2021-05-06T09:59:14-05:00 2020-12-31 010494526 Baker Newman & Noyes PO Box 507 Portland ME 04112 990 2020-01-01 010540180 Hospice of Southern Maine HOSP 2072893641 390 US Route 1 Scarborough ME 04074 Daryl J Cady CEO 2072893641 2021-05-04 1 Daryl Cady 999009999 Nicholas E Porto P01310283 2078792100 2021-05-04 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z X Daryl J Cady 390 US Route 1 Scarborough ME 04074 21872700 0 X www.hospiceofsouthernmaine.org X 2003 ME Hospice Services: To provide compassion, care, and comfort through end of life. 14 14 162 140 0 0 3845104 3845016 14986699 14741333 172185 230403 -17777 -64234 18986211 18752518 0 0 0 0 10904228 11921102 0 0 371107 4640709 4903768 15544937 16824870 3441274 1927648 24242179 27715064 2897442 4137758 21344737 23577306 X Compassion, care, and comfort through end of life. 0 0 13570306 14741333 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." 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. In 2020, we provided hospice care to 1774 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. 13570306 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 1 0 0 0 0 0 0 0 0 1 34 0 1 162 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 14 14 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 0 0 X Mary Pinto 2072893640 390 US Route 1 Scarborough ME 04074 Donna DeBlois Director 0.70 X 0 0 0 Annette Gosnell Director 1.00 X 0 0 0 Heidi N Hansen Director 1.20 X 0 0 0 Mark Jones Director 1.20 X 0 0 0 Laura Madigan-McCown Director 0.70 X 0 0 0 Frank McGinty Director 1.20 X 0 0 0 Edward J McGeachey Director 1.10 X 0 0 0 Pat Weigel Director 1.20 X 0 0 0 Tracey Weisberg MD Director 1.20 X 0 0 0 Nathan Wilson MD Director 0.70 X 0 0 0 Paul Wolf Director/Chair 4.60 X X 0 0 0 Theresa Desfosses Director/Vice Chair 1.30 X X 0 0 0 Chris Coon Director/Treasurer 1.30 X X 0 0 0 Melanie Feinberg Director/Secretary 0.70 X X 0 0 0 Daryl J Cady CEO/Ex Officio 50.00 X 243029 0 22024 Mary Pinto Finance & IT Director 45.00 X 116340 0 7948 Jason Libby NP Supervisor 40.00 X 118749 0 10608 Kyra Chamberlain Clinical Operations Director 45.00 X 117200 0 13358 Michelle Malo Quality & Compliance Director 45.00 X 101914 0 2282 697232 0 56220 5 0 1 0 Zachau Construction PO Box J Freeport ME 04032 Construction Services 3118576 Maine Medical Center 22 Bramhall Street Portland ME 04102 Physicians, IP & OP/ER Services 488958 Jackson Nurse Professionals 3452 Lake Lynda Drive 2 Orlando FL 32817 Nurses, Medical Services 147603 Partners Printing 800 Main Street South Portland ME 04106 Printing Services 139443 Netsmart Technologies 11100 Nall Avenue Overland Park KS 66211 IT Services 130171 11 201403 1856540 1787073 141829 3845016 Patient Services 621610 14738721 14738721 Education and Outreach 621610 2612 2612 14741333 94160 94160 3188467 3052224 136243 136243 136243 3724 201403 67958 -64234 -64234 18752518 14741333 0 166169 389341 326350 62991 9527519 7627234 1609629 290656 177711 148959 28752 1102210 923883 178327 724321 607133 117188 33518 33518 28650 28650 23657 23657 94079 2629 91450 107679 107679 370439 122213 168201 80025 346231 337583 8648 459260 253073 206187 201382 186550 14406 426 82734 33911 48823 52395 49221 3174 501090 365892 135198 56578 39599 16979 Patient Related Expense 2061737 2061737 Bad Debt Expense 484339 484339 16824870 13570306 2883457 371107 6516379 9496080 3370941 319753 1970511 1159645 1845495 1899212 207595 183366 15597887 4452922 7232258 11144965 3099000 3466043 0 46000 24242179 27715064 1533546 2016507 0 859706 1363896 1215545 0 46000 2897442 4137758 X 13319294 20347140 8025443 3230166 21344737 23577306 24242179 27715064 X 1927648 287178 17743 X X 0 1 X 1 0 X 1062818 1044546 4200289 3845104 3845016 13997773 1062818 1044546 4200289 3845104 3845016 13997773 3211326 10786447 56564 74965 102853 158648 94160 487190 14484963 72047366 0.74470 0.68350 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 3557 0 0 0 3557 0 Part II-B, Line 1: National Hospice and Palliative Care Organization portion of dues paid allocated to lobbying activities was $400. Home Care and Hospice Alliance of Maine portion of dues paid allocated to lobbying activities was $3,157. 8025443 1014174 296768 6106219 3230166 4718373 3268351 366805 328086 8025443 2394426 3432689 -131012 977730 4718373 2120957 468897 223993 419421 2394426 2133513 497905 107744 618205 2120957 0.40831 0.51506 0.07663 0 0 1269950 1269950 10796722 2829175 7967547 3531215 1623747 1907468 11144965 457b Plan 46000 46000 X 18599658 287178 67958 355136 18244522 23657 484339 507996 18752518 16384832 67958 67958 16316874 23657 484339 507996 16824870 Part V, Line 4: To ensure the long-term financial viability of the Organization 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. Estimated interest and penalties, if applicable, related to uncertain tax positions are included as a component of income tax expense. 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, 2020. Part XI, Line 2d - Other Adjustments: Special Events Expense 67,958. Part XI, Line 4b - Other Adjustments: Bad Debt Expense 484,339. Part XII, Line 2d - Other Adjustments: Special Events Expense 67,958. Part XII, Line 4b - Other Adjustments: Bad Debt Expense 484,339. Hike For Hospice 113681 109957 3724 2315 39248 Twilight In The Park 47369 47369 560 14496 1 44077 44077 171 11168 205127 201403 3724 3046 64912 67958 -64234 X X 0 0 0 0 0 0 0 1 0 Daryl J Cady CEO/Ex Officio 208533 0 34238 0 258 0 19500 0 2524 0 265053 0 0 0 Part I, Line 7 In 2020, four individuals listed in Form 990, Part VII were paid a bonus. The payment of these awards is discretionary and is subject to meeting the pre-determined goals of the Organization. X 9 141829 Stock Exchange Price 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 Donna DeBlois, Chris Coon, Nathan Wilson, Heidi Hansen, Frank McGinty and Laura Madigan-McCown have a business relationship with each other through their affiliation with Maine Health, 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 15a 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 9: Present Value Discount on Pledges Receivable 17,743. Form 990, Part XI, line 2c: The responsibility of the audit committee for overseeing the audit and selecting the independent accountant has not changed from prior years.