2025-07-18T14:35:07+00:00 2024-09-30 440160260 Forvis Mazars LLP 500 Ridgefield Court Asheville NC 28806 990 2023-10-01 592328806 Big Bend Hospice Inc BIGB 8508785310 1723 Mahan Center Boulevard Tallahassee FL 32308 Bill Wertman CEO 8508785310 2025-07-18 true true Amy Bibby P00445891 8282542254 2025-06-23 2023 2025-03-06 01:10:19Z Bill Wertman 1723 Mahan Center Boulevard Tallahassee FL 32308 30931734 false X www.bigbendhospice.org X 1983 FL Big bend hospice (BBH) inspires hope by positively impacting the way our community experiences illness or grief. BBH provides quality healthcare for the whole person, including their physical, spiritual & emotional needs. 18 18 377 270 0 0 2286310 2020565 27012411 27388862 264396 -12338 50166 148157 29613283 29545246 0 0 0 0 20084592 21334980 0 0 3058 8462998 8807614 28547590 30142594 1065693 -597348 27084525 29949074 10813991 10263999 16270534 19685075 For over 40 years, big bend hospice ("BBH "Big Bend") has been inspiring hope by positively impacting the way our community experiences serious illness or grief, one family at a time. BBH Has deep roots throughout our eith-county service area, supporting individuals and their loved ones in the big bend. BBH'S Holistic approach is founded on providing quality healthcare for the whole person, including their physical, spiritual, and emotional needs. BBH considers the patient's entire family as the "unit of care". BBH helps patients and families make choices about end-of-life issues and enables patients and their loved ones to have greater control over these choices. false false 19746755 27537019 Big bend hospice (big bend) is a not-for-profit community-based health care organization that coordinates care by professionals and volunteers specifically trained to help terminally ill patients and their families in the big bend Florida area. Big bend is here to take the fear out of the unknown and guide patients and their families through the difficulties of dealing with a life limiting illness. We provide each patient with a care team composed of the patient's own physician, a hospice nurse, home hearth aide, family support counselor, music therapist, chaplain, and trained volunteers. We are here to support the patients and their families by providing a holistic approach that includes medical, emotional, social, and spiritual care, maximizing the quality of life when the quantity of life cannot be extended. The Dozier House is a licensed 12-bed inpatient facility to provide hospice care for those patients with a higher level of acuity and who may require round-the-clock (24 hour) skilled nursing care. BBH operates a licensed 8-bed inpatient wing in Tallahassee Memorial Healthcare's hospital (First Commerce Center for Compassionate Care). This wing is fully operated by the organization for higher level acuity patients who require the same round-the-clock (24 hour) skilled nursing care but cannot be easily transported from the hospital to the Dozier House. The organization provides services to its hospice patients and families, as well as to the community at large, for which no reimbursement is received, such as loss counseling to children, teens, and adults, and music therapy as an enhancement to basic hospice care. During FYE 9/30/2024, Big Bend Hospice admitted and served 2,370 patients. BBH's Dozier House served 483 patients, the First Commerce Center for Compassionate Care served 426 patients and BBH supported 566 patients in skilled nursing facilities and assisted living facilities. Following a terminal diagnosis, patients and families struggling with anticipatory grief are assisted by trained staff. In addition to the anticipatory grief support provided to patients and their loved ones, Big Bend Hospice continues the hospice journey with caregivers and family members after the patient dies through its bereavement program. This includes individual face to face sessions, telephone support, and access to bereavement groups and events. Big Bend Hospice's