2022-05-03T15:25:27-05:00 2021-06-30 160929175 DOPKINS & COMPANY LLP 200 INTERNATIONAL DR BUFFALO NY 142215794 990 2020-07-01 222524016 NIAGARA HOSPICE INC NIAG 7164394417 4675 SUNSET DRIVE LOCKPORT NY 14094 CARLO FIGLIOMENI COO AND CFO 7164394417 2022-03-17 1 CARLO FIGLIOMENI 999009999 KAREN COSTA P01448677 7166348800 2022-03-17 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z JOHN LOMEO 4675 SUNSET DRIVE LOCKPORT NY 14094 19418504 0 X WWW.NIAGARAHOSPICE.ORG X 1982 NY TO PROVIDE SPECIALIZED SERVICES TO PERSONS WITH A LIFE LIMITING ILLNESS AND THEIR FAMILIES. 11 11 193 124 0 0 707904 558766 15597031 16333904 74800 47173 107249 2411839 16486984 19351682 0 0 0 0 8709569 9522803 0 0 272281 6419622 6127563 15129191 15650366 1357793 3701316 16005040 17396237 4241101 1633640 11763939 15762597 X TO PROVIDE SPECIALIZED SERVICES TO PERSONS WITH A LIFE LIMITING ILLNESS AND THEIR FAMILIES. 0 0 13738013 16333904 PATIENT REVENUE FOR NIAGARA HOSPICE (NH)IS EARNED BASED ON PATIENTS SERVICES PROVIDED AND THEN REIMBURSED BY INSURANCES. THERE ARE A FEW TYPES OF PATIENT SERVICE FEES, WHICH ARE EXPLAINED BELOW. PATIENTS RECEIVE VARIOUS TYPES OF SERVICES, IN WHICH THE LARGEST REVENUE TYPES INCLUDE HOMECARE ROUTINE, NURSING HOME REIMBURSEMENT AND IN-PATIENT GENERAL. HOMECARE ROUTINE CONSISTS OF THE BASIC IN-HOME VISISTS TO THE PATIENTS OWN HOME AT LEAST ONCE A WEEK TO DO VARIOUS CARE-TAKING SERVICES (IE. BATHS, LAUNDRY, VISITING). THE NURSING HOME REIMBURSEMENT REVENUE IS FROM THE HOSPICE PATIENTS THAT ARE IN NURSING HOMES, IN WHICH THE NURSING HOMES BILL NIAGARA HOSPICE AND NH, IN TURN, BILLS THE INSURANCES FOR REIMBURSEMENT. INPATIENT GENERAL CONSISTS OF PATIENTS IN THE VARIOUS HOSPITALS, IN WHICH THE HOSPITALS BILL NH AND NH SEEKS REIMBURSEMENT FROM THE INSURANCES. THE CONTINUOUS CARE PROGRAM PROVIDES "EXTENDED CARE" VERSUS THE REGULAR HOME HEALTH AIDES. THIS EXTENDED CARE IS BILLED AT A HIGHER RATE DUE TO THE INCREASED AMOUNT OF TIME THE LPNS. THIS SERVICE REQUIRES AT LEAST 12 HOURS OF TIME WITH A REGISTERED NURSE. ALTHOUGH HOSPICE CARE WILL ALWAYS BE PRIMARILY PROVIDED IN A PATIENT'S OR CAREGIVER'S HOME, THERE ARE SOME INDIVIDUALS WHO DO NOT HAVE A HOME ENVIRONMENT APPROPRIATE FOR HOSPICE CARE, OR LACK THE FAMILY OR FRIENDS NECESSARY TO PROVIDE 24/7 CARE IN A HOME ENVIRONMENT. ADDITIONALLY, SOME HOSPICE PATIENTS NEED AROUND-THE-CLOCK MEDICAL ATTENTION DURING MEDICATION ADJUSTMENTS OR FOR SYMPTOM MANAGEMENT. IN RESPONSE TO THESE NEEDS, NIAGARA HOSPICE HOUSE WAS BUILT.NIAGARA HOSPICE HOUSE IS NIAGARA