2024-08-28T08:18:16-05:00 2023-12-31 390859910 BAKER TILLY ADVISORY GROUP LP PO BOX 908 BRIDGEPORT WV 26330 990 2023-01-01 942836972 HOSPICE OF HAVASU INC HOSP 9284532111 P O BOX 597 LAKE HAVASU CITY AZ 864050597 RALPH TAPSCOTT PRESIDENT 9284532111 2024-06-17 1 0 WILLIAM J BEHRENS CPA P00089711 3046245471 2024-06-17 2023 2024-08-08 14:25:15Z RALPH TAPSCOTT P O BOX 597 LAKE HAVASU CITY AZ 864050597 4518928 0 X WWW.HOSPICEHAVASU.ORG X 1982 AZ PROVIDING COMPASSION AND CARE WITH DIGNITY 12 12 122 140 0 0 558262 184368 3713930 3988383 51510 295891 85946 46970 4409648 4515612 0 0 0 0 5425635 3323167 0 0 0 1403775 1183239 6829410 4506406 -2419762 9206 14375368 12991999 1802411 238485 12572957 12753514 HOSPICE OF HAVASU IS A NOT-FOR-PROFIT, PATIENT-CENTERED TEAM OF PROFESSIONALS AND VOLUNTEERS WHO SERVE THE PHYSICAL, EMOTIONAL, AND SPIRITUAL NEEDS OF THE INCURABLY ILL, THEIR FAMILIES, AND FRIENDS IN OUR COMMUNITIES. 0 0 3781069 3988383 PROVIDED MEDICAL CARE FOR 271 PATIENTS AND 17,800 HOME CARE AND INPATIENT DAYS. PROVIDED VARIOUS COMMUNITY SERVICES, SUCH AS BEREAVEMENT COUNSELING AND CAREGIVER SEMINARS AND CLASSES. A LENDING LIBRARY IS AVAILABLE TO THE COMMUNITY AND NUMEROUS CLASSES ON VARIOUS MEDICAL RELATED ISSUES ARE OFFERED. ATTEND VARIOUS COMMUNITY HEALTH FAIRS AND PROVIDE GRIEF, CRISIS, AND SPECIALIZED COUNSELING TO MEMBERS OF THE COMMUNITY. VARIOUS EMPLOYEES ARE AVAILABLE AT ALL TIMES FOR PUBLIC SPEAKING ON HOSPICE AND BEREAVEMENT RELATED ISSUES. THE TRANSITIONS PROGRAM IS INTENDED TO PROVIDE NO-COST ASSISTANCE TO THOSE IN THE COMMUNITY FACING LIFE-LIMITING ILLNESS, BUT DO NOT MEET MEDICARE HOSPICE STANDARDS. THIS NON-MEDICAL PROGRAM PROVIDES SUPPORT AND INFORMATION TO PARTICIPANTS AND THEIR FAMILIES. 3781069 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 5 0 1 122 1 0 0 0 0 0 0 0 0 0 0 X 12 12 1 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 AZ X X 232 LONDON BRIDGE RD BLDG A 9284532111 P O BOX 597 LAKE HAVASU CITY AZ 864034647 JAMES DOLAN DIRECTOR 4.00 X X 0 0 0 RALPH TAPSCOTT PRESIDENT 4.00 X X 0 0 0 SUZANNAH BALLARD PAST PRESIDENT 4.00 X 0 0 0 SHERRY BUTLER SECRETARY 1.00 X X 0 0 0 DAN MATHEWS PRESIDENT ELECT 4.00 X X 0 0 0 SUMMER TILGNER DIRECTOR 1.00 X 0 0 0 DR MICHAEL ROSEN DIRECTOR 1.00 X 0 0 0 CHAD NELSON VICE PRESIDENT 4.00 X X 0 0 0 DAVID JACKSON DIRECTOR 1.00 X 0 0 0 BRANDON BOWERS DIRECTOR 4.00 X X 0 0 0 ROSS JOHNSON DIRECTOR 1.00 X 0 0 0 NITA KENNEDY DIRECTOR 1.00 X 0 0 0 JENNY TOCKER EXECUTIVE DIRECTOR 40.00 X 98165 0 0 ASHLEY MARIE HUERTA ADMISSIONS RN 40.00 X 108023 0 0 RYAN HYLAND LPN 40.00 X 105852 0 17315 ANGELA MARIE COLEMAN RN 40.00 X 102140 0 8771 414180 0 26086 3 0 0 0 0 184368 184368 PROGRAM SERVICE REVENU 621610 2987137 2987137 THRIFT STORE REVENUE 459510 1001246 1001246 3988383 295891 295891 50286 3316 46970 46970 4515612 3988383 0 342861 2832025 2292692 539333 248360 192935 55425 242782 201026 41756 6167 6167 28000 28000 378491 377407 1084 57254 57226 28 69824 46242 23582 141557 134323 7234 111779 109407 2372 69608 68844 764 19890 18549 1341 172141 160091 12050 114210 109659 