Department of the Treasury Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
Attach to Form 990 or Form 990-EZ. See separate instructions. Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
TRUSTBRIDGE INC
Employer identification number
20-3974015
Part I
Reason for Public Charity Status
(All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).
f
If the organization received a written determination from the IRS that it is a Type I, Type II, or Type III supporting organization, check this box
..................................................
g
Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons?
(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the supported organization?
................
11g(i)
No
(ii)
A family member of a person described in (i) above?
......................
11g(ii)
No
(iii)
A 35% controlled entity of a person described in (i) or (ii) above?
................
11g(iii)
No
h
Provide the following information about the supported organization(s).
(i) Name of supported organization
(ii) EIN
(iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions))
(iv) Is the organization in col. (i) listed in your governing document?
(v) Did you notify the organization in col. (i) of your support?
(vi) Is the organization in col. (i) organized in the U.S.?
(vii) Amount of monetary support
Yes
No
Yes
No
Yes
No
(A)
HOSPICE OF PALM BEACH COUNTY FOUNDATION INC
203974070
7
No
Yes
Yes
0
(B)
THE MEDICAL STORE OF PALM BEACH COUNTY INC
202835810
9
No
Yes
Yes
0
(C)
HOSPICE OF PALM BEACH COUNTY INC
591825937
9
Yes
Yes
Yes
0
(D)
FOCUS CARE HOME HEALTH INC
263595560
9
No
Yes
Yes
0
(E)
HARBOR PALLIATIVE CARE SERVICES INC
800674849
9
No
Yes
Yes
0
Total
0
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the
organization failed to qualify under Part III. If the organization fails to
qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3
The value of services or facilities furnished by a governmental unit to the organization without charge..
4
Total. Add lines 1 through 3
5
The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included
on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6
Public support. Subtract line 5 from line 4.
Section B. Total Support
Calendar year
(or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
7
Amounts from line 4..
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
10
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
11
Total support (Add lines 7 through 10).
12
Gross receipts from related activities, etc. (see instructions)
..................
12
13
First five years.
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.................................................
Section C. Computation of Public Support Percentage
14
Public support percentage for 2013 (line 6, column (f) divided by line 11, column (f))
.........
14
15
Public support percentage for 2012 Schedule A, Part II, line 14
...............
15
16a
33 1/3% support test—2013.
If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization
.......................
b
33 1/3% support test—2012.
If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization
.....................
17a
10%-facts-and-circumstances test—2013.
If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization
.....................................................
b
10%-facts-and-circumstances test—2012.
If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization
................................................
18
Private foundation.
If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions
.....................................................
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2) (Complete only if you checked the box on line 9 of Part I or if the organization
failed to qualify under Part II. If the organization fails to qualify under
the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2
Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3
Gross receipts from activities that are not an unrelated trade or business under section 513..
4
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5
The value of services or facilities furnished by a governmental unit to the organization without charge..
6
Total. Add lines 1 through 5.
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
b
Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c
Add lines 7a and 7b..
8
Public support (Subtract line 7c from line 6.)
Section B. Total Support
Calendar year (or fiscal year beginning in)
(a) 2009
(b) 2010
(c) 2011
(d) 2012
(e) 2013
(f) Total
9
Amounts from line 6...
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
11
Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
..
13
Total support. (Add lines 9, 10c, 11, and 12.)..
14
First five years.
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.............................................
Section C. Computation of Public Support Percentage
15
Public support percentage for 2013 (line 8, column (f) divided by line 13, column (f))
.........
15
16
Public support percentage from 2012 Schedule A, Part III, line 15
...............
16
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2013 (line 10c, column (f) divided by line 13, column (f))
......
17
18
Investment income percentage from 2012 Schedule A, Part III, line 17
.............
18
19a
33 1/3% support tests—2013.
If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
........
b
33 1/3% support tests—2012.
If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
.....
20
Private foundation.
If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions
.....
Schedule A (Form 990 or 990-EZ) 2013
Schedule A (Form 990 or 990-EZ) 2013
Page 4
Part IV
Supplemental Information.
Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
Explanation
Schedule A (Form 990 or 990-EZ) 2013
Additional Data
Software ID:
13000248
Software Version:
2013v3.1
-
TIN:
SCHEDULE O (Form 990 or 990-EZ)
Department of the Treasury Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ
Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public Inspection
Name of the organization
TRUSTBRIDGE INC
Employer identification number
20-3974015
Return Reference
Explanation
FORM 990, PART VI, LINE 2, NUMBER OF W-2S
THE NUMBER OF W-2S REPORTED REPRESENTS ALL FORMS W-2 ISSUED FOR 2013. HOWEVER, THIS FORM 990 REPRESENTS ONLY THREE MONTHS OF INCOME STATEMENT ACTIVITY (OCTOBER 1, 2013 - DECEMBER 31, 2013).
Form 990, Part VI, Sec B, Line 11b, Review of form 990 by governing body
THE FORM 990 IS PREPARED AND INITIALLY REVIEWED BY THE CFO AND THE TAX ACCOUNTING FIRM. WHEN A FINAL DRAFT IS READY, IT IS SENT TO THE AUDIT COMMITTEE OF THE BOARD OF DIRECTORS FOR FINAL REVIEW AND APPROVAL. THE AUDIT COMMITTEE THEN PRESENTS THE 990 TO THE FULL BOARD OF DIRECTORS FOR APPROVAL, AFTER WHICH THE 990 IS FILED WITH THE IRS.
Form 990, Part VI, Sec B, Line 12c, Conflict of interest policy
THE ORGANIZATION SENDS OUT THE CONFLICT OF INTEREST QUESTIONNAIRES TO BOARD MEMBERS AND OFFICERS ANNUALLY. THE RESPONSES TO THE QUESTIONNAIRES ARE MONITORED AND COLLECTED BY THE CFO. SHOULD A CONFLICT EXIST THE PERSON WITH THE CONFLICT WILL ABSTAIN FROM VOTING ON THE ISSUE IN QUESTION
Form 990, Part VI, Sec B, Line 15a, Process to establish compensation of top management official
THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS USES A COMPARATIVE SALARY SURVEY AND AN INDEPENDENT COMPENSATION CONSULTANT FOR THE PRESIDENT & CEO. THE COMPENSATION COMMITTEE'S RECOMMENDED COMPENSATION IS APPROVED BY THE BOARD OF DIRECTORS. THIS REVIEW LAST TOOK PLACE IN FEBRUARY 2013 AND IS DOCUMENTED IN THE BOARD AND COMMITTEE MINUTES.
Form 990, Part VI, Sec B, Line 15b, Process to establish compensation of other employees
THE ORGANIZATION'S COMPENSATION COMMITTEE REVIEWS THE COMPENSATION OF THE OTHER OFFICERS AND KEY EMPLOYEES. THE COMMITTEE USES COMPARABILITY DATA AND AN INDEPENDENT COMPENSATION CONSULTANT TO DETERMINE THE COMPENSATION AND THEN THE COMMITTEE'S RECOMMENDATION IS APPROVED BY THE BOARD OF DIRECTORS. THIS REVIEW LAST TOOK PLACE IN FEBRUARY 2013, AND IS DOCUMENTED IN THE BOARD AND COMMITTEE MINUTES.
Form 990, Part VI, Sec C, Line 19, Required documents available to the public
FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND CONFLICT OF INTEREST POLICIES ARE NOT REQUIRED DISCLOSURES PURSUANT TO INTERNAL REVENUE CODE (IRC) SECTION 6104. THESE DOCUMENTS ARE NOT AVAILABLE TO THE PUBLIC AT THIS TIME.
