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NORTH CENTRAL FLORIDA HOSPICE INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
NORTH CENTRAL FLORIDA HOSPICE INC (EIN 59-2490893)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-10-08
IRS object ID
201402819349300205
Schema version
2013v3.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2014-10-08T09:14:02-05:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN861065772PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1DELOITTE TAX LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1201 E KENNEDY BLVD SUITE 1200AddressLine1
CityTAMPACity
StateFLState
ZIP Code33602ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN592490893EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1NORTH CENTRAL FLORIDA HOSPICE INCBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlNORTBusinessNameControlTxt
Phone3523728400PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1SANTAFE HEALTHCAREINC PO BOX 749AddressLine1
CityGAINESVILLECity
StateFLState
ZIP Code326270749ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTIMOTHY J BOWENPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone3523378730PhoneNum
Signature2014-09-30SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSTEVEN E ROVNERPreparerPersonNm
PTINP00648526PTIN
Phone8132738300PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1HAVEN HOSPICEBusinessNameLine1
FieldValueIRS element (for citing)
Principal OfficerMICHAEL P GALLAGHERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1SANTAFE HEALTHCAREINC PO BOX 749AddressLine1
CityGAINESVILLECity
StateFLState
ZIP Code326270749ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$63,805,236GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.HAVENHOSPICE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1982FormationYr
Legal Domicile StateFLLegalDomicileStateCd
Activity Or MissionHONORING LIFE BY PROVIDING COMFORT, CARE AND COMPASSION TO THOSE WE SERVE.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee737TotalEmployeeCnt
Total Volunteers713TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,775,032PYContributionsGrantsAmt
CY Contributions Grants$5,096,349CYContributionsGrantsAmt
PY Program Service Revenue$59,236,900PYProgramServiceRevenueAmt
CY Program Service Revenue$57,585,078CYProgramServiceRevenueAmt
PY Investment Income$579,200PYInvestmentIncomeAmt
CY Investment Income$667,897CYInvestmentIncomeAmt
PY Other Revenue-$189,792PYOtherRevenueAmt
CY Other Revenue$130,302CYOtherRevenueAmt
PY Total Revenue$62,401,340PYTotalRevenueAmt
CY Total Revenue$63,479,626CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$32,288,637PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$32,176,682CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$643,024CYTotalFundraisingExpenseAmt
PY Other Expenses$27,526,658PYOtherExpensesAmt
CY Other Expenses$27,182,907CYOtherExpensesAmt
PY Total Expenses$59,815,295PYTotalExpensesAmt
CY Total Expenses$59,359,589CYTotalExpensesAmt
PY Revenues Less Expenses$2,586,045PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$4,120,037CYRevenuesLessExpensesAmt
Total Assets BOY$61,063,552TotalAssetsBOYAmt
Total Assets EOY$66,205,247TotalAssetsEOYAmt
Total Liabilities BOY$17,682,366TotalLiabilitiesBOYAmt
Total Liabilities EOY$20,146,122TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$43,381,186NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$46,059,125NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE MISSION OF NORTH CENTRAL FLORIDA HOSPICE, INC. (HAVEN HOSPICE) IS TO HONOR LIFE BY PROVIDING COMFORT, CARE AND COMPASSION TO THOSE WE SERVE.HAVEN HOSPICE HELPS PATIENTS BE AS COMFORTABLE AS POSSIBLE AND PROVIDE THEIR CAREGIVERS WITH NEEDED RESOURCES AND ASSISTANCE. HAVEN HOSPICE PROVIDES THE MOST CURRENT THERAPIES AND METHODS TO MAXIMIZE COMFORT AND CARE TO PATIENTS INCLUDING ACCESS TO PROFESSIONAL STAFF AROUND THE CLOCK. HAVEN HOSPICE PROVIDES CLINICAL EDUCATION ABOUT END-OF-LIFE AND PALLIATIVE CARE, GRIEF SUPPORT TO CHILDREN AND FAMILIES AND BEREAVEMENT PROGRAMS FOR BOTH GROUPS AND INDIVIDUALS IN ITS SERVICE AREA.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$27,955,071ExpenseAmt
Revenue$44,409,972RevenueAmt
DescHAVEN HOSPICE PROVIDED SERVICES TO 4,359 HOSPICE PATIENTS INCLUDING 241,098 DAYS OF SERVICE AND 163,345 VISITS BY NURSES, HOME HEALTH AIDES, SOCIAL WORKERS, CHAPLAINS AND PHYSICIANS TOTALING 205,811 HOURS OF CARE. INCLUDED IN THE EXPENSES IS $168,578 OF UNREIMBURSED CARE.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$10,354,466ExpenseAmt
Revenue$11,324,774RevenueAmt
DescHAVEN HOSPICE PROVIDED SERVICES TO 2,819 PATIENTS IN INPATIENT CARE CENTERS, INCLUDING 20,678 DAYS OF SERVICE AND 96,796 VISITS BY NURSES, HOME HEALTH AIDES, SOCIAL WORKERS, CHAPLAINS AND PHYSICIANS. INCLUDED IN THE EXPENSES IS $181,702 OF UNREIMBURSED CARE.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$311,089ExpenseAmt
DescHAVEN HOSPICE PROVIDED BEREAVEMENT SERVICES TO THE COMMUNITIES IN WHICH IT SERVES AND TO FAMILY MEMBERS OF PATIENTS WHO HAVE DIED IN ITS CARE. THE BEREAVEMENT DEPARTMENT CONDUCTED COMMUNITY EDUCATION EVENTS WITH 1452 ATTENDING. IN ADDITION, 9,689 SUPPORT MAILERS WERE DISTRIBUTED, 7,830 BEREAVEMENT SUPPORT PHONE CALLS WERE PLACED AND 1,146 INDIVIDUALS WERE PROVIDED EITHER GROUP, INDIVIDUAL, OR FAMILY GRIEF SUPPORT COUNSELING. 14 MEMORIAL SERVICES WERE HELD WITH AN AVERAGE ATTENDANCE OF 57 PARTICIPANTS PER SERVICE. 3 GRIEF CAMPS WERE HELD WITH AN ATTENDANCE OF 61 CHILDREN AND 27 ADULTS.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$7,574,037ExpenseAmt
Revenue$1,850,332RevenueAmt
DescMISCELLANEOUS PROGRAM SERVICESDesc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$7,574,037TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$1,850,332TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$46,194,663TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgYes (1)TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document410IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee737EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local ChaptersYes (1)LocalChaptersInd
Policies Reference ChaptersYes (1)PoliciesReferenceChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1TIMOTHY J BOWENBusinessNameLine1
FieldValueIRS element (for citing)
Phone3523796225PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14200 NW 90TH BLVDAddressLine1
CityGAINESVILLECity
StateFLState
ZIP Code326065688ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
D RAY HARRISON JR
CHAIRMAN/DIRECTOR3.000.00Yes (X)Yes (X)$0$0$0
G THOMAS MALLINI
VICE CHAIRMAN/DIRECTOR1.000.00Yes (X)Yes (X)$0$0$0
SUZANNE M NORRIS
TREASURER/DIRECTOR1.000.00Yes (X)Yes (X)$0$0$0
ERIC L GODET
SECRETARY/DIRECTOR1.000.00Yes (X)Yes (X)$0$1,500$0
CAROL REED ASH
DIRECTOR1.000.00Yes (X)$0$0$0
GEORGE J CARANASOS MD
DIRECTOR1.000.00Yes (X)$0$0$0
JANET L CHRISTIE
DIRECTOR1.000.00Yes (X)$0$0$0
JAMES W DEFORD MD
DIRECTOR1.000.00Yes (X)$0$0$0
SUSAN D PARRISH
DIRECTOR1.000.00Yes (X)$0$0$0
FRANCES C PEPIS
DIRECTOR1.000.00Yes (X)$0$0$0
NORLENE E ROBERTS
DIRECTOR1.000.00Yes (X)$0$0$0
MICHAEL P GALLAGHER
CHIEF EXECUTIVE OFFICER/DIRECTOR5.0055.00Yes (X)Yes (X)$0$2,238,682$269,719
TIMOTHY J BOWEN
PRESIDENT50.000.10Yes (X)$0$475,624$87,898
