HOSPICE OF PALM BEACH COUNTY INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
HOSPICE OF PALM BEACH COUNTY INC (EIN 59-1825937)
Tax period
2010-10-01 to 2011-09-30
Filed
2012-03-01
IRS object ID
201210619349301951
Schema version
2010v3.2
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)
Timestamp2012-03-01T10:45:31-06:00Timestamp
Tax Period End Date2011-09-30TaxPeriodEndDate

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 Date2010-10-01TaxPeriodBeginDate

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 Signed2012-02-09DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone3128997000Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
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 Receipts90730348GrossReceipts
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 Employees974TotalNbrEmployees
Total Nbr Volunteers625TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year4866837ContributionsGrantsPriorYear
Contributions Grants Current Year4891198ContributionsGrantsCurrentYear
Program Service Revenue Prior Year83731836ProgramServiceRevenuePriorYear
Program Service Revenue CY85743372ProgramServiceRevenueCY
Investment Income Prior Year2553InvestmentIncomePriorYear
Investment Income Current Year-67InvestmentIncomeCurrentYear
Other Revenue Prior Year429865OtherRevenuePriorYear
Other Revenue Current Year95044OtherRevenueCurrentYear
Total Revenue Prior Year89031091TotalRevenuePriorYear
Total Revenue Current Year90729547TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year4000000GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY21175GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year53061114SalariesEtcPriorYear
Salaries Etc Current Year53860591SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year28880625OtherExpensePriorYear
Other Expenses Current Year31162165OtherExpensesCurrentYear
Total Expenses Prior Year85941739TotalExpensesPriorYear
Total Expenses Current Year85043931TotalExpensesCurrentYear
Revenues Less Expenses Prior Year3089352RevenuesLessExpensesPriorYear
Revenues Less Expenses CY5685616RevenuesLessExpensesCY
Total Assets BOY61044063TotalAssetsBOY
Total Assets EOY65206224TotalAssetsEOY
Total Liabilities BOY20750048TotalLiabilitiesBOY
Total Liabilities EOY20107136TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY40294015NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY45099088NetAssetsOrFundBalancesEOY
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 ChangefalseSignificantChange
Expense71565463Expense
Grants21175Grants
Revenue85743372Revenue
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, 2011, HPBC ADMITTED AND SERVED 6,598 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. CHARITY CARE IS MEASURED USING HPBC'S STANDARD RATES AND AMOUNTED TO $1,080,985 FOR THE YEAR ENDED SEPTEMBER 30, 2011.Description
Total Program Service Expense71565463TotalProgramServiceExpense
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 OrganizationstrueGrantsToOrganizations
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 With1096101NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees974NumberOfEmployees
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
Form1098 C FiledtrueForm1098CFiled
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 CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
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 (23 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
JUDITH MITCHELL
VICE CHAIRMAN1XX000
SUSAN DAUB
SECRETARY1XX000
THOMAS TRACY
DIRECTOR1X000
RANDY LEVITT
TREASURER1XX000
JOHN MARINO
CHAIRMAN1XX000
FRED WATSON
VICE PRESIDENT & CAO1X022018335517
RICHARD CALCOTE
VICE PRESIDENT & CFO1X020840914264
DAVID FIELDING
PRESIDENT & CEO1X051054435353
BARRY LERNER MD
ASSOCIATE MEDICAL DIRECTOR40323483025428X
BARBARA IVANKO
VICE PRESIDENT & COO40X250140013287
RICHARD LEVENE DO
DIRECTOR OF ACADEMICS40380902035876X
JULIE FORMOSO ONOFRIO MD
ASSOCIATE MEDICAL DIRECTOR40257103029485X
MARIAELENA CARABALLO DO
ASSOCIATE MEDICAL DIRECTOR40259792011746X
JACQUELINE LOPEZ-DEVINE
CHIEF CLINICAL OFFICER40X149580025687
FAUSTINO GONZALEZ MD
VP MEDICAL AFFAIRS40X301317033098
BARRY MISKIN MD
ASSOCIATE MEDICAL DIRECTOR40291200037626X
JOHN HOWARD
DIRECTOR1X000
JOHN HERRING
DIRECTOR1X000
BARBARA LITTEN
DIRECTOR1X000
DAVID RALICKI
SECRETARY - PARTIAL YEAR1XX000
PHIL O'CONNEL JR
DIRECTOR - PARTIAL YEAR1X000
JUDITH GIUFFRIDA
DIRECTOR - PARTIAL YEAR1X000
JENNIFER KAST
VICE PRESIDENT20X197331026826
FieldValueIRS element (for citing)
Total Reportable Comp From Org2410848TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs939136TotalReportableCompFrmRltdOrgs
Total Other Compensation324193TotalOtherCompensation
Number Individuals GT100 K67NumberIndividualsGT100K
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
SPECTRUM HEALTH INC
5300 EAST AVENUEWEST PALM BEACHFL33407MANAGEMENT SERVICES3979331
CUMBERLAND CONSULTING GROUP
103 CONTINENTAL PL 120BRENTWOODTN32027IT CONSULTING915094
HOSPICE PARTNERS ON CALL INC
5300 EAST AVENUEWEST PALM BEACHFL33407CALL CENTER904108
HOMECARE HOMEBASE
6688 NORTH CENTRAL EXPRESSWAYDALLASTX75206IT CONSULTING764400
HEALTHCARE INTERIORS INC
PO BOX 607JENSEN BEACHFL34958CONSTRUCTION SERVICES362464
FieldValueIRS element (for citing)
Number Of Contractors GT100 K18NumberOfContractorsGT100K
Related Organizations3940897RelatedOrganizations
All Other Contributions950301AllOtherContributions
Noncash Contributions2999NoncashContributions
Total Contributions4891198TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT SERVICE REVENUE8572499585724995
SUPPORTED CARE REVENUE1837718377

