2024-05-02T07:33:49-05:00 2023-12-31 010494526 Baker Newman & Noyes PO Box 507 Portland ME 04112 990 2023-01-01 010540180 Hospice of Southern Maine HOSP 2072893640 390 US Route 1 Scarborough ME 04074 Daryl J Cady CEO 2072893640 2024-04-30 1 Daryl Cady 999009999 0 Connor Smart P02285543 2078792100 2024-04-30 2 AAL1 IAL1 2023 2023-04-26 12:10:37Z Daryl J Cady 390 US Route 1 Scarborough ME 04074 23395055 0 X www.hospiceofsouthernmaine.org X 2003 ME Hospice Services: To provide compassion, care, and comfort through end of life. 12 12 186 140 0 0 1715524 2209186 17103736 19750398 232158 624599 -66138 -46879 18985280 22537304 0 0 0 0 13458081 14771641 0 0 457259 5643091 5622684 19101172 20394325 -115892 2142979 26486292 28695782 2665676 2345936 23820616 26349846 X Compassion, care, and comfort through end of life. 0 0 15863858 0 19750398 Hospice of Southern Maine's (HSM) Mission is to provide compassion, care, and comfort through end-of-life for patients with life-limiting illnesses and support for their families. Our stated vision is as follows: "As a leading provider of Hospice and Palliative Care in Southern Maine, our focus is quality and excellence in patient and family centered care. Striving to be the hospice provider of choice for patients and families, and the hospice employer of choice for healthcare professionals, we endeavor to positively shift societal attitudes concerning death and dying, grief and loss." (Continued on Schedule O)To meet our Mission, HSM offers comprehensive hospice care to patients in York and Cumberland Counties by an interdisciplinary team of physicians, nurses, hospice aides, social workers, chaplains, grief counselors, and volunteers. Our patients have life-limiting illnesses with a prognosis of six months or less. In addition to providing medical, emotional, social and spiritual support to our patients, we also provide care before and after the death for their loved ones. Our core vision includes a focus on shifting societal attitudes concerning death and dying. To fulfill this vision, HSM organizes an annual regional conference on end-of-life topics; provides education to clinical staff in area hospitals; nursing homes; assisted living facilities; colleges and universities; businesses; churches; and the community. Our bereavement program, which is an important part of our mission, offers support for 13 months following the death of a loved one. Our program is unique in that it offers one-on-one counseling at no cost. We also offer eight-week group sessions for people who are interested in connecting with others in a similar situation. Additionally, we provide counseling and group support to anyone in the community who is grieving, whether or not their loved one died while under our care.Formed through a collaborative effort among York and Cumberland County community leaders and health care providers, HSM began providing direct patient services in 2004. In 2007, HSM opened the area's first inpatient hospice facility - the Gosnell Memorial Hospice House. Today, HSM is the only free-standing, state licensed, Medicare-certified nonprofit in Maine that is solely focused on providing professional and volunteer direct hospice services to dying patients and their families, regardless of their ability to pay. Demand for our services continues to grow; HSM provides hospice care to 2,100 patients and their families. We employ approximately 150 staff and engage approximately 140 volunteers. Our highly skilled, multidisciplinary team includes physicians, nurses, social workers, home health aides, chaplains, occupational and physical therapists and grief counselors. This team works together to provide direct patient care in alignment with our mission to provide compassion, care and comfort through the end of life. 15863858 1 1 0 1 0 0 0 0 0 1 1 0 0 0 0 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 36 0 1 186 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 12 12 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X Jamie Cyr 2072893640 390 US Route 1 Scarborough ME 04074 Katherine Audet Director 0.20 X 0 0 0 Moya Elliot Director 0.20 X 0 0 0 Nathan Howell Director (end 2/2023) 0.20 X 0 0 0 Laura Madigan-McCown Director 0.40 X 0 0 0 Frank McGinty Director 0.50 X 0 0 0 Pat Weigel Director 0.60 X 0 0 0 Nathan Wilson MD Director 0.30 X 0 0 0 Paul Wolf Director 0.50 X 0 0 0 Mark Wrona Director 0.40 X 0 0 0 Melanie Feinberg Director/Chair 0.80 X X 0 0 0 Mark Jones Director/Vice Chair 0.50 X X 0 0 0 Chris Coon Director/Treasurer 0.40 X X 0 0 0 Heidi N