2024-08-08T16:13:21+00:00 2023-09-30 440160260 Forvis Mazars LLP 500 Ridgefield Court Asheville NC 28806 990 2022-10-01 592328806 Big Bend hospice Inc BIGB 8508785310 1723 Mahan Center Boulevard Tallahassee FL 32308 william wertman CEO 8508785310 2024-08-08 true true Amy Bibby P00445891 8282542254 2024-08-05 2022 2024-08-08 14:25:15Z William Wertman 1723 Mahan Center Boulevard Tallahassee FL 32308 30467382 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. 20 20 281 270 0 0 1103165 2286310 24088682 27012411 206436 264396 17796 50166 25416079 29613283 0 0 16873222 20084592 0 0 7361349 8462998 24234571 28547590 1181508 1065693 18796663 27084525 2831629 10813991 15965034 16270534 For over 35 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 19856008 27062577 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 house is licensed as a 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. The organization provides services to its hospice patients and family, as well as to the community at large, for which no reimbursement is received. Such services include hospice care to indigent patients/families, specialized grief and loss counseling to children, teens, and adults, and music therapy as an enhancement to basic hospice care. During FYE 9/30/2023, Big Bend Hospice admitted and served 2,221 patients. BBH's Dozier House served 596 patients and BBH supported 548 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 9/30/23, the bereavement program provided individual, face-to-face grief support sessions to 619 adults and 184 youth. BBH facilitated 4 six-week Adult Grief Support Groups, a monthly Suicide Loss Support Group (12 sessions), 7 school-based grief support groups (31 sessions), 2 crisis response sessions, 4 holiday bereavement events, monthly Children and Teen Nights, and Teen Woe-Be-Gone. Complimentary therapies provided to patients during FYE 9/30/2023 include 305 hours of animal therapy, 7,988 music therapy visits, and 5,567 spiritual care visits. 19856008 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 true 86 0 true 281 true false false false false false false false false false false false false X 20 20 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 Diana Oropallo Chair 1.0 1.0 X X 0 0 0 Gary Crayton Treasuer 1.0 X X 0 0 0 Kevin Cleary Secretary 1.0 X X 0 0 0 Scott Harrell Vice Chair 1.0 1.0 X X 0 0 0 Alicia Crew Foundation Appointee 1.0 1.0 X 0 0 0 Bennet Napier Board Member 1.0 X 0 0 0 Bruce Gould Board Member 1.0 X 0 0 0 Caludette Harrell Board Member 1.0 X 0 0 0 Darrell White Board Member 1.0 X 0 0 0 Gwynn Virostek Foundation Chair 1.0 1.0 X 0 0 0 Janegale Boyd Immediate Past Chair 1.0 X 0 0 0 Jeannine Silberman Board Member 1.0 X 0 0 0 Judy Greenwald Board Member 1.0 X 0 0 0 Katie Webb Board Member 1.0 X 0 0 0 Kenneth Pratt Board Member 1.0 X 0 0 0 Kimberly Moore Board Member 1.0 X 0 0 0 Suma Dondapati Board Member 1.0 X 0 0 0 Tamara Aitken Board Member 1.0 X 0 0 0 Tim Sanders Board Member 1.0 X 0 0 0 William Smith III Board Member 1.0 X 0 0 0 Bill Wertman CEO 35.0 5.0 X 281049 0 23757 Jon Wood COO 35.0 5.0 X 240211 0 20546 Fredrick Lutz Hospice Physician 40.0 X 221002 0 11907 Jennifer Lynes Hospice Physician 40.0 X 216880 0 22505 Joel Garr CIO 40.0 X 163335 0 20654 Karl Broussard Former CSO 40.0 X 182426 0 13789 Lucille Saha Hospice Physician 40.0 X 217247 0 12373 1522150 0 125531 21 false true false Core Medical Group PO Box 306478 Nashville TN 372306478 Staffing 1057588 Invaserv LLC DBA Stateserv Network SVC 1201 S Alma School Rd Ste 400 Mesa AZ 852101148 DME Management Software 731984 Seven Hills Health and Rehab Center 3333 Capital Medical Blvd Tallahassee FL 32308 Room and Board 622133 Eden Springs Centers for LTC 4679 Crawfordville Hwy Crawfordville FL 32327 Room and Board 554186 Optum Hospice Pharmacy Services LLC PO Box 847222 Los Angeles CA 900847222 Prescription Drugs 448468 19 2286310 2286310 Hospice Service Revenue 623990 27012411 27012411 0 0 0 0 27012411 231791 231791 0 0 