2021-11-15T12:43:23-06:00 2020-12-31 271728945 PKF O'CONNOR DAVIES LLP 32 FOSTERTOWN ROAD NEWBURGH NY 12550 990 2020-01-01 141703185 HOSPICE OF ORANGE AND SULLIVAN COUNTIES INC HOSP 8455616111 800 STONY BROOK COURT NEWBURGH NY 12550 DAN GRADY PRESIDENT & CEO 8455616111 2021-11-09 1 DAN GRADY XXX-XX-XXXX GARRETT M HIGGINS P00543209 8455655400 2021-11-09 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z DAN GRADY 800 STONY BROOK COURT NEWBURGH NY 12550 15959897 0 X HOSPICEOFORANGE.COM X 1988 NY THE PRINCIPAL PURPOSE OF THE ORGANIZATION IS TO PROVIDE HOSPICE SERVICES. 21 21 235 88 0 0 674555 1088271 11910089 13715282 141067 252880 -29197 -1218 12696514 15055215 0 0 0 0 8633871 9769169 0 0 109349 4651406 4637616 13285277 14406785 -588763 648430 12914775 14628325 2635708 3295341 10279067 11332984 X HOSPICE OF ORANGE & SULLIVAN COUNTIES, INC. PROVIDES PHYSICAL, EMOTIONAL AND SPIRITUAL CARE FOR PATIENTS (AND THEIR LOVED ONES) WITH LIFE LIMITING DISEASES. HOSPICE SERVICES ARE COORDINATED THROUGH A TEAM OF PROFESSIONALS, WHICH INCLUDE NURSES, SOCIAL WORKERS, PHYSICIANS, SPIRITUAL CARE, HOSPICE AIDES AND VOLUNTEERS. 0 0 11642768 13715282 IN 2020, HOSPICE OF ORANGE & SULLIVAN COUNTIES, INC. PROVIDED 57,613 DAYS OF CARE TO 1,310 PATIENTS AND THEIR LOVED ONES. HOSPICE ALSO SERVED 216 PATIENTS FOR A TOTAL OF 3,468 DAYS OF CARE AT THE KAPLAN FAMILY HOSPICE RESIDENCE. 11642768 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 69 0 235 1 0 0 0 0 0 0 0 0 0 0 0 0 X 21 21 0 0 1 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 NY X X JEANNE MALTES 8455616111 800 STONY BROOK COURT NEWBURGH NY 12550 DANIEL GRADY PRESIDENT & CEO 37.50 X 190305 0 32825 SANDI CASSESE VP & COO 37.50 X 153395 0 32076 ROSEMARY KRISTIANSEN VPPI / PALLIATIVE CARE OFFICER 37.50 X 121551 0 16734 JEANNE MALTES VP OF FINANCE 30.00 X 109352 0 9544 JOSEPH V SMITH CHAIRPERSON 6.00 X X 0 0 0 IAN RIEGER VICE CHAIRPERSON 1.00 X X 0 0 0 GLEN L HELLER ESQ TREASURER 2.00 X X 0 0 0 JOHN F RATH III SECRETARY 2.00 X X 0 0 0 FRANK PHILLIPS IMMEDIATE PAST CHAIRPERSON 1.50 X X 0 0 0 HON JEFFERY G BERRY DIRECTOR 1.00 X 0 0 0 RONALD BARTON DIRECTOR 2.00 X 0 0 0 DANIEL BERKOWICZ DIRECTOR 1.00 X 0 0 0 FAITH FERGUSON DIRECTOR 1.00 X 0 0 0 PAUL HOFFNER DIRECTOR 2.00 X 0 0 0 HON ANTHONY T KANE DIRECTOR 2.00 X 0 0 0 JOAN P KAPLAN DIRECTOR 5.00 X 0 0 0 DR JOSEPH LAUTERSTEIN DIRECTOR 2.00 X 0 0 0 BARRY LEWIS DIRECTOR 1.00 X 0 0 0 ERIC MALDONADO DIRECTOR 0.50 X 0 0 0 CHARLES MILICH DIRECTOR 1.00 X 0 0 0 BARBARA NARU DIRECTOR 0.50 X 0 0 0 LAUREN ROWLEY DIRECTOR 2.00 X 0 0 0 THOMAS P SULLIVAN DIRECTOR 2.00 X 0 0 0 VINCENT MAZZIE DIRECTOR 2.00 X 0 0 0 DAVID TERWILLIGER DIRECTOR 2.00 X 0 0 0 SR ANN SAKAC DIRECTOR THRU 6/2020 1.00 X 0 0 0 574603 0 91179 4 0 1 0 ORANGE REGIONAL MEDICAL CENTER 75 CRYSTAL RUN ROAD STE G2 MIDDLETOWN NY 10941 HOSPITAL SERVICES 485839 CATLETON PHARMACY