HOSPICE OF PALM BEACH COUNTY INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
HOSPICE OF PALM BEACH COUNTY INC (EIN 59-1825937)
Tax period
2012-10-01 to 2013-09-30
Filed
2013-12-23
IRS object ID
201333579349300608
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)
Timestamp2013-12-23T10:00:08-06:00Timestamp
Tax Period End Date2013-09-30TaxPeriodEndDate

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 Date2012-10-01TaxPeriodBeginDate

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 Signed2013-12-20DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameNicole BencikName
PTINP00756195PTIN
Phone3128997000Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

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 Receipts91681274GrossReceipts
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 Body8NbrVotingMembersGoverningBody
Nbr Independent Voting Members8NbrIndependentVotingMembers
Total Nbr Employees898TotalNbrEmployees
Total Nbr Volunteers745TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year4311172ContributionsGrantsPriorYear
Contributions Grants Current Year3226635ContributionsGrantsCurrentYear
Program Service Revenue Prior Year87644487ProgramServiceRevenuePriorYear
Program Service Revenue CY88444643ProgramServiceRevenueCY
Investment Income Prior Year-93654InvestmentIncomePriorYear
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Prior Year140384OtherRevenuePriorYear
Other Revenue Current Year9996OtherRevenueCurrentYear
Total Revenue Prior Year92002389TotalRevenuePriorYear
Total Revenue Current Year91681274TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year59464787SalariesEtcPriorYear
Salaries Etc Current Year61865099SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year33220943OtherExpensePriorYear
Other Expenses Current Year36259059OtherExpensesCurrentYear
Total Expenses Prior Year92685730TotalExpensesPriorYear
Total Expenses Current Year98124158TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-683341RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-6442884RevenuesLessExpensesCY
Total Assets BOY57085597TotalAssetsBOY
Total Assets EOY53070920TotalAssetsEOY
Total Liabilities BOY19903150TotalLiabilitiesBOY
Total Liabilities EOY20856719TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY37182447NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY32214201NetAssetsOrFundBalancesEOY
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
Expense82338550Expense
Grants0Grants
Revenue88454639Revenue
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, 2013, HPBC ADMITTED AND SERVED 7,052 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, 2013 AMOUNTED TO $919,000.Description
Total Program Service Expense82338550TotalProgramServiceExpense
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 AssetsfalseReportOtherAssets
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
Number Forms Transmitted With109689NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees898NumberOfEmployees
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 Members8NbrVotingGoverningBodyMembers
Number Independent Voting Members8NumberIndependentVotingMembers
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 (22 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
JOHN HERRING
Treasurer1.004.00XX000
JOHN MARINO
Chairman1.004.00XX000
RANDY LEVITT
Vice Chairman1.004.00XX000
SUSAN DAUB
Secretary1.004.00XX000
BARBARA BOLTON LITTEN
Director1.004.00X000
HEATHER SIEGEL MILLER
Director1.004.00X000
JOHN HOWARD
Director1.004.00X000
THOMAS TRACY
Director1.004.00X000
AMY CANNIZZO-BRENNAN
VP Quality & Education25.0025.00X014509811626
DAVID FIELDING
President & CEO7.0043.00X033313822843
DR FAUSTINO GONZALEZ MD
VP Medical Affairs25.0025.00X026089323721
DR GAIL COONEY MD
VP Access Services25.0025.00X0714645382
FRED T WATSON
Vice President & CAO25.0025.00X023913630023
JACQUELINE LOPEZ-DEVINE MSN RN
Chief Clinical Officer50.000X137520021168
RANDY PRANGE
Vice President & COO25.0025.00X0802625404
RICHARD CALCOTE
Vice President & CFO6.0044.00X017461525296
CRISTAL GATES
Pharmacist50.000123011011032X
JOSEPH LENDOIRO
Pharmacist50.000123988013816X
ROBERT BURWEN
Director Pharmacy50.000165310014259X
TERESA HICKEY
Pharmacist50.00012657908698X
VALENTINA LAPI
Pharmacist50.00012421608702X
BARBARA IVANKO
Former Vice President & COO0.000.0002300403385X
FieldValueIRS element (for citing)
Total Reportable Comp From Org800624TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1534646TotalReportableCompFrmRltdOrgs
Total Other Compensation205354TotalOtherCompensation
Number Individuals GT100 K12NumberIndividualsGT100K
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
TRUSTBRIDGE INC
5300 EAST AVENUEWEST PALM BEACHFL33407MANAGEMENT SERVICES21273475
OT SERVICES INC
1335 OKEECHOBEE ROAD SUITE 500WEST PALM BEACHFL33401CLEANING SERVICES250316
WIZARD CREATIONS INC
4722 NW BOCA RATON BLVD SUITE C-105BOCA RATONFL33431ADVERTISING SERVICES219344
RE ANDERSON CONSTRUCTION
513 US HIGHWAY 1NORTH PALM BEACHFL33408CONSTRUCTION SERVICES168626
CBS OUTDOOR INC
PO BOX 33074NEWARKNJ07188ADVERTISING SERVICES144000
FieldValueIRS element (for citing)
Number Of Contractors GT100 K7NumberOfContractorsGT100K
Related Organizations2326635RelatedOrganizations
All Other Contributions900000AllOtherContributions
Total Contributions3226635TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT SERVICE REVENUE6216108844464388444643
0
0
0
0

