Harbor Palliative Care Services Inc.

“THE ORGANIZATION RELIED ON TRUSTBRIDGE, INC., A RELATED TAX-EXEMPT ORGANIZATION, TO DETERMINE THE COMPENSATION OF THE ceo. TRUSTBRIDGE, INC. USES A COMPENSATION COMMITTEE, COMPARABILITY DATA, AN INDEPENDENT COMPENSATION CONSULTANT, AND APPROVAL BY THE BOARD TO DETERMINE COMPENSATION. THIS REVIEW LAST TOOK PLACE IN january of 2016 AND IS DOCUMENTED IN THE BOARD AND COMMITTEE MINUTES. BECAUSE COMPENSATION IS DETERMINED BY A RELATED ENTITY , THIS QUESTION IS ANSWERED "NO" IN ACCORDANCE WITH FORM 990 INSTRUCTIONS.”

“THE COMPENSATION OF ALL OTHER OFFICERS is determined by THE CEO OF TRUSTBRIDGE, inc., a related organization. THE CEO USES COMPARABILITY DATA and AN INDEPENDENT COMPENSATION CONSULTANT TO DETERMINE THE COMPENSATION. THE DECISIONS ARE DOCUMENTED IN EACH EMPLOYEE'S FILE.”

“The sole member of Harbor Palliative Care Services, Inc.. shall be TrustBridge, Inc. (sole member), a related tax-exempt organization”

“At the annual meeting, the Sole Member shall elect members of the Board of Directors and transact such other business as may properly be brought before the meeting. The Directors shall be elected to serve a three (3) year term, or until such Director submits his or her written resignation to the Chairperson of the Corporation. Any Director may be removed, with or without cause, by the sole member at the meeting of the sole member, or by the affirmative vote of two-thirds (2/3) of the Directors then in office. The sole member shall not have any form of equity or ownership interest in the organization or any right, title or interest in its assets at any time during the course of its active operation. All rights of the person or entity designated as Sole Member shall cease on the termination of the Sole Membership. Only the sole member shall be entitled to share in the distribution of corporate assets upon any dissolution of the organization”

“The sole member has the right to approve decisions of the Board.”

“The form 990 is prepared and initially reviewed by the cfo, vp of finance 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.”

“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 and or VP of Finance. Should a conflict exist the person with the conflict will abstain from voting on the issue in question.”

“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.”

“David Fielding Mr. Fielding serves as CEO for TrustBridge, Inc., Hospice of Palm Beach County, hospice by the sea, inc., Focus Care Home Health, Inc., Harbor Palliative Care Services, Inc. and The Medical Store, Inc. His time is shared by all entities. Other Compensation is for his employee health and retirement benefits which are under the same plans provided to all employees. In addition the organization offers a 457f retirement plan for Management and officers. Fred Watson Mr. Watson serves as CHRO for TrustBridge, Inc, Hospice of Palm Beach County, HOSPICE BY THE SEA, INC., Focus Care Home Health, Inc. AND Harbor Palliative Care Services, Inc. His time is shared equally by all entities. Other Compensation is for his employee health and retirement benefits which are under the same plans provided to all employees. In addition the organization offers a 457f retirement plan for Management and officers. Randy Prange Mr. Prange serves as COO for TrustBridge, Inc, Hospice of Palm Beach County, Hospice BY THE SEA, INC., 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 is for his employee health and retirement benefits which are under the same plans provided to all employees. In addition the organization offers a 457f retirement plan for Management and officers. LEONARD HOCK Mr. Hock serves as the CMO for Hospice by the sea, inc. and Harbor Palliative Care Services, Inc. A PORTION OF HIS COMPENSATION IS DERIVED FROM HIS PHYSICIAN FEES FOR SERVICE. Other Compensation is for his employee health and retirement benefits which are under the same plans provided to all employees. In addition the organization offers a 457f retirement plan for Management and officers. PEDRO A. HERRERA Mr. HERRERA serves as the VP OF FINANCE for TrustBridge, Inc, Hospice of Palm Beach County Foundation, Inc., Hospice of Palm Beach County, Hospice BY THE SEA, INC., Focus Care Home Health, Inc., Harbor Palliative Care Services, Inc. and The Medical Store. His time is shared equally by all entities. Other Compensation is for his employee health and retirement benefits which are under the same plans provided to all employees.”

“Administrative Services - Total Expense: 115838, Program Service Expense: 0, Management and General Expenses: 115838, Fundraising Expenses: 0; other fees for services - Total Expense: 16416, Program Service Expense: 0, Management and General Expenses: 16416, Fundraising Expenses: 0;”