STEVEN M ZIEGLER
ASSISTANT SECRETARY6.0057.00Yes (X)$0$508,883$130,033
FERNANDO PETRY DO
CHIEF MEDICAL OFFICER55.000.00$265,269$0$31,510Yes (X)
LINDA ROUEL MD
ASSOCIATE MEDICAL DIRECTOR40.000.00$220,043$0$16,795Yes (X)
DOUGLAS A ROGERS MD
ASSOCIATE MEDICAL DIRECTOR40.000.00$205,256$0$38,823Yes (X)
NEEL J KARNANI MD
ASSOCIATE MEDICAL DIRECTOR40.000.00$201,626$0$16,733Yes (X)
SHARON SAUCIER
CHIEF OPERATING OFFICER55.000.00$172,907$0$21,265Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,065,101TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$3,224,689TotReportableCompRltdOrgAmt
Total Other Compensation$612,776TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K13IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
PARRISH MCCALL CONSTRUCTORS INC
PO BOX 142002GAINESVILLEFL326142002CONSTRUCTION$1,758,336
SANTAFE HEALTHCARE INC
PO BOX 749GAINESVILLEFL326270749MANAGEMENT FEES$1,565,559
CATAMARAN HOSPICE SERVICES LLC
1460 ANN STMONTGOMERYAL36107PHARMACY SERVICES$1,123,724
PHOENIX HEALTHCARE PROPERTIES OF MANDARI
10680 OLD STAUGUSTINE RDJACKSONVILLEFL32257NURSING HOME SERVICES$871,243
HEALTH FACILITIES INC
7280 SW SR 26TRENTONFL32693NURSING HOME SERVICES$698,277
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K53CntrctRcvdGreaterThan100KCnt
Federated Campaigns$79,855FederatedCampaignsAmt
Fundraising$247,682FundraisingAmt
All Other Contributions$4,768,812AllOtherContributionsAmt
Noncash Contributions$1,840,134NoncashContributionsAmt
Total Contributions$5,096,349TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICARE REVENUE623990$41,945,633$41,945,633
MEDICAID REVENUE623990$13,261,348$13,261,348
PATIENT SERVICE REVENUE623990$2,378,097$2,378,097
FieldValueIRS element (for citing)
Total Program Service Revenue$57,585,078TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$578,204TotalRevenueColumnAmt
Exclusion$578,204ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$180,107SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$58,164SecuritiesAmt
Other$32,250OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$121,943SecuritiesAmt
Other-$32,250OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$89,693TotalRevenueColumnAmt
Exclusion$89,693ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$54,935FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$247,682ContriRptFundraisingEventAmt
Fundraising Direct Expenses$235,196FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$180,261TotalRevenueColumnAmt
Exclusion-$180,261ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescADMINISTRATIVE INCOMEDesc
Business900099BusinessCd
Total Revenue Column$310,563TotalRevenueColumnAmt
Exclusion$310,563ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$310,563OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$63,479,626TotalRevenueColumnAmt
Related Or Exempt Func Income$57,585,078RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$798,199ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$25,373,532TotalAmt
Program Services$19,557,178ProgramServicesAmt
Management And General$5,505,036ManagementAndGeneralAmt
Fundraising$311,318FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,385,472TotalAmt
Program Services$1,075,717ProgramServicesAmt
Management And General$294,182ManagementAndGeneralAmt
Fundraising$15,573FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$3,660,060TotalAmt
Program Services$2,782,554ProgramServicesAmt
Management And General$846,148ManagementAndGeneralAmt
Fundraising$31,358FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,757,618TotalAmt
Program Services$1,366,376ProgramServicesAmt
Management And General$372,531ManagementAndGeneralAmt
Fundraising$18,711FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$1,087,379TotalAmt
Management And General$1,087,379ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$227,859TotalAmt
Management And General$227,859ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$88,994TotalAmt
Management And General$88,994ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$14,479,304TotalAmt
Program Services$13,776,757ProgramServicesAmt
Management And General$664,746ManagementAndGeneralAmt
Fundraising$37,801FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$558,148TotalAmt
Program Services$558,148ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,299,752TotalAmt
Program Services$641,131ProgramServicesAmt
Management And General$607,657ManagementAndGeneralAmt
Fundraising$50,964FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$654,445TotalAmt
Management And General$654,445ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,740,422TotalAmt
Program Services$1,206,939ProgramServicesAmt
Management And General$533,483ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,446,359TotalAmt
Program Services$1,072,143ProgramServicesAmt
Management And General$362,256ManagementAndGeneralAmt
Fundraising$11,960FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$42,752TotalAmt
Program Services$24,493ProgramServicesAmt
Management And General$17,864ManagementAndGeneralAmt
Fundraising$395FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$255,778TotalAmt
Program Services$255,778ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,364,448TotalAmt
Program Services$980,585ProgramServicesAmt
Management And General$383,863ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$357,372TotalAmt
Program Services$156,747ProgramServicesAmt
Management And General$200,625ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
PHARMACY SUPPLIES$1,634,206$1,634,206
COMMUNITY SUPPORT$729,917$369,528$207,831$152,558
MEDICAL SUPPLIES$485,569$481,262$4,307
FOOD COSTS$117,747$117,747

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$612,456TotalAmt
Program Services$137,374ProgramServicesAmt
Management And General$462,696ManagementAndGeneralAmt
Fundraising$12,386FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$59,359,589TotalAmt
Program Services$46,194,663ProgramServicesAmt
Management And General$12,521,902ManagementAndGeneralAmt
Fundraising$643,024FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$660,983BOYAmt
EOY$199,011EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$3,709,252BOYAmt
EOY$7,705,477EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$878,703BOYAmt
EOY$51,627EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,462,311BOYAmt
EOY$2,680,067EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$337,460BOYAmt
EOY$323,053EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$41,404,467LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$9,942,595LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$29,122,537BOYAmt
EOY$31,461,872EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$19,039,332BOYAmt
EOY$19,672,534EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$2,051,537BOYAmt
EOY$2,328,658EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,801,437BOYAmt
EOY$1,782,948EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$61,063,552BOYAmt
EOY$66,205,247EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$6,122,613BOYAmt
EOY$8,486,335EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$9,956,332BOYAmt
EOY$9,475,983EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,603,421BOYAmt