COUNTY'S ONLY RESIDENTIAL HOSPICE HOUSE, PROVIDING SERVICES TO PATIENTS AND THEIR FAMILIES WHO ARE NOT ABLE TO RECEIVE HOME HOSPICE CARE. THE RESIDENTIAL WING CONSISTS OF EIGHT SUITES SPECIFICALLY DESIGNED FOR LONGER STAYS WHEN THE HOME CAREGIVING STRUCTURE IS COMPROMISED. THE IN-PATIENT WING HAS TEN SUITES DESIGNED FOR PATIENTS NEEDING SHORT-TERM MEDICAL MONITORING AND SYMPTOM MANAGEMENT.EACH SUITE IS DESIGNED WITH PATIENT AND FAMILY IN MIND WITH A SITTING AREA AND EASY-CHAIR SLEEPER. EACH FAMILY ALSO HAS ACCESS TO GATHERING ROOMS, FIREPLACES, A CHAPEL, KITCHEN AND THE HOSPICE MEMORIAL GARDENS. 13738013 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 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 1 1 1 0 0 1 24 0 1 193 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X CARLO FIGLIOMENI 7164394417 4675 SUNSET DRIVE LOCKPORT NY 14094 DAN MANDAVILLE DIRECTOR 0.50 X 0 0 0 JAMES M SHAW DDS CHAIRMAN 0.50 X X 0 0 0 PATRICIA EVANS TREASURER 0.50 X X 0 0 0 SHARON JEAN HEWNER PHD DIRECTOR 0.50 X 0 0 0 LINDA FLESSEL RN DIRECTOR 0.50 X 0 0 0 NICHOLAS GRANCHELLI DIRECTOR 0.50 X 0 0 0 MARY BRENNAN-TAYLOR DIRECTOR 0.50 X 0 0 0 JANICE P LITZ LCSW-R DIRECTOR 0.50 X 0 0 0 PAUL NANULA DIRECTOR 0.50 X 0 0 0 JAMES BAKER DIRECTOR 0.50 X 0 0 0 MICHAEL CUSHMAN DIRECTOR 0.50 X 0 0 0 CARLO FIGLIOMENI VIA HPCG COO/CFO 1.00 37.00 X 0 414995 33464 JOHN LOMEO VIA HPCG PRESIDENT/CEO 1.00 37.00 X 0 521379 93033 ANDREA SAMMARCO IN-HOUSE LEGAL 1.00 37.00 X 0 195046 19680 JANE JAMES DIRECTOR OF ADMISSIONS 37.00 X 150747 0 461 RICHARD CASTALDO MEDICAL DIRECTOR STARTING 37.00 X 289489 0 29405 ANNA GAVRILUKE PHYSICIAN 37.00 X 164212 0 516 DANIELLE M BURNGASSER DIRECTOR-HOSPICE HOMECARE 37.00 X 130249 0 22287 JANET LIGAMMARI DIRECTOR OF CLINICAL SERVI 37.00 X 108876 0 11482 843573 1131420 210328 5 0 1 0 THE HOSPICE AND PALLIATIVE CARE GROUP I 4675 SUNSET DRIVE LOCKPORT NY 14094 MANAGMENT FEE 1031251 1 23315 36204 499247 558766 HOME CARE/INPATIENT GENERAL 623990 10608878 10608878 NURSING HOME CARE 623990 4116319 4116319 HOSPICE HOUSE 623990 1608707 1608707 16333904 47173 47173 106344 36204 56425 49919 49919 29114 10397 18717 18717 PAYCHECK PROTECTION PROGRAM 561000 1562000 1562000 COVID RELIEF FUNDS 561000 734958 734958 SURPLUS NOTE INTEREST INCOME 561000 46245 46245 2343203 19351682 16333904 0 2459012 318893 318893 7099787 6707182 208890 183715 170957 149850 18541 2566 1357697 1296000 53018 8679 575469 544534 16341 14594 1031251 1031251 3036 3036 23731 23731 1091411 1074419 16992 117816 67034 44505 6277 555895 