ADVENTHEALTH HOME HEALTH AND HOSPICE INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
ADVENTHEALTH HOME HEALTH AND HOSPICE INC (EIN 59-2935928)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-15
IRS object ID
201313199349309531
Schema version
2012v2.1
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)
Timestamp2013-11-15T16:06:59-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN410746749EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CLIFTONLARSONALLEN LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1420 SOUTH ORANGE AVENUE SUITE 500AddressLine1
CityORLANDOCity
StateFLState
ZIP Code32801ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN592935928EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1HOSPICE OF THE COMFORTER INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlHOSPNameControl
Phone4076820808Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1480 W CENTRAL PARKWAYAddressLine1
CityALTAMONTE SPRINGSCity
StateFLState
ZIP Code32714ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameERNESTO LOPEZName
TitleCEOTitle
Phone4078622643Phone
Date Signed2013-11-15DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameAMY CHAPMANName
PTINP00843460PTIN
Phone4078021200Phone
Date Prepared2013-11-15DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonERNESTO LOPEZNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1480 W CENTRAL PARKWAYAddressLine1
CityALTAMONTE SPRINGSCity
StateFLState
ZIP Code32714ZIPCode
FieldValueIRS element (for citing)
Gross Receipts34089002GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.HOSPICEOFTHECOMFORTER.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1990YearFormation
State Legal DomicileFLStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE COMPASSIONATE & EXPERT CARE TO HOSPICE PATIENTS.ActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members8NbrIndependentVotingMembers
Total Nbr Employees495TotalNbrEmployees
Total Nbr Volunteers505TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1223974ContributionsGrantsPriorYear
Contributions Grants Current Year700579ContributionsGrantsCurrentYear
Program Service Revenue Prior Year37387983ProgramServiceRevenuePriorYear
Program Service Revenue CY30472041ProgramServiceRevenueCY
Investment Income Prior Year417558InvestmentIncomePriorYear
Investment Income Current Year62349InvestmentIncomeCurrentYear
Other Revenue Prior Year58137OtherRevenuePriorYear
Other Revenue Current Year10000OtherRevenueCurrentYear
Total Revenue Prior Year39087652TotalRevenuePriorYear
Total Revenue Current Year31244969TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year20000GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year22688539SalariesEtcPriorYear
Salaries Etc Current Year19887259SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year3950TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year16695141OtherExpensePriorYear
Other Expenses Current Year11059987OtherExpensesCurrentYear
Total Expenses Prior Year39407630TotalExpensesPriorYear
Total Expenses Current Year30947246TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-319978RevenuesLessExpensesPriorYear
Revenues Less Expenses CY297723RevenuesLessExpensesCY
Total Assets BOY28558251TotalAssetsBOY
Total Assets EOY19033609TotalAssetsEOY
Total Liabilities BOY12724444TotalLiabilitiesBOY
Total Liabilities EOY5902079TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY15833807NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY13131530NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionHOSPICE OF 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 PATIENTS AND THEIR FAMILIES FACING AN INCURABLE ILLNESS.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense24713625Expense
Revenue29670374Revenue
DescriptionHOSPICE SERVICES IN ORANGE, SEMINOLE, AND OSCEOLA COUNTIES - WE WERE PRIVILEGED IN 2012 TO PROVIDE END-OF-LIFE COMPASSIONATE CARE TO 2,908 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 $435,501.00 IN CHARITY CARE. IN 2012, 312 STAFF MEMBERS AND 291 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 230 INTERNAL AND EXTERNAL PRESENTATIONS. WE WERE RECOGNIZED BY THE ORLANDO SENTINEL IN THE TOP 100 COMPANIES FOR WORKING FAMILIES FOR THE 8TH 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.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense534116Expense
Grants0Grants
Revenue431563Revenue
DescriptionHOSPICE HOUSE - "I DON'T KNOW WHAT I WOULD HAVE DONE WITHOUT HOSPICE HOUSE WHEN MY HUSBAND NEEDED AROUND THE CLOCK CARE - THEY WERE THERE FOR HIM AND FOR ME AND I WILL NEVER FORGET THEM..." MARGIE IN 2012, 934 PATIENTS WERE CARED FOR AT HOSPICE HOUSE WITH AN AVERAGE LENGTH OF STAY OF 5.5 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 2012, 46 HOSPICE PATIENTS CALLED ROBISON RESIDENCE HOME - THE AVERAGE LENGTH OF STAY WAS 37.4 DAYS.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense0Expense
Revenue370104Revenue
DescriptionHORIZONS BEREAVMENT 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 2012 PROVIDING 1,082 INDIVIDUAL COUNSELING SESSIONS IN ADDITION TO 236 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 427 CHILDREN IN 71 PUBLIC SCHOOLS DURING THEIR SCHOOL DAY. BEREAVEMENT SUPPORT IS NOT REIMBURSED AND IS PROVIDED AT NO COST THROUGH THE GENEROSITY OF OUR COMMUNITY.Description
FieldValueIRS element (for citing)
Total Program Service Expense25247741TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109643NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees495NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members8NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledFLStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1JAY OHBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number4076820808TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1480 W CENTRAL PARKWAYAddressLine1
CityALTAMONTE SPRINGSCity
StateFLState
ZIP Code32714ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (14 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
ROBERT G WILSON
PRESIDENT/CEO40.000.70XX330935013990
JACK D CADDEN
TREASURER0.300.00XX000
DWAN M MCANDREWS
DIRECTOR0.300.00X000
JO C SIMONINI
CHAIRMAN0.300.30XX000
BONNIE J HANNAH
DIRECTOR0.300.00X000
ROBERT J WATSON
VICE CHAIR0.300.70XX000
SUZAN CHICK
DIRECTOR0.300.00X000
SANDRA RANDOLPH
SECRETARY0.300.00XX000
FARLEN HALIKMAN
DIRECTOR0.300.00X000
ERIC MOORE
CHIEF MEDICAL OFFICIER40.000.00X199926027638
SHERRY BROOKS
ASSOCIATE MEDICAL DIRECTOR40.000.00114470018304X
RYAN RONALD
PHYSICIAN40.000.00173401026069X
JULIUS GARNER
PHYSICIAN40.000.001420950468X
JEFFREY WHITE
FACILITY40.000.0010447408188X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1065301TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation94657TotalOtherCompensation
Number Individuals GT100 K6NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1FOWLER WHITE BOGGS PABusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1501 E KENNEDY BLVD STE 1700AddressLine1
CityTAMPACity
StateFLState
ZIP Code33602ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesLEGAL SERVICESDescriptionOfServices
Compensation129426Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Related Organizations550000RelatedOrganizations
All Other Contributions150579AllOtherContributions
Noncash Contributions8043NoncashContributions
Total Contributions700579TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionHOSPICE SERVICESDescription
Business Code623000BusinessCode
Total Revenue Column30472041TotalRevenueColumn
Related Or Exempt Function Income30472041RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue30472041TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column77TotalRevenueColumn
Exclusion$77ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities2906305Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities2844033Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities62272Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column62272TotalRevenueColumn
Exclusion$62,272ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionPROFESSIONAL SERVICESDescription
Business Code541900BusinessCode
Total Revenue Column10000TotalRevenueColumn
Exclusion$10,000ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue10000TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column31244969TotalRevenueColumn
Related Or Exempt Function Income30472041RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$72,349ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total217463Total
Management And General217463ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total14319784Total
Program Services11897577ProgramServices
Management And General2422207ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total4128525Total
Program Services3335772ProgramServices
Management And General792753ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1221487Total
Program Services1015987ProgramServices
Management And General205500ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total684322Total
Management And General684322ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total143173Total
Management And General143173ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total164001Total
Management And General164001ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total618982Total
Program Services260064ProgramServices
Management And General358918ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total21068Total
Program Services21068ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1475341Total
Program Services1416507ProgramServices
Management And General58834ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total649882Total
Program Services456929ProgramServices
Management And General192953ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total74779Total
Management And General74779ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total37310Total
Management And General37310ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total140015Total
Management And General140015ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total243010Total
Program Services121505ProgramServices
Management And General121505ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
NURSING HOME ROOM AND B33175163317516
MEDICAL COSTS, SUPPLIES18868511886851
OUTPATIENT SERVICES768342768342
CONTRACT LABOR56046947469785772

