Big Bend Hospice, Inc.
1723 Mahan Center Blvd
Tallahassee FL 32308-5428
Contact Information
Address 1723 Mahan Center Blvd
Tallahassee, FL 32308
Telephone (850) 878-5310
Fax 850 309-1638
E-mail info@bigbendhospice.org
Web and Social Media
Donate Directly to this Organization https://secure.acceptiva.com/?cst=394e0c
Donate to this Orgs Endowment Fund at Community Foundation http://cfnf.org/index.cfm?p=ways-to-give
At A Glance
Organization DBA
Big Bend Hospice Foundation
Organization's type of tax exempt status Public Supported Charity
EIN Number 59-2328806
Year of Incorporation 1983
Financial Summary
 
 
Projected Revenue $16,200,000.00
Projected Expenses $15,900,000.00
Mission Statement

The mission of Big Bend Hospice is to provide compassionate care to individuals with a life-limiting illness, comfort to their families and emotional support to anyone who has lost a loved one.  Big Bend Hospice adheres to the philosophy of palliative care, which addresses the physical, social, psychological, emotional and spiritual facets of care as an integrated whole.

The goals of Hospice are to: 

Enhance quality of life by managing symptoms

Provide support by a team of professionals so that the dying process is as natural and comfortable as possible

Help patients and their families maintain dignity and individuality by giving them control over care decisions

Big Bend Hospice does this by:

Assisting with physical, emotional, social and spirituals needs

Supporting patient choices about care and encouraging family or caregivers to work together with the Hospice team

Providing access to Hospice services 24 hours a day, 7 days a week, including holidays

Working with each patient to determine the frequency of visits by each Hospice team member

Supporting patients and families or caregivers with a HOSPICE TEAM including:

·        The patient's personal physician

·        Medical Directors & Nurse Practitioners

·        Nurses

·        Family Support Counselors/Social Workers

·        Chaplains

·        Hospice Aides

·        Volunteers

·        Music Therapists 

Big Bend Hospice provides Bereavement Services to families for 13 months after the death of a hospice patient.   The goal is to help the grieving family to “re-enter” life without their loved one and return to a new “normal.”  Bereavement services are also available to anyone, of any age, in the community whether or not they used hospice services.  Services include:

·        Telephone Support

·        Educational and Resource Materials

·        Individual Counseling

·        Special Grief Support Groups (includes Suicide Loss and Grief Services)

·        Caring Tree Services (works specifically with children and teens)

Needs Statement
The cost for hospice care is covered by most health insurance plans including Medicare, Medicaid and private insurance.  However, many patients without insurance, or with limited insurance, must pay for hospice care privately. NO PATIENT IS EVER DENIED CARE BECAUSE OF INABILITY TO PAY.

The hospice care offered by Big Bend Hospice exceeds the minimum federal requirements.  Although guidelines only require one chaplain, BBH has nine chaplains on staff not covered under the payment reimbursement plans.  In addition, BBH offers music therapy and art therapy to all patients, which is not required by regulations and not reimbursed by insurance providers.  The cost of these unfunded services is covered through community support.  

Regulations mandate bereavement care and services to hospice families for a minimum of 13 months after the death of a loved one in order for an organization to qualify for Hospice Certification.  However, these services are not reimbursed by Medicare or Medicaid.  Community support is sought to cover the cost of these services.
 
Impact Statement
Accomplishments:
 
*98.5% of families surveyed say they would recommend Big Bend Hospice to other families caring for a terminally ill family member (2012).

*1,614 patients and their families were provided direct patient hospice care throughout the eight counties served by BBH (2013)
 
*684 children and teens were served through the BBH "Caring Tree" progrm which included grief support groups, presentations and camps. (2013)
 
*4,912 patients and their families received Bereavement Services throughout the eight counties BBH serves. (2013)
 
*  Distributed 7,759 copies of Five Wishes to encourage documentation of end-of-life wishes. (2013)
 
* 8 Music Therapy interns were trained as part of the BBH Music Therapy program. (2013)
 
*  Cared for 661 patients in the Margaret Z. Dozier Hospice House. (2013)
 
• Recruited and trained 143 new volunteers bringing the total to 435 active BBH volunteers. (2013)
 
• Provided honor ceremonies for 64 patients who were identified as veterans when admitted for hospice. (2013)
 
