2023-06-07T10:06:59-05:00 2022-09-30 010523282 Berry Dunn McNeil & Parker LLC 1000 Elm Street 4th Floor Manchester NH 03101 990 2021-10-01 042793637 Old Colony Hospice Inc OLDC 7813414145 321 Manley Street West Bridgewater MA 02379 Toni Eaton President/Chief Executive Officer 4014214800 2023-06-02 1 Toni Eaton 999009999 Melissa Magoon CPA P01712842 6036697337 2023-06-02 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z Toni Eaton 321 Manley Street West Bridgewater MA 02379 15469384 0 X www.oldcolonyhospice.org X 1979 MA See schedule O for Mission statement. 13 12 131 78 0 0 2345680 334782 12751442 14915991 45922 62993 23080 106539 15166124 15420305 0 0 0 0 9951014 10790163 0 0 128844 3093375 3926543 13044389 14716706 2121735 703599 9721380 10582990 1050481 1411334 8670899 9171656 X See schedule O for Mission statement. 0 1 13256928 14915991 The Hospice operates programs which provides care to terminally ill patients. See schedule O for additional detail. 13256928 1 1 0 0 0 0 0 0 0 0 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 0 0 0 0 0 0 0 0 0 1 9 0 1 131 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 MA X Toni Eaton 7813414145 321 Manley St Bridgewater MA 02379 Theodore Flynn Chairman 1.00 X X 0 0 0 John Finning Vice Chairman 1.00 X X 0 0 0 John Manning Treasurer 1.00 X X 0 0 0 Leon Josephs Clerk 1.00 X X 0 0 0 John Camara Board Member 1.00 X 0 0 0 Tony DaSilva Board Member 1.00 X 0 0 0 Matthew Gilman Board Member 1.00 X 0 0 0 Marie McCarthy Board Member 1.00 X 0 0 0 Paul McDonough Board Member 1.00 X 0 0 0 Martin McGovern Board Member 1.00 X 0 0 0 Demeta Ouellette Board Member 1.00 X 0 0 0 Anne Roan Board Member 1.00 X 0 0 0 Toni Eaton President/CEO 40.00 X X 276286 0 55257 Melissa Clark VP of Finance 40.00 X 140714 0 28143 Kathleen Diamond VP Patient Care 40.00 X 142730 0 28546 Kathrine Kelly VP of Operations & IT 40.00 X 137968 0 27594 Heather MacDonald Director of Nursing 40.00 X 125466 0 25093 Michael Cruza VP,Business Development 40.00 X 115115 0 23023 Samantha Brooker VP of Patient Access & Support services 40.00 X 114399 0 22880 1052678 0 210536 7 0 1 0 Pro EMS Solutions 31 Smith Place Cambridge MA 02183 COVID testing lab 157935 1 334782 334782 Patient Services 623000 14915991 14915991 14915991 62993 62993 155578 44145 111433 111433 40 4934 -4894 -4894 15420305 14915991 0 169532 X 500400 500400 8048368 7699579 348789 1564166 1433901 130265 677229 615940 61289 2603 2603 37500 37500 2175130 2045737 129393 30272 27242 3030 216507 196821 19686 300009 272858 27151 370169 336669 33500 293254 282136 11118 34805 31321 3484 51324 46679 4645 89454 81358 8096 Fundraising Expenses 128844 128844 OTHER EXPENSES 113311 103326 9985 PROGRAM SUPPLIES 83361 83361 14716706 13256928 1330934 128844 X 2114592 1764434 3414148 4621938 1419871 1549365 43225 101498 1929580 699128 1269076 1230452 1460468 1315303 9721380 10582990 1011763 1380491 38718 30843 1050481 1411334 X 8647899 9138656 23000 33000 8670899 9171656 9721380 10582990 703599 -202842 0 X 0 1 X 1 0 X 203264 418691 227427 2345680 334782 3529844 10906186 11989903 12262458 12751442 14915991 62825980 23683 40 23723 11109450 12408594 12489885 15120805 15250813 66379547 0 0 0 66379547 27050 39631 50830 45922 62993 226426 27050 39631 50830 45922 62993 226426 146256 163688 50384 78234 111433 549995 11282756 12611913 12591099 15244961 15425239 67155968 0.98840 0.98760 0.00340 0.00280 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 485718 485718 721574 66144 655430 132814 106019 26795 404349 341840 62509 185125 185125 0 1230452 X 15241596 -202842 24133 -178709 15420305 0 15420305 14740839 24133 24133 14716706 0 14716706 Part X, Line 2: The Hospice is a public charity under Section 501(c)(3) of the Internal Revenue Code. As a public charity, the Hospice is exempt from state and federal income taxes on income earned in accordance with its tax exempt purpose. Unrelated business income is subject to state and federal income tax. Management has evaluated the Hospice's tax position and concluded that the Hospice has no unrelated business income or uncertain tax positions that require adjustment to the financial statements. Part XI, Line 2d - Other Adjustments: Fundraising Expenses 19,199. COGS Expenses 4,934. Part XII, Line 2d - Other Adjustments: Fundraising Expenses 19,199. COGS Expenses 4,934. 0 Golf 71066 71066 17324 7267 Walk 49663 49663 7172 3 34849 34849 12382 155578 155578 17324 26821 44145 111433 X X X X 0 0 0 0 0 0 0 0 0 Toni Eaton President/CEO 276286 0 0 0 0 0 0 0 55257 0 331543 0 0 0 Kathleen Diamond VP Patient Care 142730 0 0 0 0 0 0 0 28546 0 171276 0 0 0 Melissa Clark VP of Finance 140714 0 0 0 0 0 0 0 28143 0 168857 0 0 0 Kathrine Kelly VP of Operations & IT 137968 0 0 0 0 0 0 0 27594 0 165562 0 0 0 Heather MacDonald Director of Nursing 125466 0 0 0 0 0 0 0 25093 0 150559 0 0 0 Form 990, Part I, Line 1 Old Colony Hospice (OCH) has been providing the best in hospice and palliative care since 1979. Our organization provides quality, compassionate health care to patients facing the advanced stages of life-threatening and life-limiting illnesses. Old Colony Hospice provides a comprehensive range