EOY$2,183,804EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$17,682,366BOYAmt
EOY$20,146,122EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$41,399,077BOYAmt
EOY$45,674,754EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,982,109BOYAmt
EOY$384,371EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$43,381,186BOYAmt
EOY$46,059,125EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$61,063,552BOYAmt
EOY$66,205,247EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$4,120,037ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$376,816NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$1,818,914OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,198,110CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,002,280CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,860,145CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,775,032CurrentTaxYearMinus1YearAmt
Current Tax Year$3,386,291CurrentTaxYearAmt
Total$13,221,858TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$50,582,738CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$54,590,670CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$57,146,734CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$59,236,900CurrentTaxYearMinus1YearAmt
Current Tax Year$57,585,078CurrentTaxYearAmt
Total$279,142,120TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$52,780,848CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$56,592,950CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$60,006,879CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$62,011,932CurrentTaxYearMinus1YearAmt
Current Tax Year$60,971,369CurrentTaxYearAmt
Total$292,363,978TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$292,363,978PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$233,421CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$376,917CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$382,400CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$504,167CurrentTaxYearMinus1YearAmt
Current Tax Year$578,204CurrentTaxYearAmt
Total$2,075,109TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$233,421CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$376,917CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$382,400CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$504,167CurrentTaxYearMinus1YearAmt
Current Tax Year$578,204CurrentTaxYearAmt
Total$2,075,109TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years-$82,054CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years-$134,428CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years-$181,250CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year-$189,792CurrentTaxYearMinus1YearAmt
Current Tax Year$130,302CurrentTaxYearAmt
Total-$457,222TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$52,932,215CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$56,835,439CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$60,208,029CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$62,326,307CurrentTaxYearMinus1YearAmt
Current Tax Year$61,679,875CurrentTaxYearAmt
Total$293,981,865TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99450PublicSupportCY509Pct
Public Support PY5090.99590PublicSupportPY509Pct
Investment Income CY0.00710InvestmentIncomeCYPct
Investment Income PY0.00640InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part IV Form990ScheduleAPartIVGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME:FormAndLineReferenceDesc
ExplanationLIFELINE INCOME - 2009 AMOUNT: $ 3,628. ADMINISTRATIVE INCOME - 2009 AMOUNT: $ 7,892. 2010 AMOUNT: $ 12,271. 2011 AMOUNT: $ 19,291. 2012 AMOUNT: $ 7,188. 2013 AMOUNT: $ 310,563. SPECIAL EVENT INCOME NET - 2009 AMOUNT: $ -93,574. 2010 AMOUNT: $ -146,699. 2011 AMOUNT: $ -200,541. 2012 AMOUNT: $ -196,980. 2013 AMOUNT: $ -180,261.ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$72,000OtherActivitiesAmt
Total Lobbying Expenditures$72,000TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationHAVEN HOSPICE IS A MEMBER OF FLORIDA HOSPICE AND PALLIATIVE CARE, INC., ALLIANCE FOR CARE, AND THE NATIONAL HOSPICE AND PALLIATIVE CARE ORGANIZATION AND PARTICIPATES IN LOBBYING AND STRATEGY DISCUSSIONS. HAVEN HOSPICE HAS ENGAGED THE SERVICES OF A REGISTERED LOBBYIST TO MONITOR DEVELOPMENTS AT THE ANNUAL GENERAL SESSION OF THE FLORIDA LEGISLATURE.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,822,987BeginningYearBalanceAmt
Investment Earnings Or Losses$276,681InvestmentEarningsOrLossesAmt
End Year Balance$2,099,668EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,534,886BeginningYearBalanceAmt
Investment Earnings Or Losses$288,101InvestmentEarningsOrLossesAmt
End Year Balance$1,822,987EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,489,469BeginningYearBalanceAmt
Investment Earnings Or Losses$45,417InvestmentEarningsOrLossesAmt
End Year Balance$1,534,886EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,373,367BeginningYearBalanceAmt
Investment Earnings Or Losses$116,102InvestmentEarningsOrLossesAmt
End Year Balance$1,489,469EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,249,994BeginningYearBalanceAmt
Investment Earnings Or Losses$123,373InvestmentEarningsOrLossesAmt
End Year Balance$1,373,367EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY1.00000BoardDesignatedBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,513,102OtherCostOrOtherBasisAmt
Book Value$4,513,102BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$31,051,794OtherCostOrOtherBasisAmt
Depreciation$5,985,402DepreciationAmt
Book Value$25,066,392BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$702,228OtherCostOrOtherBasisAmt
Depreciation$419,548DepreciationAmt
Book Value$282,680BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,137,343OtherCostOrOtherBasisAmt
Depreciation$3,537,645DepreciationAmt
Book Value$1,599,698BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$31,461,872TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDescAmtAmt
GIFT ANNUITIES$258,233
DUE TO AFFILIATES$541,772
CAPITAL LEASE OBLIGATION$74,145
CHARITABLE REMAINDER UNITRUST$1,086,000
CONTRIBUTION PAYABLE$4,203
INTEREST RATE SWAP$219,451
FieldValueIRS element (for citing)
Total Liability$2,183,804TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$61,654,485TotalRevEtcAuditedFinclStmtAmt
Other Revenue-$115,083OtherRevenueAmt
Revenue Not Reported-$115,083RevenueNotReportedAmt
Revenue Subtotal$61,769,568RevenueSubtotalAmt
Other Revenues Not Included$1,710,058OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$1,710,058RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$63,479,626TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$59,246,231TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included-$113,358OtherExpensesIncludedAmt
Expenses Not Reported-$113,358ExpensesNotReportedAmt
Expenses Subtotal$59,359,589ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$59,359,589TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:THE HAVEN HOSPICE ENDOWMENT IS A SEPARATE ACCOUNT OF FUNDS THAT ARE HELD TO PROVIDE CURRENT AND FUTURE INCOME TO HAVEN HOSPICE IN ORDER TO OFFSET THE BURDEN OF UNCOMPENSATED CARE PROVIDED BY HAVEN HOSPICE. THE OBJECTIVE OF THE ENDOWMENT IS TO PROVIDE TIMELY FINANCIAL ASSISTANCE WHEN NEEDED AND LONG-TERM STABILITY TO HAVEN HOSPICE.
