2019-08-13T08:48:36-05:00 2018-09-30 410746749 CLIFTONLARSONALLEN LLP 420 SOUTH ORANGE AVENUE SUITE 500 ORLANDO FL 32801 990 2017-10-01 591795440 HOSPICE OF ST FRANCIS INC HOSP 3212694240 1250-B GRUMMAN PLACE TITUSVILLE FL 32780 MARSHA ABELN CHIEF FINANCIAL OFFICER 3212694240 2019-08-07 1 AMY CHAPMAN P00843460 4078021200 2019-08-06 67.137.57.251 2019-08-07 08:13:06 ED P D18C1715529234A212CBE61F6419471B1C972B41 719E7CDDACB6E07C223B30F026158B37A0449F7B 2017 2019-02-21 02:37:17Z JOSEPH KILLIAN 1250-B GRUMMAN PLACE TITUSVILLE FL 32780 22295007 0 X HOSPICEOFSTFRANCIS.COM X 1977 FL TO CARE AND SUPPORT THE TERMINALLY ILL AND THEIR LOVED ONES BY UPLIFTING LIVES, UPLIFTING EACH OTHER, AND UPLIFTING OUR COMMUNITY. 13 13 246 172 0 0 95000 50300 21816285 21418590 310946 449852 210167 192064 22432398 22110806 0 0 0 0 13039311 12946218 0 0 0 8641761 8721312 21681072 21667530 751326 443276 26698665 27740766 2473726 2161449 24224939 25579317 X TO CARE AND SUPPORT THE TERMINALLY ILL AND THEIR LOVED ONES BY UPLIFTING LIVES, UPLIFTING EACH OTHER, AND UPLIFTING OUR COMMUNITY. 0 0 601716 201423 HOSPICE OF ST. FRANCIS OFFERS A ROBUST PALLIATIVE CARE PROGRAM CALLED ST. FRANCIS PATHWAYS TO HEALTHCARE. THIS INITIATIVE ADDRESSES THE SYMPTOMS & SIDE EFFECTS OF SUCH LIFE-LIMITING MEDICAL CONDITIONS AS CANCER, FAR-ADVANCED HEART, LUNG, KIDNEY & LIVER DISEASE, NEUROLOGICAL DISORDERS, DEMENTIA, & MORE. WHEN THE FIRST IMPACT OF CHRONIC DEBILITATIVE DISEASE IS EXPERIENCED, PALLIATIVE CARE CAN HELP PATIENTS & THEIR CAREGIVERS TO SUCCESSFULLY MANAGE THEIR SELF-CARE TO MINIMIZE PROBLEMS THAT MAKE IT DIFFICULT TO PERFORM ACTIVITIES OF DAILY LIVING OR SEEK CURATIVE TREATMENT. PALLIATIVE CARE CAN ALSO CAN MINIMIZE TRIPS TO THE EMERGENCY ROOM & HOSPITAL ADMISSIONS WHILE SUPPORTING PATIENTS' GOALS FOR THEIR CARE & QUALITY OF LIFE. ST. FRANCIS PATHWAYS TO HEALTHCARE SERVED 579 PATIENTS IN FISCAL YEAR 2018. PATHWAYS PROVIDES SUPPORT FOR PATIENTS & CAREGIVERS THROUGHOUT THE CONTINUUM OF CARE, INCLUDING TIMES OF TRANSITION, & COLLABORATES WITH COMMUNITY CARE PARTNERS TO PROVIDE THE BEST SERVICES TO PATIENTS AND FAMILIES. 17820540 21229381 HOSPICE OF ST. FRANCIS PROVIDES COMPREHENSIVE HOSPICE CARE SERVICES AND SERVED THE NEEDS OF 1,485 PATIENTS THIS YEAR WITH AN AVERAGE DAILY CENSUS OF 300. THE MAJORITY OF CARE IS PROVIDED IN PATIENTS' RESIDENCES, INCLUDING PRIVATE HOMES, ASSISTED LIVING FACILITIES, AND SKILLED NURSING FACILITIES. HOSPICE CARE IS ALSO PROVIDED IN THE HOSPITAL AND IN OUR EDWARD M. POE HOSPICE CARE CENTER IN TITUSVILLE. A COMPREHENSIVE, INTERDISCIPLINARY TEAM IS RESPONSIBLE FOR A HIGHLY COORDINATED HOSPICE CARE EXPERIENCE FOR BOTH PATIENTS AND FAMILIES. HOSPICE OF ST. FRANCIS OFFERS A DYNAMIC GRIEF SUPPORT PROGRAM THAT IS OPEN TO THE PUBLIC COUNTY-WIDE, REGARDLESS OF WHETHER OR NOT A HOSPICE SERVICE WAS INVOLVED. IN 2018 THE BEREAVEMENT DEPARTMENT PROVIDED SUPPORT TO 1,975 BEREAVED FAMILIES THROUGH INDIVIDUAL, FAMILY OR GROUP SESSIONS AND SOCIAL SUPPORT ACTIVITIES, AS WELL AS ENGAGING IN SIGNIFICANT OUTREACH THROUGH MONTHLY MAILINGS AND PHONE CALLS. 