CORP DBA ENEXIA SPECI 826 FOREST AVENUE STATEN ISLAND NY 10310 PHARMACEUTICAL SERVICES 457859 VALLEY VIEW NURSING CARE & REHAB 2 GLENMERE COVE ROAD PO BOX 59 GOSHEN NY 10924 SKILLED NURSING SERVICES 250943 CRYSTAL RUN HEALTHCARE LLP 155 CRYSTAL RUN ROAD MIDDLETOWN NY 10947 PHYSICIAN SERVICES 248250 UNIDINE CORPORATION A/R LOCKBOX PO BOX 102289 ATLANTA GA 303682289 FOOD SERVICES 181048 5 148 124786 655637 307700 7620 1088271 HOSPICE SERVICES 623000 13715282 13715282 13715282 184384 184384 960952 892456 68496 68496 68496 0 124786 9524 -9524 -9524 8440 2702 5738 5738 OTHER INCOME 900099 2568 2568 2568 15055215 13715282 0 251662 X 408601 151182 236989 20430 7530774 6014921 1454293 61560 202241 165155 35786 1300 833049 668980 157612 6457 794504 625261 161298 7945 19280 15617 3470 193 23496 19032 4229 235 1556 1556 47823 47823 1509178 1488796 19322 1060 113747 113747 377519 310010 63890 3619 122544 122544 139597 84629 53731 1237 293577 278898 14679 13626 11037 2453 136 4880 3283 1513 84 196899 130992 64345 1562 69903 56621 12583 699 MEDICAL EQUIPMENT AND S 679904 679904 PHARMACY 515530 515530 REPAIRS AND MAINTENANCE 310347 227570 79945 2832 NURSING HOME ROOM & BOA 195350 195350 2860 2860 14406785 11642768 2654668 109349 352 350 884873 933847 1844070 2447953 52399 62480 6492777 2920347 3707837 3572430 6421698 7607719 3546 3546 12914775 14628325 1974530 1879621 50000 28500 611178 28120 0 1359100 2635708 3295341 X 5223293 5991636 5055774 5341348 10279067 11332984 12914775 14628325 648430 405487 0 X X 0 1 X 1 0 X 819851 744616 673576 674555 1088271 4000869 10935149 11767052 12917444 11910089 13715282 61245016 11755000 12511668 13591020 12584644 14803553 65245885 7880 17565 11210 22375 10175 69205 0 7880 17565 11210 22375 10175 69205 65176680 179069 174878 192680 182851 184384 913862 179069 174878 192680 182851 184384 913862 7071 6857 2418 4994 2568 23908 11941140 12693403 13786118 12772489 14990505 66183655 0.98480 0.98280 0.01380 0.01470 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2016 AMOUNT: $ 7,071. 2017 AMOUNT: $ 6,857. 2018 AMOUNT: $ 2,418. 2019 AMOUNT: $ 4,994. 2020 AMOUNT: $ 2,568. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 1 1327 0 1 1556 2883 0 PART II-B, LINE 1: OTHER LOBBYING ACTIVITIES INCLUDE DUES PAID TO THE NATIONAL AND STATE HOSPICE AND PALLIATIVE CARE ASSOCIATIONS. 6673351 422120 619212 32000 7682683 5204285 72855 1508211 112000 6673351 5911959 -541674 166000 5204285 5302352 54000 647032 91425 5911959 4894856 9073 596052 197629 5302352 0.30700 0.42200 0.27100 0 0 388933 388933 5337127 2238621 3098506 766717 681726 84991 3572430 PAYCHECK PROTECTION PROGRAM LOAN 1359100 1359100 X 15417965 405487 5086 410573 15007392 47823 47823 15055215 14364048 5086 5086 14358962 47823 47823 14406785 PART V, LINE 4: HOSPICE MAINTAINS VARIOUS DONOR-RESTRICTED ENDOWMENT FUNDS AND BOARD DESIGNATED