2023-11-13T09:04:38-06:00 2022-12-31 561706742 DAVIDSON HOLLAND WHITESELL & CO PLLC 209 13TH AVE PLACE NW SUITE 200 HICKORY NC 28601 990 2022-01-01 743000910 CENTRAL TEXAS PALLIATIVE CARE ASSOCIATES DBA AUSTIN PALLIATIVE CARE CENT 5123424700 4107 SPICEWOOD SPRINGS ROAD 100 AUSTIN TX 78759 DANA JOSLIN EXECUTIVE DIRECTOR 5123424700 2023-10-17 1 DANA JOSLIN 999009999 1 MATTHEW MCKINNEY P01707028 8283222070 2023-10-17 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z DANA JOSLIN 4107 SPICEWOOD SPRINGS ROAD 100 AUSTIN TX 78759 4033851 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. 3 0 10 1 0 0 1264226 2014279 2126047 2013830 693 -287 24 5716 3390990 4033538 0 0 0 0 2151408 1734772 0 0 29 1287198 1740646 3438606 3475418 -47616 558120 672314 1096612 298942 165120 373372 931492 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 2580097 2019572 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. 2580097 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 3 0 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X DANA JOSLIN 5123424700 4107 SPICEWOOD SPRINGS ROAD 100 AUSTIN TX 78759 DR SANDRA FRELLSEN PRESIDENT 5.00 55.00 X X 292368 0 842 DR DEREK LEJEUNE DIRECTOR 2.00 48.00 X 236629 0 13206 DR KATE TINDALL SECRETARY 53.00 2.00 X X 267432 0 842 CHARLOTTE D MCLEOD TREASURER 1.00 44.00 X 0 350248 7470 DR MICHELLE OWENS-KUMAR PHYSICIAN 1.00 40.00 X 145080 0 6290 DR KIMBERLY GALUSHA PHYSICIAN 1.00 60.00 X 249512 0 8249 DR JOHNSON WU PHYSICIAN 1.00 50.00 X 244672 0 8749 DESIREE TYRPAK DIRECTOR 50.00 25.00 X 105244 0 723 1540937 350248 46371 7 0 1 0 0 1028119 986160 2014279 PATIENT CARE SERVICES 621990 2013830 2013830 2013830 26 26 313 -313 -313 -313 MISCELLANEOUS INCOME 621990 5716 5716 5716 4033538 2019572 0 -313 X 811319 328589 482730 682936 669017 13919 153972 102794 51178 86545 57780 28765 728 728 19 19 32584 32233 351 2938 2938 7387 7387 7338 7263 75 59769 58018 1751 PROVIDER AND NP SERVICE 1208594 1208594 MISCELLANEOUS EXPENSE 337363 23449 313885 29 PATIENT CARE EXPENSES 66517 66517 COMMUNICATIONS 12377 11167 1210 5032 4351 681 3475418 2580097 895292 29 135044 247105 450000 750000 33765 90967 38110 797 24422 16679 15395 7743 672314 1096612 298942 165120 298942 165120 X -93214 76276 466586 855216 373372 931492 672314 1096612 558120 0 X X 0 1 X 1 0 X 1235356 918115 1756869 1264226 2014279 7188845 1229670 1628961 1818795 2126047 2013830 8817303 2465026 2547076 3575664 3390273 4028109 16006148 500000 405915 500000 450000 750000 2605915 0 500000 405915 500000 450000 750000 2605915 13400233 693 26 719 693 26 719 40 190 164 24 5716 6134 2465066 2547266 3575828 3390990 4033851 16013001 0.83680 0.86380 0.00000 0.00010 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER - 2018 AMOUNT: $ 40. 2019 AMOUNT: $ 190. 2020 AMOUNT: $ 164. 2021 AMOUNT: $ 24. 2022 AMOUNT: $ 5,716. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 6172 2940 3232 18250 13739 4511 7743 4033851 313 313 4033538 0 4033538 3475731 313 313 3475418 0 3475418 PART XI, LINE 2D - OTHER ADJUSTMENTS: LOSS ON ASSET SALE 313. PART XII, LINE 2D - OTHER ADJUSTMENTS: LOSS ON ASSET SALE 313. X X X X X X 0 0 0 0 0 1 1 0 0 CHARLOTTE D MCLEOD TREASURER 0 335799 0 3881 0 10568 0 0 0 7470 0 357718 0 0 DR SANDRA FRELLSEN PRESIDENT 266929 0 12295 0 13144 0 0 0 842 0 293210 0 0 0 DR KATE TINDALL SECRETARY 243290 0 11927 0 12215 0 0 0 842 0 268274 0 0 0 DR KIMBERLY GALUSHA PHYSICIAN 229238 0 8692 0 11582 0 0 0 8249 0 257761 0 0 0 DR JOHNSON WU PHYSICIAN 225220 0 8110 0 11342 0 0 0 8749 0 253421 0 0 0 DR DEREK LEJEUNE DIRECTOR 217291 0 8581 0 10757 0 0 0 13206 0 249835 0 0 0 DR MICHELLE OWENS-KUMAR PHYSICIAN 131212 0 6947 0 6921 0 0 0 6290 0 151370 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 HER 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 PERSONNEL AND COMPENSATION COMMITTEE. ONCE AN APPROPRIATE SALARY IS AGREED UPON, THAT RECOMMENDATION IS DOCUMENTED AND SUBMITTED TO BOTH 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 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 PRINTING : PROGRAM SERVICE EXPENSES 3,413. MANAGEMENT AND GENERAL EXPENSES 255. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,668. PERSONNEL COSTS : PROGRAM SERVICE EXPENSES 854. MANAGEMENT AND GENERAL EXPENSES 426. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,280. MEDICAL SUPPLIES : PROGRAM SERVICE EXPENSES 84. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 84. 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 1028119 CASH HOSPICE AUSTIN M 313908 CASH HOSPICE AUSTIN P 1093307 CASH HOSPICE AUSTIN L 1529515 CASH