PART X, LINE 2:ASC 740 FOOTNOTE: AS OF DECEMBER 31, 2013 AND 2012, HAVEN HAD NO UNCERTAIN TAX POSITIONS. TAX YEARS 2010 THROUGH 2012 ARE SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES. THERE ARE NO INCOME TAX EXAMINATIONS IN PROCESS AS OF THE DATE OF THIS REPORT.
PART XI, LINE 2D - OTHER ADJUSTMENTS:UNREIMBURSED CARE -350,280. SPECIAL EVENT EXPENSES 235,196. ROUNDING ADJUSTMENT 1.
PART XI, LINE 4B - OTHER ADJUSTMENTS:RESTRICTED CONTRIBUTIONS 1,710,058.
PART XII, LINE 2D - OTHER ADJUSTMENTS:UNREIMBURSED CARE -350,280. SPECIAL EVENT EXPENSES 235,196. LOSSES ON UNCOLLECTIBLE PLEDGES 1,725. ROUNDING ADJUSTMENT 1.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Name Of Event1VIVANameOfEvent1Amt
Gross Receipts Event1$160,408GrossReceiptsEvent1Amt
Charitable Contri Event1$129,688CharitableContriEvent1Amt
Gross Revenue Event1$30,720GrossRevenueEvent1Amt
Cash Prizes Event1$0CashPrizesEvent1Amt
Non Cash Prizes Event1$4,058NonCashPrizesEvent1Amt
Rent Facility Costs Event1$41,714RentFacilityCostsEvent1Amt
Food And Beverage Event1$38,263FoodAndBeverageEvent1Amt
Entertainment Event1$16,627EntertainmentEvent1Amt
Other Direct Expenses Event1$25,875OtherDirectExpensesEvent1Amt
Name Of Event2FALL ON THE PRAIRIENameOfEvent2Amt
Gross Receipts Event2$59,511GrossReceiptsEvent2Amt
Charitable Contri Event2$52,671CharitableContriEvent2Amt
Gross Revenue Event2$6,840GrossRevenueEvent2Amt
Cash Prizes Event2$0CashPrizesEvent2Amt
Non Cash Prizes Event2$13,220NonCashPrizesEvent2Amt
Rent Facility Costs Event2$16,453RentFacilityCostsEvent2Amt
Food And Beverage Event2$10,954FoodAndBeverageEvent2Amt
Entertainment Event2$1,395EntertainmentEvent2Amt
Other Direct Expenses Event2$7,444OtherDirectExpensesEvent2Amt
Other Events Total4OtherEventsTotalCnt
Gross Receipts Other Events$75,171GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$60,385CharitableContriOtherEventsAmt
Gross Revenue Other Events$14,786GrossRevenueOtherEventsAmt
Cash Prizes Other Events$150CashPrizesOtherEventsAmt
Non Cash Prizes Other Events$9,672NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events$13,512RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events$13,270FoodAndBeverageOtherEventsAmt
Entertainment Other Events$1,250EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events$16,036OthDirectExpnssOtherEventsAmt
Gross Receipts Total$295,090GrossReceiptsTotalAmt
Charitable Contributions Tot$242,744CharitableContributionsTotAmt
Gross Revenue Total Events$52,346GrossRevenueTotalEventsAmt
Cash Prizes Total Events$150CashPrizesTotalEventsAmt
Non Cash Prizes Total Events$26,950NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$71,679RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$62,487FoodAndBeverageTotalEventsAmt
Entertainment Total Events$19,272EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$49,355OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$229,893DirectExpenseSummaryEventsAmt
Net Income Summary-$177,547NetIncomeSummaryAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MICHAEL P GALLAGHER
CHIEF EXECUTIVE OFFICER/DIRECTOR$0$879,090$0$870,216$0$489,376$0$244,268$0$25,451$0$2,508,401$0$204,750
TIMOTHY J BOWEN
PRESIDENT$0$296,681$0$111,383$0$67,560$0$64,646$0$23,252$0$563,522$0$28,137
STEVEN M ZIEGLER
ASSISTANT SECRETARY$0$315,764$0$182,501$0$10,618$0$99,376$0$30,657$0$638,916$0$29,521
FERNANDO PETRY DO
CHIEF MEDICAL OFFICER$264,836$0$0$0$433$0$11,326$0$20,184$0$296,779$0$0$0
LINDA ROUEL MD
ASSOCIATE MEDICAL DIRECTOR$219,810$0$0$0$233$0$15,898$0$897$0$236,838$0$0$0
DOUGLAS A ROGERS MD
ASSOCIATE MEDICAL DIRECTOR$204,730$0$0$0$526$0$17,163$0$21,660$0$244,079$0$0$0
NEEL J KARNANI MD
ASSOCIATE MEDICAL DIRECTOR$201,036$0$0$0$590$0$15,896$0$837$0$218,359$0$0$0
SHARON SAUCIER
CHIEF OPERATING OFFICER$172,487$0$0$0$420$0$6,646$0$14,619$0$194,172$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3MICHAEL P GALLAGHER IS THE CHIEF EXECUTIVE OFFICER (CEO) OF NORTH CENTRAL FLORIDA HOSPICE, INC. (HAVEN HOSPICE). MR. GALLAGHER IS COMPENSATED BY SANTAFE HEALTHCARE, INC. (SANTAFE), A RELATED SUPPORTING ORGANIZATION. SANTAFE UTILIZES THE FOLLOWING PROCESS TO ESTABLISH THE CEO'S COMPENSATION AND BENEFITS: ANNUALLY, THE SANTAFE BOARD OF DIRECTORS RETAINS AN INDEPENDENT THIRD PARTY COMPENSATION AND BENEFITS CONSULTING FIRM TO CONDUCT A MARKET COMPETITIVENESS REVIEW OF THE CEO'S TOTAL DIRECT COMPENSATION (BASE SALARY, ANNUAL INCENTIVES, AND LONG TERM INCENTIVES) AND BENEFITS. THE COMPETITIVE ANALYSIS INCLUDES COMPARISON TO SIMILAR POSITIONS IN COMPANIES OF SIMILAR SIZE WITHIN THE SAME OR SIMILAR INDUSTRY. THE INDEPENDENT CONSULTING FIRM MAKES RECOMMENDATIONS, IF ANY, DIRECTLY TO THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS ESTABLISHES THE FINAL COMPENSATION AND BENEFIT PACKAGE FOR THE CEO TAKING INTO CONSIDERATION THE MARKET COMPETITIVENESS REVIEW AND FINAL RECOMMENDATION OF THE INDEPENDENT CONSULTING FIRM. THE INDEPENDENT CONSULTING FIRM PROVIDES AN OPINION LETTER REGARDING THE REASONABLENESS OF THE CEO'S FINAL COMPENSATION AND BENEFITS PACKAGE. THE ACTIONS OF THE BOARD ARE DOCUMENTED IN THE MINUTES OF THE BOARD MEETING.