QUASI-ENDOWMENT FUNDS WHOSE PURPOSE IS TO PROVIDE LONG TERM SUPPORT FOR HOSPICE PROGRAMS. PART X, LINE 2: HOSPICE RECOGNIZES THE EFFECTS OF INCOME TAX POSITIONS ONLY IF THEY ARE MORE LIKELY THAN NOT TO BE SUSTAINED. MANAGEMENT HAS DETERMINED THAT HOSPICE HAS NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION AND/OR DISCLOSURE. HOSPICE IS NO LONGER SUBJECT TO EXAMINATIONS BY APPLICABLE TAXING JURISDICTIONS FOR PERIODS PRIOR TO DECEMBER 31, 2017. PART XI, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSES INCLUDED ON PART VIII, LINES 8B & 9B 5,086. PART XII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSES INCLUDED ON PART VIII, LINES 8B & 9B 5,086. GALA 71625 71625 500 477 TREE OF LIFE 37220 37220 4709 4 15941 15941 500 3338 124786 124786 1000 8524 9524 -9524 X X X 0 0 0 0 0 0 0 1 0 DANIEL GRADY PRESIDENT & CEO 181605 0 8700 0 0 0 9930 0 22895 0 223130 0 0 0 SANDI CASSESE VP & COO 146195 0 7200 0 0 0 8137 0 23939 0 185471 0 0 0 PART I, LINE 7 THE FOLLOWING INDIVIDUALS RECEIVED A TAXABLE ONE TIME BOARD APPROVED NON-FIXED PAYMENT THAT WAS REPORTED IN THEIR W-2 FOR 2020: -DANIEL GRADY -SANDRA CASSESE -ROSEMARY KRISTIANSEN -JEANNE MALTES FORM 990, PART VI, SECTION A, LINE 4 THE ORGANIZATION UPDATED THE BYLAWS WITH THE FOLLOWING CHANGES: ARTICLE III-BOARD OF DIRECTORS: - PAST CHAIRS OF THE BOARD OF DIRECTORS (INCLUDING THOSE WHO SERVED AS PRESIDENT OF THE BOARD OF DIRECTORS WHEN THE TOP EMPLOYEE WAS EXECUTIVE DIRECTOR) ARE ALSO EXEMPT FROM THESE TERM LIMITS AND MAY CONTINUE TO SERVE ON THE BOARD OF DIRECTORS, WHETHER OR NOT THEY REMAIN ON THE EXECUTIVE COMMITTEE. ARTICLE III-BOARD OF DIRECTORS: SECTION 6. REGULAR MEETING OF THE BOARD - THE BOARD SHALL HOLD NOT LESS THAN ELEVEN REGULAR MEETINGS RATHER THAN SIX AS PREVIOUSLY REQUIRED. ARTICLE IV-OFFICERS: SECTION 1. DESIGNATION AND ELECTION OF OFFICERS - THE BOARD INCREASED THE MAXIMUM NUMBER OF OFFICERS FROM ELEVEN TO TWELVE OFFICERS. ARTICLE IV-OFFICERS: SECTION 3. VICE-CHAIRPERSON OF THE BOARD- IN THE ABSENCE OF BOTH THE CHAIRPERSON AND THE VICE-CHAIRPERSON OF THE BOARD, THE BOARD, ON MOTION OF ANY DIRECTOR AND PROPERLY APPROVED, SHALL DESIGNATE AN ACTING CHAIR FOR THAT MEETING. FORM 990, PART VI, SECTION B, LINE 11B HOSPICE OF ORANGE AND SULLIVAN COUNTIES, INC. HAS ITS FORM 990 PREPARED BY AN OUTSIDE ACCOUNTING FIRM AND HAS ESTABLISHED THE FOLLOWING REVIEW PROCESS TO ENSURE THAT THE INFORMATION REPORTED IS COMPLETE AND ACCURATE. WHEN THE FORM 990 HAS BEEN PREPARED, REVIEWED BY THE OUTSIDE ACCOUNTANTS AND IS READY TO BE FILED WITH THE INTERNAL REVENUE SERVICE, IT IS ELECTRONICALLY SENT TO THE VP OF FINANCE OF THE ORGANIZATION. ANY QUESTIONS OR CHANGES ARE PROVIDED TO THE OUTSIDE ACCOUNTANTS. A REVISED COPY OF THE FORM 990 IS THEN ELECTRONICALLY SENT TO THE TREASURER AND CHAIRMAN OF THE BOARD FOR REVIEW. AFTER THEIR REVIEW IS COMPLETE, A COPY IS PROVIDED