2024-11-15T12:56:44-06:00 2023-12-31 561706742 DAVIDSON HOLLAND WHITESELL & CO PLLC 209 13TH AVE PLACE NW SUITE 200 HICKORY NC 28601 990 2023-01-01 743000910 CENTRAL TEXAS PALLIATIVE CARE ASSOCIATES DBA AUSTIN PALLIATIVE CARE CENT 5123424700 4107 SPICEWOOD SPRINGS ROAD 100 AUSTIN TX 78759 HERB DYER EXECUTIVE DIRECTOR 5123424700 2024-11-14 1 1 MATTHEW MCKINNEY P01707028 8283222070 2024-11-14 2023 2024-10-15 13:58:12Z HERB DYER 4107 SPICEWOOD SPRINGS ROAD 100 AUSTIN TX 78759 3039947 0 X WWW.HOSPICEAUSTIN.ORG X 2001 TX AUSTIN PALLIATIVE CARE PROVIDES MEDICAL DIRECTOR SERVICES TO HOSPICE AUSTIN AS WELL AS PALLIATIVE CARE TO PATIENTS WHO ARE NOT YET ADMITTED TO HOSPICE PROGRAMS. 4 0 10 0 0 0 2014279 1043515 2013830 1994568 -287 66 5716 1796 4033538 3039945 0 0 0 0 1734772 1570385 0 0 7 1740646 1800111 3475418 3370496 558120 -330551 1096612 746788 165120 145847 931492 600941 AUSTIN PALLIATIVE CARE PROVIDES MEDICAL DIRECTOR SERVICES TO HOSPICE AUSTIN AS WELL AS PALLIATIVE CARE TO PATIENTS WHO ARE NOT YET ADMITTED TO HOSPICE PROGRAMS. 0 0 2468943 1996432 AUSTIN PALLIATIVE CARE PROVIDES MEDICAL DIRECTOR SERVICES TO HOSPICE AUSTIN AS WELL AS PALLIATIVE CARE TO PATIENTS WHO ARE NOT YET ADMITTED TO HOSPICE PROGRAMS. 2468943 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 7 0 1 10 1 0 0 0 0 0 0 0 0 0 0 0 0 X 4 0 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X HERB DYER 5123424700 4107 SPICEWOOD SPRINGS ROAD 100 AUSTIN TX 78759 DR SANDRA FRELLSEN PRESIDENT 40.00 0.00 X X 270083 0 842 DR DEREK LEJEUNE DIRECTOR 27.00 0.00 X 181148 0 13206 DR KATE TINDELL SECRETARY 40.00 0.00 X X 260642 0 842 DR JOHNSON WU DIRECTOR 40.00 0.00 X 230767 0 8749 DR KIMBERLY GALUSHA PHYSICIAN 40.00 0.00 X 199157 0 8249 1141797 0 31888 5 0 1 0 0 875944 167571 1981 1043515 PATIENT CARE SERVICES 621990 1994568 1994568 1994568 68 68 2 -2 -2 -2 MISCELLANEOUS INCOME 621990 1796 1796 1796 3039945 1996432 0 -2 X 771925 268987 502938 580737 580737 137728 86519 51209 79995 50252 29743 610 610 5467 5102 365 53049 52033 1016 5392 5392 7530 7530 3060 2991 69 26462 26199 263 PROVIDER AND NP SERVICE 1260408 1260408 MISCELLANEOUS EXPENSE 327042 13180 313855 7 PATIENT CARE EXPENSES 72336 72336 CONSULTING EXPENSE 20000 20000 18755 17277 1478 3370496 2468943 901546 7 247105 551800 750000 20000 90967 161355 797 8951 11168 6486 7743 4682 1096612 746788 165120 145847 165120 145847 X 76276 162772 855216 438169 931492 600941 1096612 746788 -330551 0 X X 0 1 X 1 0 X 918115 1756869 1264226 2014279 1043515 6997004 1628961 1818795 2126047 2013830 1994568 9582201 2547076 3575664 3390273 4028109 3038083 16579205 405915 500000 450000 750000 2105915 0 405915 500000 450000 750000 2105915 14473290 693 26 68 787 693 26 68 787 190 164 24 5716 1796 7890 2547266 3575828 3390990 4033851 3039947 16587882 0.87250 0.83680 0.00000 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER - 2019 AMOUNT: $ 190. 