FORM 990, PART VII, SECTION A, ADDITIONAL INFORMATION REGARDING COMPENSATION
DAVID FIELDING COMPENSATION REPORTED FOR MR. FIELDING IS FOR THE ENTIRE CALENDAR YEAR 2013, EVEN THOUGH THE TAX RETURN REPRESENTS A SHORT YEAR (OCTOBER 1, 2013 - DECEMBER 31, 2013). HE SERVES AS CEO FOR TRUSTBRIDGE, INC., HOSPICE OF PALM BEACH COUNTY, HOSPICE OF BROWARD COUNTY, FOCUS CARE HOME HEALTH, INC., HARBOR PALLIATIVE CARE SERVICES, INC. AND THE MEDICAL STORE, INC. HIS TIME IS SHARED BY ALL ENTITIES. OTHER COMPENSATION FOR CY 2013 IS FOR HIS EMPLOYEE HEALTH AND RETIREMENT BENEFITS WHICH ARE UNDER THE SAME PLANS PROVIDED TO ALL EMPLOYEES. DR. FAUSTINO GONZALEZ, M.D. COMPENSATION REPORTED FOR DR. GONZALEZ IS FOR THE ENTIRE CALENDAR YEAR 2013, EVEN THOUGH THE TAX RETURN REPRESENTS A SHORT YEAR (OCTOBER 1, 2013 - DECEMBER 31, 2013). HE OVERSEES MEDICAL AFFAIRS FOR TRUSTBRIDGE, INC., HOSPICE OF PALM BEACH COUNTY, HOSPICE OF BROWARD COUNTY, FOCUS CARE HOME HEALTH, INC. AND HARBOR PALLIATIVE CARE SERVICES, INC. HIS TIME IS SHARED EQUALLY BY ALL ENTITIES. A PORTION OF HIS COMPENSATION IS FROM HIS PHYSICIAN FEES FOR SERVICE. OTHER COMPENSATION FOR CY 2013 IS FOR HIS EMPLOYEE HEALTH AND RETIREMENT BENEFITS WHICH ARE UNDER THE SAME PLANS PROVIDED TO ALL EMPLOYEES. FRED WATSON COMPENSATION REPORTED FOR MR. WATSON IS FOR THE ENTIRE CALENDAR YEAR 2013, EVEN THOUGH THE TAX RETURN REPRESENTS A SHORT YEAR (OCTOBER 1, 2013 - DECEMBER 31, 2013). HE SERVES AS CHRO FOR TRUSTBRIDGE, INC, HOSPICE OF PALM BEACH COUNTY, HOSPICE OF BROWARD COUNTY,FOCUS CARE HOME HEALTH, INC., HARBOR PALLIATIVE CARE SERVICES, INC. AND THE MEDICAL STORE, INC. HIS TIME IS SHARED EQUALLY BY ALL ENTITIES. OTHER COMPENSATION FOR CY 2013 IS FOR HIS EMPLOYEE HEALTH AND RETIREMENT BENEFITS WHICH ARE UNDER THE SAME PLANS PROVIDED TO ALL EMPLOYEES. RANDY PRANGE COMPENSATION REPORTED FOR MR. PRANGE IS FOR THE ENTIRE CALENDAR YEAR 2013, EVEN THOUGH THE TAX RETURN REPRESENTS A SHORT YEAR (OCTOBER 1, 2013 - DECEMBER 31, 2013). HE SERVES AS COO FOR TRUSTBRIDGE, INC, HOSPICE OF PALM BEACH COUNTY, HOSPICE OF BROWARD COUNTY, FOCUS CARE HOME HEALTH, INC., HARBOR PALLIATIVE CARE SERVICES, INC. AND THE MEDICAL STORE, INC. HIS TIME IS SHARED EQUALLY BY ALL ENTITIES. OTHER COMPENSATION FOR CY 2013 IS FOR HIS EMPLOYEE HEALTH AND RETIREMENT BENEFITS WHICH ARE UNDER THE SAME PLANS PROVIDED TO ALL EMPLOYEES. RICHARD CALCOTE COMPENSATION REPORTED FOR MR. CALCOTE IS FOR THE ENTIRE CALENDAR YEAR 2013, EVEN THOUGH THE TAX RETURN REPRESENTS