2018-10-08T10:26:11-05:00 2017-12-31 271728945 PKF O'CONNOR DAVIES LLP 32 FOSTERTOWN ROAD NEWBURGH NY 12550 990 2017-01-01 141703185 HOSPICE OF ORANGE AND SULLIVAN COUNTIES INC HOSP 8455616111 800 STONY BROOK COURT NEWBURGH NY 12550 DAN GRADY PRESIDENT & CEO 8455616111 2018-10-08 1 GARRETT M HIGGINS P00543209 8455655400 2018-09-26 2017 2022-09-23 18:48:47Z DAN GRADY 800 STONY BROOK COURT NEWBURGH NY 12550 13347555 0 X HOSPICEOFORANGE.COM X 1988 NY THE PRINCIPAL PURPOSE OF THE ORGANIZATION IS TO PROVIDE HOSPICE SERVICES. 23 23 187 133 40 -1093 819291 744616 10935149 11767052 183593 164341 -10709 -13181 11927324 12662828 0 0 0 0 6911322 7525054 0 0 185122 4930739 5000219 11842061 12525273 85263 137555 11823948 12449168 2299803 2243038 9524145 10206130 X HOSPICE OF ORANGE AND SULLIVAN COUNTIES, INC. PROVIDES PHYSICAL, EMOTIONAL AND SPIRITUAL CARE FOR PATIENTS WITH LIFE LIMITING DISEASES AND THEIR FAMILIES. HOSPICE SERVICES ARE COORDINATED THROUGH A TEAM OF PROFESSIONALS, WHICH INCLUDE NURSES, SOCIAL WORKERS, PHYSICIANS, HOSPICE AIDES AND VOLUNTEERS. 0 0 10155233 11767052 IN 2017, HOSPICE PROVIDED 48,496 DAYS OF CARE TO 1,104 PATIENTS AND THEIR FAMILIES. HOSPICE ALSO SERVED 191 PATIENTS FOR A TOTAL OF 3,400 DAYS OF CARE AT THE KAPLAN FAMILY HOSPICE RESIDENCE. 10155233 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 1 0 0 0 1 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 1 89 1 187 1 0 0 0 0 0 1 1 0 0 0 0 X 23 23 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 FRANK PHILLIPS CHAIRMAN 2.00 X X 0 0 0 JOSEPH V SMITH VICE CHAIRMAN 1.00 X X 0 0 0 GLEN L HELLER ESQ TREASURER 5.00 X X 0 0 0 JOHN F RATH III SECRETARY 1.00 X X 0 0 0 HON JEFFERY G BERRY IMMEDIATE PAST CHAIRMAN 1.00 X X 0 0 0 RONALD BARTON DIRECTOR 3.00 X 0 0 0 DANIEL BERKOWICZ DIRECTOR 2.00 X 0 0 0 FAITH FERGUSON DIRECTOR 1.00 X 0 0 0 PAUL HOFFNER DIRECTOR 4.00 X 0 0 0 HON ANTHONY T KANE DIRECTOR 2.00 X 0 0 0 JOAN P KAPLAN DIRECTOR 3.00 X 0 0 0 LEWIS KLUGMAN DIRECTOR (THRU 04/2017) 1.00 X 0 0 0 DR JOSEPH LAUTERSTEIN DIRECTOR 1.00 X 0 0 0 BARRY LEWIS DIRECTOR 2.00 X 0 0 0 ERIC MALDONADO DIRECTOR 1.00 X 0 0 0 ROBIN MARKS DIRECTOR (THRU 10/2017) 1.00 X 0 0 0 VINCENT MAZZIE DIRECTOR 2.00 X 0 0 0 CHARLES MILICH DIRECTOR 1.00 X 0 0 0 SUSAN NAJORK DIRECTOR 1.00 X 0 0 0 BARBARA NARU DIRECTOR 2.00 X 0 0 0 IAN RIEGER DIRECTOR 1.00 X 0 0 0 LAUREN ROWLEY DIRECTOR 1.00 X 0 0 0 SR ANN SAKAC DIRECTOR 1.00 X 0 0 0 DERRICK B SAUNDERS DIRECTOR 1.00 X 0 0 0 THOMAS P SULLIVAN DIRECTOR 2.00 X 0 0 0 DANIEL GRADY PRESIDENT & CEO 37.50 X 167421 0 44964 GAIL BURTON VP & COO (THRU 12/2017) 37.50 X 142302 0 16800 309723 0 61764 2 0 1 0 ALITON'S MANAGED CARE PHARMACY INC 34-35 BALL STREET PORT JERVIS NY 12771 PHARMACEUTICAL SERVICES 840370 CRYSTAL RUN HEALTHCARE LLP 155 CRYSTAL RUN ROAD MIDDLETOWN NY 10947 PHYSICIAN SERVICES 257458 ORANGE REGIONAL MEDICAL CENTER 75 CRYSTAL RUN ROAD STE G2 MIDDLETOWN NY 10941 HOSPITAL SERVICES 222426 UNIDINE CORPORATION PO BOC 360639 PITTSBURGH PA 152516639 FOOD SERVICES 160599 HIGHLAND REHABILITATION & NURSING CENTER 120 HIGHLAND AVENUE MIDDLETOWN NY 10940 NURSING HOME SERVICES 109750 6 2267 280497 61329 400523 41530 744616 HOSPICE SERVICES 623000 11767052 11767052 11767052 174918 40 174878 565402 575979 -10577 -10577 -10577 36910 280497 86884 -49974 -49974 51800 21864 29936 29936 OTHER INCOME 900099 6857 6857 6857 12662828 11767052 40 151120 X 371487 137451 215462 18574 125531 63878 16365 45288 5643519 4572787 1021218 49514 86658 72175 12944 1539 840268 672871 156441 10956 457591 366073 82367 9151 21105 21105 24996 24996 1374 1374 41650 41650 1561777 1536642 24971 164 158999 158999 382689 269559 90564 22566 3089 3089 133149 87289 45860 345715 326936 18349 430 32805 1475 4390 26940 23729 23729 277291 166375 110916 51087 51087 PHARMACY 855543 855543 MEDICAL EQUIPMENT AND S 474627 474627 NURSING HOME ROOM & BOA 297391 297391 REPAIRS AND MAINTENANCE 226004 120289 105715 87199 82785 4414 12525273 10155233 2184918 185122 404 959 938289 1079132 1000 19000 1239458 1432628 