PART I, LINE 4BLISTED PERSONS PARTICIPATING IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN IN THE YEAR: MICHAEL P GALLAGHER AND TIMOTHY J BOWEN ARE EMPLOYEES OF SANTAFE HEALTHCARE, INC. (SANTAFE) A RELATED SUPPORTING ORGANIZATION. MR. GALLAGHER AND MR. BOWEN PARTICIPATE IN TWO NONQUALIFIED DEFERRED COMPENSATION RETIREMENT PLANS SPONSORED BY SANTAFE FOR A CERTAIN GROUP OF EXECUTIVES. ONE PLAN RESTORES RETIREMENT BENEFITS EQUIVALENT TO QUALIFIED 401(K) BENEFITS ON INCOME EARNED IN EXCESS OF THE INTERNAL REVENUE SERVICE CODE SECTION 401 (A) (17) RECOGNIZABLE PAY LIMITS (A DEFINED CONTRIBUTION RESTORATION PLAN). VESTING FOR THIS PLAN IS ACHIEVED AT AGE 55 AND 10 YEARS OF SERVICE OR AT AGE 65 AND 5 YEARS OF SERVICE. THE SECOND SUPPLEMENTAL DEFINED CONTRIBUTION PLAN PROVIDES ADDITIONAL RETIREMENT INCOME BASED ON A PERCENTAGE OF BASE SALARY AND VESTS AT THREE AND FIVE YEARS OF SERVICE. MR. GALLAGHER RECEIVED PAYMENTS FROM SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS IN 2013. THE TOTAL AMOUNT OF THESE PAYMENTS WAS $378,945. MR. BOWEN RECEIVED $52,095 FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN IN 2013. STEVEN M ZIEGLER IS AN EMPLOYEE OF AVMED, INC. (AVMED) A RELATED TAX-EXEMPT ORGANIZATION. HE PARTICIPATES IN TWO NONQUALIFIED DEFERRED COMPENSATION RETIREMENT PLANS SPONSORED BY AVMED FOR A CERTAIN GROUP OF EXECUTIVES. ONE PLAN RESTORES RETIREMENT BENEFITS EQUIVALENT TO QUALIFIED 401(K) BENEFITS ON INCOME EARNED IN EXCESS OF THE INTERNAL REVENUE SERVICE CODE SECTION 401 (A) (17) RECOGNIZABLE PAY LIMITS (A DEFINED CONTRIBUTION RESTORATION PLAN). VESTING IS ACHIEVED AT AGE 55 AND 10 YEARS OF SERVICE OR AT AGE 65 AND 5 YEARS OF SERVICE. THE SECOND SUPPLEMENTAL DEFINED CONTRIBUTION PLAN PROVIDES ADDITIONAL RETIREMENT INCOME BASED ON A PERCENTAGE OF BASE SALARY AND VESTS AT THREE AND FIVE YEARS OF SERVICE. PART I, LINE 4A: LISTED PERSONS WHO ARE EMPLOYEES OF HAVEN HOSPICE ARE NOT COVERED BY A SEVERANCE POLICY. CERTAIN LISTED PERSONS EXCLUDING OUTSIDE DIRECTORS OR EMPLOYEES OF HAVEN HOSPICE ARE EMPLOYESS OF RELATED ORGANIZATIONS AND ARE COVERED UNDER A SEVERANCE POLICY FOR THEIR RESPECTIVE RELATED ORGANIZATION. THE SEVERANCE POLICY INCLUDES MONTHLY PAYMENTS UP TO A MAXIMUM OF 12 MONTHS UNDER QUALIFYING CIRCUMSTANCES. NO ONE LISTED RECEIVED SEVERANCE OR CHANGE OF CONTROL PAYMENTS DURING 2013.