A SHORT YEAR (OCTOBER 1, 2013 - DECEMBER 31, 2013). HE SERVES AS THE CFO FOR TRUSTBRIDGE, INC, HOSPICE OF PALM BEACH COUNTY FOUNDATION, INC., HOSPICE OF PALM BEACH COUNTY, HOSPICE OF BROWARD COUNTY, FOCUS CARE HOME HEALTH, INC., HARBOR PALLIATIVE CARE SERVICES, INC. AND THE MEDICAL STORE. HIS TIME IS SHARED EQUALLY BY ALL ENTITIES. OTHER COMPENSATION FOR CY 2013 IS FOR HIS EMPLOYEE HEALTH AND RETIREMENT BENEFITS WHICH ARE UNDER THE SAME PLANS PROVIDED TO ALL EMPLOYEES. AMY BRENNAN COMPENSATION REPORTED FOR MS. BRENNAN IS FOR THE ENTIRE CALENDAR YEAR 2013, EVEN THOUGH THE TAX RETURN REPRESENTS A SHORT YEAR (OCTOBER 1, 2013 - DECEMBER 31, 2013). SHE SERVES AS THE VP QUALITY & EDUCATION FOR TRUSTBRIDGE, INC., HOSPICE OF PALM BEACH COUNTY FOUNDATION, INC., HOSPICE OF PALM BEACH COUNTY, HOSPICE OF BROWARD COUNTY, FOCUS CARE HOME HEALTH, INC., HARBOR PALLIATIVE CARE SERVICES, INC., AND THE MEDICAL STORE. HER TIME IS SHARED EQUALLY BY ALL ENTITIES. OTHER COMPENSATION FOR CY 2013 IS FOR HER EMPLOYEE HEALTH AND RETIREMENT BENEFITS WHICH ARE UNDER THE SAME PLANS PROVIDED TO ALL EMPLOYEES. DR. BARRY MISKIN, M.D. COMPENSATION REPORTED FOR DR. MISKIN IS FOR THE ENTIRE CALENDAR YEAR 2013, EVEN THOUGH THE TAX RETURN REPRESENTS A SHORT YEAR (OCTOBER 1, 2013 - DECEMBER 31, 2013). HE PROVIDES MEDICAL SERVICES TO TRUSTBRIDGE, INC., HOSPICE OF PALM BEACH COUNTY, HOSPICE OF BROWARD COUNTY, FOCUS CARE HOME HEALTH, INC., AND HARBOR PALLIATIVE CARE SERVICES, INC. HIS TIME IS PROVIDED EQUALLY TO ALL ENTITIES. A PORTION OF HIS CY 2013 COMPENSATION IS FROM PHYSICIAN FEES FOR SERVICE. OTHER COMPENSATION FOR CY 2013 IS FOR HIS EMPLOYEE HEALTH AND RETIREMENT BENEFITS WHICH ARE UNDER THE SAME PLANS PROVIDED TO ALL EMPLOYEES. DR. KAREN KENNEDY, D.O. COMPENSATION REPORTED FOR DR. KENNEDY IS FOR THE ENTIRE CALENDAR YEAR 2013, EVEN THOUGH THE TAX RETURN REPRESENTS A SHORT YEAR (OCTOBER 1, 2013 - DECEMBER 31, 2013). SHE PROVIDES MEDICAL SERVICES TO TRUSTBRIDGE, INC., HOSPICE OF PALM BEACH COUNTY, HOSPICE OF BROWARD COUNTY, FOCUS CARE HOME HEALTH, INC., AND HARBOR PALLIATIVE CARE SERVICES, INC. HER TIME IS SHARED EQUALLY BY ALL ENTITIES. IN CY 2013, A PORTION OF HER FEES WERE FROM PHYSICIAN FEES FOR SERVICE. OTHER COMPENSATION FOR CY 2013 IS FOR HER EMPLOYEE HEALTH AND RETIREMENT BENEFITS WHICH ARE UNDER THE SAME PLANS PROVIDED TO ALL EMPLOYEES. DR. GAIL COONEY, M.D. COMPENSATION REPORTED FOR DR. COONEY IS FOR THE ENTIRE CALENDAR YEAR 2013, EVEN THOUGH THE TAX RETURN REPRESENTS