225 ADDITIONAL PEOPLE IN BREVARD UTILIZED OUR BEREAVEMENT SERVICES EVEN THOUGH THEIR LOSS WAS NOT ASSOCIATED WITH OUR HOSPICE CARE. THE BEREAVEMENT TEAM PRESENTED INFORMATIONAL TALKS TO VARIOUS COMMUNITY ORGANIZATIONS, INCLUDING NURSING FACILITIES, CHURCHES, EDUCATIONAL INSTITUTIONS AND COMMUNITY GATHERING SITES. THROUGH THESE TALKS GRIEF EDUCATION WAS PROVIDED TO AN ADDITIONAL 100 PEOPLE.FOUR MEMORIAL SERVICES WERE CONDUCTED AT OUR OFFICES TO OFFER PEOPLE A PERSONAL CHANCE TO HONOR THEIR LOVED ONES. IN ALL, APPROXIMATELY 300 FAMILY MEMBERS, FRIENDS AND HOSF STAFF ATTENDED TO HONOR AND REMEMBER THOSE PATIENTS WE'VE CARED FOR. FINALLY, THE SPECIAL NEEDS OF GRIEVING CHILDREN AGE 4-18 WERE SERVED BY THE NORTH STAR FOR CHILDREN PROGRAM WHICH FOCUSES ON THE UNIQUE WAYS IN WHICH CHILDREN GRIEVE. THIS PROGRAM IS OFFERED FREE OF CHARGE TO ANY CHILD IN BREVARD COUNTY WHO HAS SUFFERED A LOSS. IN ADDITION, NORTH STAR STAFF PROVIDED EDUCATIONAL WORKSHOPS ON CHILD GRIEF TO BREVARD COUNTY SCHOOL BOARD EMPLOYEES, INCLUDING TEACHERS AND COUNSELORS. HOSPICE OF ST. FRANCIS IS PROUD OF THE EXTENSIVE SCOPE OF ITS BEREAVEMENT SERVICE, RECOGNIZING THAT DEALING WITH GRIEF IS A COMMON CHALLENGE THAT IMPACTS PEOPLE OF ALL AGES AND WALKS OF LIFE. HOSPICE OF ST. FRANCIS IS A NOT-FOR-PROFIT ORGANIZATION THAT EMBRACES A VIBRANT COMMUNITY PARTNERSHIP. MORE THAN 172 VOLUNTEERS DONATE OVER 11,640 HOURS OF TIME TO PROVIDE DIRECT PATIENT CARE SERVICES AND ADMINISTRATIVE SUPPORT FOR THE FULL ARRAY OF PROGRAMS. VOLUNTEERS DONATE HUNDREDS OF HAND-MADE GREETING CARDS, KNITTED BLANKETS, CLOTHING PROTECTORS, COMFORT PILLOWS, AND SENSORY OR 'FIDGET' BLANKETS TO OUR PATIENTS. THE VOLUNTEER PROGRAM ALSO PROVIDES SPECIAL SERVICES FOR VETERANS. AS A LEVEL THREE MEMBER OF WE HONOR VETERANS, A COLLABORATIVE PROGRAM BETWEEN THE VETERANS ADMINISTRATION AND THE NATIONAL ASSOCIATION OF HOSPICE AND PALLIATIVE CARE ORGANIZATIONS, HOSPICE OF ST. FRANCIS PERFORMS VETERAN PINNING CEREMONIES FOR OUR PATIENTS WHO ARE VETERANS. IN 2018, OUR MILITARY VOLUNTEERS CONDUCTED OVER 50 PINNING CEREMONIES FOR VETERANS AND THEIR FAMILIES. THIS YEAR, WE SERVED THE NEEDS OF 445 VETERANS IN OUR VARIOUS PROGRAMS. ANOTHER ONE OF OUR VOLUNTEER INITIATIVES IS THE PET PLEDGE PROGRAM, WHICH PROVIDES PLACEMENT SERVICES FOR BELOVED PETS WHEN PATIENTS ARE NO LONGER ABLE TO CARE FOR THEM AND THERE IS NO FAMILY MEMBER ABLE TO TAKE RESPONSIBILITY. 