of medical and psychosocial and spiritual services. We are dedicated to ensuring all patients and their families are at peace, treated with respect and dignity and that comfort is maintained at all times. Old Colony Hospice is also committed to supporting families after their loss through bereavement outreach and other organized program offerings. Old Colony Hospice also offers a comprehensive Palliative Care Program providing consultation services to physicians and healthcare providers to manage pain and other troubling symptoms of patients with complex medical conditions. All of the programs are offered to patients regardless of their ability to pay for care. No patient has been denied care based on financial resources. Old Colony Hospice practices the highest standards in hospice and palliative care. The organization has received consecutive accreditation from the Community Health Accreditation Program for over 10 years. Old Colony Hospice is a Level 5 provider (the highest accreditation possible) of the national We Honor Veterans program, which recognizes the organization's capabilities in serving the unique needs of America's Veterans and their families. Furthermore, Old Colony Hospice is a 4 time Hospice Honors Elite award recipient (2017, 2018, 2021, 2022) and a 2 time Hospice Honors award recipient (2019, 2020). Hospice Honors is a prestigious program recognizing hospices throughout the country that provide the highest levels of care as measured by the caregiver's point of view. 'Hospice Honors' includes hospices scoring above Deyta Analytics national average on 20 of 24 questions on an independent survey sent to all care-givers. Deyta also holds a special recognition, Hospice Honors Elite, to honor hospices scoring above the national average on all 24 (100%) of the evaluation questions. Our physicians and Nurse Practitioners make home, nursing home and hospital visits as needed. All our staff have received advanced national certification in their field and are available 24 hours a day to meet the needs of patients and families. In addition, Old Colony Hospice offers complementary services in combination with traditional medical therapies including Reiki, massage, music and pet therapy. In 2020, Old Colony Hospice opened The Dr. Ruth McLain Hospice Home. The home offers a comfortable home-like environment with residential care for patients who are seeking alternatives to a hospital, skilled nursing facility or who are unable to manage end of life care at home. The organization offers many special events including the Annual Memorial Walk in honor of loved ones lost and cared for by Old Colony Hospice. An extensive list of community education programs are also offered for members of the community. These presentations are always offered at no cost. Beyond caring for patients and families, the leadership team and staff give back to the community by volunteering, serving on local not-for-profit boards and participating in many community events. Form 990, Part III, Line 1 Old Colony Hospice (OCH) has been providing the best in hospice and palliative care since 1979. Our organization provides quality, compassionate health care to patients facing the advanced stages of life-threatening and life-limiting illnesses. Old Colony Hospice provides a comprehensive range of medical and psychosocial and spiritual services. We are dedicated to ensuring all patients and their families are at peace, treated with respect and dignity and that comfort is maintained at all times. Old Colony Hospice is also committed to supporting families after their loss through bereavement outreach and other organized program offerings Old Colony Hospice also offers a comprehensive Palliative Care Program providing consultation services to physicians and healthcare providers to manage pain and other troubling symptoms of patients with complex medical conditions. All of the programs are offered to patients regardless of their ability to pay for care. No patient has been denied care based on financial resources. Old Colony Hospice practices the highest standards in hospice and palliative care. The organization has received consecutive accreditation from the Community Health Accreditation Program for over 10 years. Furthermore, Old Colony Hospice is a 4 time Hospice Honors Elite award recipient (2017, 2018, 2021, 2022) and a 2 time Hospice Honors award recipient (2019, 2020). Hospice Honors is a prestigious program recognizing hospices throughout the country that provide the highest levels of care as measured by the caregiver's point of view. 