2024-08-13T14:28:22-05:00 2023-09-30 410746749 CLIFTONLARSONALLEN LLP 420 SOUTH ORANGE AVENUE SUITE 900 ORLANDO FL 32801 990 2022-10-01 591795440 HOSPICE OF ST FRANCIS INC HOSP 3212694240 1250-B GRUMMAN PL TITUSVILLE FL 32780 LISBET VANDENBERG CHIEF FINANCIAL OFFICER 3212694240 2024-08-12 1 1 TINA HENTON P00630282 4078021200 2024-08-06 2022 2024-08-08 14:25:15Z ST FRANCIS REFLECTIONS LIFESTAGE CARE JOSEPH KILLIAN 1250-B GRUMMAN PL TITUSVILLE FL 32780 34525524 0 X REFLECTIONSLSC.ORG X 1977 FL SUPPORT THE TERMINALLY ILL & THEIR LOVED ONES BY UPLIFTING LIVES, EACH OTHER, & OUR COMMUNITY. 11 11 367 79 0 0 283057 421500 32478546 30502207 2861493 827540 740416 60314 36363512 31811561 0 0 0 0 25377032 21792519 0 0 0 14945859 12790517 40322891 34583036 -3959379 -2771475 24240538 22567660 4180782 5078752 20059756 17488908 X TO CARE AND SUPPORT THE TERMINALLY ILL AND THEIR LOVED ONES BY UPLIFTING LIVES, UPLIFTING EACH OTHER, AND UPLIFTING OUR COMMUNITY. 0 0 24831790 30261110 HOSPICE OF ST. FRANCIS DBA ST. FRANCIS REFLECTIONS LIFESTAGE CARE PROVIDES COMPREHENSIVE HOSPICE CARE SERVICES. THE MAJORITY OF CARE IS PROVIDED IN PATIENTS' RESIDENCES, INCLUDING PRIVATE HOMES, ASSISTED LIVING FACILITIES, AND SKILLED NURSING FACILITIES. HOSPICE CARE IS ALSO PROVIDED IN THE HOSPITAL AND IN OUR EDWARD M. POE HOSPICE CARE CENTER FOR PATIENTS AND FAMILIES IN TITUSVILLE, FL. A COMPREHENSIVE, INTERDISCIPLINARY TEAM IS RESPONSIBLE FOR A HIGHLY COORDINATED HOSPICE CARE EXPERIENCE FOR BOTH PATIENTS AND FAMILIES. 90869 260653 ST. FRANCIS REFLECTIONS LIFESTAGE CARE OFFERS A ROBUST PALLIATIVE CARE PROGRAM, AVAILABLE IN THE INPATIENT AND COMMUNITY/HOME SETTING. THIS COMPREHENSIVE PROGRAM ADDRESSES THE SYMPTOMS & SIDE EFFECTS OF SUCH LIFE-LIMITING MEDICAL CONDITIONS AS CANCER, ADVANCED HEART, LUNG, KIDNEY & LIVER DISEASE, NEUROLOGICAL DISORDERS, DEMENTIA, & MORE. WHEN THE FIRST IMPACT OF CHRONIC DEBILITATIVE DISEASE IS EXPERIENCED, PALLIATIVE CARE CAN HELP PATIENTS & THEIR CAREGIVERS TO SUCCESSFULLY MANAGE THEIR SELF-CARE TO MINIMIZE PROBLEMS THAT MAKE IT DIFFICULT TO PERFORM ACTIVITIES OF DAILY LIVING OR SEEK CURATIVE TREATMENT. PALLIATIVE CARE ALSO FOCUSES HEAVILY ON ADVANCED CARE PLANNING, HELPING PATIENTS TO IDENTIFY THEIR GOALS FOR CARE & QUALITY OF LIFE. (CONTINUED ON SCHEDULE O)THE PALLIATIVE CARE PROGRAM PROVIDES SUPPORT FOR PATIENTS & CAREGIVERS THROUGHOUT THE CONTINUUM OF CARE, INCLUDING TIMES OF TRANSITION BETWEEN DIFFERENT CARE SETTINGS, & COLLABORATES WITH COMMUNITY CARE PARTNERS TO PROVIDE THE BEST SERVICES TO PATIENTS AND FAMILIES. IN THE LAST FISCAL YEAR, MORE THAN 79 VOLUNTEERS FROM OUR COMMUNITY DONATED OVER 5,619 HOURS OF TIME. THE VOLUNTEERS