18422256 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 65 0 246 1 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 FL X MARSHA ABELN 3212694240 1250-B GRUMMAN PL TITUSVILLE FL 32780 DWIGHT SEVERS CHAIRPERSON THROUGH MAY. 2018 3.00 0.00 X X 0 0 0 SAMUEL HADDAD CHAIRPERSON THROUGH SEPT. 2018 3.00 1.00 X X 0 0 0 DAVID FERGUSON VICE CHAIR 3.00 0.00 X X 0 0 0 CHRISTOPHER MCALPINE SECRETARY/TREASURER 3.00 1.00 X 0 0 0 TONY HURT DIRECTOR 1.00 1.00 X 0 0 0 KIM RODRIGUEZ DIRECTOR 1.00 1.00 X 0 0 0 THERESA ABRUZZO-PRICE DIRECTOR 1.00 0.00 X 0 0 0 RENE PULIDO DIRECTOR 1.00 0.00 X 0 0 0 JERRY ALLENDER DIRECTOR 1.00 0.00 X 0 0 0 MICHAEL AMMEN DIRECTOR 1.00 1.00 X 0 0 0 TEKISHA FERGUSON DIRECTOR 1.00 0.00 X 0 0 0 MARY COLEMAN DIRECTOR 1.00 1.00 X 0 0 0 LINDA WEINBERG DIRECTOR 1.00 0.00 X 0 0 0 MARY ANN ALDERMAN DIRECTOR 1.00 0.00 X 0 0 0 JOSEPH KILLIAN CHIEF EXECUTIVE OFFICER 40.00 1.00 X 232575 0 17318 CAMI LEECH FLORIO CHIEF OPERATING OFFICER 40.00 0.00 X 94528 0 5648 MARSHA ABELN CHIEF FINANCIAL OFFICER 40.00 1.00 X 116963 0 1158 ELIZABETH GALFO MD CHIEF MEDICAL DIRECTOR 40.00 0.00 X 341221 0 19956 ALICIA CATO COMPLIANCE OFFICER 40.00 0.00 X 112215 0 5402 CHUCK RADLOFF FINANCE MANAGER 40.00 0.00 X 117101 0 11587 JAMES BOMBARD MD PHYSICIAN THROUGH SEPT. 2017 40.00 0.00 X 149392 0 7475 MINA ZEINIMD PHYSICIAN 40.00 0.00 X 222834 0 8935 KENNETH SALUCK MD PHYSICIAN 40.00 40.00 X 215001 0 13881 1601830 0 91360 8 0 1 0 VIERA HEALTH & REHAB CENTER 8050 SPYGLASS HILL RD VIERA FL 32940 NURSING HOME R&B 668132 CAPSTONE HME 2215 15TH STREET TUSCALOOSA AL 34501 DURABLE MEDICAL EQUIPMENT SERVICES 632148 VISTA MANOR 1550 JESS PARRISH CT TITUSVILLE FL 32796 NURSING HOME R&B 596645 ENCLARA PHARMACIA 1480 EMPERIAL WAY WEST DEPTFORD NJ 08066 PRESCRIPTION MEDICATIONS 531923 ROYAL OAK NURSING & REHAB CENTER 37300 ROYAL OAK LANE TITUSVILLE FL 33525 NURSING HOME R&B 520118 5 50300 50300 MEDICARE 623000 16822988 16822988 MEDICAID 623000 3989333 3989333 PRIVATE INSURANCE 623000 567538 567538 SELF-PAY 623000 176594 176594 NET OF CHARITY CARE 623000 -137863 -137863 21418590 348906 348906 294850 115000 179850 179850 179850 170147 69201 100946 100946 100946 ANCILLARY INCOME 623000 12214 12214 12214 22110806 21430804 0 629702 960347 417329 543018 9963104 8302719 1660385 229781 194201 35580 1041514 841547 199967 751472 601178 150294 169519 135615 33904 88526 70821 17705 20212 20212 196654 157323 39331 85210 68168 17042 594715 475772 118943 386690 309352 77338 18908 15126 3782 518686 414949 103737 91298 73038 18260 NURSING HOME COSTS 4408800 4408800 EQUIPMENT RENTAL 748063 598450 149613 HEALTHCARE CLAIMS STLMT 483388 483388 BAD DEBT EXPENSE 361002 361002 549641 493478 56163 21667530 18422256 3245274 0 2223518 1761069 352178 176308 1839829 2425429 211361 94674 10006574 2563196 7670305 7443378 13107244 14379833 1075342 1143332 218888 316743 26698665 27740766 2473726 2161449 