SCHEDULE J, PART II:CERTAIN SENIOR EXECUTIVES ARE ACCOUNTABLE FOR AND PERFORM SERVICES FOR SANTAFE HEALTHCARE, INC. AND EACH OF ITS AFFILIATES. SANTAFE HEALTHCARE AND AFFILIATES REPRESENT A DIVERSIFIED FAMILY OF NOT-FOR-PROFIT ORGANIZATIONS WITH $2 BILLION IN GROSS RECEIPTS AND APPROXIMATELY 2,000 EMPLOYEES. THESE SENIOR EXECUTIVES ARE PAID DIRECTLY BY EITHER SANTAFE HEALTHCARE, INC. OR AVMED, INC. AND THEIR COMPENSATION AND BENEFITS ARE APPORTIONED AND CHARGED TO THE RESPECTIVE AFFILIATE BASED ON THE ESTIMATED AMOUNT OF TIME SPENT ON EACH AFFILIATE'S ACTIVITIES. FOR 2013, THE FOLLOWING PERCENTAGES OF EACH EXECUTIVE'S COMPENSATION AND BENEFITS (FOR THOSE SENIOR EXECUTIVES PAID BY A RELATED ORGANIZATION) IS APPORTIONED AND CHARGED TO HAVEN HOSPICE AS FOLLOWS: 8% - MICHAEL P GALLAGHER, CHIEF EXECUTIVE OFFICER 100% - TIMOTHY J BOWEN, PRESIDENT 10% - STEVEN M ZIEGLER, ASSISTANT SECRETARY

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1CLAY COUNTY DEVELOPMENT AUTHORITYBusinessNameLine1
FieldValueIRS element (for citing)
Bond Issuer EIN596583087BondIssuerEIN
Bond Issued2011-12-21BondIssuedDt
Issue Price$10,000,000IssuePriceAmt
PurposeCONSTRUCT HOSPICE CARE FACILITYPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$524,017RetiredAmt
Total Proceeds$10,000,000TotalProceedsAmt
Issuance Costs From Proceeds$103,585IssuanceCostsFromProceedsAmt
Capital Expenditures$9,896,415CapitalExpendituresAmt
Substantial Completion2012SubstantialCompletionYr
Current Refunding0CurrentRefundingInd
Advance Refunding0AdvanceRefundingInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Private Bus Use By Others0.00000PrivateBusUseByOthersPct
Private Bus Concerning UBI0.00000PrivateBusConcerningUBIPct
Total Private Business Use0.00000TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (1)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due YetYes (1)RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate Due0NoRebateDueInd
Variable Rate IssueYes (1)VariableRateIssueInd
Hedge Identified In Bks And RecYes (1)HedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

FieldValueIRS element (for citing)
Business Name Line1PNC BANKBusinessNameLine1
FieldValueIRS element (for citing)
Term Of Hedge18.500000000000TermOfHedgePct
Superintegrated Hedge0SuperintegratedHedgeInd
Hedge Terminated0HedgeTerminatedInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (1)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (1)ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE K, PARTS I AND IIFormAndLineReferenceDesc
ExplanationADDITIONAL INFORMATION REGARDING THE BOND ISSUE: THE BONDS WERE ISSUED AS A DRAW DOWN LOAN FOR THE ACQUISITION OF REAL PROPERTY AND CONSTRUCTION OF A HOSPICE FACILITY. THE FACILITY WAS COMPLETED AND PLACED IN SERVICE DURING 2012, AND THE ENTIRE BALANCE OF THE LOAN WAS DRAWN DOWN.ExplanationTxt

Schedule M IRS990ScheduleM

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Noncash Contributions Rpt F990$1,781,764NoncashContributionsRptF990Amt
Method Of Determining RevenuesRESALE VALUEMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Form8283 Received0Form8283ReceivedCnt
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (1)ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6THE SOLE MEMBER OF NORTH CENTRAL FLORIDA HOSPICE, INC., AS STATED IN ARTICLE IV OF ITS BYLAWS IS SANTAFE HEALTHCARE, INC. SANTAFE HEALTHCARE, INC. IS A FLORIDA NOT-FOR-PROFIT CORPORATION AND THE 509(A)(3) SUPPORTING ORGANIZATION OF NORTH CENTRAL FLORIDA HOSPICE, INC.
FORM 990, PART VI, SECTION A, LINE 7ASANTAFE HEALTHCARE, INC., A 509(A)(3) SUPPORTING ORGANIZATION TO NORTH CENTRAL FLORIDA HOSPICE, INC., HAS RESERVED POWERS AS DELINEATED IN THE ARTICLES OF INCORPORATION AND BYLAWS THAT PERMITS IT TO ELECT ONE OR MORE MEMBERS OF THE GOVERNING BODY OF NORTH CENTRAL FLORIDA HOSPICE, INC.
FORM 990, PART VI, SECTION A, LINE 7BTHE RESERVED POWERS OF SANTAFE HEALTHCARE, INC., AS DELINEATED IN THE ARTICLES OF INCORPORATION AND BYLAWS, PERMIT IT TO APPROVE OR RATIFY THE GOVERNING BODY'S DECISIONS RELATED TO BOARD MEMBER ELECTIONS OR REMOVALS, THE DECISION TO DISSOLVE THE ORGANIZATION AND OTHER MATTERS THAT MAY COME BEFORE THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 11THE ORGANIZATION'S PROCESS FOR ENSURING THE ACCURATE PREPARATION, REVIEW AND APPROVAL OF THE 2013 FORM 990 BEGAN WITH PROFESSIONAL DEVELOPMENT OF STAFF (SEVERAL OF WHICH ARE CPAS) WHICH WERE INVOLVED IN THE PREPARATION OF THE 2013 FORM 990. IN ADDITION TO STAFF DEVELOPMENT, WHICH INCLUDED ATTENDING TAX SEMINARS AND CLASSES, MANAGEMENT ALSO CONSULTED WITH INDEPENDENT ACCOUNTING FIRMS AND TAX LEGAL COUNSEL REGARDING THE IRS FORM 990 CODE AND FILING REQUIREMENTS. THE ORGANIZATION ALSO PREVIOUSLY EDUCATED ITS MANAGEMENT TEAM, OFFICERS AND DIRECTORS, WITH THE ASSISTANCE OF DELOITTE TAX LLP, REGARDING THE FORM 990 AND THEIR INVOLVEMENT IN REVIEWING THE RETURN. FOLLOWING MANAGEMENT'S PREPARATION OF THE 2013 FORM 990, DELOITTE TAX LLP REVIEWED THE 2013 FORM 990. A COPY OF THE 2013 FORM 990 AND ATTACHMENTS WERE PROVIDED TO THE ORGANIZATION'S CURRENT BOARD OF DIRECTORS FOR THEIR REVIEW AND COMMENT. EXECUTIVE MANAGEMENT ADDRESSED ANY QUESTIONS RAISED BY THE BOARD MEMBERS PRIOR TO FILING THE 2013 FORM 990 AND ATTACHMENTS WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12CHAVEN HOSPICE'S CONFLICT OF INTEREST POLICY (THE POLICY) COVERS BOARD MEMBERS, OFFICERS, ALL EMPLOYEES AND VOLUNTEERS. THE HUMAN RESOURCES DEPARTMENT IS RESPONSIBLE FOR PROVIDING EACH EMPLOYEE WITH A COPY OF THE POLICY AND OBTAINING THE EMPLOYEE'S ACKNOWLEDGMENT STATEMENT AND SIGNATURE AT THE TIME OF HIRE AND ANNUALLY THEREAFTER. THE VOLUNTEER SERVICES DEPARTMENT IS RESPONSIBLE FOR PROVIDING EACH VOLUNTEER WITH A COPY OF THE POLICY AND OBTAINING THE VOLUNTEER'S ACKNOWLEDGMENT STATEMENT AND SIGNATURE DURING ORIENTATION. ON AN ANNUAL BASIS, ALL BOARD MEMBERS MUST ACKNOWLEDGE AND SIGN A COPY OF THE POLICY. EMPLOYEES, VOLUNTEERS AND BOARD MEMBERS WILL REPORT SUSPECT CONDUCT OR ACTIVITY OF A KNOWN VIOLATION OF THE POLICY, INCLUDING THOSE AFFECTING A PROPOSED OR ONGOING OPERATIONAL OR FINANCIAL TRANSACTION, TO HAVEN HOSPICE'S DIRECTOR OF CORPORATE COMPLIANCE AS SOON AS POSSIBLE OR PRACTICAL. WILLFUL VIOLATIONS OF THE POLICY WILL RESULT IN DISCIPLINARY ACTION UP TO AND INCLUDING TERMINATION. THE PRESIDENT OF HAVEN HOSPICE AND THE CHIEF EXECUTIVE OFFICER OF SANTAFE HEALTHCARE, INC. (THE SUPPORTING ORGANIZATION FOR HAVEN HOSPICE) ARE VESTED WITH ULTIMATE AUTHORITY AND RESPONSIBILITY TO DETERMINE THE APPLICABILITY OF THE POLICY TO ANY SET OF FACTS THAT MAY ARISE, AND TO DETERMINE ANY STEPS THAT SHOULD BE TAKEN TO CORRECT A SITUATION DEEMED NOT IN THE BEST INTEREST OF HAVEN HOSPICE, INCLUDING, IF DEEMED APPROPRIATE, DISCIPLINARY ACTION.