ELECTRONICALLY OR BY MAIL TO THE BOARD MEMBERS, AND THE RETURN IS FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION'S CONFLICT OF INTEREST POLICY IS APPLICABLE TO ALL HOSPICE PERSONNEL, AS WELL AS MEMBERS OF THE GOVERNING BODY. EACH MEMBER OF THE GOVERNING BODY IS REQUIRED TO SIGN AN ANNUAL DISCLOSURE STATEMENT WHICH STATES IF THEY BELIEVE THAT THEY HAVE AN ACTUAL OR POTENTIAL CONFLICT. IF A CONFLICT WERE TO ARISE DURING THE YEAR, THE STAFF MEMBER MUST MAKE THE PRESIDENT/CEO OF THE ORGANIZATION AWARE OF THE CONFLICT IN WRITING. THE PRESIDENT/CEO MAKES A DECISION ON HOW TO PROCEED WITH THE MATTER. IF A CONFLICT ARISES WITH A MEMBER OF THE GOVERNING BODY, HE/SHE IS OBLIGATED TO REPORT THE POTENTIAL CONFLICT TO THE GOVERNING BODY. THE GOVERNING BODY WILL RENDER A DECISION OF THAT MEMBER'S ELIGIBILITY TO BE PART OF THE VOTING, IF APPLICABLE. DISCLOSURES OF AN ACTUAL OR POTENTIAL CONFLICT AND THE GOVERNING BODY'S DECISION REGARDING VOTING WILL BE NOTED IN THE MINUTES OF THE MEETING. FORM 990, PART VI, SECTION B, LINE 15A THE COMPENSATION FOR THE ORGANIZATION'S CEO IS APPROVED BY THE BOARD AFTER AN INTERNAL REVIEW IS COMPLETED. THE ORGANIZATION USES THE FOLLOWING ITEMS TO HELP AID IN DETERMINING THE APPROPRIATE COMPENSATION: FORM 990S OF OTHER ORGANIZATION THAT ARE SIMILAR IN SIZE AND OPERATIONS, AND A COMPENSATION SURVEY OR STUDY. AFTER THE BOARD REVIEWS THIS INFORMATION, AN APPROPRIATE SALARY IS DETERMINED BY THE BOARD FOR THAT POSITION AND APPROVED. THE BOARD'S APPROVAL IS DOCUMENTED IN THE MINUTES TO THE MEETING. THIS PROCESS WAS LAST UNDERTAKEN IN JULY 2018. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS FORM 990 AND FORM 1023 AVAILABLE FOR PUBLIC INSPECTION AS REQUIRED UNDER SECTION 6104 OF THE INTERNAL REVENUE CODE. THE RETURN IS POSTED ON GUIDESTAR.ORG AND OTHER SIMILAR TYPES OF WEBSITES. IN ADDITION, THE FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY, ARTICLES OF INCORPORATION AND BY-LAWS ARE ALSO AVAILABLE UPON WRITTEN REQUEST OR BY CALLING THE ORGANIZATION DIRECTLY. FORM 990, PART IX, LINE 11G CONSULTING: PROGRAM SERVICE EXPENSES 27,979. MANAGEMENT AND GENERAL EXPENSES 6,217. FUNDRAISING EXPENSES 345. TOTAL EXPENSES 34,541. INPATIENT SERVICES: PROGRAM SERVICE EXPENSES 856,130. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 856,130. TEMPORARY HELP: PROGRAM SERVICE EXPENSES 57,199. MANAGEMENT AND GENERAL EXPENSES 11,487. FUNDRAISING EXPENSES 638. TOTAL EXPENSES 69,324. MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 541,479. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 541,479. PENSION ADMINISTRATION EXPENSE: PROGRAM SERVICE EXPENSES 6,009. MANAGEMENT AND GENERAL EXPENSES 1,618. FUNDRAISING EXPENSES 77. TOTAL EXPENSES 7,704. FORM 990, PART XII, LINE 2C: THE ORGANIZATION HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS DID NOT CHANGE FROM THE PRIOR YEAR.