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 Revenue88444643TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

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

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities0Securities
Other0Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

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 (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
OTHER INCOME90009999969996
0
0

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 Revenue9996TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column91681274TotalRevenueColumn
Related Or Exempt Function Income88454639RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

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)
Total1059022Total
Program Services816782ProgramServices
Management And General242240ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total50024177Total
Program Services44659011ProgramServices
Management And General5365166ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1264609Total
Program Services1120473ProgramServices
Management And General144136ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total5656245Total
Program Services4970888ProgramServices
Management And General685357ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total3861046Total
Program Services3425748ProgramServices
Management And General435298ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total2913721Total
Management And General2913721ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total41361Total
Management And General41361ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total48123Total
Management And General48123ManagementAndGeneral

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)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total4397162Total
Program Services3296690ProgramServices
Management And General1100472ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total857206Total
Management And General857206ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total643396Total
Program Services253959ProgramServices
Management And General389437ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total1950940Total
Management And General1950940ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total7638808Total
Program Services7589692ProgramServices
Management And General49116ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total314504Total
Program Services174105ProgramServices
Management And General140399ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total158184Total
Program Services113021ProgramServices
Management And General45163ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total123947Total
Management And General123947ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total3366438Total
Program Services2579406ProgramServices
Management And General787032ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total325048Total
Program Services325048ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PATIENT RELATED COSTS1248127412481274
EQUIPMENT COSTS613193474402138791
VEHICLE EXPENSE53255325
DEVELOPMENT COST29019652148238048

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total90233Total
Program Services578ProgramServices
Management And General89655ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total98124158Total
Program Services82338550ProgramServices
Management And General15785608ManagementAndGeneral
Fundraising0Fundraising