2020 AMOUNT: $ 164. 2021 AMOUNT: $ 24. 2022 AMOUNT: $ 5,716. 2023 AMOUNT: $ 1,796. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 6172 3822 2350 4996 2664 2332 4682 3039947 2 2 3039945 0 3039945 3370498 2 2 3370496 0 3370496 PART XI, LINE 2D - OTHER ADJUSTMENTS: LOSS ON ASSET SALE 2. PART XII, LINE 2D - OTHER ADJUSTMENTS: LOSS ON ASSET SALE 2. X X X X X X 0 0 0 0 0 1 1 0 0 DR SANDRA FRELLSEN PRESIDENT 270083 0 0 0 0 0 0 0 842 0 270925 0 0 0 DR KATE TINDELL SECRETARY 260642 0 0 0 0 0 0 0 842 0 261484 0 0 0 DR JOHNSON WU DIRECTOR 230767 0 0 0 0 0 0 0 8749 0 239516 0 0 0 DR KIMBERLY GALUSHA PHYSICIAN 199157 0 0 0 0 0 0 0 8249 0 207406 0 0 0 DR DEREK LEJEUNE DIRECTOR 181148 0 0 0 0 0 0 0 13206 0 194354 0 0 0 PART I, LINE 6 AUSTIN PALLIATIVE CARE'S TREASURER IS ALSO THE EXECUTIVE DIRECTOR OF HOSPICE AUSTIN AND HAS CONSOLIDATED CHANGE IN NET ASSETS (NET INCOME) AS ONE OF THEIR BONUS GOALS. THERE ARE MULTIPLE GOALS WITH EACH ASSIGNED A WEIGHTED VALUE IN ARRIVING AT THE OVERALL PERCENT OF GOALS ACHIEVED. ONE OF THE MULTIPLE BONUS GOALS IS MEETING OR EXCEEDING THE CONSOLIDATED CHANGE IN NET ASSETS PRIOR TO INTREREST INCOME AND INVESTMENT RETURNS (NET INCOME PRIOR TO INTEREST INCOME AND INVESTMENT RETURNS) FOR HOSPICE AUSTIN, CENTRAL TEXAS PALLIATIVE CARE ASSOCIATES AND THE HOSPICE AUSTIN FUND, RELATED ENTITIES. FORM 990, PART VI, SECTION A, LINE 6 THE BOARD OF DIRECTORS OF THE NONPROFIT CORPORATION IS COMPRISED SOLELY OF PHYSICIANS ACTIVELY ENGAGED IN THE PRACTICE OF MEDICINE. THE NONPROFIT CORPORATION'S FINANCIAL MATTERS ARE OVERSEEN BY THE BOARD OF DIRECTORS OF THE NONPROFIT CORPORATION'S SOLE MEMBER, HOSPICE AUSTIN. FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF DIRECTORS OF THE NONPROFIT CORPORATION IS COMPRISED SOLELY OF PHYSICIANS ACTIVELY ENGAGED IN THE PRACTICE OF MEDICINE. THE DIRECTORS ARE APPOINTED TO THE BOARD BY THE NONPROFIT CORPORATION'S SOLE MEMBER, HOSPICE AUSTIN, WITH THE APPROVAL OF A MAJORITY OF THE NONPROFIT CORPORATION'S DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B HOSPICE AUSTIN, THE SOLE MEMBER OF CTPCA, RESERVES GENERAL CORPORATE AND FINANCIAL OVERSIGHT POWERS OVER CTPCA THAT ARE IN COMPLIANCE WITH TEXAS LAWS AND REGULATIONS PERTAINING TO NONPROFIT HEALTHCARE CORPORATIONS CERTIFIED BY THE TEXAS BOARD OF MEDICINE. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY THE SOLE MEMBER'S, HOSPICE AUSTIN'S FISCAL MANAGEMENT COMMITTEE AND FULL BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C DIRECTORS AND OFFICERS DISCLOSE ANY CONFLICTS OF INTEREST ON AN ANNUAL BASIS AND RECUES THEMSELVES FROM VOTING ON ANY MATTERS WITH WHICH THEY HAVE A CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 LINE 15A: DETERMINING COMPENSATION FOR THE TOP MANAGEMENT OFFICIAL OF HOSPICE AUSTIN, A RELATED ENTITY, INCLUDES THE COLLECTION OF COMPARABLE DATA (COMPARABLE POSITIONS OF COMPARABLE ORGANIZATIONS OBTAINED FROM PUBLISHED SALARY SURVEY REPORTS AND FORM 990S OF OTHER ORGANIZATIONS). THE DATA IS REVIEWED AND DISCUSSED BY THE BOARD OF DIRECTORS. ONCE AN APPROPRIATE SALARY IS AGREED UPON, IT IS SUBMITTED TO THE BOARD OF DIRECTORS FOR APPROVAL. AFTER REVIEW AND DISCUSSION, THE COMMITTEES AND BOARD'S DECISIONS ARE DOCUMENTED. NO INDIVIDUAL WITH A CONFLICT OF INTEREST IS INVOLVED IN THE DECISION. LINE 15B: THE PROCESS FOR DETERMINING COMPENSATION AND PAY GRADE FOR ALL OTHER EMPLOYEES INCLUDES THE COLLECTION AND REVIEW OF COMPARABLE DATA (COMPARABLE POSITIONS OF COMPARABLE ORGANIZATIONS OBTAINED FROM PUBLISHED SALARY SURVEY REPORTS). THE DATA IS REVIEWED AND DISCUSSED BY THE PERSONNEL AND COMPENSATION COMMITTEE. AFTER REVIEW AND DISCUSSION, THE COMMITTEE'S RECOMMENDATION IS DOCUMENTED AND SUBMITTED TO THE EXECUTIVE COMMITTEE AND THE FULL BOARD OF HOSPICE AUSTIN FOR APPROVAL. AFTER REVIEW AND DISCUSSION, THE COMMITTEES AND BOARD'S DECISIONS ARE DOCUMENTED. NO INDIVIDUAL WITH A CONFLICT OF INTEREST IS INVOLVED IN THE DISCUSSION. FORM 990, PART VI, SECTION C, LINE 19 UPON WRITTEN REQUEST, THESE DOCUMENTS WILL BE MADE AVAILABLE FOR PUBLIC INSPECTION. THE RETURN IS ALSO LISTED ON THE GUIDESTAR WEBSITE. FORM 990, PART IX, LINE 24E COMMUNICATIONS : PROGRAM SERVICE EXPENSES 7,788. MANAGEMENT AND GENERAL EXPENSES 1,037. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,825. CONTRACT LABOR : PROGRAM SERVICE EXPENSES 6,867. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,867. IN-KIND GOODS : PROGRAM SERVICE EXPENSES 1,981. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,981. PERSONNEL COSTS : PROGRAM SERVICE EXPENSES 559. MANAGEMENT AND GENERAL EXPENSES 331. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 890. EQUIPMENT RENTAL : PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 110. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 110. PRINTING : PROGRAM SERVICE EXPENSES 82. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 82. FORM 990, PART XII, LINE 2C,AUDIT OVERSIGHT/SELECTION OF INDEPENDENT ACCT OVERSIGHT PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. HOSPICE AUSTIN 4107 SPICEWOOD SPRINGS RD 100 AUSTIN TX 78759 742200596 PROVIDES CARE TO TERMINALLY ILL PATIENTS TX 501(C)(3) LINE 10 0 HOSPICE AUSTIN FUND 4107 SPICEWOOD SPRINGS RD 100 AUSTIN TX 78759 742927948 FINANCIAL SUPPORT TO HOSPICE AUSTIN TX 501(C)(3) LINE 12A, I 0 0 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 0 HOSPICE AUSTIN C 875944 CASH HOSPICE AUSTIN M 313908 CASH HOSPICE AUSTIN P 1189369 CASH HOSPICE AUSTIN L 1440840 CASH