2012-04-26T15:30:08-05:00 2011-06-30 GORELICK & USLANER CPAS A PROF CORP 11620 WILSHIRE BLVD SUITE 800 LOS ANGELES CA 90025 990 2010-07-01 770475425 HOSPICE PARTNERS INC HOSP 8055477025 285 SOUTH STREET NO J SAN LUIS OBISPO CA 93401 TRICIA RITCHIE 8055477025 2012-04-24 1 BRUCE G BURG 3104441889 2010 2016-02-24 21:20:13Z TRICIA RITCHIE 285 SOUTH STREET NO J SAN LUIS OBISPO CA 93401 12937842 0 X WWW.HOSPICEPARTNERS.ORG X 1998 CA PROVIDING COMFORT, COMPASSION, AND CHOICE TO PATIENTS AND FAMILIES FACING END-OF-LIFE ISSUES. 10 8 167 215 0 0 431553 1084747 11838511 11809402 14348 12964 11393 7252 12295805 12914365 0 1000 0 0 7509308 8325854 0 0 203581 4925881 4892439 12435189 13219293 -139384 -304928 4123049 4412736 3528284 4116588 594765 296148 OUR TEAM OF CAREGIVERS ARE DEDICATED TO PROVIDING COMFORT, COMPASSION, AND CHOICE TO PATIENTS AND FAMILIES FACING END-OF-LIFE ISSUES. 0 0 12059721 0 11806815 HOSPICE SERVICES - HOSPICE PARTNERS PROVIDES A COMPREHENSIVE AND PROGRESSIVE HOSPICE PROGRAM, INCLUDING HANDS-ON HOSPICE CARE. HOSPICE CARE IS A FAMILY-CENTERED APPROACH THAT INCLUDES, AT A MINIMUM, A TEAM OF DOCTORS, NURSES, SOCIAL WORKERS, COUNSELORS, AND TRAINED VOLUNTEERS. THEY WORK COLLABORATIVELY - FOCUSING ON THE DYING PATIENT'S NEEDS, BE THEY PHYSICAL, PSYCHOLOGICAL, OR SPIRITUAL. THE GOAL IS TO HELP KEEP THE PATIENT IN THE ENVIRONMENT OF CHOICE, AS PAIN AND SYMPTOM-FREE AND LUCID AS DESIRED, WITH LOVED ONES NEARBY UNTIL DEATH.IN ADDITION, HOSPICE PARTNERS ALSO PROVIDES MANY ADDITIONAL HOSPICE RELATED SERVICES SUCH AS COMMUNITY EDUCATION, MUSIC THERAPY AND PET THERAPY TO HOSPICE PATIENTS, AND EXTENDED ONE-ON-ONE BEREAVEMENT COUNSELING. 12059721 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 1 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 1 44 1 1 167 1 0 0 0 0 0 1 1 0 0 0 0 X 10 8 0 0 0 0 1 0 0 1 0 0 1 1 1 1 1 1 1 1 0 0 0 CA X TRICIA RITCHIE 8055477025 285 SOUTH STREET SUITE J SAN LUIS OBISPO CA 93401 IRA ALPERT 4.00 X 0 1200 0 TED GREENBERG 2.00 X X 0 81279 7162 TOM GORDON 1.00 X 0 600 0 ABBE LAND 1.00 X 0 600 0 CLARE RICHARDSON 1.00 X 0 1200 0 TRICIA RITCHIE 13.00 X X 0 258639 11450 ANTHONY HARRIS 1.00 X 0 900 0 STEPHEN GROSSMAN 1.00 X 0 900 0 GARY HARKINS 1.00 X 0 1200 0 DODIE WILLIAMS 1.00 X 0 900 0 SAM STODDARD 8.00 X 0 104875 6276 CAROLE WETMORE 30.00 X 0 104875 6967 MARY ELLEN BLAKLEY 40.00 X 126066 0 9906 JANET JEFFERY 40.00 X 129592 0 11077 255658 557168 52838 2 0 1 0 WILSHIRE HEALTH AND COMMUNITY SERVICES 285 SOUTH ST SUITE J SAN LUIS OBISPO CA 93401 BILLING SERVICES & MANAGEMENT FEE 863254 MISSION VIEW HEALTH CENTER 1425 WOODSIDE DRIVE SAN LUIS OBISPO CA 93401 CONVALESCENT HOSPITAL 287384 BAYSIDE CARE CENTER 1405 TERESA DRIVE MORRO BAY CA 93442 CONVALESCENT HOSPITAL 259040 ARROYO GRANDE CARE CENTER 1212 FARROLL AVENUE ARROYO GRANDE CA 93420 CONVALESCENT HOSPITAL 224876 CABRILLO CARE CENTER 3033 AUGUSTA STREET SAN LUIS OBISPO CA 93401 CONVALESCENT HOSPITAL 168398 5 27550 1057197 9716 1084747 PATIENT REVENUE 621610 11232831 11232831 THRIFT SHOP REVENUE 453310 576571 576571 11809402 15551 15551 2587 -2587 -2587 -2587 18121 27550 18844 -723 -723 10021 2046 7975 7975 12914365 11806815 0 22803 1000 1000 6734376 6631934 102442 124351 121490 2861 928981 915325 13656 538146 531227 6919 6865 6865 32600 32600 88935 88935 7047 7047 623233 613606 9627 252092 251590 502 11639 11639 192620 192620 61828 1691 60137 HOSPITALS AND CONVALESC 1014708 1014708 MGMT FEE AND BILLING SE 863254 863254 OUTSIDE SERVICES 521429 521429 PHARMACY 423170 423170 DURABLE MEDICAL EQUIPME 263766 263766 529253 461679 67574 13219293 12059721 955991 203581 1593481 1636620 549070 298755 200520 1243507 1013523 24754 23800 109529 155772 1431165 747676 234132 683489 233335 233335 135241 166922 4123049 4412736 979294 1170280 2548990 2946308 3528284 4116588 X 411034 94656 137506 155267 46225 46225 594765 296148 4123049 4412736 X -304928 6311 X 0 0 0 X 445371 785688 771241 393988 1057197 3453485 6620926 7243219 10174125 11838511 11809402 47686183 7066297 8028907 10945366 12232499 12866599 51139668 250 400 650 2095 10553 13948 0 250 400 650 2095 10553 13948 51125720 26378 22688 9076 13307 15551 87000 26378 22688 9076 13307 15551 87000 21160 19574 -2671 49984 32215 120262 7113835 8071169 10951771 12295790 12914365 51346930 0.99570 0.99560 0.00170 0.00170 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 47268 0 9039 1576 54731 43577 150 5032 1491 47268 53387 200 -8545 1465 43577 0.15540 0.84460 0.00000 1 0 594927 116474 478453 616085 520050 96035 220153 111152 109001 683489 DUE TO AFFILIATE 2946308 2946308 HOEDOWN SPECIAL EVENT AND AUCTION 45671 27550 18121 1038 7888 5509 4409 45671 27550 18121 1038 7888 5509 4409 18844 -723 0 1 0 0 0 0 0 1 0 TRICIA RITCHIE 0 258639 0 0 0 0 0 6200 0 5250 0 270089 0 0 PART I, LINE 4B EMPLOYEES PARTICIPATING IN THE NONQUALIFIED 457(B) PLAN, AND THE CONTRIBUTIONS ACCRUED FOR THEM FOR THE YEAR ENDING JUNE 30, 2011: TRICIA RITCHIE - $6,200 JANET JEFFERY - $1,311 PART I, LINE 7 THE CEO/PRESIDENT'S COMPENSATION IS SET BY THE BOARD OF DIRECTORS. 