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 Revenue85743372TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column734TotalRevenueColumn
Exclusion$734ExclusionAmount

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

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other801Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities0Securities
Other-801Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-801TotalRevenueColumn
Exclusion-$801ExclusionAmount

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)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
PHARMACY REBATES54090$54,090
REFUNDS AND SETTLEMENTS40954$40,954

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 Revenue95044TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column90729547TotalRevenueColumn
Related Or Exempt Function Income85743372RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$94,977ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total21175Total
Program Services21175ProgramServices

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)
Total349567Total
Program Services300330ProgramServices
Management And General49237ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total43315644Total
Program Services38895455ProgramServices
Management And General4420189ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1826527Total
Program Services1536765ProgramServices
Management And General289762ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total5047125Total
Program Services4514943ProgramServices
Management And General532182ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total3321728Total
Program Services2970776ProgramServices
Management And General350952ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total3979331Total
Management And General3979331ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total140333Total
Management And General140333ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total173012Total
Management And General173012ManagementAndGeneral

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)
Total1042Total
Management And General1042ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1313811Total
Program Services845069ProgramServices
Management And General468742ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total509866Total
Program Services55110ProgramServices
Management And General454756ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total855020Total
Program Services443418ProgramServices
Management And General411602ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total1258942Total
Management And General1258942ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total6201275Total
Program Services6180610ProgramServices
Management And General20665ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total172391Total
Program Services86607ProgramServices
Management And General85784ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total124785Total
Program Services84663ProgramServices
Management And General40122ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total182295Total
Management And General182295ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2291101Total
Program Services2291101ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total322142Total
Program Services322142ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PATIENT RELATED COSTS1246068612460686
EQUIPMENT COSTS599415485234114181
RECRUITING COST1658607290158570
DEVELOPMENT COST41085864089346769

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total85043931Total
Program Services71565463ProgramServices
Management And General13478468ManagementAndGeneral
Fundraising0Fundraising

Total Joint Costs TotalJointCosts

FieldValueIRS element (for citing)
Total0Total

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1200BOY
EOY1700EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY7291550BOY
EOY9531123EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY6543421BOY
EOY4643354EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY484456BOY
EOY275100EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY884897BOY
EOY1212585EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis41208671LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec17429650LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY22203178BOY
EOY23779021EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY16333636BOY
EOY15458657EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY7301725BOY
EOY10304684EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY61044063BOY
EOY65206224EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY7464780BOY
EOY7025278EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY12000000BOY
EOY12000000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1285268BOY
EOY1081858EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY20750048BOY
EOY20107136EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY21179093BOY
EOY27110432EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY19114922BOY
EOY17988656EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY40294015BOY
EOY45099088EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY61044063BOY
EOY65206224EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses5685616ReconcilationRevenueExpenses
Reconcilation Other Changes-880543ReconcilationOtherChanges
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 Years4802339CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5744583CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5170083CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4866837CurrentTaxYearMinus1Year
Current Tax Year4891198CurrentTaxYear
Total25475040Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years74551764CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years77963580CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years82712530CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year83731836CurrentTaxYearMinus1Year
Current Tax Year85743372CurrentTaxYear
Total404703082Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2475652CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1423688CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1169442CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1272271CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total6341053Total

