECURITY SERVICES315005
FieldValueIRS element (for citing)
Number Of Contractors GT100 K18NumberOfContractorsGT100K
Related Organizations3761172RelatedOrganizations
All Other Contributions550000AllOtherContributions
Total Contributions4311172TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNET PATIENT SERVICE REVENUEDescription
Business Code621610BusinessCode
Total Revenue Column87644487TotalRevenueColumn
Related Or Exempt Function Income87644487RelatedOrExemptFunctionIncome

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue87644487TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column16TotalRevenueColumn
Exclusion$16ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other0Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other93670Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities0Securities
Other-93670Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-93670TotalRevenueColumn
Exclusion-$93,670ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PHARMACY REBATES900099133134133134
OTHER INCOME90009972507250

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue140384TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column92002389TotalRevenueColumn
Related Or Exempt Function Income87784871RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion-$93,654ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1040122Total
Program Services805500ProgramServices
Management And General234622ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total47612893Total
Program Services42786606ProgramServices
Management And General4826287ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1595388Total
Program Services1439434ProgramServices
Management And General155954ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total5646471Total
Program Services4938960ProgramServices
Management And General707511ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total3569913Total
Program Services3171506ProgramServices
Management And General398407ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total2657962Total
Management And General2657962ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total55815Total
Management And General55815ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total131972Total
Management And General131972ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total1088Total
Management And General1088ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total2615627Total
Program Services1109921ProgramServices
Management And General1505706ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total608576Total
Management And General608576ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total856973Total
Program Services363243ProgramServices
Management And General493730ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total1709002Total
Management And General1709002ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total6961342Total
Program Services6904320ProgramServices
Management And General57022ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total280672Total
Program Services144741ProgramServices
Management And General135931ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total101633Total
Program Services77686ProgramServices
Management And General23947ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total146335Total
Management And General146335ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2750709Total
Program Services2524813ProgramServices
Management And General225896ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total255950Total
Program Services250827ProgramServices
Management And General5123ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PATIENT RELATED COSTS1308192213081922
EQUIPMENT COSTS56850247950289000
VEHICLE EXPENSE54135413
DEVELOPMENT COST349529113565235964

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total81921Total
Program Services9039ProgramServices
Management And General72882ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total92685730Total
Program Services78206998ProgramServices
Management And General14478732ManagementAndGeneral
Fundraising0Fundraising

Total Joint Costs TotalJointCosts

FieldValueIRS element (for citing)
Total0Total

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1700BOY
EOY1700EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY9531123BOY
EOY4200797EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY4643354BOY
EOY6377978EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY275100BOY
EOY253697EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1212585BOY
EOY679645EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis43883974LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec20102455LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY23779021BOY
EOY23781519EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY15458657BOY
EOY17225357EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY10304684BOY
EOY4564904EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY65206224BOY
EOY57085597EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY7025278BOY
EOY6888028EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY12000000BOY
EOY12000000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1081858BOY
EOY1015122EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY20107136BOY
EOY19903150EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY27110432BOY
EOY17767892EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY17988656BOY
EOY19414555EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY45099088BOY
EOY37182447EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY65206224BOY
EOY57085597EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-683341ReconcilationRevenueExpenses
Reconcilation Other Changes-7233300ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement BothXFinancialStatementBoth
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years5744583CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5170083CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4866837CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4891198CurrentTaxYearMinus1Year
Current Tax Year4311172CurrentTaxYear
Total24983873Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years77963580CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years82712530CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years83731836CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year85743372CurrentTaxYearMinus1Year
Current Tax Year87644487CurrentTaxYear
Total417795805Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1423688CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1169442CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1272271CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year46721CurrentTaxYear
Total3912122Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

