Reflections LSC

What it reported doing in 2024

In the last fiscal year, more than 104 volunteers from our community donated over 5,734 hours of time. The volunteers provided both direct patient support through visits, caregiver relief, transportation and pet therapy visits and administrative support for our full array of programs. Volunteers also donated hundreds of hand-made masks, greeting cards, knitted blankets, clothing protectors, comfort pillows and sensory or "fidget" blankets to enhance and uplift our patient's lives. Program service accomplishments: the volunteer program also provides special services for veterans. Asan elite level five partner of we honor veterans, a collaborative program between the veteran's administration and the national hospice and palliative care organization, sfr volunteers performed veteran pinning ceremonies to honor and thank our patients who are veterans. In 2025, our specially trained (continued on schedule o) military volunteers conducted over 108 pinning ceremonies for veterans and their families. We also served the needs of over 400 veterans through our community-based veteran outreach and partnerships with veteran service and support organizations. Veteran to veteran cafes have been established in many long term care facilities facilitated by sfr staff. In 2025, sfr offered a dynamic grief support program that was open to the public county-wide, regardless of whether hospice service was involved in the care of the deceased individual. The bereavement department provided support to over 3,368 bereaved families through individual or group sessions and support activities, as well as engaging in significant outreach through monthly mailings and phone calls. The bereavement team presented informational talks to various community organizations, including nursing facilities, churches, educational institutions and community gathering sites. Four memorial services were conducted at our offices to offer surviving loved ones a chance to honor and remember those patients cared for by sfr. Hundreds of family members, friends, community dignitaries, volunteers and sfr staff attended. The special needs of grieving children ages 4 to 18 were served by our north star for grieving children program which provides safe and caring peer support groups facilitated by master's level counselors and trained volunteers. This program is offered free of charge to any child in brevard county who has suffered a loss. The program has grown to over 175 children in brevard county. There are numerous activities, seasonal events and weekly support groups for children of all ages. In addition, north star staff provided educational workshops on child grief to brevard county school board employees, including teachers and counselors, and responded to school communities coping with the sudden loss of a teacher or student. Sfr is proud of the extensive scope of free bereavement services it offers, recognizing that dealing with grief is a common challenge impacting people of all ages and walks of life. Sfr provides free, quality education for the community on such topics as advanced directives, understanding hospice benefits and palliative care, coping with caregiver stress, spiritual needs of the dying and their caregivers, and caring for loved ones at end of life. This education is provided by our experienced medical and professional staff at locations throughout the county, including senior centers, churches, businesses and veteran centers, nursing homes and assisted living facilities. Free education on hospice and serving the needs of the terminally ill was also provided to first year nursing students in local colleges. A unique but equally important service provided by sfr is our pet pledge program, which provides education on advanced care planning for pets and assistance with rehoming a patient's pet if they are no longer able to manage their care. We are proud to carry on the tradition of our founder, emilie sasko, whose motto was "neighbor helping neighbor" as we

Financial Efficiency

• Mission deployment rate: 82%; rating input score 82
• Program expense ratio: 78.5%; rating input score 79
• Fundraising efficiency: $8.37 raised per $1 spent on fundraising; rating input score 33; 33rd percentile among comparable filings

Transparency & Controls

• Consistency checks: 100%; rating input score 100; 62nd percentile among comparable filings
• Pay-setting controls: 5 of 6 controls in place; rating input score 83
  • Compensation committee: Pass
  • Independent consultant: Missing
  • Other Form 990s reviewed: Pass
  • Written employment contract: Pass
  • Compensation survey or study: Pass
  • Board or committee approval: Pass
• Foreign activity oversight: Limited
• Grant itemization coverage: Limited
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Yes; rating input score 100

Accountability

• Independent voting board: 100%; rating input score 100; 66th percentile among comparable filings
• Governance controls: 9 of 9 controls in place; rating input score 100
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Pass
  • Other executive compensation review process: Pass
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: -2.9%; rating input score 21; 21st percentile among comparable filings
• Total-asset coverage ratio: 0.92; rating input score 33; 33rd percentile among comparable filings
• Liabilities to assets ratio: 0.22; rating input score 55; 55th percentile among comparable filings
• Officer compensation ratio: 8.4%; rating input score 28; 28th percentile among comparable filings

Growth

• Program expense growth: 5.5% per year; rating input score 100; 45th percentile among comparable filings
• Revenue growth: 6.9% per year; rating input score 100; 59th percentile among comparable filings
• Asset growth: 3.4% per year; rating input score 100; 25th percentile among comparable filings