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 Years81829755CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years85131851CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years89052055CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year89870944CurrentTaxYearMinus1Year
Current Tax Year90634570CurrentTaxYear
Total436519175Total

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 Total509436519175PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years79311CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years40618CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2553CurrentTaxYearMinus1Year
Current Tax Year734CurrentTaxYear
Total123216Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years79311CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years40618CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2553CurrentTaxYearMinus1Year
Current Tax Year734CurrentTaxYear
Total123216Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years-328199CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years80258CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year58297CurrentTaxYearMinus1Year
Current Tax Year95044CurrentTaxYear
Total-94600Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years81829755CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years84882963CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years89172931CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year89931794CurrentTaxYearMinus1Year
Current Tax Year90730348CurrentTaxYear
Total436547791Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99990PublicSupportPercentage509
Prior Year Support Percentage0.99978PriorYearSupportPercentage
Investment Income Percentage0.00030InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00068PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
General ExplanationOTHER INCOME, SCHEDULE A, PART III, LINE 12, MISCELLANEOUS INCOME: 2007 - ($328,199); 2008 - $80,258; 2009 - $58,297; 2010 - $95,044,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)
Total Exmpt Function Expenditures0TotalExmptFunctionExpenditures
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$314OtherActivitiesAmount
Total Lobbying Expenditures IIB314TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3
Non Ded Lobby Political Total0NonDedLobbyPoliticalTotal

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierDescription of other lobbying activitiesIdentifier
Return ReferenceSchedule C, Part II-B, Line 1iReturnReference
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 Balance2195755BeginningOfYearBalance
Contributions0Contributions
Investment Earnings Or Losses58370InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures0OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance2254125EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

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 Minus2 Years CurrentYearMinus2Years

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 Basis2202295OtherCostOrOtherBasis
Book Value2202295BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis18611178OtherCostOrOtherBasis
Depreciation6780326Depreciation
Book Value11830852BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis2369618OtherCostOrOtherBasis
Depreciation1738100Depreciation
Book Value631518BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis14516952OtherCostOrOtherBasis
Depreciation8911224Depreciation
Book Value5605728BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis3508628OtherCostOrOtherBasis
Book Value3508628BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings23779021TotalOfBookValueLandBuildings

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
DescriptionINTEREST IN NET ASSETS OF AFFILIATEDescription
Book Value15458657BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Program Related15458657TotalOfBookValueProgramRelated

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
DUE FROM AFFILIATES10146586
DEFERRED FINANCING COSTS - NET158098
FieldValueIRS element (for citing)
Total Book Value Other Assets10304684TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO AFFILIATEDescription
Amount$1,081,858Amount
FieldValueIRS element (for citing)
Total Of Amounts1081858TotalOfAmounts
Total Revenue90729547TotalRevenue
Total Expenses85043931TotalExpenses
Excess Or Deficit For Year5685616ExcessOrDeficitForYear
Net Unrealized GL On Investments-4045NetUnrealizedGLOnInvestments
Other-$876,498OtherAmount
Total Adjustments-880543TotalAdjustments
Excess Or Deficit Per FS4805073ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt89844963TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-4045NetUnrealizedGainsInvestments
Other Revenues-876498OtherRevenues
Revenue Not Rptd F990-880543RevenueNotRptdF990
Revenue Subtotal90725506RevenueSubtotal
Investment Expenses Not Included1042InvestmentExpensesNotIncluded
Other Revenues Not Included2999OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt4041RevenueNotRptdOnFinStmt
Total Revenue Per Form99090729547TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt85039890TotExpensesEtcAuditedFinclStmt
Other Expenses Included0OtherExpensesIncluded
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal85039890ExpensesSubtotal
Investment Expenses Not Included21042InvestmentExpensesNotIncluded2
Other Expenses Not Included2999OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt4041ExpensesNotRptdOnFinStmt
Total Expenses Per Form99085043931TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (6 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, 2011 AND 2010.
Other changes in net assetsSchedule D, Part XI, Line 8CHANGE IN VALUE OF AFFILIATE - -874979; CHANGE IN VALUE OF SPLIT INTEREST AGREEMENT - -1519;
Other revenues in audited financial statements not in form 990Schedule D, Part XII, Line 2dCHANGE IN VALUE OF AFFILIATE - -874979; CHANGE IN VALUE OF SPLIT INTEREST AGREEMENT - -1519;
Other revenues in form 990 not in audited financial statementsSchedule D, Part XII, Line 4bDONATION OF VEHICLE - 2999;
Other expenses in form 990 not in audited financial statementsSchedule D, Part XIII, Line 4bDONATION OF VEHICLE - 2999;

