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THE ELIZABETH HOSPICE INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
THE ELIZABETH HOSPICE INC (EIN 95-3275679)
Tax period
2012-07-01 to 2013-06-30
Filed
2013-11-13
IRS object ID
201333179349306303
Schema version
2012v2.3
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)
Timestamp2013-11-13T17:22:14-06:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1REDFERN & COMPANYBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1631 3RD ST STE 102AddressLine1
CityENCINITASCity
StateCAState
ZIP Code920246776ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN953275679EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1THE ELIZABETH HOSPICE INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlELIZNameControl
Phone7607372050Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1500 LA TERRAZA BLVD SUITE 130AddressLine1
CityESCONDIDOCity
StateCAState
ZIP Code920253876ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameKIPRIAN SKAVINSKIName
TitleCFOTitle
Phone7607372050Phone
Date Signed2013-10-31DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NamePAUL REDFERN CPAName
Phone7606341120Phone
Date Prepared2013-11-07DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeXAddressChange
Name Of Principal Officer PersonJANET JONESNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1500 LA TERRAZA BLVD SUITE 130AddressLine1
CityESCONDIDOCity
StateCAState
ZIP Code920253876ZIPCode
FieldValueIRS element (for citing)
Gross Receipts34471493GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.ELIZABETHHOSPICE.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1985YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionTO ENHANCE THE QUALITY OF LIFE FOR THOSE NEARING THE END OF LIFE'S JOURNEY AND FOR THOSE WHO GRIEVE THROUGH RESPONSIVE MEDICAL, EMOTIONAL, AND SPIRITUAL SUPPORT.ActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees387TotalNbrEmployees
Total Nbr Volunteers340TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year251440ContributionsGrantsPriorYear
Contributions Grants Current Year124995ContributionsGrantsCurrentYear
Program Service Revenue Prior Year28791542ProgramServiceRevenuePriorYear
Program Service Revenue CY34345758ProgramServiceRevenueCY
Investment Income Prior Year651InvestmentIncomePriorYear
Investment Income Current Year740InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year29043633TotalRevenuePriorYear
Total Revenue Current Year34471493TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year19661151SalariesEtcPriorYear
Salaries Etc Current Year25259735SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year7868742OtherExpensePriorYear
Other Expenses Current Year10103620OtherExpensesCurrentYear
Total Expenses Prior Year27529893TotalExpensesPriorYear
Total Expenses Current Year35363355TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1513740RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-891862RevenuesLessExpensesCY
Total Assets BOY12371052TotalAssetsBOY
Total Assets EOY12240814TotalAssetsEOY
Total Liabilities BOY3244017TotalLiabilitiesBOY
Total Liabilities EOY4005641TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY9127035NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY8235173NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO ENHANCE THE QUALITY OF LIFE FOR THOSE NEARING THE END OF LIFE'S JOURNEY AND FOR THOSE WHO GRIEVE THROUGH RESPONSIVE MEDICAL, EMOTIONAL, AND SPIRITUAL SUPPORT.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense30220664Expense
Revenue34345758Revenue
DescriptionFOUNDED IN 1978, THE ELIZABETH HOSPICE (TEH) IS THE OLDEST AND LARGEST HOSPICE PROGRAM IN SAN DIEGO COUNTY. TEH IS DEDICATED TO ENHANCING THE QUALITY OF LIFE FOR THOSE NEARING THE END OF LIFE'S JOURNEY AND FOR THOSE WHO GRIEVE. THE PROGRAMS OFFERED TO THE COMMUNITIES OF SAN DIEGO AND SOUTH RIVERSIDE COUNTY INCLUDE EXPERT ADULT, PEDIATRIC AND PERINATAL HOSPICE CARE. PALLIATIVE CARE SERVICES ARE AVAILABLE THROUGH OUR UNIQUELY QUALIFIED STAFF OF PROFESSIONALS. THE CENTER FOR COMPASSIONATE CARE OFFERS BEREAVEMENT SUPPORT, COUNSELING SERVICES AND COMMUNITY EDUCATION - REACHING CAREGIVERS AND COMMUNITY MEMBERS OF ALL AGE GROUPS. ALTHOUGH COVERED BY MEDICARE, MEDI-CAL AND MOST PRIVATE INSURANCES, SERVICES ARE PROVIDED REGARDLESS OF ONE'S ABILITY TO PAY. MANY OF THE EXPANDED AND UNDERFUNDED PROGRAMS OFFERED TO OUR PATIENTS, THEIR LOVED ONES AND THE COMMUNITY ARE MADE POSSIBLE BY THE ONGOING GENEROUS PHILANTHROPIC SUPPORT OF INDIVIDUALS, CORPORATIONS AND FOUNDATIONS.Description
Total Program Service Expense30220664TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109684NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees387NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Own WebsiteXOwnWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonKIPRIAN SKAVINSKINamePerson
Telephone Number7607372050TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1500 LA TERRAZA BLVD SUITE 130AddressLine1
CityESCONDIDOCity
StateCAState
ZIP Code920253876ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (22 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
DENISE BOREN
DIRECTOR1.00X000
LARRY EDDINGFIELD
DIRECTOR1.00X000
BETTE FINEGAN
DIRECTOR1.00X000
JOHN FORST
CHAIR OF THE1.00X000
DAN KLINGENSMITH
DIRECTOR1.00X000