PROVIDED BOTH DIRECT PATIENT SUPPORT THROUGH VISITS, CAREGIVER RELIEF, TRANSPORTATION AND PET THERAPY VISITS AND ADMINISTRATIVE SUPPORT FOR OUR FULL ARRAY OF PROGRAMS. VOLUNTEERS ALSO DONATED HUNDREDS OF HAND-MADE MASKS, GREETING CARDS, KNITTED BLANKETS, CLOTHING PROTECTORS, COMFORT PILLOWS AND SENSORY OR "FIDGET" BLANKETS TO ENHANCE AND UPLIFT OUR PATIENT'S LIVES. (CONTINUED ON SCHEDULE O)THE VOLUNTEER PROGRAM ALSO PROVIDES SPECIAL SERVICES FOR VETERANS. AS AN ELITE LEVEL FIVE PARTNER OF WE HONOR VETERANS, A COLLABORATIVE PROGRAM BETWEEN THE VETERAN'S ADMINISTRATION AND THE NATIONAL HOSPICE AND PALLIATIVE CARE ORGANIZATION, SFR VOLUNTEERS PERFORMED VETERAN PINNING CEREMONIES TO HONOR AND THANK OUR PATIENTS WHO ARE VETERANS. IN 2023, OUR SPECIALLY TRAINED MILITARY VOLUNTEERS CONDUCTED OVER 250 PINNING CEREMONIES FOR VETERANS AND THEIR FAMILIES. WE ALSO SERVED THE NEEDS OF OVER 397 VETERANS THROUGH OUR COMMUNITY-BASED VETERAN OUTREACH AND PARTNERSHIPS WITH VETERAN SERVICE AND SUPPORT ORGANIZATIONS. VETERAN TO VETERAN CAFES HAVE BEEN ESTABLISHED IN MANY LONG TERM CARE FACILITIES FACILITATED BY SFR STAFF. IN 2023, SFR OFFERED A DYNAMIC GRIEF SUPPORT PROGRAM THAT WAS OPEN TO THE PUBLIC COUNTY-WIDE, REGARDLESS OF WHETHER HOSPICE SERVICE WAS INVOLVED IN THE CARE OF THE DECEASED INDIVIDUAL. THE BEREAVEMENT DEPARTMENT PROVIDED SUPPORT TO OVER 2,300 BEREAVED FAMILIES THROUGH INDIVIDUAL OR GROUP SESSIONS AND SUPPORT ACTIVITIES, AS WELL AS ENGAGING IN SIGNIFICANT OUTREACH THROUGH MONTHLY MAILINGS AND PHONE CALLS. THE BEREAVEMENT TEAM PRESENTED INFORMATIONAL TALKS TO VARIOUS COMMUNITY ORGANIZATIONS, INCLUDING NURSING FACILITIES, CHURCHES, EDUCATIONAL INSTITUTIONS AND COMMUNITY GATHERING SITES. FOUR MEMORIAL SERVICES WERE CONDUCTED AT OUR OFFICES TO OFFER SURVIVING LOVED ONES A CHANCE TO HONOR AND REMEMBER THOSE PATIENTS CARED FOR BY SFR. HUNDREDS OF FAMILY MEMBERS, FRIENDS, COMMUNITY DIGNITARIES, VOLUNTEERS AND SFR STAFF ATTENDED. THE SPECIAL NEEDS OF GRIEVING CHILDREN AGES 4 TO 18 WERE SERVED BY OUR NORTH STAR FOR GRIEVING CHILDREN PROGRAM WHICH PROVIDES SAFE AND CARING PEER SUPPORT GROUPS FACILITATED BY MASTER'S LEVEL COUNSELORS AND TRAINED VOLUNTEERS. THIS PROGRAM IS OFFERED FREE OF CHARGE TO ANY CHILD IN BREVARD COUNTY WHO HAS SUFFERED A LOSS. THE PROGRAM HAS GROWN TO OVER 175 CHILDREN IN BREVARD COUNTY. THERE ARE NUMEROUS ACTIVITIES, SEASONAL EVENTS AND WEEKLY SUPPORT GROUPS FOR CHILDREN OF ALL AGES. IN ADDITION, NORTH STAR STAFF PROVIDED EDUCATIONAL WORKSHOPS ON CHILD GRIEF TO BREVARD COUNTY SCHOOL BOARD EMPLOYEES, INCLUDING TEACHERS AND COUNSELORS, AND RESPONDED TO SCHOOL COMMUNITIES COPING WITH THE SUDDEN LOSS OF A TEACHER OR STUDENT. SFR