787051 99653 787513 66586 -462 33067 32605 32605 other revenue 623990 50166 50166 0 0 0 0 50166 29613283 27062577 0 264396 565563 565563 16108977 11721958 4387019 440696 284207 156489 1746848 1277858 468990 1222508 859822 362686 212801 23966 188835 98057 8881 89176 1075787 816220 259567 0 62937 6078 56859 612268 294355 317913 432622 188076 244546 1008680 353038 655642 557480 455138 102342 334044 44312 289732 19 19 628125 471094 157031 378550 94698 283852 Other Patient Services 514128 514128 Durable Medical Equipment 909377 909377 medical supplies and transport 1156333 1156333 Memberships and Dues 91540 12112 79428 390250 364338 25912 0 28547590 19856008 8691582 0 2227503 730145 3179044 3387924 0 0 23329 9988 295955 313576 19226566 7460090 6117148 11766476 6800470 6344793 0 0 153214 4531623 18796663 27084525 2602034 4307216 0 1679807 229595 4826968 2831629 10813991 X 15965034 16270534 15965034 16270534 18796663 27084525 X 1065693 23948 256052 -1040193 X false true X true true true X 820889 948614 3787678 1103165 2286310 8946656 19879429 19121584 20818654 24088682 27012411 110920760 0 0 0 20700318 20070198 24606332 25191847 29298721 119867416 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 119867416 101696 43776 117860 218036 231791 713159 0 101696 43776 117860 218036 231791 713159 0 28558 10866 17782 17796 50166 125168 20830572 20124840 24741974 25427679 29580678 120705743 0.9931 0.9944 0.01 0.0 X Schedule A, Part III, Line 12 Other Income DESCRIPTION - OTHER INCOME, COLUMN A - 28558.0, COLUMN B - 10866.0, COLUMN C - 17782.0, COLUMN D - 17796.0, COLUMN E - 50166.0, COLUMN F - 125168.0; RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 724 724 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 2841799 255639 3097438 3309911 -468112 2841799 2689978 619933 3309911 2454716 25970 209292 2689978 2520880 59880 126044 2454716 0.02 0.58 0.4 false true true 824335 824335 6327674 2829776 3497898 187069 88117 98952 4091860 4542197 -450337 7795628 7795628 11766476 other assets due from affiliate 126166 Operating ROU Assets 4405457 4531623 Capital Leases Payable Finance Lease Liability 245139 Operating Lease Liability 4581829 4826968 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, 2023. X false true X X X false false false false false false false true false Bill Wertman CEO 256793 0 24256 0 0 0 13000 0 10757 0 304806 0 0 0 Jon Wood COO 219955 0 20256 0 0 0 11135 0 9411 0 260757 0 0 0 Fredrick Lutz Hospice Physician 220000 0 1002 0 0 0 11000 0 907 0 232909 0 0 0 Lucille Saha Hospice Physician 216849 0 398 0 0 0 2962 0 9411 0 229620 0 0 0 Jennifer Lynes Hospice Physician 215878 0 1002 0 0 0 9672 0 12833 0 239385 0 0 0 Karl Broussard Former CSO 172172 0 10254 0 0 0 0 0 13789 0 196215 0 0 0 Joel Garr CIO 148081 0 15254 0 0 0 7788 0 12866 0 183989 0 0 0 Schedule J, Part I, Line 1a First-class or charter travel Bill Wertman, CEO, travels to various conferences during the tax year. The organization provides first class travel to these events. Schedule J, Part I, Line 1b Written policy regarding payment or reimbursement of expenses The organization does not have a specific policy outlining first class travel, however, the CEO's contract outlines information on these expenditures. 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 114606 Finance and IT contracting services 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 disclose to the CEO and the board chairperson any business or other employment relationships which represent potential conflicts of interest with Big Bend Hospice. If there is a potential conflict of interest, the CEO and board chairperson review the disclosure and determine if there is an actual conflict of interest. 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 9 Other changes in net assets or fund balances Equity Transfer - -1040193; 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 2286310 FMV Big Bend Hospice Foundation Inc B 784141 FMV Big Bend Hospice Foundation Inc Q 568887 FMV