Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
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Total |
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Calendar year
(or fiscal year beginning in)
![]() |
(a) 2019 | (b) 2020 | (c) 2021 | (d) 2022 | (e) 2023 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | ||||||
| 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. | ||||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2019 | (b) 2020 | (c) 2021 | (d) 2022 | (e) 2023 | (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 VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10 | ||||||
Calendar year (or fiscal
year beginning in) ![]() |
(a) 2019 | (b) 2020 | (c) 2021 | (d) 2022 | (e) 2023 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | 1,573,486 | 2,771,013 | 283,057 | 421,500 | 436,891 | 5,485,947 |
| 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 | 29,267,621 | 30,141,885 | 33,093,914 | 30,521,763 | 31,490,306 | 154,515,489 |
| 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 | 30,841,107 | 32,912,898 | 33,376,971 | 30,943,263 | 31,927,197 | 160,001,436 |
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | 0 | |||||
| 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. | 0 | |||||
| c | Add lines 7a and 7b.. | 0 | |||||
| 8 | Public support. (Subtract line 7c from line 6.) | 160,001,436 | |||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2019 | (b) 2020 | (c) 2021 | (d) 2022 | (e) 2023 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 30,841,107 | 32,912,898 | 33,376,971 | 30,943,263 | 31,927,197 | 160,001,436 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 705,946 | 908,375 | 594,757 | 313,896 | 185,168 | 2,708,142 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 705,946 | 908,375 | 594,757 | 313,896 | 185,168 | 2,708,142 |
| 11 | Net income from unrelated business activities not included on 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 VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | 31,547,053 | 33,821,273 | 33,971,728 | 31,257,159 | 32,112,365 | 162,709,578 |
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
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| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by 0.035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | 1 | |
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
2 | |
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | 3 | |
| 4 Amounts paid to acquire exempt-use assets | 4 | |
| 5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) | 5 | |
| 6 Other distributions (describe in Part VI). See instructions | 6 | |
| 7Total annual distributions. Add lines 1 through 6. | 7 | |
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
8 | |
| 9 Distributable amount for 2023 from Section C, line 6 | 9 | |
| 10 Line 8 amount divided by Line 9 amount | 10 | |
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2023 |
(iii) Distributable Amount for 2023 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2023 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2023 (reasonable cause required-- explain in Part VI).
See instructions. |
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| 3 Excess distributions carryover, if any, to 2023: | ||||
| a From 2018....... | ||||
| b From 2019....... | ||||
| c From 2020....... | ||||
| d From 2021....... | ||||
| e From 2022....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2023 distributable amount | ||||
|
i
Carryover from 2018 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2023 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2023 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2023, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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6
Remaining underdistributions for 2023. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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7 Excess distributions carryover to 2024. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2019..... | ||||
| b Excess from 2020..... | ||||
| c Excess from 2021..... | ||||
| d Excess from 2022..... | ||||