FieldValueIRS element (for citing)
Total0Total

Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt

FieldValueIRS element (for citing)
Total0Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years85131851CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years89052055CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years89870944CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year90634570CurrentTaxYearMinus1Year
Current Tax Year92002380CurrentTaxYear
Total446691800Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total
FieldValueIRS element (for citing)
Public Support Total509446691800PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years79311CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years40618CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2553CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year734CurrentTaxYearMinus1Year
Current Tax Year16CurrentTaxYear
Total123232Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years79311CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years40618CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2553CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year734CurrentTaxYearMinus1Year
Current Tax Year16CurrentTaxYear
Total123232Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years-328199CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years80258CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years58297CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year95044CurrentTaxYearMinus1Year
Current Tax Year140384CurrentTaxYear
Total45784Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years84882963CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years89172931CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years89931794CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year90730348CurrentTaxYearMinus1Year
Current Tax Year92142780CurrentTaxYear
Total446860816Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99960PublicSupportPercentage509
Prior Year Support Percentage0.99990PriorYearSupportPercentage
Investment Income Percentage0.00020InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00030PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
General ExplanationOTHER INCOME, SCHEDULE A, PART III, LINE 12, DESCRIPTION - OTHER INCOME, COLUMN A - -328199, COLUMN B - 80258, COLUMN C - 58297, COLUMN D - 95044, COLUMN E - 140384, COLUMN F - 45784;,GeneralExplanation

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$987OtherActivitiesAmount
Total Lobbying Expenditures IIB987TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierDescription of the activities reported on Lines 1a through 1iIdentifier
Return ReferenceSchedule C, Part II-B, Line 1ReturnReference
ExplanationTHE ORGANIZATION PAYS DUES TO THE NATIONAL HOSPICE AND PALLIATIVE CARE ORGANIZATION. A PORTION OF THOSE DUES ARE USED FOR LOBBYING.Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance2254125BeginningOfYearBalance
Investment Earnings Or Losses256293InvestmentEarningsOrLosses
End Of Year Balance2510418EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance2195755BeginningOfYearBalance
Contributions0Contributions
Investment Earnings Or Losses58370InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures0OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance2254125EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance2013768BeginningOfYearBalance
Contributions0Contributions
Investment Earnings Or Losses181987InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures0OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance2195755EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance2057158BeginningOfYearBalance
Contributions0Contributions
Investment Earnings Or Losses-43390InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures0OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance2013768EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.00000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.00000TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgstrueEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RtrueAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis2272211OtherCostOrOtherBasis
Book Value2272211BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis18695445OtherCostOrOtherBasis
Depreciation7339913Depreciation
Book Value11355532BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis2922231OtherCostOrOtherBasis
Depreciation1823813Depreciation
Book Value1098418BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis19916071OtherCostOrOtherBasis
Depreciation10938729Depreciation
Book Value8977342BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis78016OtherCostOrOtherBasis
Book Value78016BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings23781519TotalOfBookValueLandBuildings

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
DescriptionINTEREST IN NET ASSETS OF AFFILIATEDescription
Book Value17225357BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Program Related17225357TotalOfBookValueProgramRelated

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
DUE FROM AFFILIATES4414714
DEFERRED FINANCING COSTS - NET150190
FieldValueIRS element (for citing)
Total Book Value Other Assets4564904TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO AFFILIATEDescription
Amount$1,015,122Amount
FieldValueIRS element (for citing)
Total Of Amounts1015122TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Intended uses of endowment fundsSchedule D, Part V, Line 4THE ENDOWMENT FUNDS, HELD BY HOSPICE OF PALM BEACH COUNTY FOUNDATION, INC., ARE INTENDED TO BE USED TO SUPPORT THE PROGRAMS AND ACTIVITIES OF HOSPICE OF PALM BEACH COUNTY, INC. AND ALL RELATED ORGANIZATIONS.
FIN 48 (ASC 740) footnoteSchedule D, Part X, Line 2U.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. DUE TO ITS TAX-EXEMPT STATUS, HPBC IS NOT SUBJECT TO U.S. FEDERAL INCOME TAX OR STATE INCOME TAX. HPBC'S FORM 990 HAS NOT BEEN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE OR THE STATE OF FLORIDA FOR THE LAST THREE YEARS. HPBC DOES NOT EXPECT THE TOTAL AMOUNT OF UNRECOGNIZED TAX BENEFITS TO SIGNIFICANTLY CHANGE IN THE NEXT 12 MONTHS. HPBC RECOGNIZES INTEREST AND/OR PENALTIES RELATED TO INCOME TAX MATTERS IN INCOME TAX EXPENSE. HPBC DID NOT HAVE ANY AMOUNTS ACCRUED FOR INTEREST AND PENALTIES AT SEPTEMBER 30, 2012 AND 2011.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
FRED WATSON
022120906542203644012713024473032746100
RICHARD CALCOTE
017421606354705090013054022786027869300
DAVID FIELDING
0378792028891008610012578021647071053700
DR BARRY LERNER MD
2042375916500503237895850680619452211316348800
BARBARA IVANKO
72202185990930002355436415533966426841727133037000
DR RICHARD LEVENE DO
1751141558810100392530056375315131991161919648018285400
JACQUELINE LOPEZ-DEVINE
12850308320202440106930179480240590000
FAUSTINO GONZALEZ MD
0275688068257013738014182019392039125700
DR BARRY MISKIN MD
200931153092000080054913138771100422281316900900
DR KAREN KENNEDY DO
134228138981082691188946771736910462514219715933800
DR MIRTA GALANTE MD
16355610706000434076735388161570117327811314900