A SHORT YEAR (OCTOBER 1, 2013 - DECEMBER 31, 2013). SHE SERVES AS VP ACCESS SERVICES, AND ALSO PROVIDES MEDICAL SERVICES TO TRUSTBRIDGE, INC., HOSPICE OF PALM BEACH COUNTY, HOSPICE OF BROWARD COUNTY, FOCUS CARE HOME HEALTH, INC., AND HARBOR PALLIATIVE CARE SERVICES, INC. HER TIME IS SHARED EQUALLY BY ALL ENTITIES. IN CY 2013, A PORTION OF HER FEES WERE FROM PHYSICIAN FEES FOR SERVICE. OTHER COMPENSATION FOR CY 2013 IS FOR HER EMPLOYEE HEALTH AND RETIREMENT BENEFITS WHICH ARE UNDER THE SAME PLANS PROVIDED TO ALL EMPLOYEES. DR. RICHARD LEVENE, D.O. COMPENSATION REPORTED FOR DR. LEVENE IS FOR THE ENTIRE CALENDAR YEAR 2013, EVEN THOUGH THE TAX RETURN REPRESENTS A SHORT YEAR (OCTOBER 1, 2013 - DECEMBER 31, 2013). HE IS THE DIRECTOR OF MEDICAL EDUCATION FOR TRUSTBRIDGE, INC., HOSPICE OF PALM BEACH COUNTY, HOSPICE OF BROWARD COUNTY, FOCUS CARE HOME HEALTH, INC., AND HARBOR PALLIATIVE CARE SERVICES, INC. HIS TIME IS SHARED EQUALLY BY ALL ENTITIES. A PORTION OF HIS COMPENSATION IS DERIVED FROM HIS PHYSICIAN FEES FOR SERVICE. OTHER COMPENSATION FOR CY 2013 IS FOR HIS EMPLOYEE HEALTH AND RETIREMENT BENEFITS WHICH ARE UNDER THE SAME PLANS PROVIDED TO ALL EMPLOYEES. DR. JAMES SMITH, D.O. COMPENSATION REPORTED FOR DR. SMITH IS FOR THE ENTIRE CALENDAR YEAR 2013, EVEN THOUGH THE TAX RETURN REPRESENTS A SHORT YEAR (OCTOBER 1, 2013 - DECEMBER 31, 2013). HE PROVIDES MEDICAL SERVICES TO TRUSTBRIDGE, INC., HOSPICE OF PALM BEACH COUNTY, HOSPICE OF BROWARD COUNTY, FOCUS CARE HOME HEALTH, INC., AND HARBOR PALLIATIVE CARE SERVICES, INC. HIS TIME IS PROVIDED EQUALLY TO ALL ENTITIES. A PORTION OF HIS CY 2013 COMPENSATION IS FROM PHYSICIAN FEES FOR SERVICE. OTHER COMPENSATION FOR CY 2013 IS FOR HIS EMPLOYEE HEALTH AND RETIREMENT BENEFITS WHICH ARE UNDER THE SAME PLANS PROVIDED TO ALL EMPLOYEES. DR. RICHARD TEITZMAN, D.O. COMPENSATION REPORTED FOR DR. TEITZMAN IS FOR THE ENTIRE CALENDAR YEAR 2013, EVEN THOUGH THE TAX RETURN REPRESENTS A SHORT YEAR (OCTOBER 1, 2013 - DECEMBER 31, 2013). HE PROVIDES MEDICAL SERVICES TO TRUSTBRIDGE, INC., HOSPICE OF PALM BEACH COUNTY, HOSPICE OF BROWARD COUNTY, FOCUS CARE HOME HEALTH, INC., AND HARBOR PALLIATIVE CARE SERVICES, INC. HIS TIME IS PROVIDED EQUALLY TO ALL ENTITIES. A PORTION OF HIS CY 2013 COMPENSATION IS FROM PHYSICIAN FEES FOR SERVICE. OTHER COMPENSATION FOR CY 2013 IS FOR HIS EMPLOYEE HEALTH AND RETIREMENT BENEFITS WHICH ARE UNDER THE SAME PLANS PROVIDED TO ALL EMPLOYEES.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.