IS PROUD OF THE EXTENSIVE SCOPE OF FREE BEREAVEMENT SERVICES IT OFFERS, RECOGNIZING THAT DEALING WITH GRIEF IS A COMMON CHALLENGE IMPACTING PEOPLE OF ALL AGES AND WALKS OF LIFE.SFR PROVIDES FREE, QUALITY EDUCATION FOR THE COMMUNITY ON SUCH TOPICS AS ADVANCED DIRECTIVES, UNDERSTANDING HOSPICE BENEFITS AND PALLIATIVE CARE, COPING WITH CAREGIVER STRESS, SPIRITUAL NEEDS OF THE DYING AND THEIR CAREGIVERS, AND CARING FOR LOVED ONES AT END OF LIFE. THIS EDUCATION IS PROVIDED BY OUR EXPERIENCED MEDICAL AND PROFESSIONAL STAFF AT LOCATIONS THROUGHOUT THE COUNTY, INCLUDING SENIOR CENTERS, CHURCHES, BUSINESSES AND VETERAN CENTERS, NURSING HOMES AND ASSISTED LIVING FACILITIES. FREE EDUCATION ON HOSPICE AND SERVING THE NEEDS OF THE TERMINALLY ILL WAS ALSO PROVIDED TO FIRST YEAR NURSING STUDENTS IN LOCAL COLLEGES.A UNIQUE BUT EQUALLY IMPORTANT SERVICE PROVIDED BY SFR IS OUR PET PLEDGE PROGRAM, WHICH PROVIDES EDUCATION ON ADVANCED CARE PLANNING FOR PETS AND ASSISTANCE WITH REHOMING A PATIENT'S PET IF THEY ARE NO LONGER ABLE TO MANAGE THEIR CARE. WE ARE PROUD TO CARRY ON THE TRADITION OF OUR FOUNDER, EMILIE SASKO, WHOSE MOTTO WAS "NEIGHBOR HELPING NEIGHBOR" AS WE UPLIFT LIVES THROUGH FREE COMMUNITY SERVICES, COMMUNITY ENGAGEMENT IN OUR MISSION AND WORK, AND STAFF VOLUNTEER EFFORTS EACH AND EVERY DAY. 24922659 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 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 1 1 1 0 0 0 1 58 0 1 367 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 FL X LISBET VANDENBERG 3212694240 1250-B GRUMMAN PL TITUSVILLE FL 32780 JOSEPH KILLIAN CHIEF EXECUTIVE OFFICER 40.00 1.00 X 361763 0 29108 ELIZABETH GALFO MD CHIEF MEDICAL DIRECTOR 40.00 0.00 X 342967 0 20462 RYAN CHAPMAN CHIEF MEDICAL OFFICER 40.00 0.00 X 330067 0 17070 MINA ZEINI MD PHYSICIAN 40.00 0.00 X 287708 0 12847 LAUREN LOFTIS EXITED 6122 FORMER CHIEF MEDICAL OFFICER 40.00 0.00 X 276134 0 22156 DIANNE KNIGHT PHYSICIAN 40.00 0.00 X 220038 0 15676 DIANE DANLY MD PHYSICIAN 40.00 0.00 X 243351 0 19873 MARSHA ABELN EXITED 22222 FORMER CHIEF FINANCIAL OFFICER 40.00 0.00 X 192544 0 382 SHAYNE MOYLES PHYSICIAN 40.00 0.00 X 184814 0 2959 JOHN BRODAN MD PHYSICIAN (EXITED 01.23) 20.00 0.00 X 167471 0 6910 TAMMY ROLFE EXITED 02423 CHIEF OPERATING OFFICER 40.00 0.00 X 150849 0 22838 CAMI LEECH FLORIO EXITED 722 FORMER CHIEF OPERATING OFFICER 40.00 0.00 X 155401 0 9662 JENNIFER CREEL CHIEF CLINICAL OFFICER 40.00 0.00 X 140617 0 22133 ANGELA AVILES CHIEF HR OFFICER 40.00 0.00 X 146555 0 11994 LISBET VANDENBERG CHIEF FINANCIAL OFC. (AS OF 11.7.22) 40.00 1.00 X 44212 0 0 MARY ANN ALDERMAN CHAIRPERSON 1.00 0.00 X X 0 0 0 MICHAEL AMMEN VICE CHAIRPERSON 1.00 0.00 X X 