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Arrangement used to establish the top management official's compensationSchedule J, Part I, Line 3THE ORGANIZATION RELIED ON SPECTRUM HEALTH, INC. (A RELATED TAX-EXEMPT ORGANIZATION) WHICH USED A COMPENSATION COMMITTEE, COMPARABILITY DATA, AN INDEPENDENT COMPENSATION CONSULTANT, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE TO DETERMINE THE COMPENSATION OF ITS PRESIDENT & CEO. THIS REVIEW LAST TOOK PLACE IN OCTOBER, 2012 AND WAS DOCUMENTED IN THE BOARD MINUTES.
Supplemental nonqualified retirement planSchedule J, Part I, Line 4bSPECTRUM HEALTH, INC. (A RELATED ORGANIZATION) MAINTAINS A SECTION 457(F) RETIREMENT PLAN. THERE WERE NO CONTRIBUTIONS TO THE PLAN DURING THE YEAR ENDED SEPTEMBER 30, 2012.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (14 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S MISSIONFORM 990, PART III, LINE 1(CONTINUED FROM PART III) HPBC PROVIDES A COORDINATED, COMPREHENSIVE PROGRAM INCLUDING PHYSICAL, PSYCHOSOCIAL, SPIRITUAL, MUSIC, AND BEREAVEMENT SUPPORT TO TERMINALLY ILL PATIENTS AND THEIR FAMILIES IN PALM BEACH COUNTY, FLORIDA.
NUMBER OF EMPLOYEESFORM 990, PART V, LINE 2ATHE NUMBER OF FORMS W-2 FILED DURING THE YEAR REPRESENTS THE NUMBER OF EMPLOYEES OF HOSPICE OF PALM BEACH COUNTY, INC. AS OF 12/31/2011. AS OF 1/1/2012, MANY OF THE ORGANIZATION'S EMPLOYEES BECAME EMPLOYEES OF SPECTRUM HEALTH, INC., A RELATED TAX-EXEMPT ORGANIZATION. THEREFORE THE SALARIES EXPENSE SHOWN IN PART IX REPRESENTS THE SALARIES OF ONLY THE REMAINING EMPLOYEES OF HOSPICE OF PALM BEACH COUNTY, INC. (BECAUSE THIS SECTION OF THE FORM IS REPORTED FOR THE FISCAL YEAR ENDED 9/30/2012). THE NUMBER OF EMPLOYEES IN PART V, LINE 2A, THEREFORE, DOES NOT CORRELATE WITH THE SALARIES EXPENSE SHOWN IN PART IX.
Delegation of management dutiesForm 990, Part VI, Section A, Line 3THE ORGANIZATION HAS DELEGATED CERTAIN MANAGEMENT FUNCTIONS TO SPECTRUM HEALTH, INC. (SHI), A RELATED TAX-EXEMPT ORGANIZATION.
Classes of members or stockholdersForm 990, Part VI, Section A, Line 6THE SOLE MEMBER OF HOSPICE OF PALM BEACH COUNTY, INC. SHALL BE SPECTRUM HEALTH, INC. (SOLE MEMBER), A RELATED TAX-EXEMPT ORGANIZATION.
