2018-07-09T12:30:31-05:00 2017-09-30 390859910 Baker Tilly Virchow Krause LLP 1650 Market Street Suite 4500 Philadelphia PA 191037341 990 2016-10-01 510258883 Delaware Hospice Inc DELA 3024785707 16 Polly Drummond Center 2nd Floor Newark DE 19711 Susan D Lloyd President/CEO 3024785707 2018-07-09 1 Julius C Green CPA P00350393 2159720701 2016 2022-09-23 18:48:47Z Susan D Lloyd 16 Polly Drummond Center 2nd Floor Newark DE 19711 25659034 0 X WWW.DELAWAREHOSPICE.ORG X 1982 DE LEADER IN HIGH QUALITY HOSPICE AND PALLIATIVE CARE TO TERMINALLY ILL PATIENTS AND FAMILIES. 20 20 311 457 0 0 1409576 2243009 22643641 22850013 559426 437668 31753 42082 24644396 25572772 0 0 0 0 15000523 15632343 36747 37483 441523 7728846 7914140 22766116 23583966 1878280 1988806 45091904 48761890 9244670 9027327 35847234 39734563 X Delaware Hospice is committed to being the leader in providing high quality hospice and palliative care to individuals with a limited life expectancy, their families & caregivers and to serve as a community resource for end of life care. 0 0 18836582 0 22850013 Delaware Hospice was founded in 1982 as Delaware's first, and only, nonprofit hospice care provider. Our mission is to provide the highest quality hospice and healthcare services and serve as a trusted community partner in end-of-life education and support. Delaware Hospice serves New Castle, Kent and Sussex Counties in Delaware, along with Southern Chester and Delaware Counties in Pennsylvania. Currently, 311 staff members and 457 volunteers passionately live that mission. In addition, Delaware Hospice operates The Delaware Hospice Center in Milford, DE, providing a higher level of specialized care and symptom management: 24 hours a day, 7 days per week. Services provided at the Delaware Hospice Center include access to inpatient hospice care, respite care, and a variety of support programs for patients and their families all in one location.Delaware Hospice provides advanced illness management through its scope of programs and services. In addition to providing all the elements of a hospice program (i.e., nursing, personal care, social workers, grief counselors, chaplains, and volunteer support), Delaware Palliative helps seriously ill patients who are receiving active, curative treatment for illnesses such as cancer, congestive heart failure, Parkinson's disease, Alzheimer's disease and kidney failure. Delaware Palliative offers symptom management support, facilitates Goals of Care discussions, and assists with Advanced Health Care Directives. The Palliative Care team consists of a medical director, nurse practitioners, a social worker, and volunteers.Delaware Hospice gives back to its community in a variety of unique ways. The following is a list of programs provided with support from generous donations to Delaware Hospice. 1) Community Education - a team of professionals are dedicated to educating professional and community organizations about our programs and services. Extensive outreach activities include educational presentations to healthcare professionals and community organizations. Topics include: end-of-life care planning, living well with a serious illness, supporting the working caregiver, and other life affirming educational topics.2) New Hope Children's Bereavement Program - this completely unique program brings hope to children struggling with loss. For more than 28 years, Delaware Hospice has been working with grieving children to express their feelings and to learn coping mechanisms. This education is conducted individually, in groups, in workshops, or at one of two 4-day summer camps held statewide. The New Hope Coordinators also consult with community groups, schools and other local agencies. Children's bereavement and grief counseling services are available not only to families who have chosen our hospice services, but also to anyone in the community who may need them.3) The Family Support Center was created in 2008 to meet the needs of caregivers and the bereaved in our community. Again, programs driven through the Family Support Center are available to anyone in our community who is coping with illness or loss, not just families who have chosen our hospice services.4) Delaware Transitions Program - established in 2003, this program provides regular communication, connection to community resources and volunteer assistance to people who are living with a serious illness.Since 1982, as the only non-profit hospice