2017-08-04T12:50:06-05:00 2016-09-30 593070669 MOORE STEPHENS LOVELACE PA 255 S ORANGE AVE 600 ORLANDO FL 32801 990 2015-10-01 592401197 HOSPICE OF CITRUS COUNTY INC HOSP 3525272020 3264 W AUDUBON PARK PATH LECANTO FL 34461 ANTHONY J PALUMBO CHIEF EXECUTIVE OFFICER 3525272020 2017-08-04 1 KURT A ALTER CPA P00059492 7275314477 2015 2021-01-29 14:40:06Z SEE SCHEDULE O ANTHONY J PALUMBO 3264 W AUDUBON PARK PATH LECANTO FL 34461 27583734 0 X WWW.HOSPICEOFCITRUS.ORG X 1983 FL THE ORGANIZATION PROVIDES SUPPORT, CARE AND HOME HEALTH SERVICES FOR PERSONS IN THE LAST PHASES OF INCURABLE DISEASES. 12 12 571 770 0 0 1281081 325095 39748051 25626956 -48143 -637526 1092747 1608719 42073736 26923244 0 0 0 0 20747800 16524923 0 0 79727 25834100 16205601 46581900 32730524 -4508164 -5807280 20937697 11835270 12117648 8820121 8820049 3015149 X HOSPICE OF CITRUS COUNTY IS A NOT-FOR-PROFIT ORGANIZATION PROVIDING COMPREHENSIVELY RESPONSIVE AND COMPASSIONATE END-OF-LIFE SERVICES TO THE TERMINALLY ILL AND THEIR FAMILIES.HOSPICE IS DEDICATED TO PRESERVING THE DIGNITY OF INDIVIDUALS, SUPPORTING THOSE DEALING WITH THE CHALLENGES OF DEATH AND BEREAVEMENT, AND FOSTERING ACCEPTANCE AND RESPECT FOR ALL PHASES AND TRANSITIONS IN LIFE. WE ARE COMMITTED TO ALLEVIATING PHYSICAL, EMOTIONAL AND SPIRITUAL DISCOMFORT SO THAT LIFE MAY BE ENJOYED TO THE FULLEST.THROUGH EDUCATION AND EXAMPLE, HOSPICE OF CITRUS COUNTY GIVES TESTIMONY THAT DYING IS PART OF LIVING, WHICH PERMITS THE CULMINATION OF ALL LIFE EVENTS TO COME TOGETHER IN A MOST PROFOUND WAY. 0 1 19550136 16827836 ROUTINE HOME CARE: WHEN THE PATIENT WHO HAS ELECTED TO RECEIVE HOSPICE CARE IS IN A HOME SETTING SUCH A PRIVATE RESIDENCE, LONG TERM CARE FACILITY, ADULT GROUP HOME OR ASSISTED LIVING AND IS NOT RECEIVING CONTINUOUS HOME CARE. 2567053 2255437 CONTINUOUS HOME CARE: WHEN AN INDIVIDUAL WHO HAS ELECTED TO RECEIVE HOSPICE CARE IS NOT IN AN INPATIENT FACILITY AND RECEIVES HOSPICE CARE CONSISTING PREDOMINANTLY OF NURSING CARE ON A CONTINUOUS BASIS IN A HOME SETTING. CONTINUOUS HOME CARE IS ONLY PROVIDED DURING BRIEF PERIODS OF CRISIS AND ONLY AS NECESSARY TO MAINTAIN THE TERMINALLY ILL PATIENT IN THE HOME SETTING AND AVOID INPATIENT PLACEMENT. (42 C.F.R. 418.2049A)) 4249233 2905903 GENERAL INPATIENT CARE: WHEN AN INDIVIDUAL WHO HAS ELECTED HOSPICE CARE RECEIVES GENERAL INPATIENT CARE IN AN INPATIENT FACILITY FOR PAIN CONTROL OR ACUTE OR CHRONIC SYMPTOM MANAGEMENT WHICH CANNOT BE MANAGED IN OTHER SETTINGS.INPATIENT RESPITE CARE: WHEN AN INDIVIDUAL WHO HAS ELECTED HOSPICE CARE RECEIVES CARE IN AN APPROVED FACILITY ON A SHORT-TERM BASIS TO PROVIDE RESPITE FOR A CAREGIVER OR ABSENT CAREGIVER. 