0 0 0 TONY HURT SECRETARY/TREASURER 1.00 1.00 X X 0 0 0 CHRIS MCALPINE PAST CHAIRPERSON 1.00 1.00 X X 0 0 0 SHAUN FERGUSON MEMBER AT LARGE (THRU 1.1.23) 1.00 0.00 X 0 0 0 MARY COLEMAN MEMBER AT LARGE 1.00 1.00 X 0 0 0 SAM HADDAD DIRECTOR (THRU 1.1.23) 1.00 0.00 X 0 0 0 KIM RODRIGUEZ DIRECTOR (THRU 1.1.23) 1.00 0.00 X 0 0 0 RENE PULIDO DIRECTOR 1.00 0.00 X 0 0 0 JERRY ALLENDER DIRECTOR 1.00 0.00 X 0 0 0 CINDY LENNARD DIRECTOR 1.00 0.00 X 0 0 0 DAVID FERGUSON DIRECTOR 1.00 0.00 X 0 0 0 STEVE GRIFFIN DIRECTOR 1.00 1.00 X 0 0 0 BILL PICKENS DIRECTOR (AS OF 4.1.23) 1.00 0.00 X 0 0 0 3244491 0 214070 16 1 1 0 WASHINGTON SQUARE 1401 US-1 TITUSVILLE FL 32796 NURSING AND REHAB CENTER 785699 COURTENAY SPRINGS VILLAGE 1100 S COURTENAY PKWY MERRITT ISLAND FL 32952 NURSING AND REHAB CENTER 511454 INDIAN RIVER CENTER 7201 GREENBORO CENTER WEST MELBOURNE FL 32904 NURSING AND REHAB CENTER 381576 ISLAND HEALTH & REHAB 125 ALMA BLVD MERRITT ISLAND FL 32953 NURSING AND REHAB CENTER 370634 TITUSVILLE REHAB & NURSING FACILITY 1705 JESS PARRISH COURT TITUSVILLE FL 32796 NURSING AND REHAB CENTER 359189 17 150379 271121 421500 MEDICARE 623000 23751444 23751444 MEDICAID 623000 5048392 5048392 PRIVATE INSURANCE 623000 992390 992390 SHARED SERVICES REVENUE 623000 669149 669149 SELF-PAY, NET OF CHARITY CARE 623000 40832 40832 30502207 203535 203535 110361 69603 40758 40758 40758 3268365 2644360 624005 624005 624005 ANCILLARY INCOME 623000 19556 19556 19556 31811561 30521763 0 868298 1900023 818768 1081255 16189954 11929090 4260864 328210 224394 103816 2104146 1289409 814737 1270186 915189 354997 70707 70707 133783 133783 60000 60000 11064 11064 465372 123326 342046 140879 216 140663 241159 3404 237755 1052174 341774 710400 37750 5354 32396 2377 396 1981 825677 81566 744111 396985 396985 PATIENT CARE 7967710 7926857 40853 EQUIPMENT RENTAL 668176 633310 34866 COVID-RELATED EXPENSES 69815 69815 HEALTHCARE CLAIMS STLMT 61870 61870 585019 497921 87098 34583036 24922659 9660377 0 2044134 2869878 3659063 3511250 469416 211239 11790523 4497785 7966204 7292738 9063982 6938340 844269 658587 193470 1085628 24240538 22567660 4180782 3961760 0 1116992 4180782 5078752 X 20059756 17488908 20059756 17488908 24240538 22567660 -2771475 200627 0 X X 0 1 X 1 0 X 23514 1573486 2771013 283057 421500 5072570 27667912 29267621 30141885 33093914 30521763 150693095 27691426 30841107 32912898 33376971 30943263 155765665 0 0 0 155765665 649065 705946 908375 594757 313896 3172039 649065 705946 908375 594757 313896 3172039 28340491 31547053 33821273 33971728 31257159 158937704 0.98000 0.97660 0.02000 0.02340 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 60000 60000 0 PART II-B, LINE 1: THE ORGANIZATION ENGAGED A PROFESSIONAL LOBBYING FIRM TO ADVOCATE ITS INTEREST BEFORE THE FLORIDA LEGISLATURE AND EXECUTIVE AGENCIES OF THE FLORIDA GOVERNMENT. 