10% OF COMPENSATION IS BASED UPON A PRE-DETERMINED SET OF GOALS AND OBJECTIVES. FOLLOWING THE END OF THE FISCAL YEAR, THE BOARD OF DIRECTORS REVIEWS THESE GOALS AND OBJECTIVES TO SEE IF THEY HAVE BEEN MET AND TO DETERMINE INCENTIVE COMPENSATION, IF ANY. X 572726 RESALE VALUE 0 1 0 FORM 990, PART VI, SECTION A, LINE 6 HOSPICE PARTNERS INC (HPI) WAS ORGANIZED BY WILSHIRE HEALTH AND COMMUNITY SERVICES, INC. (WHCS). WHCS IS THE SOLE MEMBER OF HPI. FORM 990, PART VI, SECTION A, LINE 8B N/A - THERE IS NO COMMITTEE WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11 A COPY OF THE RETURNS ARE PROVIDED TO ALL BOARD MEMBERS. THE BOARD MEMBERS REVIEW THE RETURNS AND ARE ENCOURAGED TO ASK THE PREPARER ANY QUESTIONS THEY MIGHT HAVE. ABSENT ANY OBJECTIONS, THE RETURNS ARE FILED. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY THROUGH QUESTIONNAIRES PROVIDED TO ALL BOARD MEMBERS. FORM 990, PART VI, SECTION B, LINE 15A. & 15B. THE CEO AND OTHER OFFICERS DO NOT RECEIVE COMPENSATION FROM THIS ORGANIZATION. COMPENSATION OF THE ADMINISTRATORS IS DETERMINED BY THE PRESIDENT. FORM 990, PART VI, SECTION C, LINE 19 UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: AMORTIZATION OF LICENSE 15,556. CAPITALIZE INPATIENT START-UP COSTS NET OF CURRENT YEAR AMORTIZATION -9,245. TOTAL TO FORM 990, PART XI, LINE 5: 6,311. FORM 990, PART VII - ESTIMATED HOURS OF OFFICERS TO RELATED ENTITIES: TRICIA RITCHIE - AS PRESIDENT OF WILSHIRE HEALTH AND COMMUNITY SERVICES, INC. - ESTIMATED 25 HOURS PER WEEK TRICIA RITCHIE - AS PRESIDENT OF WILSHIRE COMMUNITY SERVICES, INC. - ESTIMATED 2 HOURS PER WEEK SAM STODDARD - AS CO-CFO OF WILSHIRE HEALTH AND COMMUNITY SERVICES, INC. - ESTIMATED 24 HOURS PER WEEK SAM STODDARD - AS CO-CFO OF WILSHIRE COMMUNITY SERVICES, INC. - ESTIMATED 8 HOURS PER WEEK CAROLE WETMORE - AS CO-CFO OF WILSHIRE HEALTH AND COMMUNITY SERVICES, INC. - ESTIMATED 10 HOURS PER WEEK CAROLE WETMORE - AS CO-CFO OF WILSHIRE COMMUNITY SERVICES, INC. - ESTIMATED 0 HOURS PER WEEK TED GREENBERG - AS SECRETARY OF WILSHIRE HEALTH AND COMMUNITY SERVICES, INC. - ESTIMATED 28 HOURS PER WEEK IRA ALPERT - AS DIRECTOR OF WILSHIRE HEALTH AND COMMUNITY SERVICES, INC. - ESTIMATED 8 HOURS PER WEEK WILSHIRE HEALTH & COMMUNITY SERVICES INC 285 SOUTH STREET SUITE J SAN LUIS OBISPO CA 93401 952374185 OPERATE HOME HEALTH AGENCIES & AN INVESTMENT IN A HEALTH CARE JV CA 501(C)(3) 9 N/A 0 WILSHIRE COMMUNITY SERVICES INC 285 SOUTH STREET SUITE J SAN LUIS OBISPO CA 93401 205885093 SENIOR SERVICE PROGRAMS, MEDIATION, FACILITATION & TRAINING SERVICES CA 501(C)(3) 9 N/A 0 WILSHIRE MANAGEMENT SERVICES INC 285 SOUTH STREET SUITE J SAN LUIS OBISPO CA 93401 954570093 OPERATES BACK OFFICE SERVICES FOR OTHER ENTITIES CA N/A C 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 1 1