2022-05-16T12:10:08-05:00 2021-12-31 760269860 Blazek & Vetterling 2900 Weslayan Suite 200 Houston TX 77027 990 2021-01-01 742092951 Houston Hospice HOUS 7134677423 1905 Holcombe Blvd Houston TX 77030 Rana S McClelland President & CEO 7134677423 2022-05-16 1 Rana McClelland 999009999 Barbara Murphy P01386215 7134395739 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z Rana S McClelland 1905 Holcombe Blvd Houston TX 77030 30156748 0 X www.houstonhospice.org X 1980 TX Houston Hospice provides uncompromising, compassionate end-of-life care to patients and families in our community. Houston Hospice cares for patients from all races, ethnicities, religious beliefs and payor classes, including those with no funding source. 16 15 233 123 0 0 3249976 5532544 17055339 17585527 395535 535562 -16030 -3262 20684820 23650371 0 0 0 0 12809730 12617394 42000 62478 396161 6142994 6661917 18994724 19341789 1690096 4308582 21962812 21446997 7718810 2196344 14244002 19250653 X See Schedule O 0 0 16015778 17585527 See Schedule O 16015778 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 0 0 1 0 0 0 0 0 1 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 59 0 1 233 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 16 15 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X X Christine Blackmon CPA 7134677423 1905 Holcombe Blvd Houston TX 77030 Joyce T Salhoot Chair 1.00 1.00 X X 0 0 0 Jon Unroe Vice Chair 1.00 1.00 X X 0 0 0 Conrad Johnson Treasurer 1.00 1.00 X X 0 0 0 Faisal H Aboul-Enein Director 1.00 1.00 X 0 0 0 Jon Lance Boudreaux Director 1.00 1.00 X 0 0 0 Thomas R Cloe Director 1.00 1.00 X 0 0 0 Al W Gatmaitan Director 1.00 1.00 X 0 0 0 Seth Hopkins Director 1.00 1.00 X 0 0 0 Paul Mansfield Director 1.00 1.00 X 0 0 0 Stephanie Martin Director 1.00 1.00 X 0 0 0 Mary Ellen Meyer Director 1.00 1.00 X 0 0 0 Latisa B Muhammad Director 1.00 1.00 X 0 0 0 James A Reeder Jr Director 1.00 1.00 X 0 0 0 Judson W Robinson III Director 1.00 1.00 X 0 0 0 Sarah E Selleck Director 1.00 1.00 X 0 0 0 Jiali Sun Director 1.00 1.00 X 0 0 0 Sue White Director 1.00 1.00 X 0 0 0 Rana S McClelland President & CEO 40.00 1.00 X X 278370 0 12019 Christine Blackmon VP of Finance / CFO 40.00 1.00 X 195120 0 20613 Jayne O'Brien VP of Patient Services 40.00 0.00 X 175061 0 24392 Arlene Coffman Director of Clinical Services 40.00 0.00 X 101729 0 12019 Thomas Moore IPU PCM 40.00 0.00 X 104531 0 13694 Lisa Machen El Campo PCM 40.00 0.00 X 104754 0 13593 Kim Hong Director of Finance 40.00 1.00 X 106140 0 3138 Aida Matic VP of Development 40.00 0.00 X 149468 0 12019 1215173 0 111487 9 0 1 0 Datavox 6650 W Sam Houston Pkwy S Houston TX 77072 Information Tech 519852 Tallwood Medical Equipment 1285 N Post Oak Rd Houston TX 77055 Patient DME 507828 Allied Universal 161 Washington Street Conshohocken PA 19428 Security 268589 Thuy Hanh Trinh MD 810 Temple Street Houston TX 77009 Team Physician 263637 Netsmart Technologies 11100 Nail Avenue Overland Park KS 66211 EMR Licensing 249763 11 483333 3393575 1655636 21572 5532544 Patient services 623990 17338751 17338751 Auxiliary services 623990 246776 246776 17585527 180640 180640 6646911 143701 6293339 142351 353572 1350 354922 354922 67425 483333 70687 -3262 -3262 23650371 17585527 0 532300 X 705576 48984 632099 24493 9480787 8369747 962963 148077 198296 170810 23554 3932 1516118 1159072 349501 7545 716617 596551 106524 13542 97072 97072 36200 36200 62478 62478 54562 54562 1936154 1677127 237816 21211 8202 820 7382 307022 224159 63837 19026 586999 511286 70719 4994 972773 841151 103466 28156 441585 408929 32204 452 10153 1015 9138 3651 3173 446 32 510985 454872 52958 3155 131673 115025 15550 1098 Medications 808716 808716 Medical supplies & DME 581208 581208 Dues, licenses, & subs 66805 12703 52251 1851 Event expenses 56009 56009 52148 30430 21608 110 19341789 16015778 2929850 396161 400 400 8085436 2086528 109900 65750 1866068 2188214 89430 51565 172594 202678 8267589 3977784 4133672 4289805 7505312 12562057 21962812 21446997 1545125 1605509 6173685 590835 7718810 2196344 X 11499870 16483829 2744132 2766824 14244002 19250653 21962812 21446997 X 4308582 701823 -3754 X 0 1 X 1 0 X 2053622 2612470 2159755 3249976 5532544 15608367 2053622 2612470 2159755 3249976 5532544 15608367 1337884 14270483 208145 235453 228884 158713 180640 1011835 16620202 81407745 0.85860 0.76930 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 296 296 0 Part II-B, Line 1: A portion of the membership dues paid to the National Hospice and Palliative Care Organization and the Texas Non-Profit Hospice Alliance is used by those organizations to conduct lobbying activities on behalf of its members. 2241360 62643 285144 85000 2504147 2099808 225 211327 70000 2241360 1826739 343069 70000 2099808 1990317 -97578 66000 1826739 1801875 253442 65000 1990317 0.67881 0.32119 0 0 4293791 1310637 2983154 2485687 1819565 666122 1488111 847582 640529 4289805 Medicare accelerated payment 275761 Capital lease obligation 315074 590835 Part V, Line 4: Endowment funds are intended for Education, Patient Care, Landscaping and the Maintenance and Upkeep of the Hospice inpatient unit and Administrative offices located on the Holcombe Blvd property. X X X X 1 Cate Collaborative 2421 Tangley Houston TX 77005 Grant writing 0 847500 42000 805500 Ellie Francisco 7941 Katy Fwy 510 Houston TX 77024 Fundraising 0 545578 20478 525100 1393078 62478 1330600 TX Luncheon 179125 169600 9525 4718 600 Spirit Award 371633 313733 57900 44589 15600 5180 550758 483333 67425 49307 16200 5180 70687 -3262 X X X X X 0 0 0 0 0 0 0 0 0 Rana S McClelland