• Hosted 28 children at Camp Woe-Be-Gone and 30 teens at Teen Woe-Be-Gone. (2013)
 
• Presented “Consider the Conversation – A Documentary on a Taboo Subject” at the FSU College of Medicine.
• Launched Tallahassee’s monthly Death Cafes, informal gatherings to discuss all aspects of death and dying. (2013)
 
• Trained 31 facilitators to conduct one-on-one conversations through PEACE (Planning Early About
Care at the End) program, a Respecting Choices program designed to assist people in understanding, discussing, and communicating their advance directives. (2013)
 
• Created and distributed over 5,000 copies of Touching Lives magazine, which educates the community on the benefits of hospice care in general and Big Bend Hospice services in particular (2013)
 
 
Goals:
*Complete remodeling of current Margaret Z. Dozier Hospice House with the addition of the Family Center expansion (2014).
 
*Meet or exceed selected national benchmarks for patient family satisfaction. (2014)
Background Statement
Following the initiation of hospice care in the United States in 1974, BBH was organized between 1981 and 1983.  Through the efforts of a volunteer group in Tallahassee, a State of Florida Certificate of Need (CON) was secured to provide hospice care in Leon, Wakulla, Gadsden, Jefferson, Madison, Taylor, Franklin and Liberty counties in the Big Bend region of Florida. 
 
BBH was incorporated in February 1983, received its license on April 1, 1983, and served its first patient/family in July 1983.  In 1986, BBH was certified as a Medicare provider of hospice care and in 1987 as a Medicaid provider.  In 2000 BBH was accredited by Community Health Accreditation Program (CHAP).
Service Categories
Hospice
Areas of Service
Areas Served
Areas
Franklin
Gadsden
Jefferson
Leon
Liberty
Madison
Taylor
Wakulla
Big Bend Hospice provides care throughout its eight county service area that includes Franklin, Gadsden, Jefferson, Leon, Liberty, Madison. Taylor and Wakulla.
Board Chair Statement
Just 30 short years ago a small group of dedication community volunteers saw the need to create Big Bend Hospice and had the vision and courage to make it happen.  From that humble beginning, Big Bend Hospice has grown and served more than 20,000 patients and many times that number of family members, friends, and others struggling with the loss of a loved one.  The differences they've made in the families and lives of those that have been touched cannot be measured in dollars and cents.  The comfort they provided and the memories they created last long after the services have been delivered.  It is only fitting that we celebrate and honor the men and women, both employees and volunteers of Big Bend Hospice, that have dedicated themselves to helping their neighbors during one of the most difficult times of their lives.
 
The past several years have been a struggle as the medical delivery system in our country continues to evolve and fiscal pressures to bring down health care costs continue to grow.  Every study of hospice services demonstrates that we are a part of the solution to reduce overall health care costs.  As our state and federal governments struggle to define the delivery system and processes to be used, we are comforted that in the long run the need for and benefit of hospice care will continue to be recognized and savings quantified.
 
 During 2013, we have continued to move forward to enhance the quality of services we offer our patients and families by breaking ground on the Jean McCully Family House.  This will be located adjacent to the existing Margaret Z. Dozier Hospice House and should be opening within the next year.  Many of the families and friends visiting patients in the Hospice House have come from a great distance with limited resources to spend quality time with their loved ones.  We recognized they needed a place to gather, grieve, meet with key staff on their Hospice team and to rest.  The Jean McCully Family House will be a place where families can share the end of life experience with their loved ones with dignity, peace and privacy.  We are also renovating the Margaret Z. Dozier Hospice House to ensure that patients have the best medical care and services we can provide.
 
We are not reimbursed by Medicare for our music therapy, bereavement and many of the other services we provide.  Without your help we could not provide these services.
 
To our 477 volunteers, I give thanks.  It takes a special person to give his or her time to assist patients and families during one of the most difficult times of their lives.  This is the true definition of love for your neighbor.
 
I have been blessed to work with a great staff, a dedicated operating and foundation board whose sole desire is to provide the highest level of loving care to our patients.  I know that Big Bend Hospice is well prepared to serve our communities and needs and maintain the tradition of loving, compassionate care for which we are known. 
 