3500000 3500000 3500000 3500000 3500000 3500000 3500000 3500000 3500000 3500000 1.00000 0 0 812856 812856 8238621 2714428 5524193 2739046 1783357 955689 7292738 LEASE LIABILITY 1116992 1116992 32113868 313371 313371 31800497 11064 11064 31811561 34823473 313371 313371 34510102 11064 61870 72934 34583036 PART XI, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 69,603. OWNER'S RENT 243,768. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 69,603. OWNER'S RENT 243,768. PART XII, LINE 4B - OTHER ADJUSTMENTS: HEALTHCARE CLAIM SETTLEMENT 61,870. X X X X X 1 0 0 0 0 0 0 0 0 JOSEPH KILLIAN CHIEF EXECUTIVE OFFICER 320329 0 0 0 41434 0 13298 0 15810 0 390871 0 0 0 ELIZABETH GALFO MD CHIEF MEDICAL DIRECTOR 295845 0 4250 0 42872 0 9896 0 10566 0 363429 0 0 0 RYAN CHAPMAN CHIEF MEDICAL OFFICER 295955 0 24522 0 9590 0 0 0 17070 0 347137 0 0 0 MINA ZEINI MD PHYSICIAN 262256 0 3788 0 21664 0 10867 0 1980 0 300555 0 0 0 LAUREN LOFTIS EXITED 6122 FORMER CHIEF MEDICAL OFFICER 225886 0 0 0 50248 0 6719 0 15437 0 298290 0 0 0 DIANNE KNIGHT PHYSICIAN 213386 0 3750 0 2902 0 5488 0 10188 0 235714 0 0 0 DIANE DANLY MD PHYSICIAN 231603 0 3750 0 7998 0 10000 0 9873 0 263224 0 0 0 MARSHA ABELN EXITED 22222 FORMER CHIEF FINANCIAL OFFICER 114359 0 0 0 78185 0 0 0 382 0 192926 0 0 0 SHAYNE MOYLES PHYSICIAN 182459 0 1875 0 480 0 1667 0 1292 0 187773 0 0 0 JOHN BRODAN MD PHYSICIAN (EXITED 01.23) 153402 0 1250 0 12819 0 6910 0 0 0 174381 0 0 0 TAMMY ROLFE EXITED 02423 CHIEF OPERATING OFFICER 140580 0 0 0 10269 0 6683 0 16155 0 173687 0 0 0 CAMI LEECH FLORIO EXITED 722 FORMER CHIEF OPERATING OFFICER 138258 0 375 0 16768 0 3903 0 5759 0 165063 0 0 0 JENNIFER CREEL CHIEF CLINICAL OFFICER 132634 0 750 0 7233 0 2553 0 19580 0 162750 0 0 0 ANGELA AVILES CHIEF HR OFFICER 135333 0 0 0 11222 0 2063 0 9931 0 158549 0 0 0 PART I, LINE 4A TAMMY ROLFE, CHIEF OPERATING OFFICER RECEIVED SEVERANCE OF $49,362. PART I, LINE 3 THE BONUS RECEIVED BY THE TOP MANAGEMENT OFFICIALS IS BASED ON SEVERAL FACTORS SUCH AS: QUALITY MEASURES, MARGIN, AND OPERATIONAL PERFORMANCE. A SPECIFIC CALCULATION IS PROVIDED BY THE BOARD OF DIRECTORS TO DETERMINE THE INCENTIVE COMPENSATION. FORM 990, PART VI, SECTION A, LINE 1A THE DIRECTORS, BY RESOLUTION ADOPTED BY A MAJORITY OF THE FULL BOARD OF DIRECTORS, SHALL DESIGNATE FROM AMONG ITS MEMBERS AN EXECUTIVE COMMITTEE, A GOVERNANCE COMMITTEE AND AN AD HOC COMMITTEE, AND EACH SUCH COMMITTEE SHALL SERVE AT THE PLEASURE OF THE BOARD OF DIRECTORS WITH THE AUTHORITY CONTAINED IN FLORIDA