507595 23623 24677 131200 117177 13784 239 160414 128888 31254 272 194303 193724 46 533 346492 298049 44397 4046 70969 66978 2851 1140 NURSING HOME EXPENSE 1030558 1030558 MEDICAL EQUIPMENT RENTA 866366 866366 REPAIRS AND MAINTENANCE 216374 172898 39698 3778 BAD DEBT 119712 119712 168035 78156 68114 21765 15650366 13738013 1640072 272281 797 1015 6360263 7543443 22500 0 1988374 1930190 1290231 1336476 195639 217535 9921419 5142291 4913818 4779128 1229175 1572242 4243 16208 16005040 17396237 1519612 1472281 787436 78921 275000 0 1659053 82438 4241101 1633640 X 11707464 15707122 56475 55475 11763939 15762597 16005040 17396237 3701316 297342 0 X X 0 1 X 1 0 X 1069434 555676 691465 611585 522562 3450722 12467602 12786975 12786975 15597031 16333904 69972487 13537036 13342651 13478440 16208616 16856466 73423209 0 0 0 73423209 20461 46240 76921 74800 47173 265595 20461 46240 76921 74800 47173 265595 24868 36185 47087 79719 46245 234104 13582365 13425076 13602448 16363135 16949884 73922908 0.99320 0.99350 0.00360 0.00350 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 80408 80408 77525 2883 80408 75330 2195 77525 71311 4019 75330 66996 4314 71311 0.52000 0.48000 0 0 160248 160248 6958969 2933037 4025932 2802202 2209254 592948 4779128 DUE TO PHCN 66584 DUE TO GROUP 15854 82438 X 18087024 297342 297342 17789682 1562000 1562000 19351682 15650366 0 15650366 0 15650366 PART X, LINE 2: THE AGENCY IS AN ORGANIZATION EXEMPT FROM TAXATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. IT IS HIGHLY CERTAIN THAT SOME POSITIONS TAKEN FOR INCOME TAX PURPOSES WOULD BE SUSTAINED UPON EXAMINATION BY THE TAXING AUTHORITIES, WHILE OTHERS ARE SUBJECT TO UNCERTAINTY ABOUT THE MERITS OF THE POSITION TAKEN OR THE AMOUNT OF THE POSITION THAT WOULD BE ULTIMATELY SUSTAINED. THE BENEFIT OF A TAX POSITION IS RECOGNIZED IN THE FINANCIAL STATEMENTS IN THE PERIOD DURING WHICH, BASED ON ALL AVAILABLE EVIDENCE, MANAGEMENT BELIEVES IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION, INCLUDING THE RESOLUTION OF APPEALS OR LITIGATION PROCESSES, IF ANY. THE TAX RETURNS FOR THE TAX YEARS ENDED JUNE 30TH, 2018 - 2021 REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE FOR U.S. FEDERAL TAX PURPOSES AND ALSO BY NEW YORK STATE FOR STATE TAX PURPOSES. PART XI, LINE 4B - OTHER ADJUSTMENTS: PAYCHECK PROTECTION PROGRAM INCOME 1,562,000. SPRING BOUQUET 61011 19228 41783 46 24408 MIGHTY NIAGARA 37265 -4006 41271 1664 532 18270 5 44272 20982 23290 11505 142548 36204 106344 1664 532 46 54183 56425 49919 29114 10000 397 0 