2011-03-14T14:42:57-05:00 2010-06-30 GORELICK & USLANER CPAs A PROF CORP 11620 WILSHIRE BLVD SUITE 800 LOS ANGELES CA 90025 990 2009-07-01 770475425 HOSPICE PARTNERS INC HOSP 8055477025 285 SOUTH STREET No J SAN LUIS OBISPO CA 93401 TRICIA RITCHIE 8055477025 2011-02-15 1 Bruce G Burg 3104441889 2009 2016-02-24 21:20:13Z TRICIA RITCHIE 285 SOUTH STREET No J SAN LUIS OBISPO CA 93401 12348124 0 X www.hospicepartners.org X 1998 CA PROVIDING COMFORT, COMPASSION, AND CHOICE TO PATIENTS AND FAMILIES FACING END-OF-LIFE ISSUES. 11 9 160 171 15 0 771241 431553 10174110 11838511 9076 14348 -2657 11393 10951770 12295805 4547 0 0 6454842 7509308 0 181433 4002084 4925881 10461473 12435189 490297 -139384 4478791 4123049 3773570 3528284 705221 594765 OUR TEAM OF CAREGIVERS ARE DEDICATED TO PROVIDING COMFORT, COMPASSION, AND CHOICE TO PATIENTS AND FAMILIES FACING END-OF-LIFE ISSUES. 0 0 11301792 0 11839552 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. 11301792 1 1 0 0 0 0 0 0 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 39 1 1 160 1 0 0 0 0 0 1 1 0 0 0 11 9 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 X IRA ALPERT 4.00 X 0 54948 0 TED GREENBERG 18.00 X X 0 81279 5410 TOM GORDON 1.00 X 0 600 0 RON ANDERSON 1.00 X 0 600 0 ABBE LAND 1.00 X 0 1200 0 CLARE RICHARDSON 1.00 X 0 1200 0 TRICIA RITCHIE 6.00 X X 0 230169 2940 ANTHONY HARRIS 1.00 X 0 1200 0 STEPHEN GROSSMAN 1.00 X 0 900 0 GARY HARKINS 1.00 X 0 1200 0 DODIE WILLIAMS 1.00 X 0 1200 0 JANET JEFFREY 40.00 X 132059 0 8763 MARY ELLEN BLAKLEY 40.00 X 100404 0 9643 232463 374496 26756 2 0 1 0 WILSHIRE HEALTH AND COMMUNITY SERVICES 285 SOUTH ST SUITE J SAN LUIS OBISPO CA 93401 BILLING SERVICES & MANAGEMENT FEE 871775 MISSION VIEW HEALTH CENTER 1425 WOODSIDE DRIVE SAN LUIS OBISPO CA 93401 CONVALESCENT HOSPITAL 377750 ARROYO GRANDE CARE CENTER 1212 FARROLL AVENUE ARROYO GRANDE CA 93420 CONVALESCENT HOSPITAL 256640 BAYSIDE CARE CENTER 1405 TERESA DRIVE MORRO BAY CA 93442 CONVALESCENT HOSPITAL 180383 CABRILLO CARE CENTER 3033 AUGUSTA STREET SAN LUIS OBISPO CA 93401 CONVALESCENT HOSPITAL 103719 5 37565 393988 12515 431553 PATIENT REVENUE 621610 11394981 11394981 THRIFT SHOP REVENUE 453310 443530 443530 11838511 13307 13307 3054 2013 1041 1041 1041 51092 37565 47553 3539 3539 10592 2753 7839 7839 CPR CLASS FEE 621610 15 15 15 12295805 11839552 15 24685 6111291 6011637 99654 111967 109244 2723 800893 788480 12413 485157 478243 6914 1421 1421 25500 25500 4792 4792 505564 498451 7113 233228 232806 422 24080 24080 230413 230413 55898 1209 54689 HOSPITALS AND CONVALESC 1112403 1112403 MGMT FEE AND BILLING SE 871775 871775 PHARMACY 469919 469919 OUTSIDE SERVICES 424607 424607 DURABLE MEDICAL EQUIPME 265276 265276 701005 648811 52194 12435189 11301792 951964 181433 1592918 1593481 296075 549070 1709598 1243507 18919 24754 106590 109529 935244 701112 375625 234132 233335 233335 145731 135241 4478791 4123049 960640 979294 2812930 2548990 3773570 3528284 X 471662 411034 187484 137506 46075 46225 705221 594765 4478791 4123049 X 0 0 0 X 340741 445371 785688 771241 393988 2737029 6308571 6620926 7243219 10174125 11838511 42185352 6649312 7066297 8028907 10945366 12232499 44922381 600 250 400 650 2095 3995 0 600 250 400 650 2095 3995 44918386 3578 26378 22688 9076 13307 75027 3578 26378 22688 9076 13307 75027 29684 21160 19574 -2671 49984 117731 6682574 7113835 8071169 10951771 12295790 45115139 0.99560 0.99630 0.00170 0.00160 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 43577 150 5032 1491 47268 53387 200 -8545 1465 43577 1.00000 0 0 233168 157539 75629 573238 456446 116792 128838 87127 41711 234132 DUE TO AFFILIATE 2548990 2548990 HOEDOWN SPECIAL EVENT AND AUCTION 44352 25545 18807 1120 2135 6365 10871 DIAMOND BALL EVENT AND AUCTION 44305 12020 32285 12070 14992 88657 37565 51092 1120 2135 18435 25863 47553 3539 0 1 0 0 0 0 0 0 0 TRICIA RITCHIE 0 230169 0 0 0 0 0 2692 0 248 0 233109 0 0 Part I, Line 4a EMPLOYEES PARTICIPATING IN THE NONQUALIFIED 457(B) PLAN, AND THE CONTRIBUTIONS ACCRUED FOR THEM FOR THE YEAR ENDING JUNE 30, 2010: TRICIA RITCHIE - $2,692 JANET JEFFERY - $1,378 X 443530 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. FORM 990, PART VII - ESTIMATED HOURS OF OFFICERS TO RELATED ENTITIES: TRICIA RITCHIE - AS PRESIDENT OF WILSHIRE HEALTH AND COMMUNITY SERVICES, INC. - ESTIMATED 30 HOURS PER WEEK TRICIA RITCHIE - AS PRESIDENT OF WILSHIRE COMMUNITY SERVICES, INC. - ESTIMATED 4 HOUR PER WEEK TED GREENBERG - AS CFO OF WILSHIRE HEALTH AND COMMUNITY SERVICES, INC. - ESTIMATED 10 HOURS PER WEEK TED GREENBERG - AS CFO OF WILSHIRE COMMUNITY SERVICES, INC. - ESTIMATED 2 HOUR 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, HOSPICES, & AN INV. IN HEALTH CARE JV CA 501(c)(3) 9 N/A WILSHIRE COMMUNITY SERVICES INC 285 SOUTH STREET SUITE J SAN LUIS OBISPO CA 93401 205885093 OPERATES TWO SENIOR SERVICE PROGRAMS CA 2370ld 9 N/A CREATIVE MEDIATION SERVICES 285 SOUTH STREET SUITE J SAN LUIS OBISPO CA 93401 020667145 PROGRAM PROVIDES MEDIATION, FACILITATION AND TRAINING SERVICES CA 501(c)(3) 9 N/A 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 1 0 0 0 0 1 0 1 0 1 1