LAW. THE BOARD OF DIRECTORS, BY RESOLUTION, MAY DESIGNATE ONE (1) OR MORE DIRECTORS AS ALTERNATE MEMBERS OF ANY SUCH COMMITTEE, WHO MAY ACT IN THE PLACE AND STEAD OF ANY ABSENT MEMBER OR MEMBERS AT ANY MEETING OF SUCH COMMITTEE. THE EXECUTIVE COMMITTEE SHALL AND MAY EXERCISE ALL OF THE AUTHORITY OF THE BOARD OF DIRECTORS, EXCEPT (1) ANY ACTION RESERVED TO THE ENTIRE BOARD OF DIRECTORS REQUIRED BY LAW, THE ARTICLES OF INCORPORATION OR BYLAWS, OR (2) FILL VACANCIES ON THE BOARD OF DIRECTORS OR ANY COMMITTEE THEREOF. THE EXECUTIVE COMMITTEE MAY TRANSACT BUSINESS ISSUES RELATING TO THE FINAL BUDGET APPROVAL, CORPORATE POLICY APPROVAL, ISSUES INVOLVING INSURANCE AND CORPORATE LIABILITY, AND THOSE ITEMS THAT ARE RESERVED TO THE BOARD OF DIRECTORS UNDER THE CORPORATION'S CONTRACTS REQUIREMENTS POLICY. THE EXECUTIVE COMMITTEE PROVIDES SUPERVISORY OVERSIGHT FOR THE PRESIDENT/CHIEF EXECUTIVE OFFICER, INCLUDING ANNUAL EVALUATION, SALARY, AND BENEFITS. THE EXECUTIVE COMMITTEE SHALL MEET SIX (6) TIMES PER YEAR. THE GOVERNANCE COMMITTEE SHALL PROVIDE OVERSIGHT AND RECOMMENDATIONS RELATED TO PERSONNEL, DEVELOPMENT, AND COMPLIANCE-RELATED POLICIES AND MATTERS. THE DUTIES OF THE GOVERNANCE COMMITTEE INCLUDE APPROVAL OF ORGANIZATIONAL HUMAN RESOURCE POLICY, EXPLORATION OF PROGRAM OPPORTUNITIES AND BUSINESS STRATEGIES FOR SUPPORTING THE CORPORATION'S PURPOSE AND MISSION, AND OVERSIGHT AND REVIEW OF COMPLIANCE PROGRAM STRUCTURE AND FUNCTION, INCLUDING IDENTIFYING REGULATORY RISKS AND METHODS OF ENCOURAGING ENTERPRISE-WIDE ACCOUNTABILITY FOR THE ACHIEVEMENT OF COMPLIANCE GOALS AND OBJECTIVES. THE AD HOC COMMITTEE WILL MEET AS NEEDED AT THE DIRECTION OF THE CHAIRPERSON TO FOCUS ON THE SPECIFIC NEEDS OF THE CORPORATION, SUCH AS THE NOMINATION OF NEW MEMBERS OF THE BOARD OF DIRECTORS, DISCUSSION OF SPECIFIC ETHICS OR ETHICS-RELATED ISSUES, AND TO ADDRESS THE SPECIFIC ORGANIZATIONAL PERFORMANCE IMPROVEMENT/QUALITY RELATED MANNERS. FORM 990, PART VI, SECTION B, LINE 11B THE 990 IS PREPARED BY AN OUTSIDE ACCOUNTING FIRM BASED ON THE INFORMATION SUBMITTED BY MANAGEMENT. THE COMPLETED 990 IS PRESENTED TO MANAGEMENT FOR INTERNAL REVIEW. ONCE APPROVED, THE 990 IS SHARED WITH THE BOARD OF DIRECTORS AND SUBMITTED TO THE IRS ELECTRONICALLY. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY IS PRESENTED TO AND SIGNED OFF BY NEW BOARD MEMBERS. DURING THE SCHEDULED ORIENTATION PERIOD FOR THE MEMBER WHEN ITEMS ARE DISCUSSED. DURING A BOARD MEETING, BOARD MEMBERS ARE REQUESTED TO DECLARE ANY CONFLICT OF INTEREST OR RELATIONSHIP TO ANY PARTY ASSOCIATED WITH THE ITEMS. IF A CONFLICT OR RELATIONSHIP EXISTS, THEN THE POLICY TERMS ARE FOLLOWED BY THE BOARD. THE BOARD