MICHAEL HARTNEY
DIRECTOR1.00X000
FAYE HINES
DIRECTOR1.00X000
LAURETTE MCGUIRE PHD
DIRECTOR1.00X000
ANDREA KLEIN
DIRECTOR1.00X000
GARY KLOEHN
DIRECTOR1.00X000
RON KLINGENSMITH
DIRECTOR1.00X000
CHRIS WEISSMANN
DIRECTOR1.00X000
BRIDGET POMPA-HOGAN
DIRECTOR1.00X000
SHARON HAMILL
DIRECTOR1.00X000
GUY ANASTASIA
DIRECTOR1.00X000
GLENN PANZER
CHIEF MEDICA40.00261264023062X
ANDREA GOODWIN
COO40.0015707209425X
KIPRIAN SKAVINSKI
CFO40.00117208032992X
JANET JONES
CEO40.009459906960X
CHERYL FARST
CORPORATE SE40.006030208760X
PATRICIA SHADER
CLINICAL DIR40.00137453019088X
ROBERT BURGETT
DIR. OF INFO40.00121785010749X
FieldValueIRS element (for citing)
Total Reportable Comp From Org949683TotalReportableCompFromOrg
Total Other Compensation111036TotalOtherCompensation
Number Individuals GT100 K5NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
WITHOUT BORDERS SANCTUARY INC
2816 CARRILLO WAYCARLSBADCA92009MEDICAL SERVICE255341
DR FREDERIC JACKSON
2402 OLD RANCH RDESCONDIDOCA92027MEDICAL SERVICE251574
DR GEORGE DELGADO
28345 TRICIA PLACEESCONDIDOCA92026122624
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
Related Organizations124995RelatedOrganizations
Total Contributions124995TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
HOSPICE SERVICES6216103406690334066903
OTHER900099278855278855
FieldValueIRS element (for citing)
Total Program Service Revenue34345758TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column740TotalRevenueColumn
Exclusion$740ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column34471493TotalRevenueColumn
Related Or Exempt Function Income34345758RelatedOrExemptFunctionIncome
Exclusion$740ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total810319Total
Program Services263848ProgramServices
Management And General546471ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total18797795Total
Program Services16872773ProgramServices
Management And General1925022ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total4236945Total
Program Services3489323ProgramServices
Management And General747622ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1414676Total
Program Services1254682ProgramServices
Management And General159994ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total68250Total
Program Services2194ProgramServices
Management And General66056ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total100659Total
Management And General100659ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1543422Total
Program Services1145309ProgramServices
Management And General398113ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total229432Total
Program Services49052ProgramServices
Management And General180380ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total226949Total
Program Services113813ProgramServices
Management And General113136ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total841276Total
Program Services684619ProgramServices
Management And General156657ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total827287Total
Program Services636855ProgramServices
Management And General190432ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total743051Total
Program Services712312ProgramServices
Management And General30739ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total255179Total
Program Services132479ProgramServices
Management And General122700ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total336179Total
Program Services190277ProgramServices
Management And General145902ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total97816Total
Program Services30113ProgramServices
Management And General67703ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL SUPPLIES & EQUIPM16444371644437
PHARMACY10612401061240
INPATIENT CARE10143621014362
CELL PHONE31336727583037537

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total800714Total
Program Services647146ProgramServices
Management And General153568ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total35363355Total
Program Services30220664ProgramServices
Management And General5142691ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2295100BOY
EOY1379478EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY3828731BOY
EOY3178488EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY3382151BOY
EOY3880980EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY256159BOY
EOY268469EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis5078878LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1545479LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY2608911BOY
EOY3533399EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY12371052BOY
EOY12240814EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY3244017BOY
EOY4005641EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY3244017BOY
EOY4005641EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY9127035BOY
EOY8235173EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY9127035BOY
EOY8235173EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY12371052BOY
EOY12240814EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-891862ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years139391CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years344758CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years243723CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year251440CurrentTaxYearMinus1Year