2998104 5247140 THE OTHER PROGRAMS PROVIDED BY THE ORGANIZATION INCLUDE:HERRY'S KIDS PEDIATRIC SERVICES - PROVIDES SPECIALIZED HOSPICE AND PALLIATIVE SERVICES TO CHILDREN AND TEENS WITH LIFE-THREATENING ILLNESSES, AND OFFERS GRIEF SUPPORT, THERAPEUTIC CAMPS AND IN-SCHOOL GRIEF SUPPORT GROUPS TO YOUNG PEOPLE WHO HAVE EXPERIENCED A LOSS. GRIEF SERVICES - COMMUNITY GRIEF SUPPORT TO ANYONE WHO HAS EXPERIENCED A LOSS. THE SHALOM JEWISH HOSPICE PROGRAM - CERTIFICATION THROUGH THE NATIONAL INSTITUTE FOR JEWISH HOSPICE (NIJH) TO PROVIDE SERVICES BY STAFF TRAINED IN JEWISH RITUALS AND TRADITIONS. VETERANS SERVICES - PARTNERSHIP WITH THE VETERAN'S ADMINISTRATION TO PROVIDE QUALITY END OF LIFE SERVICES FOR ALL VETERANS AND THEIR FAMILIES. LIFE WORKS - PROGRAM PROVIDES SPECIALIZED SERVICES FOR PATIENTS WITH END STAGE CARDIAC OR PULMONARY DISEASE. MEMORIES - PROGRAM PROVIDES SPECIALIZED SERVICES FOR PATIENTS WITH ALZHEIMER'S OR END STAGE DEMENTIA RELATED DISEASES.COMMUNITY EDUCATION - CERTIFIED EDUCATION SPECIALISTS OFFER A VARIETY OF EDUCATIONAL PROGRAMS TO THE COMMUNITY. 2998104 5247140 29364526 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 39 0 1 571 1 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 FL X ANTHONY J PALUMBO CEO 3525272020 3264 AUDUBON PARK PATH LECANTO FL 34461 MARK J YERMAN PRESIDENT 0.00 X X 0 0 0 SALLY LONG VICE PRESIDENT 0.00 X X 0 0 0 C BEN BRANCH TREASURER 0.00 X X 0 0 0 CAROL ROWDA SECRETARY 0.00 X X 0 0 0 KEN HEIMANN DIRECTOR 0.00 X 0 0 0 SHELBY WEINGARTEN DIRECTOR 0.00 X 0 0 0 JACK MOORING DIRECTOR 0.00 X 0 0 0 STEVE LAMB DIRECTOR 0.00 X 0 0 0 ALIDA LANGLEY DIRECTOR 0.00 X 0 0 0 DEBBIE RECTOR DIRECTOR 0.00 X 0 0 0 WILLIAM DIXON DIRECTOR 0.00 X 0 0 0 BILL CASSARLY DIRECTOR 0.00 X 0 0 0 EDWARD LEVIN DIRECTOR 0.00 X 0 0 0 ANTHONY J PALUMBO CHIEF EXECUTIVE OFFICER 40.00 X 233026 0 22530 BONNIE SAYLOR CHIEF OPERATING OFFICER 40.00 X 143147 0 11234 TED DUNBAR CHIEF FINANCIAL OFFICER 40.00 X 116627 0 21602 BOBBY LAFFERTY DO MEDICAL DIRECTOR 40.00 X 203265 0 22023 696065 0 77389 4 0 1 0 CIARRA MEDICAL PERSONNEL 2135 NW 40TH TERRACE SUITE D GAINESVILLE FL 32605 STAFFING SERVICE 1288122 HOSPICELINK 2145 HIGHLANDS AVE S BIRMINGHAM AL 35205 DURABLE MEDICAL EQUIPMENT 988954 HOSPISCRIPT SERVICES LLC PO BOX 933273 ATLANTA GA 31193 PHARMACY SERVICE 942787 MCKESSON TECHNOLOGIES INC PO BOX 98347 CHICAGO IL 60693 SOFTWARE 495151 STAFF AMERICA INC PO BOX 645005 CINCINNATI OH 45264 STAFFING SERVICE 295582 7 325095 325095 NET PATIENT SERVICE REVENUE 623990 25626956 25626956 25626956 20248 20248 657774 -657774 -657774 -657774 2075 2716 -641 -641 1601129 0 1601129 1601129 OTHER REVENUE 900099 8231 8231 8231 26923244 27236316 0 -638167 518553 441100 77453 12968603 11775838 1157574 35191 132280 106134 25066 1080 1875442 1727411 144305 3726 1030045 939192 87883 2970 314942 314942 42699 42699 2640083 2613374 26709 60697 58912 1785 697150 409421 287289 440 672876 26878 645998 1179482 1140792 38690 798463 787138 9317 2008 7738 2018 5720 289307 53436 235871 726309 685325 40984 305513 181366 124023 124 ROOM AND BOARD FEES 4486828 4486828 PHARMACY 1345213 1345213 DURABLE MEDICAL EQUIPME 923025 923025 INDIGENT EXPENSE 581600 581600 1133676 1079525 21748 32403 32730524 29364526 3286271 79727 1060006 1975227 4575224 3139461 3889174 -3415073 336837 55101 14067446 4270373 10801307 9797073 225595 243645 49554 39836 20937697 11835270 4133213 2259270 269872 112030 6803731 6448821 910832 0 12117648 8820121 X 8780049 2975149 40000 40000 