Members or stockholders electing members of governing bodyForm 990, Part VI, Section A, Line 7aAT THE ANNUAL MEETING, THE SOLE MEMBER SHALL ELECT MEMBERS OF THE BOARD OF DIRECTORS AND TRANSACT SUCH OTHER BUSINESS AS MAY PROPERLY BE BROUGHT BEFORE THE MEETING. THE DIRECTORS SHALL BE ELECTED TO SERVE A THREE (3) YEAR TERM, OR UNTIL SUCH DIRECTOR SUMBITS HIS OR HER WRITTEN RESIGNATION TO THE CHAIRPERSON OF THE CORPORATION. ANY DIRECTOR MAY BE REMOVED, WITH OR WITHOUT CAUSE, BY THE SOLE MEMBER AT THE MEETING OF THE SOLE MEMBER, OR BY THE AFFIRMATIVE VOTE OF TWO-THIRDS (2/3) OF THE DIRECTORS THEN IN OFFICE. THE SOLE MEMBER SHALL NOT HAVE ANY FORM OF EQUITY OR OWNERSHIP INTEREST IN THE ORGANIZATION OR ANY RIGHT, TITLE OR INTEREST IN ITS ASSETS AT ANY TIME DURING THE COURSE OF ITS ACTIVE OPERATION. ALL RIGHTS OF THE PERSON OR ENTITY DESIGNATED AS SOLE MEMBER SHALL CEASE ON THE TERMINATION OF THE SOLE MEMBERSHIP. ONLY THE SOLE MEMBER SHALL BE ENTITLED TO SHARE IN THE DISTRIBUTION OF CORPORATE ASSETS UPON ANY DISSOLUTION OF THE ORGANIZATION.
Decisions requiring approval by members or stockholdersForm 990, Part VI, Section A, Line 7bTHE SOLE MEMBER HAS THE RIGHT TO APPROVE DECISIONS OF THE BOARD.
Review of form 990 by governing bodyForm 990, Part VI, Section B, Line 11bTHE RETURN IS REVIEWED BY THE AUDIT COMMITTEE AND THE INDEPENDENT PAID TAX PREPARER WILL MAKE A PRESENTATION TO THE AUDIT COMMITTEE REGARDING THE FORM 990. A COPY OF THE FINAL FORM 990 IS SENT TO ALL BOARD MEMBERS PRIOR TO FILING THE RETURN WITH THE IRS.
Conflict of interest policyForm 990, Part VI, Section B, Line 12cTHE ORGANIZATION SENDS OUT THE CONFLICT OF INTEREST QUESTIONNAIRES TO BOARD MEMBERS AND OFFICERS ANNUALLY. THE RESPONSES TO THE QUESTIONNAIRES ARE MONITORED AND COLLECTED BY THE CFO. SHOULD A CONFLICT EXIST THE PERSON WITH THE CONFLICT WILL ABSTAIN FROM VOTING ON THE ISSUE IN QUESTION.
PROCESS FOR DETERMINING COMPENSATION OF TOP MANAGEMENT OFFICIALFORM 990, PART VI, LINE 15ATHE PRESIDENT & CEO IS PAID BY SPECTRUM HEALTH, INC., A RELATED TAX-EXEMPT ORGANIZATION. SPECTRUM HEALTH, INC. USES A COMPENSATION COMMITTEE, COMPARABILITY DATA, AN INDEPENDENT COMPENSATION CONSULTANT, AND APPROVAL BY THE BOARD, TO DETERMINE THE COMPENSATION. THIS REVIEW LAST TOOK PLACE IN OCTOBER, 2012 AND IS DOCUMENTED IN THE BOARD AND COMMITTEE MINUTES.
PROCESS FOR DETERMINING COMPENSATION OF OTHER OFFICERSFORM 990, PART VI, LINE 15BTHE CCO IS PAID BY THE ORGANIZATION. ALL OTHER OFFICERS ARE PAID BY SPECTRUM HEALTH, INC., A RELATED TAX-EXEMPT ORGANIZATION. BOTH ORGANIZATIONS USE COMPARABILITY DATA AND AN INDEPENDENT COMPENSATION CONSULTANT TO DETERMINE THE COMPENSATION AND THEN THE COMPENSATION COMMITTEE'S RECOMMENDATION IS APPROVED BY THE BOARD OF DIRECTORS. THIS REVIEW LAST TOOK PLACE IN OCTOBER, 2012 AND IS DOCUMENTED IN THE BOARD AND COMMITTEE MINUTES.