bereavement program also provides services to the broader Big Bend community through grief groups, camps, and bereavement events. During FYE 9/30/24, the bereavement program provided individual, face-to-face grief support sessions. BBH facilitated 4 six-week Adult Grief Support Groups, a monthly Suicide Loss Support Group (12 sessions), 5 teen night grief and loss support groups, 8 crisis response sessions, 6 holiday bereavement events, 9 Children and Teen Nights, and Teen Woe-Be-Gone. Complimentary therapies provided to patients during FYE 9/30/2024 include 335 hours of animal therapy, 5,091 music therapy visits, and 4,267 spiritual care visits. 19746755 true true false true false false false false true true false false true true true false true false false false false false false false false false false false true false false false false false false false true false false false false true true true true false false true 114 0 true 377 true false false false false false false false false false false false false X 18 18 false false false false false false false true true false false true true true true true true true true false FL X Bill Wertman 8508785310 1723 Mahan Center Boulevard Tallahassee FL 32308 Bennett Napier CAE Board Member 1.0 1.0 X 0 0 0 Bruce Gould CPA Board Member 1.0 1.0 X 0 0 0 Frank Mercer CPA Board Member 1.0 1.0 X 0 0 0 Gwynn Virostek Foundation Appointee 1.0 2.0 X 0 0 0 Jeannine Silberman MD Board Member 1.0 1.0 X 0 0 0 Jerry Osteryoung Board Member 1.0 1.0 X 0 0 0 Judy Greenwald Board Member 1.0 1.0 X 0 0 0 Katie Webb Esq Board Member 1.0 1.0 X 0 0 0 Kenneth Pratt Esq Board Member 1.0 2.0 X 0 0 0 Lisa Gardner APRN Board Member 1.0 1.0 X 0 0 0 Mark O'Bryant Board Member 1.0 1.0 X 0 0 0 Scott Harrell Board Member 1.0 2.0 X 0 0 0 Stan Barnes Foundation Chair 1.0 2.0 X 0 0 0 William Smith III Board Member 1.0 1.0 X 0 0 0 Amanda Gustafson BBH Executive Director 40.0 X 0 0 0 Bill Wertman CEO 35.0 5.0 X 332587 0 23511 Deborah Morris CMO 5.0 35.0 X 179927 0 5578 Jon Wood CSO 5.0 35.0 X 244613 0 19663 Nicole Holm CCO 40.0 X 0 0 0 Terri Cardosi CFO 40.0 X 136799 0 4942 Cynthia Dotson Director of Human Capital 40.0 X 133136 0 2413 Fredrick Lutz Hospice Physician 40.0 X 220611 0 11105 Jennifer Lynes Medical Director 40.0 X 216555 0 23565 Joel Garr CIO 40.0 X 167564 0 20829 Lucille Saha Hospice Physician 40.0 X 217613 0 18420 1849405 0 130026 18 false true false Childers Construction Co Inc 3472 Weems Rd Tallahassee FL 32317 IPU Construction 3835442 Seven Hills Health and Rehab Center 3333 Capital Medical Blvd Tallahassee FL 32308 Room and Board 924740 Invaserv LLC DBA Stateserv Network SVC 1201 S Alma School Rd Ste 400 Mesa AZ 852101148 DME Management Software 898863 Optum Hospice Pharmacy Services LLC PO Box 847222 Los Angeles CA 900847222 Prescription Drugs 696481 Eden Springs Centers for LTC 4679 Crawfordville Hwy Crawfordville FL 32327 Room and Board 685556 34 2020565 2020565 Hospice Service Revenue 623990 27388862 27388862 0 0 0 0 27388862 215633 215633 0 0 1117167 41350 1323050 63438 -205883 -22088 -227971 -227971 Other Revenue 623990 148157 148157 0 0 0 0 148157 29545246 27537019 0 -12338 893927 89964 803963 17732779 12221375 5511404 366055 199260 166795 1019763 773423 246340 1322456 882396 440060 95272 95272 97653 97653 1039968 563889 476079 0 44263 2475 41788 1045169 443932 600969 268 588282 313970 274312 921288 470736 448248 2304 487309 406950 80359 264253 43577 220676 182347 182347 1222439 909223 313216 442440 115100 326854 486 Medical Supplies & Transport 1080319 1080319 Durable Medical Equipment 904390 904390 Other Patient services 184105 184105 Memberships and Dues 76547 32170 44377 131570 109501 22069 0 30142594 19746755 10392781 3058 730145 295271 3387924 3068409 0 0 9988 21637 313576 590920 23949397 8565354 11766476 15384043 6344793 4987471 0 0 741429 4531623 4859894 27084525 29949074 4307216 2922801 0 1679807 2577246 4826968 4763952 10813991 10263999 X 16270534 19685075 16270534 19685075 27084525 