8820049 3015149 20937697 11835270 X -5807280 2384 -4 X X 0 1 X 1 0 X 476418 386578 434258 1281081 325095 2903430 40603496 43742310 47997969 41768902 27228085 201340762 41079914 44128888 48432227 43049983 27553180 204244192 0 0 0 204244192 7028 7569 12235 27254 20248 74334 7028 7569 12235 27254 20248 74334 62157 28011 28164 16238 8231 142801 41149099 44164468 48472626 43093475 27581659 204461327 0.99890 0.99900 0.00040 0.00030 X 2026143 2026143 9582677 2250723 7331954 126946 116027 10919 2210474 1823556 386918 121206 80067 41139 9797073 28549274 2384 1617250 1619634 26929640 -6396 -6396 26923244 34354174 1617250 1617250 32736924 -6400 -6400 32730524 PART XI, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EXPENSE -2,716. OTHER EXPENSES INCLUDED IN REVENUE -3,680. PART XII, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EXPENSE -2,716. OTHER EXPENSES INCLUDED IN REVENUE -3,680. ROUNDING -4. X X 0 0 0 0 0 0 0 0 0 ANTHONY J PALUMBO CHIEF EXECUTIVE OFFICER 208026 0 25000 0 0 0 7020 0 15510 0 255556 0 0 0 BONNIE SAYLOR CHIEF OPERATING OFFICER 131147 0 12000 0 0 0 3602 0 7632 0 154381 0 0 0 BOBBY LAFFERTY DO MEDICAL DIRECTOR 203265 0 0 0 0 0 5974 0 16049 0 225288 0 0 0 FORM 990, PAGE 1, BOX C DOING BUSINESS AS: HOSPICE OF CITRUS AND THE NATURE COAST FORM 990, PART III, LINE 3 THE ORGANIZATION TERMINATED THEIR AGREEMENT WITH CHILDREN'S MEDICAL SERVICES TO PROVIDE PEDIATRIC PALLIATIVE SERVICES PIK/TFK. FORM 990, PART VI, SECTION B, LINE 11 A COPY OF THE RETURN, AS ULTIMATELY FILED, IS PROVIDED TO EACH VOTING MEMBER OF THE BOARD OF DIRECTORS AT THE FIRST BOARD MEETING BEFORE THE RETURN IS FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD DETERMINES THE COMPENSATION THAT IS PAID TO THE CEO. THE CEO DETERMINES THE COMPENSATION THAT IS PAID TO TOP MANAGEMENT. THE BOARD AND THE CEO ARE INDEPENDENT WITH REGARD TO THE COMPENSATION PACKAGES THAT THEY DETERMINE. EVERY OTHER YEAR, THE ORGANIZATION RECEIVES A COPY OF THE HOSPICE AND HOME HEALTH STUDY THAT PUBLISHES COMPENSATION LEVELS FOR THE INDUSTRY. ANNUALLY, THE ORGANIZATION RECEIVES THE HOSPICE SALARY AND BENEFITS REPORT. ADDITIONALLY, ON AN ONGOING BASIS, THE ORGANIZATION CONTACTS SIMILAR ORGANIZATIONS IN ITS GEOGRAPHIC AREA TO OBTAIN COMPARABLE DATA ABOUT THEIR COMPENSATION PACKAGES. THE INFORMATION IS USED TO ADJUST COMPENSATION TO BE IN LINE WITH THE CURRENT MARKET. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST AT THE ORGANIZATION'S CORPORATE HEADQUARTERS. FORM 990, PART XI, LINE 9: ROUNDING -4. FORM 990, PART XII, 2C FINANCIAL STATEMENTS AND REPORTING: THE ORGANIZATION'S BOARD FINANCE COMMITTEE IS RESPONSIBLE FOR THE SELECTION, MONITORING, AND EVALUATION OF AN INDEPENDENT AUDIT FIRM AND OVERSIGHT OF ITS FINANCIAL STATEMENTS. THERE WAS NO CHANGE IN THE PROCESS FROM THE PRIOR YEAR. SUPPLEMENTARY INFORMATION CHARITY CARE PROVIDED BY THE ORGANIZATION: THE ORGANIZATION PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER ITS CHARITY CARE POLICY WITHOUT CHARGE. THE COST OF HOSPICE CHARITY CARE WAS 1.8% OF TOTAL EXPENSES FOR THE YEAR ENDED SEPTEMBER 30, 2016.