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1SPECTRUM HEALTH INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line15300 EAST AVENUEAddressLine1
CityWEST PALM BEACHCity
StateFLState
ZIP Code33407ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient203974015EINOfRecipient
IRC Section501(C)(3)IRCSection
Amount Of Cash Grant18176AmountOfCashGrant
Amount Of Non Cash Assistance0AmountOfNonCashAssistance
Method Of ValuationN/AMethodOfValuation
Description Of Non Cash AssistanceN/ADescriptionOfNonCashAssistance
Purpose Of GrantPROGRAM SUPPORTPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierProcedures for monitoring use of grant fundsIdentifier
Return ReferenceSchedule I, Part I, Line 2ReturnReference
ExplanationTHE ORGANIZATION GRANTED TO ITS SOLE MEMBER, SPECTRUM HEALTH, INC. TO BE USED FOR ANY PURPOSE DEEMED APPROPRIATE BY SPECTRUM HEALTH, INC. THEREFORE NO MONITORING OF THE FUNDS IS NECESSARY.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
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 (12 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
01590740575270358209288026229025570000
RICHARD CALCOTE
0155229051095020850764306621022267300
DAVID FIELDING
03136900182400014454013857021496054589700
BARRY LERNER MD
3216360100008470122590131690348911000
BARBARA IVANKO
1823750671950570011649016380263427000
RICHARD LEVENE DO
330820047259028230111530247230416778000
JULIE FORMOSO ONOFRIO MD
255860012000430122500172350286588000
MARIAELENA CARABALLO DO
256231025000106101152602200271538000
JACQUELINE LOPEZ-DEVINE
1239370254040239075380181490175267000
FAUSTINO GONZALEZ MD
269685026548050840142470188510334415000
BARRY MISKIN MD
2873660370001340125660250600328826000
JENNIFER KAST
14299105407602640101030167230224157000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
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, 2011.
METHODS USED TO ESTABLISH 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 JUNE, 2011 AND WAS DOCUMENTED IN THE BOARD MINUTES.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (13 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 12/31/2010. AS OF 1/1/2011, MANY OF THE ORGANIZATIONS 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 9/30/2011). 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. (THE ORGANIZATION) 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 7aTHE BOARD OF DIRECTORS SHALL BE ELECTED BY THE SOLE MEMBER TO SERVE UP TO A THREE YEAR TERM, OR UNTIL SUCH DIRECTOR SUBMITS HIS OR HER WRITTEN RESIGNATION TO THE CHAIRPERSON OF THE ORGANIZATION. ANY DIRECTOR MAY BE REMOVED, WITH OR WITHOUT CAUSE, BY THE SOLE MEMBER AT THE MEETING OF THE SOLE MEMBER. ONLY THE SOLE MEMBER SHALL BE ENTITLED TO SHARE IN THE DISTRIBUTION OF CORPORATE ASSETS UPON ANY DISSOLUTION OF THE ORGANIZATION. 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.
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 CONTROLLER AND CFO. SHOULD A CONFLICT EXIST THE PERSON WITH THE CONFLICT WILL ABSTAIN FROM VOTING ON THE ISSUE IN QUESTION.
Process used to establish compensation of top management officialForm 990, Part VI, Section B, 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 JUNE, 2011 AND IS DOCUMENTED IN THE BOARD AND COMMITTEE MINUTES.