29114 10000 397 10397 18717 NY 1 0 0 0 1.00000 CARLO FIGLIOMENI 4675 SUNSET DRIVE LOCKPORT NY 14094 0 0 X X X X X X 0 0 0 0 0 0 0 0 0 JOHN LOMEO VIA HPCG PRESIDENT/CEO 0 500018 0 0 0 21361 0 76561 0 16472 0 614412 0 0 CARLO FIGLIOMENI VIA HPCG COO/CFO 0 396579 0 0 0 18416 0 18474 0 14990 0 448459 0 0 RICHARD CASTALDO MEDICAL DIRECTOR STARTING 278671 0 0 0 10818 0 13064 0 16341 0 318894 0 0 0 ANDREA SAMMARCO IN-HOUSE LEGAL 0 189722 0 0 0 5324 0 8993 0 10687 0 214726 0 0 ANNA GAVRILUKE PHYSICIAN 163618 0 0 0 594 0 0 0 516 0 164728 0 0 0 DANIELLE M BURNGASSER DIRECTOR-HOSPICE HOMECARE 119347 0 0 0 10902 0 5946 0 16341 0 152536 0 0 0 JANE JAMES DIRECTOR OF ADMISSIONS 146247 0 0 0 4500 0 0 0 461 0 151208 0 0 0 FORM 990, PART VI, SECTION A, LINE 3 THE HOSPICE AND PALLIATIVE CARE GROUP, INC. (AN AFFILIATED 501 (C) (3) ORGANIZATION - AFFILIATED THROUGH COMMON BOARD MEMBERS) (EIN 56-2298553) PERFORMS SOME MANAGEMENT, FUNDRAISING AND ADMINISTRATIVE SERVICES FOR NIAGARA HOSPICE, INC. THE HOSPICE AND PALLIATIVE CARE GROUP, INC. CHARGES NIAGARA HOSPICE, INC. A MANAGEMENT FEE FOR THESE SERVICES. NIAGARA HOSPICE, INC.'S BOARD OF DIRECTORS HAS OVERSIGHT OVER THESE ACTIVITIES. FORM 990, PART VI, SECTION B, LINE 11B THE 990 IS PRESENTED IN DRAFT FORM TO THE MEMBERS OF THE GOVERNING BODY OF NIAGARA HOSPICE, INC. AFTER IT HAS BEEN REVIEWED BY AGENCY FISCAL PERSONNEL. EACH MEMBER OF THE BOARD HAS THE OPPORTUNITY TO REVIEW THE RETURN AND SUGGEST ANY CHANGES PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C NIAGARA HOSPICE, INC. IS COMMITTED TO IDENTIFY AND DISCLOSE ALL INDIVIDUALS THAT MAY HAVE A POTENTIAL TO INFLUENCE OR DIRECT DECISIONS TO HIS/HER OWN GAIN. ALL BOARD MEMBERS AND EMPLOYEES PARTICIPATING IN THE ACTIVITIES AND/OR OPERATIONS OF THE NIAGARA HOSPICE, INC. MUST SIGN A CONFLICT OF INTEREST FORM, AND DISCLOSE ANY DIRECT OR INDIRECT RELATIONSHIP, INVESTMENT OR INTEREST WHICH MAY REQUIRE HIS/HER EXCLUSION FROM PARTICIPATING IN CERTAIN DECISION - MAKING PROCESSES. IN ADDITION, EACH MEMBER OF THE BOARD OF DIRECTORS MUST COMPLETE A DISCLOSURE OF POTENTIAL CONFLICT OF INTEREST FORM. NO EMPLOYEE OF NIAGARA HOSPICE, INC. MAY HAVE EMPLOYMENT, CONSULTING OR OTHER BUSINESS RELATIONSHIP WITH A COMPETITOR, PATIENT/FAMILY, SUPPLIER, OR INVEST IN ANY COMPETITOR OR SUPPLIER (EXCEPT FOR MODERATE HOLDINGS OF PUBLICLY TRADED SECURITIES) UNLESS WRITTEN PERMISSION IS GRANTED BY THE CEO AND CHIEF OPERATING AND FINANCIAL OFFICER IN ADVANCE. OUTSIDE EMPLOYMENT MAY CONSTITUTE A CONFLICT OF INTEREST IF IT PLACES AN EMPLOYEE