MEMBERS PROVIDE AN ANNUAL DISCLOSURE AND CONFIRMATION THAT IS USED FOR ONGOING CONFIRMATION OF CONFLICTS. THIS POLICY IS MONITORED BY THE PRESIDENT/CEO. FORM 990, PART VI, SECTION B, LINE 15 THE CEO COMPENSATION IS BASED ON BASE AND BONUS SYSTEM. THE CEO'S PAY RANGE IS COMPARED TO THE REGIONAL HOMECARE AND HOSPICE ANNUAL SALARY AND BENEFITS REPORT, PUBLISHED BY HOSPITAL & HEALTHCARE COMPENSATION SERVICE. THE DATA IN THIS REPORT INCLUDES THE RELEVANT DATA FROM HOSPICE OF ST. FRANCIS. THE RANGE FOR THE CEO IS COMPARED TO THE REGIONAL AND STATE COMPENSATION LEVELS. THEN THE BONUS STRUCTURE IS ESTABLISHED TO PROVIDE INCREMENTAL REIMBURSEMENT UPON ATTAINING OBJECTIVE GOALS. ALL OF THE INFORMATION IS REVIEWED ANNUALLY WITH THE BOARD OF DIRECTORS PERSONNEL COMMITTEE, WHICH IS MADE UP OF EIGHT INDEPENDENT MEMBERS, AND DOCUMENTED IN THE BOARD MINUTES. OTHER KEY EMPLOYEE COMPENSATION ALSO USES THE REGIONAL HOMECARE AND HOSPICE ANNUAL SALARY AND BENEFITS REPORT, PUBLISHED BY HOSPITAL & HEALTHCARE COMPENSATION SERVICE. THE DATA IN THIS REPORT INCLUDES THE RELEVANT DATA FROM HOSPICE OF ST FRANCIS. THE RANGE FOR THESE STAFF ARE COMPARED TO THE REGIONAL AND STATE COMPENSATION LEVELS. ALL OF THE INFORMATION IS REVIEWED ANNUALLY WITH THE BOARD OF DIRECTORS PERSONNEL COMMITTEE, WHICH IS MADE UP OF EIGHT INDEPENDENT MEMBERS, AND DOCUMENTED IN THE BOARD MINUTES. FORM 990, PART VI, SECTION C, LINE 19 HOSPICE OF ST. FRANCIS' FORM 990 CAN BE FOUND AT GUIDESTAR.ORG. ALL OTHER DOCUMENTS CAN BE OBTAINED UPON REQUEST. FORM 990, PART XII, LINE 2C THE OVERSIGHT AND SELECTION PROCESS FOR THE AUDIT OCCURS DURING THE YEAR. THE RESULTS OF THE AUDIT ARE PRESENTED TO AND REVIEWED BY THE BOARD OF DIRECTORS. THIS PROCESS REMAINED THE SAME AS PRIOR YEAR. FORM 990, PART VII, SECTION A TIME DEVOTED TO THE HOSPICE OF ST. FRANCIS FOUNDATION, INC. D/B/A ST. FRANCIS REFLECTIONS FOUNDATION - EIN#47-5116106: NAME TITLE HRS/WK DEVOTED JOSEPH KILLIAN CHIEF EXECUTIVE OFFICER 1.00 LISBET VANDENBERG CHIEF FINANCIAL OFFICER 1.00 CHRIS MCALPINE TREASURER 1.00 TONY HURT CHAIRPERSON 1.00 STEVE GRIFFIN DIRECTOR 1.00 MARY COLEMAN MEMBER AT LARGE 1.00 ST FRANCIS PATHWAYS TO HEALTHCARE LLC 1250 B GRUMMAN PLACE TITUSVILLE FL 32780 473461176 PROVIDE PALLIATIVE CARE FL HOSPICE OF ST FRANCIS THE HOSPICE OF ST FRANCIS FOUNDATION INC 1250 B GRUMMAN PLACE TITUSVILLE FL 32780 475116106 ORGANIZED TO SUPPORT HOSPICE OF ST. FRANCIS FL 501(C)(3) LINE 12A, I HOSPICE OF ST FRANCIS INC 1 0 0 1 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 THE HOSPICE OF ST FRANCIS FOUNDATION INC C 150379 FMV THE HOSPICE OF ST FRANCIS FOUNDATION INC D 34805 FMV THE HOSPICE OF ST FRANCIS FOUNDATION INC Q 170042 FMV