FORM 990, PART VI, SECTION B, LINE 15LINE 15A: MICHAEL P GALLAGHER IS THE CHIEF EXECUTIVE OFFICER (CEO) OF HAVEN HOSPICE. MR. GALLAGHER IS COMPENSATED BY SANTAFE HEALTHCARE, INC. (SANTAFE), A RELATED SUPPORTING ORGANIZATION. SANTAFE UTILIZES THE FOLLOWING PROCESS TO ESTABLISH THE CEO'S COMPENSATION AND BENEFITS: THE SANTAFE BOARD OF DIRECTORS ANNUALLY RETAINS AN INDEPENDENT THIRD PARTY COMPENSATION AND BENEFITS CONSULTING FIRM TO CONDUCT A MARKET COMPETITIVENESS REVIEW OF THE CEO'S TOTAL DIRECT COMPENSATION (BASE SALARY, ANNUAL INCENTIVES, AND LONG TERM INCENTIVES) AND BENEFITS. THE COMPETITIVE ANALYSIS INCLUDES COMPARISON TO SIMILAR POSITIONS IN COMPANIES OF SIMILAR SIZE WITHIN THE SAME OR SIMILAR INDUSTRY. THE INDEPENDENT CONSULTING FIRM MAKES RECOMMENDATIONS, IF ANY, DIRECTLY TO THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS ESTABLISHES THE FINAL COMPENSATION AND BENEFIT PACKAGE FOR THE CEO TAKING INTO CONSIDERATION THE MARKET COMPETITIVENESS REVIEW AND FINAL RECOMMENDATION OF THE INDEPENDENT CONSULTING FIRM. THE INDEPENDENT CONSULTING FIRM PROVIDES AN OPINION LETTER REGARDING THE REASONABLENESS OF THE FINAL COMPENSATION AND BENEFITS PACKAGE. THE ACTIONS OF THE BOARD ARE DOCUMENTED IN THE MINUTES OF THE BOARD MEETING. FORM 990, PART VI, SECTION B, LINE 15B: PROCESS FOR DETERMINING COMPENSATION FOR THE ASSISTANT SECRETARY AND PRESIDENT OF HAVEN HOSPICE IS AS FOLLOWS: THE SANTAFE BOARD OF DIRECTORS ANNUALLY RETAINS AN INDEPENDENT THIRD PARTY COMPENSATION AND BENEFITS FIRM (FIRM) TO CONDUCT A MARKET COMPETITIVENESS REVIEW OF THE AFOREMENTIONED OFFICERS OF TOTAL DIRECT COMPENSATION (BASE SALARY, ANNUAL INCENTIVES, AND LONG-TERM INCENTIVES) AND BENEFITS. THE COMPETITIVE ANALYSIS INCLUDES COMPARISONS TO SIMILAR POSITIONS IN COMPANIES OF SIMILAR SIZE WITHIN THE SAME OR SIMILAR INDUSTRY. AFTER COMPLETION OF ITS REVIEW, THE INDEPENDENT CONSULTING FIRM MAKES RECOMMENDATIONS, IF ANY, DIRECTLY TO THE SANTAFE BOARD OF DIRECTORS. THE INDEPENDENT CONSULTING FIRM PROVIDES AN OPINION LETTER REGARDING THE REASONABLENESS OF TOTAL DIRECT COMPENSATION AND EXECUTIVE BENEFITS. THE ACTIONS OF THE BOARD ARE DOCUMENTED IN THE MINUTES OF THE BOARD MEETINGS. THE COMPENSATION FOR THE HAVEN HOSPICE CHIEF MEDICAL OFFICER IS DETERMINED BY A MARKET COMPETITIVENESS STUDY CONDUCTED BY AN INDEPENDENT THIRD PARTY COMPENSATION CONSULTANT. THE COMPETITIVENESS ANALYSIS INCLUDES COMPARISONS TO SIMILAR POSITIONS IN COMPANIES OF SIMILAR SIZE WITHIN THE HOSPICE INDUSTRY. THE ANALYSIS ALSO INCLUDES FORM 990 DATA COMPARISON FOR HOSPICES WITHIN A SIMILAR REVENUE SIZE AND/OR MARKET LOCATION. THE MOST RECENT COMPENSATION REVIEW WAS COMPLETED IN 2012.
FORM 990, PART VI, SECTION C, LINE 19UPDATED ARTICLES OF INCORPORATION FOR HAVEN HOSPICE ARE AVAILABLE ON THE STATE OF FLORIDA, SECRETARY OF STATE WEBSITE WWW.SUNBIZ.ORG.