Bob Inzer
Chairman
2011-12 
CEO Statement/Executive Director Statement
I am still amazed at all of the great work Big Bend Hospice does with families and patients in our 8-county service area.  What I find most powerful about our agency is our unique staff and personal relationships they try to establish with everyone we serve.  As one senior staff member recently put it, "Most of us at Big Bend Hospice don't have to work here; we NEED to work here -- it's who we are."  That sentiment rings true in the dedication seen each and every day as our 229 full-time and part-time employees work tirelessly to provide a special way of caring for people who have a life-limiting illness.
 
Big Bend Hospice belongs to this community, which helped build it to reflect its unique needs.  It is your friends and neighbors, as the staff of Big Bend Hospice, who bring quality end-of-life care to your families.  No one can provide better care for a loved one than a loved one.
 
In September of 2013 construction began on the renovation and upgrade of the Margaret Z. Dozier Hospice House and building of the adjoining Jean McCully Family House.  At the completion of this project August 2014, Big Bend Hospice will be able to better serve the medical needs of our patients and provide additional space and services for their loved ones and the community.  We are grateful for the continuing financial support and generosity of our community who are making this dream a reality.
 
Cathy Adkison, RN, BSN, CHPN
President and CEO 
 
 
 
Description
Hospice Home Care - Once admitted to BBH, a hospice team is assigned to the patient.  Each team consists of the patient's own physician, a hospice nurse, a family support counselor, a hospice aid, a music therapist, a chaplain and  specially trained volunteers.
 
www.bigbendhospice.org
Budget $0.00
Category Human Services, General/Other Human Services, General/Other
Population Served General/Unspecified, Aging, Elderly, Senior Citizens,
Program Success Monitored By
In 2011, BBH served over 1,000 patients/families through Hospice Home Care. Grief Counselors continue to follow up with patients up to 13 months after their loved one has passed. A daily census of patients is recorded and monitored and BBH has a full time compliance officer.
Program Comments
CEO Statement/Executive Director/Board Comments
Board Chair
Board Chair Mr. Steve Mindlin
Company Affiliation Rose Sundstrom & Bentley
Term Jan 2013 to Dec 2015
Email smindlin@sfflaw.com
Board Co-Chair
Board CoChair Mr. Matt Hansard
Company Affiliation Thomason Brock Luger & Co
Term Jan 2013 to Dec 2015
Email mhansard@tbc-cpa.com
Board Members
NameAffiliation
Ms. Cathy Adkison Big Bend Hospice, Inc.
Mr. Ramon Alexander Executive Director - External Affairs Distinguished Young Gentlemen of America Inc.
Mr. Nigel Allen Big Bend Hospice Foundation, Inc.
Mr. Richard Barnum Legal Analyst, FL House of Representatives
Mr. Raymond Capelouto Owner, Capelouto Pest Control
Pastor Brant Copeland First Presbyterian Church
Ms. Dee Crusoe Retired
Ms. Holly Dincman Attorney, Coppins Monroe Adkins & Dincman PA
Ms. Judy Greenwald Ortho-Neuro, Tallahassee Memorial Healthcare
Mr. Matt Hansard Thomason Brock Luger & Co
Ms. Rheb Harrison Senior Gov Consultant, Carlton Fields
Dr. R.B. Holmes Jr.Pastor, Bethel Missionary Baptist Church
Dr. David Jones Capital Health Plan
Dr. Alma Littles Direto, FSU College of Medicine
Mr. Steve Mindlin Rose Sundstrom & Bentley
Ms. Kimberly Moore Director of Workforce Development, Tallahassee Community College
Ms. Marsha Morrison Marsha Morrison Realty
Ms. Gloria Rollins Retired, Stowell, Anton and Kraemer
Mr. Tim Sanders Clerk of Court, Madison County
Mr. William Smith IIICapital City Bank
Mr. Jay Smith Vice President, Ajax Building Corporation
Mr. A. J. Smith Executive Director, FL Deputy Sheriff's Association
Mr. Ron Tate Retired
Board Demographics - Ethnicity
African American/Black 5
Asian American/Pacific Islander 0
Caucasian 18
Hispanic/Latino 0
Native American/American Indian 0
Board Demographics - Gender
Male 15
Female 8
Governance
Board Term Lengths 2
Board Term Limits 3
Board Meeting Attendance % 75%
Written Board Selection Criteria? Under Development
Written Conflict of Interest Policy? Yes
Percentage Making Monetary Contributions 100%
Constituency Includes Client Representation Yes
Number of Full Board Meetings Annually 4
Standing Committees
Executive
Board Development / Board Orientation
Community Outreach / Community Relations
Finance
Board Governance
CEO Comments

The BBH Board, in addition to the company’s non-discrimination policy, strives to select individuals based on experience, skills, and geographical location (within the 8 counties of service) along with a strong passion and desire to serve.