Governing documents, conflict of interest policy and financial statements available to the publicForm 990, Part VI, Section C, Line 19FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND CONFLICT OF INTEREST POLICIES ARE NOT REQUIRED DISCLOSURES PURSUANT TO INTERNAL REVENUE CODE (IRC) SECTION 6104. THESE DOCUMENTS ARE NOT AVAILABLE TO THE PUBLIC AT THIS TIME.
HOURS DEVOTED TO RELATED ORGANIZATIONSFORM 990, PART VII, SECTION ATHE FOLLOWING INDIVIDUALS DEVOTE APPROXIMATELY 1 HOUR PER WEEK TO SPECTRUM HEALTH, INC: , BARBARA LITTEN, JOHN HERRING, JOHN HOWARD, JOHN MARINO, RANDY LEVITT, SUSAN DAUB, AND THOMAS TRACY. THE FOLLOWING INDIVIDUALS DEVOTE 40+ HOURS PER WEEK TO HOSPICE OF PALM BEACH COUNTY, INC., SPECTRUM HEALTH, INC., AND SOUTH FLORIDA PALLIATIVE MEDICINE, INC.: DR. BARRY LERNER, M.D., DR. BARRY MISKIN, M.D., DR. KAREN KENNEDY, D.O., DR. MIRTA GALANTE, M.D., DR. RICHARD LEVENE, D.O. THE FOLLOWING INDIVIDUALS DEVOTE APPROXIMATELY 1 HOUR PER WEEK TO THE MEDICAL STORE OF PALM BEACH COUNTY, INC.: BARBARA LITTEN, JOHN HERRING, JOHN HOWARD, JOHN MARINO, RANDY LEVITT, SUSAN DAUB, AND THOMAS TRACY. THE FOLLOWING INDIVIDUALS DEVOTE APPROXIMATELY 1 HOUR PER WEEK TO HOSPICE PARTNERS ON CALL, INC.: JOHN MARINO AND SUSAN DAUB. THE FOLLOWING INDIVIDUALS DEVOTE APPROXIMATELY 1 HOUR PER WEEK TO SOUTH FLORIDA PALLIATIVE MEDICINE SPECIALISTS, INC.: JOHN MARINO, RANDY LEVITT, AND SUSAN DAUB. DAVID FIELDING, PRESIDENT & CEO, DEVOTES APPROXIMATELY 40+ HOURS A WEEK TO SPECTRUM HEALTH, INC. , HOSPICE OF PALM BEACH COUNTY, INC., THE MEDICAL STORE OF PALM BEACH COUNTY, INC., HOSPICE PARTNERS ON CALL, INC., AND SOUTH FLORIDA PALLIATIVE MEDICINE SPECIALISTS, INC. RICHARD CALCOTE, VICE PRESIDENT & CFO, DEVOTES APPROXIMATELY 40+ HOURS A WEEK TO SPECTRUM HEALTH, INC. , HOSPICE OF PALM BEACH COUNTY, INC., HOSPICE OF PALM BEACH COUNTY FOUNDATION, INC., THE MEDICAL STORE OF PALM BEACH COUNTY, INC., HOSPICE PARTNERS ON CALL, INC., AND SOUTH FLORIDA PALLIATIVE MEDICINE SPECIALISTS, INC. FRED WATSON, VICE PRESIDENT & CAO, DEVOTES APPROXIMATELY 40+ HOURS A WEEK TO SPECTRUM HEALTH, INC. AND HOSPICE OF PALM BEACH COUNTY, INC. BARBARA IVANKO, VICE PRESIDENT & COO, DEVOTES APPROXIMATELY 40+ HOURS A WEEK TO SPECTRUM HEALTH, INC. , HOSPICE OF PALM BEACH COUNTY, INC., HOSPICE PARTNERS ON CALL, INC., AND SOUTH FLORIDA PALLIATIVE MEDICINE SPECIALISTS, INC. DR. FAUSTINO GONZALEZ, M.D., VP MEDICAL AFFAIRS, DEVOTES APPROXIMATELY 40+ HOURS A WEEK TO HOSPICE OF PALM BEACH COUNTY, INC. , SPECTRUM HEALTH, INC., AND SOUTH FLORIDA PALLIATIVE MEDICINE SPECIALISTS, INC.