FORM 990, PART VII, SECTION A, LINE 1A:CERTAIN SENIOR EXECUTIVES ARE ACCOUNTABLE FOR AND PERFORM SERVICES FOR SANTAFE HEALTHCARE, INC. AND EACH OF ITS AFFILIATES. SANTAFE HEALTHCARE AND AFFILIATES REPRESENT A DIVERSIFIED FAMILY OF NOT-FOR-PROFIT ORGANIZATIONS WITH $2 BILLION IN GROSS RECEIPTS AND APPROXIMATELY 2,000 EMPLOYEES. THESE SENIOR EXECUTIVES ARE PAID DIRECTLY BY EITHER SANTAFE HEALTHCARE, INC. OR AVMED, INC. AND THEIR COMPENSATION AND BENEFITS ARE APPORTIONED AND CHARGED TO THE RESPECTIVE AFFILIATE BASED ON THE ESTIMATED AMOUNT OF TIME SPENT ON EACH AFFILIATE'S ACTIVITIES. FOR 2013, THE FOLLOWING PERCENTAGES OF EACH EXECUTIVE'S COMPENSATION AND BENEFITS (FOR THOSE SENIOR EXECUTIVES PAID BY A RELATED ORGANIZATION) IS APPORTIONED AND CHARGED TO HAVEN HOSPICE AS FOLLOWS: 8% - MICHAEL P GALLAGHER, CHIEF EXECUTIVE OFFICER 100% - TIMOTHY J BOWEN, PRESIDENT 10% - STEVEN M ZIEGLER, ASSISTANT SECRETARY
FORM 990, PART IX, LINE 11GMEDICAL : PROGRAM SERVICE EXPENSES 12,612,786. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,612,786. CONTRACT LABOR : PROGRAM SERVICE EXPENSES 990,790. MANAGEMENT AND GENERAL EXPENSES 39,036. FUNDRAISING EXPENSES 37,801. TOTAL EXPENSES 1,067,627. CONSULTING : PROGRAM SERVICE EXPENSES 54,766. MANAGEMENT AND GENERAL EXPENSES 623,000. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 677,766. SECURITY : PROGRAM SERVICE EXPENSES 2,945. MANAGEMENT AND GENERAL EXPENSES 2,710. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,655. OTHER PURCHASED SERVICES : PROGRAM SERVICE EXPENSES 115,470. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 115,470.
FORM 990, PART XI, LINE 9:CHANGE IN VALUE OF RESTRICTED PLEDGES -828,934. NET ASSETS RELEASED FROM RESTRICTION USED FOR SERVICES -1,956. NET ASSETS RELEASED FROM RESTRICTION USED FOR PROPERTY & EQUIPMENT -1,710,058. CHANGE IN VALUE OF DONOR RESTRICTED CONTRIBUTIONS 960,469. CHANGE IN FAIR VALUE OF CHARITABLE REMAINDER UNITRUST -110,249. CHANGE IN NET UNREALIZED GAINS/LOSSES ON CRUT INVESTMENT 92,990. LOSSES ON UNCOLLECTIBLE PLEDGES -1,725. CHANGE IN NET UNREALIZED GAINS/LOSSES ON INTEREST RATE SWAP -219,451.
FORM 990, PART XII, LINE 2C:THERE HAS BEEN NO CHANGE FROM THE PRIOR YEAR TO THE PROCESS RELATED TO AUDIT OVERSIGHT AND SELECTION OF THE INDEPENDENT ACCOUNTANT FOR THE ORGANIZATION.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1HAVEN MEDICAL GROUP LLCBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line1P O BOX 749AddressLine1
CityGAINESVILLECity
StateFLState
ZIP Code326270749ZIPCode
FieldValueIRS element (for citing)
EIN592490893EIN
Primary ActivitiesCONDUCT A MEDICAL PRACTICE SPECIALIZING IN PALLIATIVE CAREPrimaryActivitiesTxt
Legal Domicile StateFLLegalDomicileStateCd
Total Income$33,369TotalIncomeAmt
End Of Year Assets$58,369EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NORTH CENTRAL FLORIDA HOSPICE INCBusinessNameLine1

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
SANTAFE HEALTHCARE INC
PO BOX 749GAINESVILLEFL326270749592317607MANAGEMENT AND FINANCIAL SUPPORT FOR NOT-FOR-PROFIT AFFILIATESFL501(C)(3)11B TYPE IIN/A0
AVMED INC
PO BOX 749GAINESVILLEFL326270749592742907HEALTH CAREFL501(C)(4)N/A0SANTAFE HEALTHCARE INC
NORTH FLORIDA RETIREMENT VILLAGE INC
PO BOX 749GAINESVILLEFL326270749591912330RETIREMENT COMMUNITYFL501(C)(3)90SANTAFE HEALTHCARE INC
SANTAFE SENIOR LIVING INC
PO BOX 749GAINESVILLEFL326270749203700526MANAGEMENT AND FINANCIAL SUPPORT FOR NOT-FOR-PROFIT AFFILIATESFL501(C)(3)11A TYPE I0SANTAFE HEALTHCARE INC
BVG ACQUISITION INC
PO BOX 749GAINESVILLEFL326270749203701186RETIREMENT COMMUNITYFL501(C)(3)90SANTAFE SENIOR LIVING INC
EAST RIDGE RETIREMENT VILLAGE INC
PO BOX 749GAINESVILLEFL326270749590903331RETIREMENT COMMUNITYFL501(C)(3)90SANTAFE SENIOR LIVING INC
BONITA SPRINGS RETIREMENT VILLAGE INC
PO BOX 749GAINESVILLEFL326270749262386152RETIREMENT COMMUNITYFL501(C)(3)90SANTAFE SENIOR LIVING INC
SANTAFE SENIOR LIVING FOUNDATION INC
PO BOX 749GAINESVILLEFL326270749264464727CHARITABLE & EDUCATIONAL PURPOSESFL501(C)(3)70SANTAFE SENIOR LIVING INC

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1SF HOLDING CORPINC & SUBSIDIARYBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 749AddressLine1
CityGAINESVILLECity
StateFLState
ZIP Code326270749ZIPCode
FieldValueIRS element (for citing)
EIN592903901EIN
Primary ActivitiesHOLDING COMPANYPrimaryActivitiesTxt
Legal Domicile StateFLLegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Entity TypeCEntityTypeTxt
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
AVMED INC
M$94,565FAIR MARKET VALUE
AVMED INC
L$208,990FAIR MARKET VALUE
AVMED INC
P$83,593FAIR MARKET VALUE