Current Tax Year124995CurrentTaxYear
Total1104307Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years16644642CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years21606195CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years25882222CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year28791542CurrentTaxYearMinus1Year
Current Tax Year34345758CurrentTaxYear
Total127270359Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years16784033CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years21950953CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years26125945CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year29042982CurrentTaxYearMinus1Year
Current Tax Year34470753CurrentTaxYear
Total128374666Total
FieldValueIRS element (for citing)
Public Support Total509128374666PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1946CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years767CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years869CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year651CurrentTaxYearMinus1Year
Current Tax Year740CurrentTaxYear
Total4973Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1946CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years767CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years869CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year651CurrentTaxYearMinus1Year
Current Tax Year740CurrentTaxYear
Total4973Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years16785979CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years21951720CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years26126814CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year29043633CurrentTaxYearMinus1Year
Current Tax Year34471493CurrentTaxYear
Total128379639Total
FieldValueIRS element (for citing)
Public Support Percentage5091.00000PublicSupportPercentage509
Prior Year Support Percentage0.99970PriorYearSupportPercentage
Investment Income Percentage0.00000InvestmentIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance2806028BeginningOfYearBalance
Investment Earnings Or Losses332018InvestmentEarningsOrLosses
Other Expenditures85000OtherExpenditures
End Of Year Balance3053046EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance2810032BeginningOfYearBalance
Investment Earnings Or Losses-4004InvestmentEarningsOrLosses
Other Expenditures40781OtherExpenditures
End Of Year Balance2765247EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance2663424BeginningOfYearBalance
Investment Earnings Or Losses348655InvestmentEarningsOrLosses
Other Expenditures202047OtherExpenditures
End Of Year Balance2810032EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance1734578BeginningOfYearBalance
Contributions660000Contributions
Investment Earnings Or Losses268846InvestmentEarningsOrLosses
End Of Year Balance2663424EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance920327BeginningOfYearBalance
Contributions1000000Contributions
Investment Earnings Or Losses-185749InvestmentEarningsOrLosses
End Of Year Balance1734578EndOfYearBalance
FieldValueIRS element (for citing)
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis360000OtherCostOrOtherBasis
Book Value360000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis3642841OtherCostOrOtherBasis
Depreciation892850Depreciation
Book Value2749991BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1073664OtherCostOrOtherBasis
Depreciation652629Depreciation
Book Value421035BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2373OtherCostOrOtherBasis
Book Value2373BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings3533399TotalOfBookValueLandBuildings
Tot Revenue Etc Audited Fincl Stmt35699189TotRevenueEtcAuditedFinclStmt
Other Revenues1227696OtherRevenues
Revenue Not Rptd F9901227696RevenueNotRptdF990
Revenue Subtotal34471493RevenueSubtotal
Total Revenue Per Form99034471493TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt35759766TotExpensesEtcAuditedFinclStmt
Other Expenses Included396411OtherExpensesIncluded
Expenses Not Rptd F990396411ExpensesNotRptdF990
Expenses Subtotal35363355ExpensesSubtotal
Total Expenses Per Form99035363355TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
REVENUE AMOUNTS INCLUDED IN FINANCIALS - OTHERSCHEDULE D, PAGE 4, PART XI, LINE 2DCONSOLIDATED FINANCIALS ELIMINATING ENTRIES -394,831 REVENUE FROM RELATED ORGANIZATIONS 1,622,527
EXPENSE AMOUNTS INCLUDED IN FINANCIALS - OTHERSCHEDULE D, PAGE 4, PART XII, LINE 2DCONSOLIDATED FINANCIALS ELIMINATING ENTRIES -394,831 EXPENSES FROM RELATED ORGANIZATIONS 791,242

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (4 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgBonus Filing OrgBonusFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
GLENN PANZER
CHIEF MEDICAL OFFICE261384-120178625200284326
ANDREA GOODWIN
COO157192-1204738952166497
KIPRIAN SKAVINSKI
CFO10381813390314021590150200
PATRICIA SHADER
CLINICAL DIRECTOR1334534000118007288156541

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
FIRST ACCOMPLISHMENT DESCRIPTIONFORM 990, PAGE 2, PART III, LINE 4APROGRAMS OFFERED TO OUR PATIENTS, THEIR LOVED ONES AND THE COMMUNITY ARE MADE POSSIBLE BY THE ONGOING GENEROUS PHILANTHROPIC SUPPORT OF INDIVIDUALS, CORPORATIONS AND FOUNDATIONS.