Total Joint Costs TotalJointCosts

FieldValueIRS element (for citing)
Total0Total

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1700BOY
EOY2100EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY4200797BOY
EOY2463760EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY6377978BOY
EOY8660390EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY253697BOY
EOY224713EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY679645BOY
EOY575058EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis45905792LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec23603170LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY23781519BOY
EOY22302622EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY17225357BOY
EOY18699995EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY4564904BOY
EOY142282EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY57085597BOY
EOY53070920EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY6888028BOY
EOY5543465EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY12000000BOY
EOY12000000EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1015122BOY
EOY3313254EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY19903150BOY
EOY20856719EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY17767892BOY
EOY11817632EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY19414555BOY
EOY20396569EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY37182447BOY
EOY32214201EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY57085597BOY
EOY53070920EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-6442884ReconcilationRevenueExpenses
Reconcilation Other Changes1474638ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement BothXFinancialStatementBoth
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
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 Years5170083CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4866837CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4891198CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4311172CurrentTaxYearMinus1Year
Current Tax Year3226635CurrentTaxYear
Total22465925Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years82712530CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years83731836CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years85743372CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year87644487CurrentTaxYearMinus1Year
Current Tax Year88444643CurrentTaxYear
Total428276868Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1169442CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1272271CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year46721CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total2488434Total

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 Years89052055CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years89870944CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years90634570CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year92002380CurrentTaxYearMinus1Year
Current Tax Year91671278CurrentTaxYear
Total453231227Total

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
Current Tax Year0CurrentTaxYear
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
Current Tax Year0CurrentTaxYear
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 Total509453231227PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years40618CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2553CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years734CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year16CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total43921Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years40618CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2553CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years734CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year16CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total43921Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years80258CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years58297CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years95044CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year140384CurrentTaxYearMinus1Year
Current Tax Year9996CurrentTaxYear
Total383979Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years89172931CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years89931794CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years90730348CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year92142780CurrentTaxYearMinus1Year
Current Tax Year91681274CurrentTaxYear
Total453659127Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99900PublicSupportPercentage509
Prior Year Support Percentage0.99960PriorYearSupportPercentage
Investment Income Percentage0.00000InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00020PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
General ExplanationOTHER INCOME, SCHEDULE A, PART III, LINE 12, DESCRIPTION - OTHER INCOME, COLUMN A - 80258, COLUMN B - 58297, COLUMN C - 95044, COLUMN D - 140384, COLUMN E - 9996, COLUMN F - 383979;,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 Balance2510418BeginningOfYearBalance
Investment Earnings Or Losses225639InvestmentEarningsOrLosses
End Of Year Balance2736057EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

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

Current Year Minus2 Years CurrentYearMinus2Years

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 Minus3 Years CurrentYearMinus3Years

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 Minus4 Years CurrentYearMinus4Years

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 Balance0.98680PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.01320TermEndowmentEOYBalance
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 Basis18888006OtherCostOrOtherBasis
Depreciation7903641Depreciation
Book Value10984365BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis3104481OtherCostOrOtherBasis
Depreciation2135105Depreciation
Book Value969376BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis21476468OtherCostOrOtherBasis
Depreciation13564424Depreciation
Book Value7912044BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis164626OtherCostOrOtherBasis
Book Value164626BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings22302622TotalOfBookValueLandBuildings

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
DescriptionINTEREST IN NET ASSETS OF AFFILIATEDescription
Book Value18699995BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Program Related18699995TotalOfBookValueProgramRelated
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO AFFILIATEDescription
Amount$3,313,254Amount
FieldValueIRS element (for citing)
Total Of Amounts3313254TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt93155912TotRevenueEtcAuditedFinclStmt
Other Revenues1474638OtherRevenues
Revenue Not Rptd F9901474638RevenueNotRptdF990
Revenue Subtotal91681274RevenueSubtotal
Other Revenues Not Included0OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99091681274TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt98124158TotExpensesEtcAuditedFinclStmt
Other Expenses Included0OtherExpensesIncluded
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal98124158ExpensesSubtotal
Other Expenses Not Included0OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99098124158TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 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 2HPBC IS EXEMPT FROM INCOME TAXES ON INCOME FROM RELATED ACTIVITIES UNDER SECTION 501(C)(3) OF THE U.S. INTERNAL REVENUE CODE AND CORRESPONDING STATE TAX LAW. ACCORDINGLY, NO PROVISION HAS BEEN MADE FOR FEDERAL OR STATE INCOME TAXES. U.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, 2013 AND 2012.
Other revenues in audited financial statements not in form 990Schedule D, Part XI, Line 2dCHANGE IN INTEREST IN NET ASSETS OF HFPBC - 1474638;