COMPENSATION PAID TO INTERESTED PERSONSFORM 990, PART VII, SECTION ADAVID FIELDING COMPENSATION REPORTED FOR MR. FIELDING IS FOR CALENDAR YEAR 2011. HE SERVES AS CEO FOR SPECTRUM HEALTH, INC., HOSPICE OF PALM BEACH COUNTY, HOSPICE OF BROWARD COUNTY, SOUTH FLORIDA PALLIATIVE MEDICINE, INC., HOSPICE PARTNERS ON CALL, AND THE MEDICAL STORE, INC. HIS TIME IS SHARED BY ALL ENTITIES. HIS COMPENSATION FOR CY 2011 INCLUDES AN INCENTIVE BONUS BASED ON FY 9/30/11 RESULTS; A ONE TIME RETENTION BONUS OF $100,000 AND A DEFERRED COMPENSATION DISTRIBUTION OF $65,000 WHICH WERE BOTH ESTABLISHED BY THE BOARD IN PREVIOUS YEARS. OTHER COMPENSATION FOR CY 2011 IS FOR HIS EMPLOYEE HEALTH AND RETIREMENT BENEFITS WHICH ARE UNDER THE SAME PLANS PROVIDED TO ALL EMPLOYEES. FRED WATSON COMPENSATION REPORTED FOR MR. WATSON IS FOR CALENDAR YEAR 2011. HE SERVES AS CAO FOR SPECTRUM HEALTH, INC., HOSPICE OF PALM BEACH COUNTY, HOSPICE OF BROWARD COUNTY, SOUTH FLORIDA PALLIATIVE MEDICINE SPECIALISTS AND THE MEDICAL STORE, INC. HIS TIME IS SHARED EQUALLY BY ALL ENTITIES. TOTAL COMPENSATION FOR CY 2011 INCLUDES AN INCENTIVE BONUS BASED ON 9/30/2011 RESULTS. OTHER COMPENSATION FOR CY 2011 IS FOR HIS EMPLOYEE HEALTH AND RETIREMENT BENEFITS WHICH ARE UNDER THE SAME PLANS PROVIDED TO ALL EMPLOYEES. RICHARD CALCOTE COMPENSATION REPORTED FOR MR. CALCOTE IS FOR CALENDAR YEAR 2011. HE SERVES AS THE CFO FOR SPECTRUM HEALTH, INC., HOSPICE OF PALM BEACH COUNTY FOUNDATION, INC., HOSPICE OF PALM BEACH COUNTY, HOSPICE OF BROWARD COUNTY, SOUTH FLORIDA PALLIATIVE MEDICINE SPECIALISTS, HOSPICE PARTNERS ON CALL, AND THE MEDICAL STORE. HIS TIME IS SHARED EQUALLY BY ALL ENTITIES. TOTAL COMPENSATION FOR CY 2011 INCLUDES AN INCENTIVE BONUS BASED ON 9/30/2011 RESULTS. OTHER COMPENSATION FOR CY 2011 IS FOR HIS EMPLOYEE HEALTH AND RETIREMENT BENEFITS WHICH ARE UNDER THE SAME PLANS PROVIDED TO ALL EMPLOYEES. BARBARA IVANKO COMPENSATION REPORTED FOR MS. IVANKO IS FOR CALENDAR YEAR 2011. SHE SERVED AS COO FOR SPECTRUM HEALTH, INC.; HOSPICE OF PALM BEACH COUNTY; HOSPICE OF BROWARD COUNTY; HOSPICE PARTNERS ON CALL; SOUTH FLORIDA PALLIATIVE MEDICINE, INC. HER HOURS ARE SHARED EQUALLY BY ALL