IN THE POSITION OF APPEARING TO REPRESENT THE AGENCY, INVOLVES SERVICES SIMILAR TO THOSE THE AGENCY PROVIDES OR LESSENS THE EFFICIENCY, ALERTNESS OR PRODUCTIVITY NORMALLY EXPECTED OF EMPLOYEES ON THEIR JOBS. OUTSIDE EMPLOYMENT MAY ALSO CONSTITUTE A CONFLICT OF INTEREST IF EMPLOYEES PERFORM SERVICES EITHER FOR INDIVIDUALS OR ENTITIES THAT MAKE REFERRALS. ALL OUTSIDE EMPLOYMENT THAT IS IN QUESTION MUST BE DISCLOSED TO THE AGENCY AND BE EVALUATED BY THE CEO. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE COMMITTEE IS CHARGED BY THE BOARD OF DIRECTORS WITH THE RESPONSIBILITY TO DETERMINE THE COMPENSATION OF THE CHIEF EXECUTIVE & CHIEF OPERATING AND FINANCIAL OFFICER. THE PURPOSE OF THIS COMMITTEE IS TO: APPROVE THE ANNUAL PERFORMANCE STANDARDS OF THE EXECUTIVE DIRECTOR. DETERMINE APPROPRIATE PERFORMANCE MEASURES AND ESTABLISH CRITERIA FOR ANY INCENTIVE BASED COMPENSATION. CONDUCT THE ANNUAL PERFORMANCE APPRAISAL. DETERMINE THE TOTAL COMPENSATION PACKAGE. ANNUALLY REVIEW, AND APPROVE ANY CHANGE TO, THE TOTAL COMPENSATION OF THE CHIEF EXECUTIVE & CHIEF OPERATING AND FINANCIAL OFFICER. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS FORM 1023 AND FORM 990 AVAILABLE TO THE PUBLIC UPON REQUEST OVER THE PHONE, IN WRITING, IN PERSON, AND VIA E-MAIL. THE 990 IS ALSO AVAILABLE THROUGH THE GUIDESTAR AND NY AGS WEBSITES. THE ORGANIZATIONS GOVERNING DOCUMENTS, CONFLICT OF INTERST POLICY, AND FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE PUBLIC. FORM 990; SCHEDULE D; PAGE 4; PART XII LINE 2B AND PART XIII LINE 2A NIAGARA HOSPICE, INC. RECEIVED VOLUNTEER SERVICES IN THE AMOUNT OF $2,775. THEY RECEIVED AN ADDITIONAL APPROXIMATE 5,000 HOURS FROM VOLUNTEERS WHO ASSISTED WITH PATIENT SERVICES AND FUNDRAISING, THE VALUE OF WHICH CANNOT BE DETERMINED. FORM 990, PART IV, LINE 34: THE HOSPICE AND PALLIATIVE CARE GROUP, INC. (GROUP) IS RELATED TO NIAGARA HOSPICE ALLIANCE, INC. (EIN 26-1101852) AND NIAGARA HOSPICE, INC. (EIN 22-2524016) ACCORDING TO THE IRS 990 INSTRUCTIONS. GROUP'S RELATIONSHIP WITH PALLIATIVE HOME CARE OF NIAGARA, INC. (EIN 16-1611701) AND KALOS HEALTH, INC. (EIN 46-1066844) DOES NOT MEET THE DEFINITION OF RELATED PARTIES PER THE 990 INSTRUCTIONS. THE HOSPICE AND PALLIATIVE CARE GROUP INC 4675 SUNSET DRIVE LOCKPORT NY 14904 562298553 PROVIDES MANAGEMENT AND FUNDRAISING RELATED SUPPORT AND SERVICES NY 501(C)(3) 509(A)(3) NIAGARA HOSPICE INC 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 HOSPICE AND PALLIATIVE CARE GROUP INC M 1031251 % OF ESTIMATED TIME SPENT ON EACH