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 (8 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
AMY CANNIZZO-BRENNAN
VP QUALITY & EDUCATION0136365073100142301087010539015672400
BARBARA IVANKO
FORMER VICE PRESIDENT & COO0140286000897540338500023342500
DAVID FIELDING
PRESIDENT & CEO0323327000981107394015449035598000
DR FAUSTINO GONZALEZ MD
VP MEDICAL AFFAIRS0250552010001024107847015874028461300
FRED T WATSON
VICE PRESIDENT & CAO017217206010006864013773016250026915900
JACQUELINE LOPEZ-DEVINE MSN RN
CHIEF CLINICAL OFFICER13661601000804049180162500158688000
RICHARD CALCOTE
VICE PRESIDENT & CFO0167867010006648010418014877019991100
ROBERT BURWEN
DIRECTOR PHARMACY160918011000329305873083850179569000

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 TRUSTBRIDGE, 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, 2013 AND WAS DOCUMENTED IN THE BOARD MINUTES.
Supplemental nonqualified retirement planSchedule J, Part I, Line 4bTRUSTBRIDGE, INC. (A RELATED ORGANIZATION) MAINTAINS A SECTION 457(F) RETIREMENT PLAN. THE FOLLOWING CONTRIBUTIONS WERE MADE TO THAT PLAN DURING THE YEAR ENDED SEPTEMBER 30, 2013: DAVID FIELDING - $4,250 RICHARD CALCOTE - $4,250 FAUSTINO GONZALEZ - $1,125