ENTITIES. TOTAL COMPENSATION FOR CY 2011 INCLUDES AN INCENTIVE BONUS BASED ON 9/30/2011 RESULTS. OTHER COMPENSATION FOR CY 2011 IS FOR HER EMPLOYEE HEALTH AND RETIREMENT BENEFITS WHICH ARE UNDER THE SAME PLANS PROVIDED TO ALL EMPLOYEES. JACQUELINE LOPEZ-DEVINE COMPENSATION REPORTED FOR MS. LOPEZ-DIVINE IS FOR CALENDAR YEAR 2011. SHE SERVES AS CCO FOR HOSPICE OF PALM BEACH COUNTY, AND HOSPICE OF BROWARD COUNTY. HER TIME IS SHARED EQUALLY BY BOTH ENTITIES. TOTAL COMPENSATION FOR CY 2011 INCLUDES AN INCENTIVE BONUS BASED ON 9/30/2011 RESULTS. OTHER COMPENSATION FOR CY 2011 IS FOR HER EMPLOYEE HEALTH AND RETIREMENT BENEFITS WHICH ARE UNDER THE SAME PLANS PROVIDED TO ALL EMPLOYEES. HER COMPENSATION FOR CY 2011 ALSO INCLUDES A $40,000 RETENTION BONUS THAT WAS SET BY THE BOARD IN PREVIOUS YEARS. DR. FAUSTINO GONZALEZ, M.D. COMPENSATION REPORTED FOR DR. GONZALEZ IS FOR CALENDAR YEAR 2011. HE OVERSEES MEDICAL AFFAIRS FOR SPECTRUM HEALTH, INC., HOSPICE OF PALM BEACH COUNTY, HOSPICE OF BROWARD COUNTY AND SOUTH FLORIDA PALLIATIVE MEDICINE SPECIALISTS INC. HIS TIME IS SHARED EQUALLY BY ALL ENTITIES. TOTAL COMPENSATION FOR CY 2011 INCLUDES AN INCENTIVE BONUS BASED ON 9/30/2011 RESULTS. A PORTION OF HIS COMPENSATION IS FROM HIS PHYSICIAN FEES FOR SERVICE. OTHER COMPENSATION FOR CY 2011 IS FOR HIS EMPLOYEE HEALTH AND RETIREMENT BENEFITS WHICH ARE UNDER THE SAME PLANS PROVIDED TO ALL EMPLOYEES. DR. BARRY LERNER, M.D. COMPENSATION REPORTED FOR DR. LERNER IS FOR CALENDAR YEAR 2011. HE PROVIDES MEDICAL SERVICES TO SPECTRUM HEALTH, INC., HOSPICE OF PALM BEACH COUNTY, HOSPICE OF BROWARD COUNTY AND SOUTH FLORIDA PALLIATIVE MEDICINE, INC. HIS TIME IS PROVIDED EQUALLY TO ALL ENTITIES. A PORTION OF HIS CY 2011 COMPENSATION IS FROM PHYSICIAN FEES FOR SERVICE. OTHER COMPENSATION FOR CY 2011 IS FOR HIS EMPLOYEE HEALTH AND RETIREMENT BENEFITS WHICH ARE UNDER THE SAME PLANS PROVIDED TO ALL EMPLOYEES. DR. BARRY MISKIN, M.D. COMPENSATION REPORTED FOR DR. MISKIN IS FOR CALENDAR YEAR 2011. HE PROVIDES MEDICAL SERVICES TO SPECTRUM HEALTH, INC., HOSPICE OF PALM BEACH COUNTY, HOSPICE OF BROWARD COUNTY AND SOUTH FLORIDA PALLIATIVE MEDICINE, INC. HIS TIME IS PROVIDED EQUALLY TO ALL ENTITIES. A PORTION OF HIS CY 2011 COMPENSATION IS FROM PHYSICIAN FEES FOR SERVICE. OTHER COMPENSATION FOR CY 2011 IS FOR HIS EMPLOYEE HEALTH AND RETIREMENT BENEFITS WHICH ARE UNDER THE SAME PLANS PROVIDED TO ALL EMPLOYEES. DR. KAREN KENNEDY, D.O. COMPENSATION REPORTED