4551 OTHER 7891 6241 1650 COMPLIANCE 6427 6427 4506406 3781069 725337 0 3474750 923800 2494935 683600 269824 207975 188201 12922 7932 7572487 1923222 5778524 5649265 1722662 5952977 14375368 12991999 1777537 220112 24874 18373 1802411 238485 X 12572957 12753514 12572957 12753514 14375368 12991999 9206 171351 0 X 0 1 X 1 0 X 510463 1972261 433503 642555 231338 3790120 510463 1972261 433503 642555 231338 3790120 3790120 221588 141660 908857 -295921 467242 1443426 5233546 31421591 0.72420 0.81740 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1428823 1428823 5889341 1726472 4162869 254323 196750 57573 5649265 X 4686963 171351 171351 4515612 0 4515612 4506406 0 4506406 0 4506406 PART X, LINE 2: THE ORGANIZATION DOES NOT BELIEVE ITS FINANCIAL STATEMENTS INCLUDE (OR REFLECT) ANY UNCERTAIN TAX POSITIONS. COMMUNITY SPONSORS/HOSPICE HAPPENIN 29200 29200 353 FRIENDS OF HOSP. OF HAVASU CRAFTERS 21086 21086 2963 50286 50286 3316 3316 46970 HAVASU REGIONAL MEDICAL CENTER 1 BOARD MEMBERS ARE EMPLOYEES OF THE LOCAL HOSPITAL 16764 THE HOSPICE OCCASIONALLY HAS PATIENTS IN THIS FACILITY 0 TODAY'S NEWS HERALDRIVER CITY NEWSPAPER 1 BOARD MEMBER IS EMPLOYED AT THE LOCAL NEWSPAPER 47612 OCCASIONAL ADVERTISING AND RELATED SERVICES. 0 FORM 990, PART VI, SECTION A, LINE 2 SUMMER TILGNER, IS THE WIFE OF THE HOSPICE'S MEDICAL DIRECTOR. DUE TO COVID AND THE CORRESPONDING EMPLOYEE ATTENDANCE AND INTERACTION WITH THE PUBLIC ISSUES, SHE ALSO PROVIDED 6 PATIENT VISITS ON BEHALF OF THE HOSPICE AND WAS PAID THE STANDARD PER DIEM FOR THAT SERVICE. FORM 990, PART VI, SECTION B, LINE 11B DURING THE IRS'S DEVELOPMENT OF THIS FORM, THE AICPA SUGGESTED THAT COMPLIANCE AND FIDUCIARY DUTIES WOULD BE BEST MET IF A NON-PROFIT BOARD OF DIRECTORS, AND OTHER COMMITTEES RECEIVED CONFIRMATION FROM THE PARTY RESPONSIBLE FOR FILING THE TAX RETURN THAT IT HAD BEEN PREPARED BY A QUALIFIED PERSON OR FIRM AND HAD BEEN FILED IN A TIMELY MANNER, RATHER THAN REVIEWING THE FORM IN LINE-BY-LINE DETAIL WITH MANAGEMENT. THE HOSPICE HIRES A CPA FIRM TO PREPARE 990 AND BOARD MEMBERS GENERALLY FEEL THIS IS THE APPROPRIATE FIDUCIARY PROCESS. THE BOARD'S ROLE THEN IS TO EVALUATE THE COMPETENCY OF THE MANAGEMENT AND CPA FIRM HIRED TO PREPARE THE RETURN AND TO DETERMINE IT IS APPROPRIATELY FILED. THE MANAGEMENT AND EMPLOYEES OF THE HOSPICE REVIEWS THE PROPOSED 990 IN DETAIL AND APPROVES THE FILING OF THE REPORT. THE HOSPICE HAS TAKEN THESE STEPS WITH THIS 990 FILING. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY THE BOARD AND KEY MEMBERS OF MANAGMENT MUST REVIEW AND SIGN THE CONFLICT OF INTEREST POLICY. THE BOARD ALSO CONDUCTS PERIODIC REVIEWS AND HIRES OUTSIDE CONSULTANTS TO REVIEW IF DEEMED NECESSARY. FORM 990, PART VI, SECTION B, LINE 15 ALL EXECUTIVE COMPENSATION IS DETERMINED VIA A SALARY GRADING SYSTEM BY THE HUMAN RESOURCES DEPARTMENT AND IS APPROVED BY THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 THE HOSPICE MAKES AVAILABLE ITS GOVERNING DOCUMENTS, TAX RETURNS, FINANCIAL STATEMENTS, AND OTHER INFORMATION AVAILABLE, UPON REQUEST AND BY APPOINTMENT.