2473726 2161449 X 24224939 25579317 24224939 25579317 26698665 27740766 443276 911102 0 X X 0 1 X 1 0 X 113021 134813 95000 50300 393134 15777361 18954901 21152010 21827602 21430804 99142678 15890382 19089714 21152010 21922602 21481104 99535812 0 0 0 99535812 1289632 659604 744974 606284 643756 3944250 1289632 659604 744974 606284 643756 3944250 402463 402463 17582477 19749318 21896984 22528886 22124860 103882525 0.95820 0.94610 0.03800 0.04550 X 3500000 3500000 3500000 3500000 4604595 -1104595 3500000 4391491 213104 4604595 4391491 4391491 1.00000 0 0 265000 812856 1077856 6996750 2563196 4433554 1873360 1873360 58608 58608 7443378 X 22205094 115500 115500 22089594 21212 21212 22110806 21278430 115000 115000 21163430 20212 483888 504100 21667530 PART X, LINE 2: THE ORGANIZATION FOLLOWS THE INCOME TAX STANDARD FOR UNCERTAIN TAX POSITIONS. THIS STANDARD CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ORGANIZATION'S FINANCIAL STATEMENTS IN ACCORDANCE WITH THE INCOME TAX STANDARD. THIS STANDARD PRESCRIBES RECOGNITION AND MEASUREMENT OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN THAT ARE NOT CERTAIN TO BE REALIZED. AS OF SEPTEMBER 30, 2018, MANAGEMENT IS NOT AWARE OF ANY UNCERTAIN TAX POSITIONS THAT QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE FINANCIAL STATEMENTS. PART XI, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 115,000. CONTRIBUTION EXPENSE 500. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 115,000. PART XII, LINE 4B - OTHER ADJUSTMENTS: HEALTH CARE CLAIM SETTLEMENTS 483,388. CONTRIBUTION EXPENSE 500. X X X X X 0 0 0 0 0 0 0 0 0 JOSEPH KILLIAN CHIEF EXECUTIVE OFFICER 178880 0 42000 0 11695 0 5717 0 11601 0 249893 0 0 0 ELIZABETH GALFO MD CHIEF MEDICAL DIRECTOR 251315 0 0 0 89906 0 12368 0 7588 0 361177 0 0 0 JAMES BOMBARD MD PHYSICIAN THROUGH SEPT. 2017 139111 0 0 0 10281 0 5930 0 1545 0 156867 0 0 0 MINA ZEINIMD PHYSICIAN 222052 0 0 0 782 0 8882 0 53 0 231769 0 0 0 KENNETH SALUCK MD PHYSICIAN 189248 0 0 0 25753 0 8178 0 5703 0 228882 0 0 0 PART I, LINE 3 THE BONUS RECEIVED BY THE PRESIDENT/CEO IS BASED ON SEVERAL FACTORS SUCH AS: QUALITY MEASURES, MARGIN, AND OPERATIONAL PERFORMANCE. A SPECIFIC CALCULATION IS PROVIDED BY THE BOARD OF DIRECTORS TO DETERMINE THE INCENTIVE COMPENSATION. THE TOTAL INCENTIVE AVAILABLE IS 25% OF BASE COMPENSATION, OF WHICH 25% OF THE INCENTIVE IS DRIVEN BY NET OPERATING INCOME. FORM 990, PART VI, SECTION B, LINE 11B THE 990 IS PREPARED BY AN OUTSIDE ACCOUNTING FIRM BASED ON THE INFORMATION SUBMITTED BY MANAGEMENT. THE COMPLETED 990 IS PRESENTED TO MANAGEMENT FOR INTERNAL REVIEW. ONCE APPROVED, THE 990 IS SUBMITTED TO THE IRS ELECTRONICALLY. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY IS PRESENTED TO AND SIGNED OFF BY NEW BOARD MEMBERS. DURING THE SCHEDULED ORIENTATION PERIOD FOR THE MEMBER WHEN ITEMS ARE DISCUSSED. DURING A BOARD MEETING, BOARD MEMBERS ARE REQUESTED TO DECLARE ANY CONFLICT OF INTEREST OR RELATIONSHIP TO ANY PARTY ASSOCIATED WITH THE ITEMS. IF A CONFLICT OR RELATIONSHIP EXISTS, THEN THE POLICY TERMS ARE FOLLOWED BY THE BOARD. THE BOARD MEMBERS PROVIDE AN ANNUAL DISCLOSURE AND CONFIRMATION THAT IS USED FOR ONGOING CONFIRMATION OF CONFLICTS. THIS POLICY IS MONITORED BY THE PRESIDENT/CEO. FORM 990, PART VI, SECTION B, LINE 15 THE CEO COMPENSATION IS BASED ON BASE AND BONUS SYSTEM. THE CEO'S PAY RANGE IS COMPARED TO THE REGIONAL HOMECARE AND HOSPICE ANNUAL SALARY AND BENEFITS REPORT, PUBLISHED BY HOSPITAL & HEALTHCARE COMPENSATION SERVICE. THE DATA IN THIS REPORT INCLUDES THE RELEVANT DATA FROM HOSPICE OF ST. FRANCIS. THE RANGE FOR THE CEO IS COMPARED TO THE REGIONAL AND STATE COMPENSATION LEVELS. THEN THE BONUS STRUCTURE IS ESTABLISHED TO PROVIDE INCREMENTAL REIMBURSEMENT UPON ATTAINING OBJECTIVE GOALS. ALL OF THE INFORMATION IS REVIEWED ANNUALLY WITH THE BOARD OF DIRECTORS PERSONNEL COMMITTEE, WHICH IS MADE UP OF EIGHT INDEPENDENT MEMBERS, AND DOCUMENTED IN THE BOARD MINUTES. OTHER KEY EMPLOYEE COMPENSATION ALSO USES THE REGIONAL HOMECARE AND HOSPICE ANNUAL SALARY AND BENEFITS REPORT, PUBLISHED BY HOSPITAL & HEALTHCARE COMPENSATION SERVICE. THE DATA IN THIS REPORT INCLUDES THE RELEVANT DATA FROM HOSPICE OF ST FRANCIS. THE RANGE FOR THESE STAFF ARE COMPARED TO THE REGIONAL AND STATE COMPENSATION LEVELS. ALL OF THE INFORMATION IS REVIEWED ANNUALLY WITH THE BOARD OF DIRECTORS PERSONNEL COMMITTEE, WHICH IS MADE UP OF EIGHT INDEPENDENT MEMBERS, AND DOCUMENTED IN THE BOARD MINUTES. FORM 990, PART VI, SECTION C, LINE 19 HOSPICE OF ST. FRANCIS' FORM 990 CAN BE FOUND AT GUIDESTAR.ORG. ALL OTHER DOCUMENTS CAN BE OBTAINED UPON REQUEST. FORM 990, PART XII, LINE 2C THE OVERSIGHT AND SELECTION PROCESS FOR THE AUDIT OCCURS DURING THE YEAR. THE RESULTS OF THE AUDIT ARE PRESENTED TO AND REVIEWED BY THE BOARD OF DIRECTORS. THIS PROCESS REMAINED THE SAME AS PRIOR YEAR. FORM 990, PART VII, SECTION A TIME DEVOTED TO THE HOSPICE OF ST. FRANCIS FOUNDATION, INC. - EIN#47-5116106: NAME TITLE HRS/WK DEVOTED TONY HURT CHAIRPERSON 1.00 CHRIS MCALPINE VICE CHAIRPERSON 1.00 MARY COLEMAN SECRETARY 1.00 KIM RODRIGUEZ TREASURER 1.00 SAMUAL HADDAD BOARD CHAIR 1.00 MICHAEL AMMEN DIRECTOR 1.00 JOSEPH KILLIAN CHIEF EXECUTIVE OFFICER 1.00 MARSHA ABELN CHIEF FINANCIAL OFFICER 1.00 ST FRANCIS PATHWAYS TO HEALTHCARE LLC 1250 B GRUMMAN PLACE TITUSVILLE FL 32780 473461176 PROVIDE PALLIATIVE CARE FL -518718 46007 HOSPICE OF ST FRANCIS THE HOSPICE OF ST FRANCIS FOUNDATION INC 1250 B GRUMMAN PLACE TITUSVILLE FL 32780 475116106 ORGANIZED TO SUPPORT HOSPICE OF ST. FRANCIS FL 501(C)(3) LINE 12A, I 0 0 0 1 1 0 0 0 0 0 0 0 1 0 1 1 0 1 0 0