'Hospice Honors' includes hospices scoring above Deyta Analytics national average on 20 of 24 questions on an independent survey sent to all care-givers. Deyta also holds a special recognition, Hospice Honors Elite, to honor hospices scoring above the national average on all 24 (100%) of the evaluation questions. Our physicians and Nurse Practitioners make home, nursing home and hospital visits as needed. All our staff have received advanced national certification in their field and are available 24 hours a day to meet the needs of patients and families. In addition, Old Colony Hospice offers complementary services in combination with traditional medical therapies including Reiki, massage, music and pet therapy. In 2020, Old Colony Hospice opened The Dr. Ruth McLain Hospice Home. The home offers a comfortable home-like environment with residential care for patients who are seeking alternatives to a hospital, skilled nursing facility or who are unable to manage end of life care at home. The organization offers many special events including the Annual Memorial Walk in honor of loved ones lost and cared for by Old Colony Hospice. An extensive list of community education programs are also offered for members of the community. These presentations are always offered at no cost. Beyond caring for patients and families, the leadership team and staff give back to the community by volunteering, serving on local not-for-profit boards and participating in many community events. Form 990, Part III, line 3 The organization closed its thrift store during FY22 due to the ongoing impact of the pandemic. Form 990, Part III, line 4a: Old Colony Hospice practices the highest standards in hospice and palliative care. The organization has received consecutive accreditation from the Community Health Accreditation Program for over 10 years. Old Colony Hospice has achieved the highest level of accreditation with the We Honor Veteran's program of the National Association of Hospice & Palliative Care through its demonstrated ability to serve Veterans and their families with compassionate care that is specific to their needs and goals. Furthermore, Old Colony Hospice is a two- time Hospice Honors award recipient (2019, 2020) and a four- time Hospice Honors Elite award recipient (2017, 2018, 2021, 2022). Hospice Honors is a prestigious program recognizing hospices throughout the country that provide the highest levels of care as measured by the caregiver's point of view. 'Hospice Honors' includes hospices scoring above Deyta Analytics national average on 20 of 24 questions on an independent survey sent to all care-givers. Deyta also holds a special recognition, Hospice Honors Elite, to honor hospices scoring above the national average on all 24 (100%) of the evaluation questions. Our physicians and Nurse Practitioners make home, nursing home and hospital visits as needed. All our staff have received advanced national certification in their field and are available 24 hours a day to meet the needs of patients and families. In addition, OCH offers complementary services in combination with traditional medical therapies including Reiki, massage, music and pet therapy. In 2020, Old Colony Hospice opened The Dr. Ruth McLain Hospice Home. The home offers a comfortable home-like environment with residential care for patients who are seeking alternatives to a hospital, skilled nursing facility or who are unable to manage end of life care at home. The organization offers many special events including the Annual Memorial Walk in honor of loved ones lost and cared for by Old Colony Hospice, the Annual Golf Classic and the Annual Lights of Remembrance Ceremony. An extensive array of community education programs are also offered for members of the community. These presentations are always offered at no cost. Beyond caring for patients and families, the leadership team and staff give back to the community by volunteering, serving on local not-for-profit boards and participating in many community events. Form 990, Part VI, Section B, line 11b The members of the Finance Committee review the Form 990 and make a motion to the Board of Directors to approve its filing. All of the Board of Directors received a copy of the Form 990 prior to filing. Form 990, Part VI, Section B, line 12c Designated members of the Organization's Board and Management Team review the conflict of interest policy with all employees, contracted employees, volunteers and members of the Board of Directors ("Representatives") upon employment/service during initial orientation and annually. The conflict of interest disclosure statement documents verification of this review, which is to be signed by each representative. Representatives are required to disclose immediately any potential conflict of interest. Determination of whether or not there is an actual conflict of interest will be made promptly, with an established mechanism for dispute resolution, if necessary. Form 990, Part VI, Section B, line 15 Compensation for such persons is reviewed and approved by the Board of Directors and Human Resources after reviewing similarly situated organizations. Form 990, Part VI, Section C, line 19 Upon request. Form 990, Part IX, line 11g OTHER PROFESSIONAL FEES: Program service expenses 2,045,737. Management and general expenses 129,393. Fundraising expenses 0. Total expenses 2,175,130. Form 990, Part X, Line 10: Land, Buildings, and Equipment: Section 1.263(a)-3(n) Election: Old Colony Hospice, Inc. 321 Manley Street West Bridgewater, MA 02379 EIN: 04-2793637 Section 1.263(a)-3(n) Election: Old Colony Hospice, Inc. is electing to capitalize repair and maintenance costs under Regulation Section 1.263(a)-3(n).