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total274926Total
Program Services274926ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total30947246Total
Program Services25247741ProgramServices
Management And General5699505ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1143416BOY
EOY1449EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY200996BOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY119878BOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1276009BOY
EOY2235697EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY495648BOY
EOY567730EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY615978BOY
EOY278479EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis2197228LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1573876LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY18724964BOY
EOY623352EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY5757903BOY
EOY15EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY223459BOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY0BOY
EOY15326887EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY28558251BOY
EOY19033609EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY3911031BOY
EOY2582982EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY8275000BOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY538413BOY
EOY3319097EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY12724444BOY
EOY5902079EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY15713929BOY
EOY13011652EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY119878BOY
EOY119878EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY15833807BOY
EOY13131530EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY28558251BOY
EOY19033609EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses297723ReconcilationRevenueExpenses
Reconcilation Other Changes-3000000ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1835307CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1480041CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1724982CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1223974CurrentTaxYearMinus1Year
Current Tax Year700579CurrentTaxYear
Total6964883Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years37383851CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years45157978CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years45397275CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year37387983CurrentTaxYearMinus1Year
Current Tax Year30525878CurrentTaxYear
Total195852965Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years39219158CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years46638019CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years47122257CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year38611957CurrentTaxYearMinus1Year
Current Tax Year31226457CurrentTaxYear
Total202817848Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total509202817848PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years111174CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years115831CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years298216CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year417558CurrentTaxYearMinus1Year
Current Tax Year62349CurrentTaxYear
Total1005128Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years111174CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years115831CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years298216CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year417558CurrentTaxYearMinus1Year
Current Tax Year62349CurrentTaxYear
Total1005128Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years167720CurrentTaxYearMinus4Years
Current Tax Year10000CurrentTaxYear
Total177720Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years39498052CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years46753850CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years47420473CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year39029515CurrentTaxYearMinus1Year
Current Tax Year31298806CurrentTaxYear
Total204000696Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99420PublicSupportPercentage509
Prior Year Support Percentage0.99230PriorYearSupportPercentage
Investment Income Percentage0.00490InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00660PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