29949074 X -597348 637524 4181287 -806922 X false true X true false X 948614 3787678 1103165 2286310 2020565 10146332 19121584 20818654 24088682 27012411 33582722 124624053 0 0 0 20070198 24606332 25191847 29298721 35603287 134770385 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 134770385 43776 117860 218036 231791 215633 827096 0 43776 117860 218036 231791 215633 827096 0 10866 17782 17796 50166 148157 244767 20124840 24741974 25427679 29580678 35967077 135842248 0.9921 0.9931 0.01 0.01 X Schedule A, Part III, Line 12 Other Income DESCRIPTION - OTHER INCOME, COLUMN A - 10866.0, COLUMN B - 17782.0, COLUMN C - 17796.0, COLUMN D - 50166.0, COLUMN E - 148157.0, COLUMN F - 244767.0; RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 1854 1854 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY A portion of the amounts paid to NHPCO, NPHI, and FHPCA is used for Lobbying. 3097438 724170 3821608 2841799 255639 3097438 3309911 -468112 2841799 2689978 619933 3309911 2454716 25970 209292 2689978 0.02 0.48 0.5 false true true 1845335 1845335 9001265 3016494 5984771 5731792 327440 5404352 5263245 3794544 1468701 2107760 1426876 680884 15384043 Due from Affiliate 650435 Operating ROU assets 4209459 4859894 Finance Lease Liability 180595 Operating Lease Liability 4583357 4763952 X Schedule D, Part V, Line 4 Intended uses of endowment funds Big Bend Hospice Foundation Inc Possesses Endowment Funds In the Form of Long-Term Investments Whose Earnings are intended to support the mission of big bend hospice. Big bend hospice foundation has adopted investment and spending polices that attempt to provide a perpetual source of support to programs supported by the endowment while seeking to preserve the purchasing power of the endowment assets. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote Internal Revenue Code and corresponding state tax law. Accordingly, no provision has been made for federal or state income taxes. Additionally, the Foundation has been determined not to be a private foundation under Section 509(a) of the Internal Revenue Code. U.S. GAAP requires that a tax position be recognized as a benefit only if it is more likely than not that the tax position would be sustained in a tax examination, with a tax examination being presumed to occur. The amount recognized is the largest amount of tax benefit that is greater than 50% likely of being realized on examination. The Organization's Form 990s have not been subject to examination by the Internal Revenue Service or the state of Florida for the last three years. The Organization does not expect the total amount of unrecognized tax benefits to significantly change in the next 12 months. The Organization recognizes interest and/or penalties related to income tax matters in income tax expense. The Organization did not incur any amounts for interest and penalties at September 30, 2024. X X X false false false false false false false true false Bill Wertman CEO 321215 0 11372 0 0 0 14750 0 8761 0 356098 0 0 0 Jon Wood CSO 244258 0 355 0 0 0 11308 0 8355 0 264276 0 0 0 Deborah Morris CMO 179673 0 254 0 0 0 5265 0 313 0 185505 0 0 0 Fredrick Lutz Hospice Physician 220000 0 611 0 0 0 11000 0 105 0 231716 0 0 0 Lucille Saha Hospice Physician 217002 0 611 0 0 0 9731 0 8689 0 236033 0 0 0 Jennifer Lynes Medical Director 215944 0 611 0 0 0 11227 0 12338 0 240120 0 0 0 Joel Garr CIO 166955 0 609 0 0 0 8750 0 12079 0 188393 0 0 0 Schedule J, Part I, Line 7 Non-fixed payments The bonus of the ceo/administrator is written into an employment contract. The dollar amounts of other bonuses are determined at the discretion of the board with distribution authority given to the ceo. Basis Hospice Solutions LLC Owned by COO, Jon Wood & CIO, Joel Garr 36127 IT Contracting and System Services false Form 990, Part VI, Line 1a Delegate broad authority to a committee The board of directors shall have an executive committee composed of all officers of the board as well as the immediate past chair of the