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BTHE BOARD OF DIRECTORS HAS DELEGATED ITS AUTHORITY TO THE AUDIT COMMITTEE OF THE BOARD TO REVIEW, RECOMMEND, AND APPROVE THE 990 TAX RETURNS PRIOR TO FILING. ONCE THE RETURN HAS BEEN PREPARED, THE CONTROLLER AND CFO REVIEW THE RETURN FOR ACCURACY. ONCE THIS REVIEW HAS BEEN PERFORMED, THE DRAFT RETURN IS PRESENTED TO THE AUDIT COMMITTEE FOR APPROVAL.
ENFORCEMENT OF CONFLICTS POLICYFORM 990, PAGE 6, PART VI, LINE 12CBOARD MEMBERS, OFFICERS, DIRECTORS, TRUSTEES, AND KEY EMPLOYEES ARE REQUIRED TO COMPLETE ANNUAL CONFLICT OF INTEREST DISCLOSURE STATEMENTS.
COMPENSATION PROCESS FOR TOP OFFICIALFORM 990, PAGE 6, PART VI, LINE 15ABUDGET PERMITTING, A SALARY SURVEY IS CONDUCTED EVERY 2 TO 3 YEARS. BASED ON THE RESULTS, WE REVIEW EACH POSITION. SURVEY HELPS TO EVALUATE IF MARKET ADJUSTMENTS ARE WARRANTED.
COMPENSATION PROCESS FOR OFFICERSFORM 990, PAGE 6, PART VI, LINE 15BBUDGET PERMITTING, A SALARY SURVEY IS CONDUCTED EVERY 2 TO 3 YEARS. BASED ON THE RESULTS, WE REVIEW EACH POSITION. SURVEY HELPS TO EVALUATE IF MARKET ADJUSTMENTS ARE WARRANTED.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19DOCUMENTS ARE AVAILABLE FOR VIEWING UPON REQUEST AT 150 W CREST STREET, ESCONDIDO, CA 92025
RECONCILIATION OF CHANGES - OTHERFORM 990, PART XI, LINE 9CONSOLIDATED FINANCIALS ELIMINATING ENTRIES -394,831 REVENUE FROM RELATED ORGANIZATIONS 1,622,527 CONSOLIDATED FINANCIALS ELIMINATING ENTRIES 394,831 EXPENSES FROM RELATED ORGANIZATIONS -791,242

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1THE ELIZABETH HOSPICE FOUNDATIONBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1150 W CREST STREETAddressLine1
CityESCONDIDOCity
StateCAState
ZIP Code92025ZIPCode
FieldValueIRS element (for citing)
EIN820549103EIN
Primary ActivitiesSUPPORTPrimaryActivities
Legal Domicile StateCALegalDomicileState
Exempt Code Section501C 3ExemptCodeSection
Public Charity Status7PublicCharityStatus
Direct Controlling Entity NAN/ADirectControllingEntityNA
Controlled OrgfalseControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg