2025-08-14T13:51:37-05:00 2024-09-30 440160260 FORVIS MAZARS LLP 255 S ORANGE AVENUE SUITE 600 ORLANDO FL 32801 990 2023-10-01 462964889 CATHOLIC PALLIATIVE CARE SERVICES INC CATH 3058222380 14875 NW 77TH AVENUE 100 MIAMI LAKES FL 33014 LAURA WILSON CHIEF FINANCIAL OFFICER 3058222380 2025-08-12 1 1 PETER C GUBLER P00190185 4077405400 2025-08-12 2023 2025-03-06 01:10:19Z MARY JO FRICK 14875 NW 77TH AVENUE 100 MIAMI LAKES FL 33014 1294832 0 X WWW.CATHOLICHEALTHSERVICES.ORG X 2013 FL PROVIDES RESPONSIVE END-OF-LIFE CARE TO PATIENTS AND FAMILIES IN BROWARD AND MIAMI-DADE COUNTIES. 12 12 11 12 0 0 45151 3396 953694 1291436 0 0 0 0 998845 1294832 0 0 0 0 1566165 1821525 0 0 0 218177 160639 1784342 1982164 -785497 -687332 357673 379163 3796245 4505067 -3438572 -4125904 CATHOLIC PALLIATIVE CARE SERVICES, INC. IS A WHOLLY-OWNED SUBSIDIARY OF CATHOLIC HOSPICE, INC. AND UNDER THE SPONSORSHIP OF THE ARCHDIOCESE OF MIAMI, PROVIDES RESPONSIVE END-OF-LIFE CARE TO PATIENTS AND FAMILIES IN BROWARD AND DADE COUNTIES, FLORIDA. 0 0 1701382 1291346 DURING THE YEAR ENDED SEPTEMBER 30, 2024, WE PROVIDED SYMPTOM MANAGEMENT AND LIFE-PLANNING SERVICES TO A LIMITED NUMBER OF PATIENTS IN BROWARD AND MIAMI-DADE COUNTIES IN FLORIDA. WE ALSO PROVIDED STAFF EDUCATIONAL IN-SERVICE SESSIONS TO SEVERAL PATIENT CARE FACILITIES AND COMMUNITY ORGANIZATIONS IN OUR SERVICE AREA TO RAISE AWARENESS OF THE BENEFITS OF PALLIATIVE CARE SERVICES. 1701382 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 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 0 0 1 11 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X DIAN BACKOFF 3058222380 14875 NW 77TH AVENUE 100 MIAMI LAKES FL 33014 RALPH E LAWSON CHAIRMAN 0.50 1.00 X X 0 0 0 SR ELIZABETH WORLEY SSJ VICE-CHAIR & SECRETARY 0.50 1.00 X X 0 0 0 JOHN F BUD FARREY DIRECTOR 0.50 1.00 X 0 0 0 AURELIO FERNANDEZ DIRECTOR 0.50 1.00 X 0 0 0 PATRICIA PALAMARA DIRECTOR 0.50 1.00 X 0 0 0 MARK PANCIERA DIRECTOR 0.50 1.00 X 0 0 0 CHRISTOPHER CATALLO DIRECTOR 0.50 1.00 X 0 0 0 L KENNETH BARNETT DIRECTOR 0.50 1.00 X 0 0 0 MANUEL ANTON DIRECTOR 0.50 1.00 X 0 0 0 VICTOR ROMANO DIRECTOR 0.50 1.00 X 0 0 0 PATRICK A TAYLOR DIRECTOR 0.50 1.00 X 0 0 0 JULIE S STAUB DIRECTOR 0.50 1.00 X 0 0 0 ARISTIDES PALLIN PRESIDENT/CEO 4.00 46.00 X 0 504763 48011 DAVID D'AMICO CHIEF FINANCIAL OFFICER 3.00 47.00 X 0 393080 39864 DR BRIAN KIEDROWSKI CHIEF MEDICAL OFFICER 1.00 49.00 X 0 414995 39274 ANGEL E SANCHEZ ARTILES MEDICAL DIRECTOR 40.00 X 275501 0 12156 SANAZ B KASHAN MEDICAL DIRECTOR 40.00 X 239186 0 7176 RONALD M BEKIC PALLIATIVE PHYSICIAN 40.00 X 227276 0 16853 741963 1312838 163334 3 0 1 0 0 3396 3396 NET PATIENT SERVICE REVENUE 623000 1097561 1097561 PROGRAM MANAGEMENT FEES 623000 193875 193875 1291436 1294832 1291436 0 0 582634 582634 968051 784121 183930 95007 79806 15201 64917 54530 10387 110916 93169 17747 205 205 100138 100138 47790 47790 9140 6581 2559 1561 1561 312 312 1493 403 1090 1982164 1701382 280782 0 71739 133705 285934 245458 357673 379163 121147 126912 3675098 4378155 3796245 4505067 X -3438572 -4125904 -3438572 -4125904 357673 379163 -687332 0 X X 0 1 X 1 1 1 X 18933 101492 1117 401123 3396 526061 1791287 1411003 1397241 597722 1291436 6488689 1810220 1512495 1398358 998845 1294832 7014750 0 231065 231065 231065 231065 6783685 1810220 1512495 1398358 998845 1294832 7014750 0.96710 0.92840 0.00000 X 0 DUE TO AFFILIATES - CATHOLIC HOSPICE, INC. 4378155 4378155 X PART X, LINE 2: CATHOLIC PALLIATIVE CARE SERVICES, INC. IS INCLUDED IN CONSOLIDATED FINANCIAL STATEMENTS. THE FOOTNOTE FROM THE FINANCIAL STATEMENTS IS THE FOLLOWING: THE COMPANY HAS BEEN RECOGNIZED BY THE INTERNAL REVENUE SERVICE AS A NONPROFIT ORGANIZATION UNDER INTERNAL REVENUE CODE SECTION 501(C)(3) AND IS COVERED BY THE GROUP TAX EXEMPTION OF THE UNITED STATES CONFERENCE OF CATHOLIC BISHOPS. ACCORDINGLY, NO PROVISION OR LIABILITY FOR INCOME TAXES HAS BEEN INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS. 0 0 0 0 0 0 0 0 0 ARISTIDES PALLIN PRESIDENT/CEO 0 504763 0 0 0 0 0 27379 0 20632 0 552774 0 0 DR BRIAN KIEDROWSKI CHIEF MEDICAL OFFICER 0 414995 0 0 0 0 0 29155 0 10119 0 454269 0 0 DAVID D'AMICO CHIEF FINANCIAL OFFICER 0 393080 0 0 0 0 0 25644 0 14220 0 432944 0 0 ANGEL E SANCHEZ ARTILES MEDICAL DIRECTOR 275501 0 0 0 0 0 4146 0 8010 0 287657 0 0 0 SANAZ B KASHAN MEDICAL DIRECTOR 239186 0 0 0 0 0 7176 0 0 0 246362 0 0 0 RONALD M BEKIC PALLIATIVE PHYSICIAN 227276 0 0 0 0 0 6902 0 9951 0 244129 0 0 0 PART I, LINE 3 THE ORGANIZATION'S PRESIDENT/CEO IS COMPENSATED BY A RELATED ORGANIZATION, CATHOLIC HEALTH SERVICES, INC. THIS RELATED ORGANIZATION UTILIZES A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, COMPENSATION STUDIES, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE TO ESTABLISH THE COMPENSATION OF THE PRESIDENT/CEO. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE FILING ORGANIZATION IS CATHOLIC HOSPICE, INC. CATHOLIC HOSPICE, INC. IS A FLORIDA, NOT-FOR-PROFIT CORPORATION THAT IS EXEMPT FROM FEDERAL INCOME TAX UNDER INTERNAL REVENUE CODE SECTION 501(C)(3). FORM 990, PART VI, SECTION A, LINE 7A AS THE SOLE MEMBER OF THE FILING ORGANIZATION, CATHOLIC HOSPICE, INC. HAS THE RIGHT TO APPOINT THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B THE FOLLOWING GOVERNING DECISIONS OF THE FILING ORGANIZATION ARE RESERVED TO CATHOLIC HOSPICE, INC., ITS SOLE MEMBER: A. THE OPERATING PHILOSOPHY OF THE FILING ORGANIZATION MUST BE APPROVED BY THE SOLE MEMBER; B. THE LEASE, SALE, OR ENCUMBRANCE OF THE FILING ORGANIZATION'S PROPERTY MUST HAVE WRITTEN APPROVAL BY THE SOLE MEMBER; AND C. THE ORGANIZATION CANNOT BE MERGED NOR DISSOLVED WITHOUT THE WRITTEN APPROVAL BY THE SOLE MEMBER. FORM 990, PART VI, SECTION B, LINE 11B THE DIRECTOR OF FINANCE AND CHIEF FINANCIAL OFFICER CONDUCTS A COMPREHENSIVE REVIEW OF THE FORM 990 BEFORE IT IS FILED. A COPY OF THE RETURN IS PROVIDED TO EACH VOTING MEMBER OF THE BOARD OF DIRECTORS BEFORE IT IS FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C ALL EMPLOYEES AND DIRECTORS ARE COVERED BY THE CONFLICT OF INTEREST POLICY AND ARE PROVIDED WITH THE POLICY UPON HIRE. THE POLICY IS REVIEWED YEARLY BY THE CORPORATE COMPLIANCE OFFICER, WHO ALSO DETERMINES WHETHER A CONFLICT MAY EXIST. PER POLICY, EMPLOYEES ARE REQUIRED TO DISCLOSE ANY POTENTIAL CONFLICTS OF INTEREST. IF A CONFLICT OF INTEREST OCCURS, AN INVESTIGATION IS IMPLEMENTED AND THE RESULTS ARE REPORTED TO THE GOVERNING BODY. LEGAL AND DISCIPLINARY ACTION AND RESTRICTIONS ARE IDENTIFIED ON AN INDIVIDUAL BASIS. FORM 990, PART VI, SECTION B, LINE 15 THE CHAIRMAN OF THE BOARD, IN CONSULTATION WITH THE BOARD, DETERMINES THE COMPENSATION AND BENEFITS OF THE CEO AND OTHER TOP MANAGEMENT OFFICIALS. THE CHAIRMAN AND THE BOARD OF DIRECTORS ARE INDEPENDENT WITH RESPECT TO COMPENSATION AND BENEFIT ARRANGEMENTS BEING CONSIDERED. TOTAL COMPENSATION ANALYSIS IS CONDUCTED BY AN INDEPENDENT CONSULTANT, WHO PROVIDES DATA TO COMPARE COMPENSATION AND BENEFITS FOR SIMILAR POSITIONS WITHIN THE INDUSTRY. COMPENSATION AND BENEFIT CHANGES FOR THE CEO AND OTHER TOP MANAGEMENT OFFICIALS ARE DISCUSSED IN THE BOARD MEETINGS AND ARE PROPERLY DOCUMENTED IN THE MINUTES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. FORM 990, PART XII, LINE 2C THE AUDIT COMMITTEE IS RESPONSIBLE FOR THE SELECTION, MONITORING AND EVALUATION OF AN INDEPENDENT AUDIT FIRM AND OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS. THERE WAS NO CHANGE IN THIS PROCESS FROM THE PRIOR YEAR. CATHOLIC HOSPICE INC 14875 NW 77TH AVENUE SUITE 100 MIAMI LAKES FL 33014 650062530 HOSPICE SERVICES FL 501(C)(3) LINE 10 N/A 0 ARCHDIOCESE OF MIAMI 9401 BISCAYNE BOULEVARD MIAMI SHORES FL 33138 590865839 RELIGIOUS ORGANIZATION FL 501(C)(3) LINE 1 N/A 0 CATHOLIC HEALTH SERVICES INC 4790 N STATE ROAD 7 LAUDERDALE LAKES FL 33319 592645139 MANAGEMENT COMPANY FL 501(C)(3) LINE 10 N/A 0 VILLA MARIA HEALTH CARE SERVICES 1050 NE 125TH STREET NORTH MIAMI FL 33161 592850676 HOME HEALTH FL 501(C)(3) LINE 3 N/A 0 VILLA MARIA NURSING AND REHAB CENTER 1050 NE 125TH STREET NORTH MIAMI FL 33161 591284678 REHABILITATION FACILITY FL 501(C)(3) LINE 3 N/A 0 ST JOHN'S REHAB HOSPITAL 3075 NW 35TH AVENUE LAUDERDALE LAKES FL 33311 591945163 REHABILITATION FACILITY FL 501(C)(3) LINE 3 N/A 0 ST ANNE'S NURSING CENTER 11855 QUAIL ROOST DRIVE MIAMI LAKES FL 33177 592522488 NURSING CENTER FL 501(C)(3) LINE 3 N/A 0 ST JOSEPH'S RESIDENCE 3485 NW 30TH STREET LAUDERDALE LAKES FL 33311 650032474 ACLF FL 501(C)(3) LINE 3 N/A 0 CATHOLIC HOME HEALTH OF BROWARD 3075 NW 35TH AVENUE LAUDERDALE LAKES FL 33311 650062205 HOME HEALTH FL 501(C)(3) LINE 3 N/A 0 CENTRO MATER CHILD CARE SERVICES INC 8298 NW 103RD STREET HIALEAH GARDENS FL 330162202 208083301 CHILD CARE FL 501(C)(3) LINE 3 N/A 0 CATHOLIC CEMETERIES OF THE ARCHDIOCESE OF MIAMI INC 11411 NW 25TH STREET DORAL FL 33172 590862834 CEMETERY FL 501(C)(3) LINE 3 N/A 0 CATHOLIC ELDERLY SERVICES INC 4790 N STATE ROAD 7 LAUDERDALE LAKES FL 650312041 650312041 FUNDRAISING FL 501(C)(3) LINE 12A, I N/A 0 CATHOLIC HEALTH CARE TRANSITIONS SERVICES INC 14875 NW 77TH AVENUE SUITE 100 MIAMI LAKES FL 33014 453717633 HEALTHCARE FL 501(C)(3) LINE 3 N/A 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0 0 0