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 D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis7687OtherCostOrOtherBasis
Depreciation7687Depreciation
Book Value0BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis964298OtherCostOrOtherBasis
Depreciation790561Depreciation
Book Value173737BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1225243OtherCostOrOtherBasis
Depreciation775628Depreciation
Book Value449615BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings623352TotalOfBookValueLandBuildings

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionDUE FROM AFFILIATESDescription
Book Value15326887BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets15326887TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
QUI TAM$3,000,000
DUE TO THIRD PARTIES$164,449
DUE TO AFFILIATES$154,648
FieldValueIRS element (for citing)
Total Of Amounts3319097TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X, LINE 2:ReturnReference
ExplanationTHE 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 2008 TO 2011 ARE OPEN TO EXAMINATION BY FEDERAL AND STATE AUTHORITIES.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Housing Allowance Or ResidenceXHousingAllowanceOrResidence
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)

TitleTitleBase 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
ROBERT G WILSON
PRESIDENT/CEO1134720196873020590013990000344925000
ERIC MOORE
CHIEF MEDICAL OFFICIER1961760375000023888037500227564000
RYAN RONALD
PHYSICIAN1716140178700024282017870199470000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePART I, LINE 1AReturnReference
ExplanationA PASTORAL HOUSING ALLOWANCE WAS INCLUDED IN THE W-2 FOR ROBERT WILSON. THIS WAS STRICTLY A REPORTING ITEM ON FORM W-2. THIS ALLOWANCE WAS NOT TAXABLE COMPENSATION TO ROBERT WILSON; NO ADDITIONAL COMPENSATION PROVIDED.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION B, LINE 11THE 990 IS REVIEWED BY THE VICE PRESIDENT OF FINANCE, THE FINANCE COMMITTEE, AND THEN REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS BEFORE FILING WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CMEMBERS WITH CONFLICTS OF INTEREST ARE EXCLUDED FROM VOTING.
FORM 990, PART VI, SECTION B, LINE 15THE 2012 COMPENSATION FOR THE ORGANIZATION'S CEO, 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 EXECTUTIVE COMPENSATION.
FORM 990, PART VI, SECTION C, LINE 19INDIVIDUALS MAY LOCATE THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ON THE ORGANIZATION'S WEBSITE OR THE INFORMATION MAY BE FAXED UPON REQUEST.
FORM 990, PART XI, LINE 9:QUI TAM LIABILITY -3,000,000.CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XII, LINE 2C:THE ORGANIZATION DID NOT CHANGE EITHER ITS OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX YEAR.
FORM 990, PART XI, LINE 9:IN 2012 THE QUI TAM LIABILITY WAS RECORDED TO ESTIMATE THE AMOUNT OF FUNDS HOSPICE WOULD HAVE TO PAY BACK TO MEDICARE.
FORM 990, PART VII: SECTION A, COLUMN BNAME TITLE HRS/WK DEVOTED ROBERT WILSON CEO/DIRECTOR 0.30 ROBERT J. WATSON DIRECTOR 0.30TIME DEVOTED TO HOSPICE OF THE COMFORTER FOUNDATION, INC. - EIN# 27-1858033
FORM 990, PART VII: SECTION A, COLUMN BNAME TITLE HRS/WK DEVOTED ROBERT WILSON PRESIDENT/CEO 0.30 JO C. SIMONINI SECRETARY 0.30 ROBERT J. WATSON TREASURER 0.30TIME DEVOTED TO THE COMFORTER HEALTH CARE GROUP, INC. - EIN# 27-18579940

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusControlled OrgControlledOrg
THE COMFORTER HEALTH CARE GROUP INC
480 W CENTRAL PARKWAYALTAMONTE SPRINGSFL32714271857940HOSPICE SERVICESFL501(C)(3)LINE 11D, III-O0
HOSPICE OF THE COMFORTER FOUNDATION INC
480 W CENTRAL PARKWAYALTAMONTE SPRINGSFL32714271858033SUPPORTING ORGANIZATIONFL501(C)(3)LINE 70
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org1LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org1LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

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