Executive Director/CEO
Executive Director Ms. Cathy Adkison
Term Start July 2011
Email cathya@bigbendhospice.org
Experience Ms. Adkison comes to Tallahassee from Alabama, where she was a Senior Vice President of Operations for a large home health and hospice provider serving over 54 counties.  She grew up in Albany, Georgia.  She is a Registered Nurse with a BSN and certification in Hospice and Home Care Administration.  She brings 30 years of nursing experience, more than 26 years of which has been in administration and management positions.
Former CEOs
NameTerm
Ms. Carla Braveman Jan 2001 - Jan 2011
Senior Staff
Title Controller
Experience/Biography
Title Director, Business Development
Experience/Biography
Title Director, Human Resources
Experience/Biography
Title Medical Director
Experience/Biography
Title Executive Director, Big Bend Hospice Foundation
Experience/Biography
Title Director of Compliance
Experience/Biography
Staff
Full Time Staff 153
Part Time Staff 16
Volunteers 447
Contractors 0
Formal Evaluations
CEO Formal Evaluation Yes
CEO/Executive Formal Evaluation Frequency Annually
Senior Management Formal Evaluation Yes
Senior Management Formal Evaluation Frequency Annually
NonManagement Formal Evaluation Yes
Non Management Formal Evaluation Frequency Annually
Plans & Policies
Organization has a Fundraising Plan? Under Development
Organization has a Strategic Plan? Under Development
Years Strategic Plan Considers 2
Date Strategic Plan Adopted July 2010
Management Succession Plan? No
Organization Policy and Procedures Yes
Nondiscrimination Policy Under Development
Whistleblower Policy No
Document Destruction Policy Yes
Directors and Officers Insurance Policy Yes
Collaborations
Collaboration in the 8 county region includes: Medical facilities & Hospitals, Pastoral Leaders and Faith-based organizations, nursing homes, assisted living facilities, civic and service groups, funeral homes;
Bereavement Counselors work in all county school systems.  Distribution of Five Wishes in partnership with Aging With Dignity & Capital Health Plan. The Music Therapy program has a strong partnership with FSU School of Music (Internship Program) and BBH is a United Way Agency.  
Fiscal Year
Fiscal Year Start Oct 01 2013
Fiscal Year End Sept 30 2014
Projected Revenue $16,200,000.00
Projected Expenses $15,900,000.00
Endowment Value $2,224,456.00
Spending Policy Percentage
Percentage (if selected) 4%
Form 990s
9902013
9902012
9902011
Audit or In-House Financial Documents
Audit2013
Audit2012
BBH Audit2011
IRS Letter of Dtermination
Detailed Financials
 