FOR DR. KENNEDY IS FOR CALENDAR YEAR 2011. SHE PROVIDES MEDICAL SERVICES TO SPECTRUM HEALTH, INC., HOSPICE OF PALM BEACH COUNTY, HOSPICE OF BROWARD COUNTY AND SOUTH FLORIDA PALLIATIVE MEDICINE, INC. HER TIME IS SHARED EQUALLY BY ALL ENTITIES. IN CY 2011, A PORTION OF HER FEES WERE FROM PHYSICIAN FEES FOR SERVICE. OTHER COMPENSATION FOR CY 2011 IS FOR HER EMPLOYEE HEALTH AND RETIREMENT BENEFITS WHICH ARE UNDER THE SAME PLANS PROVIDED TO ALL EMPLOYEES. DR. MIRTA GALANTE, M.D. COMPENSATION REPORTED FOR DR. GALANTE IS FOR CALENDAR YEAR 2011. SHE PROVIDES MEDICAL SERVICES TO SPECTRUM HEALTH, INC., HOSPICE OF PALM BEACH COUNTY, HOSPICE OF BROWARD COUNTY AND SOUTH FLORIDA PALLIATIVE MEDICINE, INC. HER TIME IS SHARED EQUALLY BY ALL ENTITIES. IN CY 2011, A PORTION OF HER FEES WERE FROM PHYSICIAN FEES FOR SERVICE. OTHER COMPENSATION FOR CY 2011 IS FOR HER EMPLOYEE HEALTH AND RETIREMENT BENEFITS WHICH ARE UNDER THE SAME PLANS PROVIDED TO ALL EMPLOYEES. DR. RICHARD LEVENE, D.O. COMPENSATION REPORTED FOR DR. LEVENE IS FOR CALENDAR YEAR 2011. HE IS THE DIRECTOR OF MEDICAL EDUCATION FOR SPECTRUM HEALTH, INC., HOSPICE OF PALM BEACH COUNTY, HOSPICE OF BROWARD COUNTY AND SOUTH FLORIDA PALLIATIVE MEDICINE SPECIALISTS, INC. HIS TIME IS SHARED EQUALLY BY ALL ENTITIES. A PORTION OF HIS COMPENSATION IS DERIVED FROM HIS PHYSICIAN FEES FOR SERVICE. OTHER COMPENSATION FOR CY 2011 IS FOR HIS EMPLOYEE HEALTH AND RETIREMENT BENEFITS WHICH ARE UNDER THE SAME PLANS PROVIDED TO ALL EMPLOYEES.
Other changes in net assets or fund balancesForm 990, Part XI, Line 5CHANGE IN VALUE OF AFFILIATE - 1766700; TRANSFER TO PARENT - -9000000;

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
SPECTRUM HEALTH INC
5300 EAST AVENUEWEST PALM BEACHFL33407203974015MANAGEMENTFL501(C)(3)11 - Type IINAfalse
THE MEDICAL STORE OF PALM BEACH COUNTY INC
5300 EAST AVENUEWEST PALM BEACHFL33407202835810SUPPLIERFL501(C)(3)9SPECTRUM HEALTH INCfalse
HOSPICE OF PALM BEACH COUNTY FOUNDATION INC
5300 EAST AVENUEWEST PALM BEACHFL33407203974070FUNDRAISINGFL501(C)(3)7SPECTRUM HEALTH INCfalse
HOSPICE PARTNERS ON CALL INC
5300 EAST AVENUEWEST PALM BEACHFL33407263595560CALL CENTERFL501(C)(3)9SPECTRUM HEALTH INCfalse
SOUTH FLORIDA PALLIATIVE MEDICINE SPECIALISTS INC
5300 EAST AVENUEWEST PALM BEACHFL33407800674849PALLIATIVE SERVICESFL501(C)(3)9SPECTRUM HEALTH INCfalse
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

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