President & CEO 262639 0 14147 0 1584 0 0 0 12019 0 290389 0 0 0 Christine Blackmon VP of Finance / CFO 174306 0 17649 0 3165 0 5688 0 14925 0 215733 0 0 0 Jayne O'Brien VP of Patient Services 154020 0 17993 0 3048 0 4921 0 19471 0 199453 0 0 0 Aida Matic VP of Development 147968 0 1500 0 0 0 0 0 12019 0 161487 0 0 0 Form 990, Part III, Line 1 Patients of all ages, races, ethnic groups, and religious beliefs and their families are guided and assisted through the process of terminal illness by a specially trained and highly skilled interdisciplinary team of health care professionals and volunteers. The assurance of clinical care, psychosocial support, spiritual guidance, and volunteer assistance provides comfort and dignity to the patient at the end of life and support to the family in bereavement. Form 990, Part III, Line 4a Houston Hospice is the oldest and largest not-for-profit, independent hospice provider in Houston and the adjacent ten county service area. A coordinated, comprehensive program of hospice and palliative care is provided for terminally ill adults and children and their families by an interdisciplinary team of physicians, nurses, social workers, chaplains, and home health aides supplemented by 123 volunteers. These services are provided to patients in the community from all races, ethnicities, religious beliefs, and payor classes, including those with no funding source. Houston Hospice was the first in Houston and one of the first in the country to provide specialized pediatric hospice care through its Butterfly program, which addresses the unique needs of children from birth to age eighteen. Families also receive bereavement support and a specialized Wings program that addresses the bereavement needs of children. Houston Hospice is accredited by the Community Health Accreditation Partner, Inc. (CHAP) and provides services through its main office and its 37 bed inpatient facility located in the Texas Medical Center and two alternate delivery sites in Northwest Houston and in El Campo, TX. In 2021, 2,727 terminally ill patients were served by the organization with charity care and other non-reimbursed revenue totaling 2.9%. Of this, the inpatient unit served 941 patients with 6,192 days of care. The total cost of providing hospice care described above includes administrative costs of $2,875,288. Form 990, Part VI, Section B, line 11b Form 990 information is compiled through the joint efforts of the accounting department and our external tax accountants. The CEO and CFO review the document in detail before submission to the Audit & Finance committee which has been delegated authority by the Board to review and approve the return. The approved Form 990 is provided to the full board prior to filing. Form 990, Part VI, Section B, line 12c Annually, the Governing Board members, officers, key employees and other persons with substantial influence over financial decisions of Houston Hospice provide written disclosure of all professional or personal relationships or interests, direct or indirect, which might reasonably result in a conflict of interest. Completed questionnaires are maintained on file. Form 990, Part VI, Section B, line 15 The compensation level of the CEO is determined by the Board of Directors of Houston Hospice based on comparable salary statistics and evaluation of performance following rebuttable presumption procedures including a compensation survey/study performed by an independent compensation consultant reporting directly to the Houston Hospice Board Compensation committee. In 2020, a national search was undertaken for a new CEO to replace the retiring CEO which included compensation recommendations by the search firm. The compensation level of all Vice Presidents, including the VP of Finance, is determined by the Board of Directors of Houston Hospice based on comparable salary statistics and evaluation of performance following rebuttable presumption procedures including a compensation survey/study performed by an independent compensation consultant reporting directly to the Houston Hospice Board Compensation committee. Annual evaluations are performed by the CEO and consider the employee's skill level, experience and performance. The CEO recommends any changes in employee salary based on the annual performance evaluation to the Board's Audit & Finance Committee which is functioning as the Compensation Committee of the Board for final approval. Form 990, Part VI, Section C, line 19 Upon request. Form 990, Part IX, line 11g Contract services: Program service expenses 2,719. Management and general expenses 5,135. Fundraising expenses 106. Total expenses 7,960. Consulting: Management and general expenses 8,140. Total expenses 8,140. Patient related contract services: Program service expenses 842,330. Total expenses 842,330. Payroll processing: Management and general expenses 49,060. Total expenses 49,060. Physician fees: Program service expenses 798,492. Total expenses 798,492. Professional services: Program service expenses 32,525. Management and general expenses 49,299. Fundraising expenses 18,940. Total expenses 100,764. Recruiting: Program service expenses 1,061. Management and general expenses 126,182. Fundraising expenses 2,165. Total expenses 129,408. Form 990, Part XI, line 9: Capital expenditures to the Hospice at the TMC -3,754. Hospice at the Texas Medical Center 1905 Holcombe Boulevard Houston TX 77030 742124519 Support hospice care through Hou Hospice TX 501(c)(3) Line 12a, I Houston Hospice 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 1 0