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 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.
Delegation of management dutiesForm 990, Part VI, Section A, Line 3THE ORGANIZATION HAS DELEGATED CERTAIN MANAGEMENT FUNCTIONS TO TRUSTBRIDGE, INC., 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 TRUSTBRIDGE, 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 TRUSTBRIDGE, INC., A RELATED TAX-EXEMPT ORGANIZATION. TRUSTBRIDGE 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 FEBRUARY 2013 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 TRUSTBRIDGE, 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 FEBRUARY 2013 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.
COMPENSATION PAID TO INTERESTED PERSONSFORM 990, PART VII, SECTION ADAVID FIELDING COMPENSATION REPORTED FOR MR. FIELDING IS FOR CALENDAR YEAR 2012. HE SERVES AS CEO FOR SPECTRUM HEALTH, INC., HOSPICE OF PALM BEACH COUNTY, HOSPICE OF BROWARD COUNTY, SOUTH FLORIDA PALLIATIVE MEDICINE, INC. AND THE MEDICAL STORE, INC. HIS TIME IS SHARED BY ALL ENTITIES. OTHER COMPENSATION FOR CY 2012 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 2012. 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. OTHER COMPENSATION FOR CY 2012 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 2012. 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 AND THE MEDICAL STORE. HIS TIME IS SHARED EQUALLY BY ALL ENTITIES. OTHER COMPENSATION FOR CY 2012 IS FOR HIS EMPLOYEE HEALTH AND RETIREMENT BENEFITS WHICH ARE UNDER THE SAME PLANS PROVIDED TO ALL EMPLOYEES. JACQUELINE LOPEZ-DEVINE COMPENSATION REPORTED FOR MS. LOPEZ-DEVINE IS FOR CALENDAR YEAR 2012. SHE SERVES AS CCO FOR HOSPICE OF PALM BEACH COUNTY, AND HOSPICE OF BROWARD COUNTY. HER TIME IS SHARED EQUALLY BY BOTH ENTITIES. OTHER COMPENSATION FOR CY 2012 IS FOR HER EMPLOYEE HEALTH AND RETIREMENT BENEFITS WHICH ARE UNDER THE SAME PLANS PROVIDED TO ALL EMPLOYEES. DR. FAUSTINO GONZALEZ, M.D. COMPENSATION REPORTED FOR DR. GONZALEZ IS FOR CALENDAR YEAR 2012. 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. A PORTION OF HIS COMPENSATION IS FROM HIS PHYSICIAN FEES FOR SERVICE. OTHER COMPENSATION FOR CY 2012 IS FOR HIS EMPLOYEE HEALTH AND RETIREMENT BENEFITS WHICH ARE UNDER THE SAME PLANS PROVIDED TO ALL EMPLOYEES. RANDY PRANGE COMPENSATION REPORTED FOR MR. PRANGE IS FOR A PARTIAL CALENDAR YEAR 2012. HE SERVES AS COO 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. OTHER COMPENSATION FOR CY 2012 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 2012. SHE SERVED FOR A PARTIAL YEAR AS THE COO 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 AND THE MEDICAL STORE. HER TIME WAS SHARED EQUALLY BY ALL ENTITIES. OTHER COMPENSATION FOR CY 2012 INCLUDES A SEVERANCE PAYMENT AND HER EMPLOYEE HEALTH AND RETIREMENT BENEFITS WHICH ARE UNDER THE SAME PLANS PROVIDED TO ALL EMPLOYEES. DR. GAIL COONEY, M.D. COMPENSATION REPORTED FOR DR. COONEY IS FOR CALENDAR YEAR 2012. SHE SERVES AS VP ACCESS SERVICES, AND ALSO PROVIDES MEDICAL SERVICES TO TRUSTBRIDGE, 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 2012, A PORTION OF HER FEES WERE FROM PHYSICIAN FEES FOR SERVICE. OTHER COMPENSATION FOR CY 2012 IS FOR HER EMPLOYEE HEALTH AND RETIREMENT BENEFITS WHICH ARE UNDER THE SAME PLANS PROVIDED TO ALL EMPLOYEES. AMY CANNIZZO-BRENNAN COMPENSATION REPORTED FOR MS. CANNIZZO-BRENNAN IS FOR CALENDAR YEAR 2012. SHE SERVES AS THE VP QUALITY & EDUCATION FOR TRUSTBRIDGE, INC., HOSPICE OF PALM BEACH COUNTY FOUNDATION, INC., HOSPICE OF PALM BEACH COUNTY, HOSPICE OF BROWARD COUNTY, SOUTH FLORIDA PALLIATIVE MEDICINE SPECIALISTS AND THE MEDICAL STORE. HER TIME IS SHARED EQUALLY BY ALL ENTITIES. OTHER COMPENSATION FOR CY 2012 IS FOR HER 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 9CHANGE IN INTEREST IN NET ASSETS OF HFPBC - 1474638;

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodePrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
TRUSTBRIDGE INC
5300 EAST AVENUEWEST PALM BEACHFL33407MANAGEMENTFL501(C)(3)11 - Type IINAfalse
THE MEDICAL STORE OF PALM BEACH COUNTY INC
5300 EAST AVENUEWEST PALM BEACHFL33407SUPPLIERFL501(C)(3)9TRUSTBRIDGE INCfalse
HOSPICE OF PALM BEACH COUNTY FOUNDATION INC
5300 EAST AVENUEWEST PALM BEACHFL33407FUNDRAISINGFL501(C)(3)7TRUSTBRIDGE INCfalse
HOSPICE PARTNERS ON CALL INC
5300 EAST AVENUEWEST PALM BEACHFL33407CALL CENTERFL501(C)(3)9TRUSTBRIDGE INCfalse
SOUTH FLORIDA PALLIATIVE MEDICINE SPECIALISTS INC
5300 EAST AVENUEWEST PALM BEACHFL33407PALLIATIVE SERVICESFL501(C)(3)9TRUSTBRIDGE 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 OrgstrueRentalOfFacilitiesFrOtherOrgs
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 OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

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