| e Excess from 2023..... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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| FORM 990, PART VI, SECTION A, LINE 1A | THE DIRECTORS, BY RESOLUTION ADOPTED BY A MAJORITY OF THE FULL BOARD OF DIRECTORS, SHALL DESIGNATE FROM AMONG ITS MEMBERS AN EXECUTIVE COMMITTEE, A GOVERNANCE COMMITTEE AND AN AD HOC COMMITTEE, AND EACH SUCH COMMITTEE SHALL SERVE AT THE PLEASURE OF THE BOARD OF DIRECTORS WITH THE AUTHORITY CONTAINED IN FLORIDA LAW. THE BOARD OF DIRECTORS, BY RESOLUTION, MAY DESIGNATE ONE (1) OR MORE DIRECTORS AS ALTERNATE MEMBERS OF ANY SUCH COMMITTEE, WHO MAY ACT IN THE PLACE AND STEAD OF ANY ABSENT MEMBER OR MEMBERS AT ANY MEETING OF SUCH COMMITTEE. THE EXECUTIVE COMMITTEE SHALL AND MAY EXERCISE ALL OF THE AUTHORITY OF THE BOARD OF DIRECTORS, EXCEPT (1) ANY ACTION RESERVED TO THE ENTIRE BOARD OF DIRECTORS REQUIRED BY LAW, THE ARTICLES OF INCORPORATION OR BYLAWS, OR (2) FILL VACANCIES ON THE BOARD OF DIRECTORS OR ANY COMMITTEE THEREOF. THE EXECUTIVE COMMITTEE MAY TRANSACT BUSINESS ISSUES RELATING TO THE FINAL BUDGET APPROVAL, CORPORATE POLICY APPROVAL, ISSUES INVOLVING INSURANCE AND CORPORATE LIABILITY, AND THOSE ITEMS THAT ARE RESERVED TO THE BOARD OF DIRECTORS UNDER THE CORPORATION'S CONTRACTS REQUIREMENTS POLICY. THE EXECUTIVE COMMITTEE PROVIDES SUPERVISORY OVERSIGHT FOR THE PRESIDENT/CHIEF EXECUTIVE OFFICER, INCLUDING ANNUAL EVALUATION, SALARY, AND BENEFITS. THE EXECUTIVE COMMITTEE SHALL MEET SIX (6) TIMES PER YEAR. THE GOVERNANCE COMMITTEE SHALL PROVIDE OVERSIGHT AND RECOMMENDATIONS RELATED TO PERSONNEL, DEVELOPMENT, AND COMPLIANCE-RELATED POLICIES AND MATTERS. THE DUTIES OF THE GOVERNANCE COMMITTEE INCLUDE APPROVAL OF ORGANIZATIONAL HUMAN RESOURCE POLICY, EXPLORATION OF PROGRAM OPPORTUNITIES AND BUSINESS STRATEGIES FOR SUPPORTING THE CORPORATION'S PURPOSE AND MISSION, AND OVERSIGHT AND REVIEW OF COMPLIANCE PROGRAM STRUCTURE AND FUNCTION, INCLUDING IDENTIFYING REGULATORY RISKS AND METHODS OF ENCOURAGING ENTERPRISE-WIDE ACCOUNTABILITY FOR THE ACHIEVEMENT OF COMPLIANCE GOALS AND OBJECTIVES. THE AD HOC COMMITTEE WILL MEET AS NEEDED AT THE DIRECTION OF THE CHAIRPERSON TO FOCUS ON THE SPECIFIC NEEDS OF THE CORPORATION, SUCH AS THE NOMINATION OF NEW MEMBERS OF THE BOARD OF DIRECTORS, DISCUSSION OF SPECIFIC ETHICS OR ETHICS-RELATED ISSUES, AND TO ADDRESS THE SPECIFIC ORGANIZATIONAL PERFORMANCE IMPROVEMENT/QUALITY RELATED MANNERS. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE 990 IS PREPARED BY AN OUTSIDE ACCOUNTING FIRM BASED ON THE INFORMATION SUBMITTED BY MANAGEMENT. THE COMPLETED 990 IS PRESENTED TO MANAGEMENT FOR INTERNAL REVIEW. ONCE APPROVED, THE 990 IS SHARED WITH THE BOARD OF DIRECTORS AND SUBMITTED TO THE IRS ELECTRONICALLY. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE CONFLICT OF INTEREST POLICY IS PRESENTED TO AND SIGNED OFF BY NEW BOARD MEMBERS. DURING THE SCHEDULED ORIENTATION PERIOD FOR THE MEMBER WHEN ITEMS ARE DISCUSSED. DURING A BOARD MEETING, BOARD MEMBERS ARE REQUESTED TO DECLARE ANY CONFLICT OF INTEREST OR RELATIONSHIP TO ANY PARTY ASSOCIATED WITH THE ITEMS. IF A CONFLICT OR RELATIONSHIP EXISTS, THEN THE POLICY TERMS ARE FOLLOWED BY THE BOARD. THE BOARD MEMBERS PROVIDE AN ANNUAL DISCLOSURE AND CONFIRMATION THAT IS USED FOR ONGOING CONFIRMATION OF CONFLICTS. THIS POLICY IS MONITORED BY THE PRESIDENT/CEO. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE CEO COMPENSATION IS BASED ON BASE AND BONUS SYSTEM. THE CEO'S PAY RANGE IS COMPARED TO THE REGIONAL HOMECARE AND HOSPICE ANNUAL SALARY AND BENEFITS REPORT, PUBLISHED BY HOSPITAL & HEALTHCARE COMPENSATION SERVICE. THE DATA IN THIS REPORT INCLUDES THE RELEVANT DATA FROM HOSPICE OF ST. FRANCIS. THE RANGE FOR THE CEO IS COMPARED TO THE REGIONAL AND STATE COMPENSATION LEVELS. THEN THE BONUS STRUCTURE IS ESTABLISHED TO PROVIDE INCREMENTAL REIMBURSEMENT UPON ATTAINING OBJECTIVE GOALS. ALL OF THE INFORMATION IS REVIEWED ANNUALLY WITH THE BOARD OF DIRECTORS PERSONNEL COMMITTEE, WHICH IS MADE UP OF EIGHT INDEPENDENT MEMBERS, AND DOCUMENTED IN THE BOARD MINUTES. OTHER KEY EMPLOYEE COMPENSATION ALSO USES THE REGIONAL HOMECARE AND HOSPICE ANNUAL SALARY AND BENEFITS REPORT, PUBLISHED BY HOSPITAL & HEALTHCARE COMPENSATION SERVICE. THE DATA IN THIS REPORT INCLUDES THE RELEVANT DATA FROM HOSPICE OF ST FRANCIS. THE RANGE FOR THESE STAFF ARE COMPARED TO THE REGIONAL AND STATE COMPENSATION LEVELS. ALL OF THE INFORMATION IS REVIEWED ANNUALLY WITH THE BOARD OF DIRECTORS PERSONNEL COMMITTEE, WHICH IS MADE UP OF EIGHT INDEPENDENT MEMBERS, AND DOCUMENTED IN THE BOARD MINUTES. |
| FORM 990, PART VI, SECTION C, LINE 19 | HOSPICE OF ST. FRANCIS' FORM 990 CAN BE FOUND AT GUIDESTAR.ORG. ALL OTHER DOCUMENTS CAN BE OBTAINED UPON REQUEST. |
| FORM 990, PART XII, LINE 2C | THE OVERSIGHT AND SELECTION PROCESS FOR THE AUDIT OCCURS DURING THE YEAR. THE RESULTS OF THE AUDIT ARE PRESENTED TO AND REVIEWED BY THE BOARD OF DIRECTORS. THIS PROCESS REMAINED THE SAME AS PRIOR YEAR. |
| FORM 990, PART VII, SECTION A | TIME DEVOTED TO THE HOSPICE OF ST. FRANCIS FOUNDATION, INC. D/B/A ST. FRANCIS REFLECTIONS FOUNDATION - EIN#47-5116106: NAME TITLE HRS/WK DEVOTED JOSEPH KILLIAN CHIEF EXECUTIVE OFFICER 1.00 LISBET VANDENBERG CHIEF FINANCIAL OFFICER 1.00 TONY HURT CHAIRPERSON 1.00 CHRIS MCALPINE VICE CHAIRPERSON 1.00 MARY COLEMAN DIRECTOR 1.00 |
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