2021-11-11T16:22:18-06:00 2020-12-31 410746749 CLIFTONLARSONALLEN LLP 610 W GERMANTOWN PIKE SUITE 400 PLYMOUTH MEETING PA 19462 990 2020-01-01 651247278 GREENWOOD HOUSE HOSPICE SERVICES INC GREE 6098835391 53 WALTER STREET EWING NJ 08628 GANAPATHI KAMATH CFO, GREENWOOD HOUSE 6098835391 2021-11-11 1 GANAPATHI KAMATH 999009999 VICKI RAIVITCH CPA P02060731 2156433900 2021-11-10 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z THE RENEE DENMARK PUNIA COMMUNITY HOSPICE OF GREENWOOD HOUSE RICHARD S GOLDSTEIN 53 WALTER STREET EWING NJ 08628 2332418 0 X GREENWOODHOUSE.ORG/SERVICES/HOSPICE-CARE X 2005 NJ TO PROVIDE HOSPICE CARE SERVICES TO RESIDENTS OF GREENWOOD HOUSE AND THE SURROUNDING COMMUNITY 6 4 40 9 0 0 1410 322799 2192066 2009619 598 0 0 0 2194074 2332418 0 0 0 0 1107447 1043120 0 0 0 1082080 1019973 2189527 2063093 4547 269325 491596 674417 1007996 921492 -516400 -247075 THE MISSION OF GREENWOOD HOUSE HOSPICE SERVICES, INC. (HOSPICE) IS TO PROVIDE HOSPICE CARE SERVICES TO RESIDENTS OF GREENWOOD HOUSE, HOME FOR THE JEWISH AGED, A 501(C)(3) PUBLIC CHARITY, AND TO THOSE RESIDING IN THE SURROUNDING COMMUNITY. 0 0 1782480 0 2009619 HOSPICE SERVICES TO GREENWOOD HOUSE, HOME FOR THE JEWISH AGED AND THOSE RESIDING IN THE SURROUNDING COMMUNITY. 1782480 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 7 0 40 1 0 0 0 0 0 0 0 0 0 0 0 0 X 6 4 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 NJ X GANAPATHI KAMATH CFO GREENWOOD HO 6098835391 53 WALTER STREET EWING NJ 08628 RICHARD S GOLDESTEIN SECRETARY/TREASURER 1.00 51.80 X 0 230300 20228 DEBBIE HUNTER TRUSTEE 1.00 41.00 X X 0 117226 11967 LILA ROSENTHAL PRESIDENT 1.00 0.80 X X 0 0 0 JEFFREY PERLMAN TRUSTEE 1.00 1.00 X 0 0 0 ALLEN LEE TRUSTEE 1.00 0.00 X 0 0 0 ELIZABETH SILVERMAN TRUSTEE 1.00 0.00 X 0 0 0 0 347526 32195 0 0 1 0 SEASHORE GARDENS LIVING CENTER 22 WEST JIMMIE LEEDS ROAD GALLOWAY TWP NJ 08205 RESIDENT FACILITY 297470 1 321583 1216 322799 PATIENT SERVICE REVENUE 624100 2009619 2009619 2009619 2332418 2009619 0 0 867251 768476 98775 1850 1850 102355 90821 11534 71664 64067 7597 134405 64632 69773 13432 1841 11591 29920 5551 24369 33950 33950 26137 26052 85 469 469 2778 2778 30373 19167 11206 ROOM AND BOARD 469618 469618 SUPPLIES 135137 130002 5135 BAD DEBT 135000 135000 0 DUES AND SUBSCRIPTIONS 8403 5403 3000 351 351 2063093 1782480 280613 0 76115 421267 380131 212617 26366 31865 40910 32242 8984 8668 491596 674417 256247 221167 751749 700325 1007996 921492 X -520604 -251279 4204 4204 -516400 -247075 491596 674417 269325 0 X 0 0 0 X 7884 18332 3396 1410 322799 353821 2031897 1599677 2526720 2192066 2009619 10359979 2039781 1618009 2530116 2193476 2332418 10713800 0 348171 314548 475947 429889 361978 1930533 348171 314548 475947 429889 361978 1930533 8783267 596 493 598 1687 596 493 598 1687 675 4906 52 5633 2040456 1623511 2530661 2194074 2332418 10721120 0.81920 0.79500 0.00020 0.00020 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2016 AMOUNT: $ 675. 2017 AMOUNT: $ 4,906. 2018 AMOUNT: $ 52. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 4201 3959 243 36709 28283 8425 8668 DUE TO RELATED PARTY 685325 THIRD PARTY PAYABLE 15000 700325 X PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA (GAAP) REQUIRE ENTITIES TO EVALUATE, MEASURE, RECOGNIZE, AND DISCLOSE ANY UNCERTAIN INCOME TAX POSITIONS TAKEN ON THEIR TAX RETURNS. GAAP PRESCRIBES A MINIMUM THRESHOLD THAT A TAX POSITION IS REQUIRED TO MEET IN ORDER TO BE RECOGNIZED IN THE FINANCIAL STATEMENTS. THE ORGANIZATION BELIEVES THAT IT HAD NO UNCERTAIN TAX POSITIONS AS DEFINED IN GAAP. 0 0 0 0 0 0 0 0 0 RICHARD S GOLDESTEIN SECRETARY/TREASURER 0 230300 0 0 0 0 0 4628 0 15600 0 250528 0 0 PART I, LINE 3 HOSPICE'S TOP MANAGEMENT OFFICIAL IS THE BOARD OF TRUSTEES, WHICH HAS DELEGATED THE MANAGEMENT FUNCTION TO A RELATED 501(C)(3) PUBLIC CHARITY. NO COMPENSATION IS PAID BY HOSPICE TO ANY BOARD MEMBER. THE COMPENSATION NOTED ON SCHEDULE J, PART II, IS PAID BY A RELATED 501(C)(3) PUBLIC CHARITY TO ITS EMPLOYEE, THIS COMPENSATION IS NOT FOR SERVICES RENDERED TO THE HOSPICE. FORM 990, PART VI, SECTION A, LINE 3 HOSPICE DELEGATES CONTROL OVER MANAGEMENT DUTIES TO GREENWOOD HOUSE, HOME FOR THE JEWISH AGED, A RELATED 501(C)(3) PUBLIC CHARITY. MANAGEMENT DUTIES INCLUDE, BUT ARE NOT LIMITED TO: PLANNING AND EXECUTING BUDGETS AND FINANCIAL OPERATIONS, AND SUPERVISING EXEMPT OPERATIONS. THE EXECUTIVE DIRECTOR OF THE MANAGEMENT COMPANY IS ALSO ON HOSPICE'S BOARD, BOTH THE BOARD SERVICE AND MANAGEMENT DUTIES WERE PROVIDED TO HOSPICE AT NO CHARGE IN 2020. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF HOSPICE SHALL BE GREENWOOD HOUSE, HOME FOR THE JEWISH AGED (MEMBER), A RELATED 501(C)(3) PUBLIC CHARITY, BASED ON THE INTERNAL REVENUE SERVICE DEFINITION OF MEMBER. FORM 990, PART VI, SECTION A, LINE 7A THE ELECTION OR REMOVAL OF THE TRUSTEES SHALL BE SUBJECT TO THE APPROVAL OF THE MEMBER. FORM 990, PART VI, SECTION A, LINE 7B THE FOLLOWING ADDITIONAL RIGHTS AND POWERS ARE RESERVED TO THE MEMBER: A. TO CHANGE OR MODIFY HOSPICE'S BUSINESS PLAN B. TO APPROVE ALL AMENDMENTS OR REVISIONS TO HOSPICE'S CERTIFICATE OF INCORPORATION AND BYLAWS. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM THEN THE GOVERNING BODY REVIEWS THE FORM 990 PRIOR TO ITS FILING WITH THE INTERNAL REVENUE SERVICE. IN ADDITION, A COPY OF THE FINAL FORM 990 IS PROVIDED TO EACH VOTING MEMBER OF THE GOVERNING BODY FOR REVIEW PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY APPLIES TO OFFICERS, TRUSTEES AND EMPLOYEES. TRUSTEES ARE MADE AWARE THAT THEY MUST DISCLOSE ANY FINANCIAL CONFLICTS PER THE ORGANIZATION'S POLICY. HOSPICE MAINTAINS A LIST OF ALL OFFICERS AND TRUSTEES THAT ARE REQUIRED TO SIGN THEIR CONFLICT OF INTEREST POLICY. THEY ARE REQUIRED TO SIGN A DISCLOSURE FORM ANNUALLY. ANY CONFLICTS MUST BE REPORTED TO THE BOARD. THE BOARD REVIEWS THE CONFLICT AND DETERMINES WHETHER THE HOSPICE CAN OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT THAT WOULD NOT GIVE RISE TO A CONFLICT. IF THE BOARD DECIDES TO CONTINUE WITH THE ARRANGEMENT THE INDIVIDUAL WITH THE CONFLICT IS RECUSED FROM THE VOTING PROCESS RELATING TO THE CONFLICT. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST. THESE DOCUMENTS ARE ALSO AVAILABLE FOR INSPECTION AT THE ORGANIZATION'S OFFICE. GREENWOOD HOUSE FOUNDATION INC 53 WALTER STREET EWING NJ 08628 223208612 PROVIDING FINANCIAL SUPPORT FOR THE HOME NJ 501(C)(3) LINE 7 N/A 0 GREENWOOD HOUSE HEALTHCARE AND HOMEMAKER PROGRAM INC 53 WALTER STREET EWING NJ 08628 223536265 PROVIDING HEALTHCARE SERVICES FOR THE HOME'S RESIDENTS NJ 501(C)(3) LINE 10 N/A 0 GREENWOOD HOUSE HOME FOR THE JEWISH AGED 53 WALTER STREET EWING NJ 08628 210639867 NURSING FACILITY NJ 501(C)(3) LINE 10 N/A 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 0 1 1 0 0