 
Revenue SourcesHelpThe financial analysis involves a comparison of the IRS Form 990 and the audit report (when available) and revenue sources may not sum to total based on reconciliation differences. Revenue from foundations and corporations may include individual contributions when not itemized separately.
Fiscal Year201320122011
Foundation and
Corporation Contributions
$0$0$0
Government Contributions$0$0$0
Federal$0$0$0
State$0$0$0
Local$0$0$0
Unspecified$0$0$0
Individual Contributions$1,208,730$1,005,295$1,403,742
$0$0$0
$16,088,001$15,511,812$16,333,036
Investment Income, Net of Losses$154,228$179,395$48,125
Membership Dues$0$0$0
Special Events$493,355$321,028$359,328
Revenue In-Kind$0$0$0
Other$756$6,361$13,790
Expense Allocation
Fiscal Year201320122011
Program Expense$13,967,873$14,289,501$17,358,931
Administration Expense$2,026,578$1,496,898$1,814,835
Fundraising Expense$518,883$224,235$244,775
Payments to Affiliates$0$0$0
Total Revenue/Total Expenses1.091.060.94
Program Expense/Total Expenses85%89%89%
Fundraising Expense/Contributed Revenue30%17%14%
Assets and Liabilities
Fiscal Year201320122011
Total Assets$17,064,124$15,150,109$14,633,159
Current Assets$8,510,594$7,107,586$6,542,402
Long-Term Liabilities$27,664$8,991$17,710
Current Liabilities$2,380,007$1,916,401$2,403,989
Total Net Assets$14,656,453$13,224,717$12,211,460
Short Term Solvency
Fiscal Year201320122011
Current Ratio: Current Assets/Current Liabilities3.583.712.72
Long Term Solvency
Fiscal Year201320122011
Long-Term Liabilities/Total Assets0%0%0%
Capital Campaign
Currently in a Capital Campaign? Yes
Campaign Purpose Construction of the Jean McCully Family House and medical upgrade of the Margaret Z. Dozier Hospice House. Completion date for early August 2014 with expected occupancy on August 15, 2014. The addition of the Jean McCully Family House will significantly increase space and services available to visiting family members of patients, while medical upgrades to the Margaret Z. Dozier House will all for the care of patients with increased medical needs.
Goal $2,800,000.00
Dates Nov 2008 to Oct 2014
Amount Raised To Date 2804000 as of Aug 2014
Capital Campaign Anticipated in Next 5 Years? No
Organization Comments
Big Bend Hospice provided direct patient hospice care to 1,614 patients and their families throughout Franklin, Gadsden, Jefferson, Leon, Liberty, Madison, Taylor and Wakulla counties. Additionally, our bereavement services touched the lives of 3,299 patients and their families. How did we do? An internal survey showed that 99.2% of our patient’s families would recommend Big Bend Hospice to other families caring for terminally ill family members.  Our mission is to provide the best possible care to patients and their loved ones facing a life-limiting illness regardless of their ability to pay for it.  We also deliver far more than the minimally required services set for the by Medicare and Medicaid.  Music Therapy, children's bereavement, chaplains services and a variety of special patient needs funds are some of the programs we offer that embody this commitment.
Foundation Comments
  • Financial figures were taken from the audits.
  • Contributions from foundations and corporations are included with total for individuals, as they were not separated in the audit or 990.
  • Top 3 funding sources are not reflected above as they are not indicated in the audit or 990.
  • Has an endowment at the Community Foundation.
Additional Documents
State Charitable Solicitations Permit
View
Additional Comments
Letter from the Board Chair
I am pleased to report that 2013 was a busy and productive year for Big Bend Hospice. Your community hospice not only worked hard to continue providing needed care and support to persons experiencing a life-limiting illness, their families, and those in our community coping with grief and
loss, but also embarked on three major projects, each of which will be completed in 2014. These three major projects are: Renovation of the Margaret Z. Dozier Hospice House, Construction of the Jean
McCully Family House, and Transition to the Allscripts Electronic Medical Records system.
 
By the time you read this letter, the needed renovations to the Margaret Z. Dozier Hospice House
will be complete. These renovations to both the patient rooms and common areas will improve the experience at the House while also assisting our wonderful staff with providing care to those in need.
Regarding the under-construction Jean McCully Family House, we are all excited to be beyond the planning stage and now in the construction stage of this project. The Jean McCully Family House will be a great addition to Big Bend Hospice by providing a dedicated place for families to share the end of life experience with their loved ones. Neither the renovations to the Hospice House nor the construction of the Family House could have happened without the support of our community. Kudos go to our many community supporters, for their dedication to turning dreams into reality.
 
Regarding the transition to the Allscripts Electronic Medical Records system, anyone who has gone through a computer conversion knows that changing systems is often difficult and disorienting. We are pleased with how the transition to the new system is progressing, and we are very optimistic that, once the transition is complete, our clinical and administrative staff will appreciate a user-friendly system that will make their work lives easier, while allowing everyone to focus their energies on the heart of our mission – providing the best care possible to those in need of our services.
 
None of this would be possible without our excellent staff, volunteers, Board members, and community supporters. 
 
With your help, we can continue to make a difference in our community.
 
Thank you for all you do,
 
Steve Mindlin
Board of Directors,
Nonprofit Big Bend Hospice, Inc.
Address 1723 Mahan Center Blvd
Tallahassee, FL 323085428
Primary Phone 850 878-5310
Donate with a credit card https://secure.acceptiva.com/?cst=394e0c
Donate to Endowment Fund at Community Foundation http://cfnf.org/index.cfm?p=ways-to-give
Contact Email info@bigbendhospice.org
CEO/Executive Director Ms. Cathy Adkison
Board Chair Mr. Steve Mindlin
Board Chair Company Affiliation Rose Sundstrom & Bentley
Year of Incorporation 1983