Hansen Director/Secretary 0.50 X X 0 0 0 Daryl J Cady CEO/Ex Officio 55.00 X 280767 0 33718 Nick Paquette Finance Director (end 9/2023) 45.00 X 117675 0 3530 Jamie Cyr Finance Manager (start 12/2023) 45.00 X 10463 0 494 Jason Libby NP Supervisor 40.00 X 156992 0 13718 Stewart Steel IT Director 45.00 X 155067 0 12484 Kristie Murphy NP Supervisor 40.00 X 133092 0 2394 Madelyn Tyack Nurse Practitioner 40.00 X 132800 0 5449 Kyra Mancini Clinical Director 40.00 X 128846 0 7765 1115702 0 79552 14 0 1 0 Maine Medical Center 22 Bramhall Street Portland ME 04102 Medical Services 457902 Core Medical Group PO Box 306478 Nashville TN 37230 Contract Nurses 318531 Crow's Nest Property Management 7 Wright Way Falmouth ME 04105 Property Management Services 210729 Brightree Home Health & Hospice PO Box 101233 Atlanta GA 30392 Software Support 132619 Partners Printing 800 Main Street South Portland ME 04106 Printing Services 116851 5 150489 5319 2053378 33159 2209186 Patient Services 621610 19750398 19750398 19750398 520262 520262 899394 738521 56536 160873 -56536 104337 104337 15815 150489 62694 -46879 -46879 22537304 19750398 0 577720 446647 373586 73061 11410981 9231857 1805436 373688 184137 94228 89909 1961274 1746653 211178 3443 768602 538080 230522 22299 22299 42881 42881 7189 7189 32719 32719 92326 92326 49723 49723 420663 83604 281695 55364 359490 171792 179458 8240 439827 268936 170891 256993 229970 26915 108 209701 43260 150281 16160 22874 19992 2882 743085 233002 510083 94931 1953 92978 Care services/supplies 2636360 2635322 782 256 Provision for bad debts 191623 191623 20394325 15863858 4073208 457259 6807757 2692462 3725631 9852019 252407 195124 1789203 1740093 209746 185560 15095411 5434248 10027942 9661163 3595118 4235330 18946 78488 115085 26486292 28695782 1622192 2127021 964996 103830 78488 115085 2665676 2345936 X 21846909 24025302 1973707 2324544 23820616 26349846 26486292 28695782 2142979 386251 0 X X 0 1 X 1 0 X 3845104 3845016 2048792 1715524 2209186 13663622 3845104 3845016 2048792 1715524 2209186 13663622 1073567 12590055 158648 94160 91384 155919 520262 1020373 14683995 83427548 0.85740 0.77120 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 7189 0 0 0 7189 0 Part II-B, Line 1: Hospice of Southern Maine (the Organization") was a member of the National Association for Home Care and Hospice ("NAHC") and the Home Care and Hospice Alliance of Maine during its 2023 tax year. These associations represent the interests of chronically ill, disabled, and dying Americans of all ages and the caregivers who provide them with in-home health and hospice services. The associations also advocate and lobby on behalf of their members on issues of interest to hospice care professionals and service providers. The Organization was required to remit dues and fees to the associations in order maintain membership within these groups. A portion of the dues paid are estimated to have been made available for lobbying purposes, as detailed below: National Association for Home Care & Hospice: Total dues paid - $14,600 Portion available for lobbying - $3,504 Home Care and Hospice Alliance of Maine: Total dues paid - $17,732 Portion available for lobbying - $3,685 1973707 1864630 544458 147466 4235329 2783162 236736 -417738 628453 1973707 3230166 263129 296095 1006228 2783162 8025443 1014174 296768 6106219 3230166 4718373 3268351 366805 328086 8025443 0.54910 0.38340 0.06750 0 0 1269950 1269950 11071921 4230890 6841031 2703225 1203358 1499867 50315 50315 9661163 457(b) deferred compensation plan obligations 115085 115085 X 22760742 386251 62694 448945 22311797 32719 192788 225507 22537304 20231512 62694 62694 20168818 32719 192788 225507 20394325 Part V, Line 4: Endowment assets include those assets of donor-restricted funds that the organization must hold in perpetuity, accumulated appreciation on donor-restricted endowment funds and board designated amounts. Endowment assets have been designated for the following intended uses by either donor restriction or board approval: building projects and upgrades; public and professional education; community outreach; and investment returns for general operations. Part X, Line 2: The Organization is exempt from income taxes under Section 501(c)(3) of the Internal Revenue Code. Tax-exempt organizations could be required to record an obligation for income taxes as the result of a tax position they have historically taken on various tax exposure items including unrelated business income or tax status. Under guidance issued by the Financial Accounting Standards