Process used to establish compensation of other officers/key employeesForm 990, Part VI, Section B, Line 15bTHE CFO AND CAO ARE PAID BY SPECTRUM HEALTH, INC. THE COMPENSATION OF THE OTHER OFFICERS IS PAID BY HOSPICE OF PALM BEACH COUNTY, INC. 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 JULY, 2011 AND IS DOCUMENTED IN THE BOARD AND COMMITTEE MINUTES.
Public DisclosureForm 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 OF OFFICERS AND DIRECTORSFORM 990, PART VII, SECTION AHOSPICE OF PALM BEACH COUNTY, INC. BOARD MEMBERS DEVOTE APPROXIMATELY 1 HOUR A WEEK TO SPECTRUM HEALTH, INC. AND THE MEDICAL STORE OF PALM BEACH COUNTY, INC. SUSAN DAUB, JUDITH MITCHELL, AND JOHN MARINO ALSO DEVOTE APPROXIMATELY 1 HOUR A WEEK TO HOSPICE PARTNERS ON CALL, INC. AND SOUTH FLORIDA PALLIATIVE MEDICINE SPECIALISTS, INC. RANDY LEVITT DEVOTES APPROXIMATELY 1 HOUR A WEEK TO THE FOLLOWING: SPECTRUM HEALTH, 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. AND 1 HOUR A WEEK TO THE FOLLOWING: 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. DAVID FIELDING, PRESIDENT & CEO, DEVOTES APPROXIMATELY 40 HOURS A WEEK TO SPECTRUM HEALTH, INC. AND 1 HOUR A WEEK TO THE FOLLOWING: 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. FRED WATSON, VICE PRESIDENT & CAO, DEVOTES APPROXIMATELY 40 HOURS A WEEK TO SPECTRUM HEALTH, INC. AND 1 HOUR A WEEK TO HOSPICE OF PALM BEACH COUNTY, INC. BARBARA IVANKO, VICE PRESIDENT & COO, DEVOTES APPROXIMATELY 40 HOURS A WEEK TO HOSPICE OF PALM BEACH COUNTY, INC. AND 1 HOUR A WEEK TO THE FOLLOWING: HOSPICE PARTNERS ON CALL, INC., SPECTRUM HEALTH, INC., AND SOUTH FLORIDA PALLIATIVE MEDICINE SPECIALISTS, INC. FAUSTINO GONZALEZ, VP MEDICAL AFFAIRS, DEVOTES APPROXIMATELY 40 HOURS A WEEK TO HOSPICE OF PALM BEACH COUNTY, INC. AND 1 HOUR A WEEK TO SOUTH FLORIDA PALLIATIVE MEDICINE SPECIALISTS, INC. JENNIFER KAST, VICE PRESIDENT, DEVOTES APPROXIMATELY 20 HOURS A WEEK TO HOSPICE OF PALM BEACH COUNTY, INC. AND 20 HOURS A WEEK TO HOSPICE PARTNERS ON CALL, INC.
Other changes in net assets or fund balancesForm 990, Part XI, Line 5NET UNREALIZED GAINS (LOSSES) ON INVESTMENTS - -4045; CHANGE IN VALUE OF AFFILIATE - -874979; CHANGE IN VALUE OF SPLIT INTEREST AGREEMENT - -1519;

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/BusinessNameLine1
SPECTRUM HEALTH INC
5300 EAST AVENUEWEST PALM BEACHFL33407203974015MANAGEMENTFL501(C)(3)11 - Type IINA
THE MEDICAL STORE OF PALM BEACH COUNTY INC
5300 EAST AVENUEWEST PALM BEACHFL33407202835810SUPPLIERFL501(C)(3)9SPECTRUM HEALTH INC
HOSPICE OF PALM BEACH COUNTY FOUNDATION INC
5300 EAST AVENUEWEST PALM BEACHFL33407203974070FUNDRAISINGFL501(C)(3)7SPECTRUM HEALTH INC
HOSPICE PARTNERS ON CALL INC
5300 EAST AVENUEWEST PALM BEACHFL33407263595560CALL CENTERFL501(C)(3)9SPECTRUM HEALTH INC
SOUTH FLORIDA PALLIATIVE MEDICINE SPECIALISTS INC
5300 EAST AVENUEWEST PALM BEACHFL33407800674849PALLIATIVE SERVICESFL501(C)(3)9SPECTRUM HEALTH INC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
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

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.