60864 49931 6591033 2429758 4343352 4161275 5098157 5548386 138878 154311 3546 3546 11823948 12449168 1541248 1649296 50000 50000 708555 543742 2299803 2243038 X 5337494 5573575 944279 1390183 3242372 3242372 9524145 10206130 11823948 12449168 137555 544430 0 X X 0 1 X 1 0 X 1280775 1138526 882579 819851 744616 4866347 10608380 10096880 10358023 10935149 11767052 53765484 11889155 11235406 11240602 11755000 12511668 58631831 57220 36135 68360 7880 17565 187160 0 57220 36135 68360 7880 17565 187160 58444671 199409 203180 193308 179069 174878 949844 199409 203180 193308 179069 174878 949844 628 628 163034 15897 2806 7071 6857 195665 12251598 11454483 11437344 11941140 12693403 59777968 0.97770 0.97550 0.01590 0.01630 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2013 AMOUNT: $ 2,821. 2014 AMOUNT: $ 15,897. 2015 AMOUNT: $ 2,806. 2016 AMOUNT: $ 7,071. 2017 AMOUNT: $ 6,857. SETTLEMENT INCOME - 2013 AMOUNT: $ 151,244. REFUNDS - 2013 AMOUNT: $ 8,969. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 1 1278 0 1 1374 2652 0 PART II-B, LINE 1: OTHER LOBBYING ACTIVITIES INCLUDE DUES PAID TO THE NATIONAL AND STATE HOSPICE AND PALLIATIVE CARE ASSOCIATIONS. 5302352 54000 647032 91425 5911959 4894856 9073 596052 197629 5302352 5552192 -421149 236187 4894856 5948801 101456 498065 5552192 5152700 996101 200000 5948801 0.22270 0.54840 0.22890 0 0 388933 388933 5324582 1798927 3525655 877518 630831 246687 4161275 X 13274356 544430 108748 653178 12621178 41650 41650 12662828 12592371 108748 108748 12483623 41650 41650 12525273 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, 2014. PART XI, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSES REPORTED ON PART VIII, LINES 8B & 9B 108,748. PART XII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSES REPORTED ON PART VIII, LINES 8B & 9B 108,748. GALA 152776 133036 19740 43805 3000 7447 GOLF OUTING 67500 50330 17170 12672 1525 4 97131 97131 18435 317407 280497 36910 12672 43805 3000 27407 86884 -49974 51800 20100 1764 1 0.95000 51800 20100 1764 21864 29936 NY 1 0 0 0 1.00000 GLORIA ALISANDRELLA 800 STONY BROOK COURT NEWBURGH NY 12550 0 JEANNE MALTES 4883 JEANNE MALTES IS THE VICE PRESIDENT OF FINANCE. HER SELF AND A STAFF ACCOUNTANT REVIEW THE GAMING INFORMATION. X 0 X X X X 0 0 0 0 0 0 0 1 0 DANIEL GRADY PRESIDENT & CEO 167421 0 0 0 0 0 3648 0 41316 0 212385 0 0 0 GAIL BURTON VP & COO (THRU 12/2017) 141302 0 1000 0 0 0 2919 0 13881 0 159102 0 0 0 PART I, LINE 7 GAIL BURTON, VP & COO, RECEIVED A DISCRETIONARY $1,000 BONUS INCLUDED IN HER 2017 W-2. CLAYTON BURTON FAMILY MEMBER OF GAIL BURTON, VP & COO. 81726 EMPLOYEE OF THE ORGANIZATION 0 X 1 12702 AVG. SELLING PRICE X AUCTION ITEMS 85 28828 COST 0 0 1 0 PART I, COLUMN (B): THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS FOR AUCTION ITEMS AND THE NUMBER OF CONTRIBUTORS FOR PUBLICLY TRADED SECURITIES. FORM 990, PART VI, SECTION A, LINE 4 THE ORGANIZATION AMENDED THEIR BYLAWS DURING THE YEAR AND THE FOLLOWING SIGNIFICANT CHANGE WAS MADE: THERE SHALL BE A MAXIMUM OF NOW 12 OFFICERS OF THE ORGANIZATION, UP FROM A MAXIMUM OF 11. 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 2015. 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 14,826. MANAGEMENT AND GENERAL EXPENSES 21,519. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 36,345. INPATIENT SERVICES: PROGRAM SERVICE EXPENSES 871,012. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 871,012. HOME HEALTH AIDES: PROGRAM SERVICE EXPENSES 6,563. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,563. TEMPORARY HELP: PROGRAM SERVICE EXPENSES 2,460. MANAGEMENT AND GENERAL EXPENSES 1,980. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,440. MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 635,239. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 635,239. PENSION ADMINISTRATION EXPENSE: PROGRAM SERVICE EXPENSES 6,542. MANAGEMENT AND GENERAL EXPENSES 1,472. FUNDRAISING EXPENSES 164. TOTAL EXPENSES 8,178. 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.