Board, assets and liabilities are established for uncertain tax positions taken or positions expected to be taken in income tax returns when such positions are judged to not meet the "more-likely-than-not" threshold, based upon the technical merits of the position. The Organization has evaluated the positions taken on its filed tax returns. The Organization has concluded no uncertain income tax positions exist at December 31, 2023. Part XI, Line 2d - Other Adjustments: Fundraising event expenses 62,694. Part XI, Line 4b - Other Adjustments: Provision for bad debts 191,623. Donated fundraising prizes and non-cash gifts 1,165. Part XII, Line 2d - Other Adjustments: Fundraising event expenses 62,694. Part XII, Line 4b - Other Adjustments: Provision for bad debts 191,623. Donated fundraising prizes and non-cash gifts 1,165. Hike for Hospice 62053 56528 5525 540 2982 1768 489 14509 Twilight in the Park 60651 60651 3305 469 300 20029 1 43600 33310 10290 8226 10077 166304 150489 15815 540 2982 13299 958 300 44615 62694 -46879 X X X X 0 0 0 0 0 0 0 1 0 Daryl J Cady CEO/Ex Officio 228494 0 51877 0 396 0 29716 0 4002 0 314485 0 0 0 Jason Libby NP Supervisor 156902 0 0 0 90 0 4288 0 9430 0 170710 0 0 0 Stewart Steel IT Director 148238 0 6693 0 136 0 4723 0 7761 0 167551 0 0 0 Part I, Line 7 From time-to-time the Organization may pay various employees or executives bonuses, performance rewards, or other non-fixed incentive compensation. The payment of these awards is discretionary and is subject to meeting pre-determined goals based on measurable metrics. X 225 Value per book X 2 32534 Stock exchange price X 2 400 Value per book 0 1 1 Part I, Line 32b: The Organization processes gifts of stock through a third party investment management firm. Form 990, Part VI, Section A, line 2 Chris Coon, Heidi Hansen, and Laura Madigan-McCown have a business relationship with each other through their affiliation with MaineHealth, a 501(c)(3) public charity, and its affiliates. Form 990, Part VI, Section A, line 6 Initial Members of the Corporation were established in 2003. Thereafter, Members shall include all other persons who may be admitted to membership from time to time by vote of the Members at an annual or special meeting. The Governance Committee of the Board of Directors shall present a report to propose new Members to be admitted for membership. Form 990, Part VI, Section A, line 7a Provisions in bylaws pertaining to Members of the Corporation: - Individuals may be admitted to membership from time to time by vote of Members at annual or special meetings. - Nominating Committee of the Board of Directors proposes new members. - Members must have an interest in, and ability to contribute to, the advancement of the mission and goals of the Corporation. - Powers include election of Board of Directors, election of new members, changes in the corporate structure, and action on any matters brought to them by the BOD, at the annual meeting or at special meetings. Purpose: to strengthen links to the community, and ensure that effective governing bodies are elected Responsibilities: - Understanding and affirmation of HSM's mission, principles and objectives. - Advocacy in the community, fostering of public awareness and support for the Organization's goals and programs and its fundraising efforts. - Attendance at the annual meeting, election of Board and Members of the Corporation, and action on any other matters brought by the Board. Form 990, Part VI, Section A, line 7b See response for Form 990, Part VI, line 7a. Form 990, Part VI, Section B, line 11b The Form 990 was reviewed by the finance committee. Then a complete copy of the Form 990 was distributed to the full Board of Directors before filing with the IRS. Form 990, Part VI, Section B, line 12c Annually all persons are required to review and sign the conflict of interest policy statement, which is then kept on file. Form 990, Part VI, Section B, line 15 The process for determining compensation for the CEO was as follows: review of candidate's current responsibilities and compensation, and their expectations and performance as CEO of HSM; review of national and regional market data; discussion and decision by the Executive Committee of the Board. Form 990, Part VI, Section C, line 19 All public financial and governing documents are made available upon request. Form 990, Part XI, line 2c: The responsibility of the audit committee to oversee the audit and to select the Organization's engaged independent accountant has not changed from prior years.