big bend hospice board, and the chair of the Big bend hospice foundation, which shall have and shall exercise the authority of the board in the management of the business of the corporation between meetings of the board. Form 990, Part VI, Line 11b Review of form 990 by governing body A copy of the form 990 is provided to each board member prior to filing with the IRS. Form 990, Part VI, Line 12c Conflict of interest policy At the time of appointment and at least annually thereafter (or at the time of occurrence), Board members and executive staff complete an annual disclosure statement to disclose to the CEO and the board chairperson any business or other employment relationships which represent potential conflicts of interest with big ben hospice. If there is a potential conflict of interest, the ceo and board chairperson review the statement and determine if there is an actual conflict of interest. The audit committee annually reviews all conflict-of-interest statements. Board members are required to abstain from voting on matters which present a conflict of interest as described above and shall excuse themselves from the meeting during discussion and the voting process. Form 990, Part VI, Line 15a Process to establish compensation of top management official The Process for determining the compensation of the organization's ceo includes a review by the executive committee of the board of directors. Compensation surveys are used to determine the amount of compensation. The last review took place during FYE 9/30/2023 and was documented in the minutes of the executive session. Form 990, Part VI, Line 15b Process to establish compensation of other employees The organization's ceo reviews and approves the compensation amounts for all employees. The amount available for salary increases is approved by the CEO and presented as part of the overall budget to the board of directors when the annual budget is reviewed and approved. Form 990, Part VI, Line 19 Required documents available to the public The organization's governing documents, conflict of interest policy, and financial statements are made available to the public upon request. Form 990, Part XI, Line 8 Net assets were restated by the auditors of Big Bend Hospice for the 2023 tax year. Form 990, Part XI, Line 9 Other changes in net assets or fund balances Equity Transfer - -813270; Intercompany Elimination - 6348; Big bend hopice holdings llc 1723 Mahan Center Boulevard Tallahassee FL 32308 813514684 Holding Company (inactive) FL 0 0 Big Bend Hospice Inc Oak Tree Treasures LLC 1723 Mahan Center Boulevard Tallahassee FL 32308 813520840 Thrift Shop (inactive) FL 0 0 Big Bend Hospice Inc Canopy Oaks Institute LLC 1669 Mahan Center Boulevard Tallahassee FL 32308 821735567 Inactive FL 0 0 Big Bend Hospice Inc Capstone Center LLC 1669 Mahan Center Boulevard Tallahassee FL 32308 822889213 Caregiver Services For Pre-Hospice Patients FL 0 0 Big Bend Hospice Inc Capstone Center For counseling and education llc 1669 mahan center boulevard tallahassee FL 32308 caregiver education (inactive) FL 0 0 Big Bend Hospice Inc Transitions Supportive Care LLC 1669 Mahan Center Blvd Tallahassee FL 32308 612025083 Palliative Care FL 0 0 Big Bend Hospice Inc Big Bend Hospice Foundation Inc 1723 Mahan Center Boulevard Tallahassee FL 32308 593258493 fundraising FL 501(c)(3) 7 Big Bend Hospice Inc true Canopy Inc 1723 mahan center blvd tallahassee FL 32308 593751145 Inactive FL 501(c)(3) 10 Big Bend Hospice Inc true 7 Oaks Healthcare Inc 1723 Mahan Center Blvd Tallahassee FL 32308 873475393 Healthcare FL 501(c)(3) 10 NA 7 Oaks Practice Management Inc 1723 Mahan Center blvd Tallahassee FL 32308 921716753 administrative services FL 7 oaks healthcare inc C Corporation false false true true false false false false false false false false true true true true true true false false Big Bend Hospice Foundation Inc C 2020565 FMV Transitions Supportive Care LLC B 813302 FMV Big Bend Hospice Foundation Inc Q 634068 FMV