in the state of Delaware, we provide hospice care regardless of a patients' ability to pay. Total hospice patient days are 127,609 with an average daily census of 350 for fiscal year 2017. Through all its programs and services, Delaware Hospice has touched nearly 10,000 people over the past year. In addition to the care provided to Delaware Hospice patients and families, programs and services are offered to the community at little or no cost. 18836582 1 1 0 0 0 0 0 0 0 1 1 1 0 0 1 1 1 0 0 0 0 0 0 1 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 1 10 0 1 311 1 0 0 0 0 0 1 1 0 0 0 0 X 20 20 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 1 0 DE PA NJ MD X joe hofmeister director of general acctg & treasury 3024785707 16 Polly Drummond Center 2nd Floor Newark DE 19711 Sharon Leyhow Chairperson 0.30 X X 0 0 0 Raymond D Andrews Treasurer 0.30 X X 0 0 0 Karen Poore Secretary 0.30 X X 0 0 0 A Dale Stratton Trustee 0.30 X 0 0 0 Carol Leashefski Trustee 0.30 X 0 0 0 Clarence A Smith Trustee 0.30 X 0 0 0 Allan Atzrott Trustee 0.30 X 0 0 0 Janet Doughtery Trustee 0.30 X 0 0 0 Thomas Brown Trustee 0.30 X 0 0 0 Gene Donnelly Trustee 0.30 X 0 0 0 Tom Hoyer Trustee 0.30 X 0 0 0 Laura Robelen Trustee 0.30 X 0 0 0 Kathleen Matt Trustee 0.30 X 0 0 0 Robert Dressler MD Trustee 0.30 X 0 0 0 Robert Pierce Trustee 0.30 X 0 0 0 Ronda Douglas Trustee 0.30 X 0 0 0 Steve Ladin Trustee 0.30 X 0 0 0 Tamera Fair Trustee 0.30 X 0 0 0 Terry Murphy Trustee 0.30 X 0 0 0 Joan Thomas Trustee 0.30 X 0 0 0 Susan Lloyd President, CEO 40.00 X 348646 0 13334 Michelle Burris Chief Financial Officer 40.00 X 160655 0 6243 Andrew Himelstein Medical Director 32.00 X 206596 0 4048 Christopher Altamuro Regional Medical Director 40.00 X 176678 0 13803 Tracy Tull VP of Compliance and Education 40.00 X 150001 0 7874 Sharon Purcell-Ponsell On Call Weekend RN 40.00 X 121201 0 15136 Sue Bernetich VP of Development 40.00 X 126256 0 7459 Joseph Hofmeister Dir Gen Accounting and Treasury 40.00 X 115289 0 15059 Claire Walsh Director of Homecare 40.00 X 116478 0 9986 Debbie Taylor Clinical Supervisor Inpatient Unit 40.00 X 110199 0 3957 1631999 0 96899 13 0 1 0 Expense Reduction Analysts Inc PO Box 956251 St Louis MO 631956251 Consultant 214917 EMS INC 245 Main Street Suite 204 Chester NJ 07930 Office cleaning/housekeeping 134206 Shore Staffing Inc 3109 Fair Island Lane Marion Station MD 21838 Temporary Staffing Agency 102709 3 206192 168490 1868327 42118 2243009 Medicare/Medicaid 623000 22850013 22850013 22850013 368779 368779 68889 0 68889 68889 68889 128344 206192 86262 42082 42082 25572772 22850013 0 479750 1000386 403317 597069 12126419 9882585 1951117 292717 140835 109511 25968 5356 1159942 948963 149390 61589 1204761 1024296 160623 19842 37161 37161 52425 52425 37483 37483 1135256 924125 211131 114687 26656 88031 541928 68192 461011 12725 237314 165930 71384 367701 235273 132428 986496 942176 35662 8658 53394 28549 24635 210 297926 297926 538704 538704 151871 4103 147768 PRESCRIPTION DRUGS 1165155 1165155 PATIENT CARE 712168 712168 Medical supplies 625995 625995 equipment rental 492503 492503 403456 240455 160058 2943 23583966 18836582 4305861 441523 3837292 3297454 1818907 3318873 271299 202730 2368080 2651918 346311 382956 21853636 6197935 16030109 15655701 20221272 23014635 198634 237623 45091904 48761890 2530492 2851699 5894898 5644898 819280 530730 9244670 9027327 X 28150075 30994917 7507236 8496984 189923 242662 35847234 39734563 45091904 48761890 X 1988806 1609973 288550 X 0 1 X 1 0 X 1595960 2017674 2557536 1409576 2243009 9823755 22183447 19117720 21764580 22643641 22850013 108559401 23779407 21135394 24322116 24053217 25093022 118383156 0 0 0 118383156 272572 296703 633677 305815 368779 1877546 272572 296703 633677 305815 368779 1877546 24051979 21432097 24955793 24359032 25461801 120260702 0.98440 0.98700 0.01560 0.01300 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 465800 60869 526669 445727 20073 465800 444599 1128 445727 395980 48619 444599 347753 48227 395980 1.00000 1 0 3789613 3789613 14224274 4470329 9753945 30535 7913 22622 1888583 1719693 168890 1920631 1920631 15655701 MUTUAL FUNDS 14901426 F CERTIFICATES OF DEPOSIT 4795000 F Cash and cash equivalents 3318209 F 23014635 DERIVATIVE FINANCIAL INSTRUMENT 530730 530730 X 27557557 1609973 288550 1898523 25659034 -86262 -86262 25572772 23670228 86262 86262 23583966 0 23583966 Part V, Line 4: The purpose of the endowment funds is for long term capital appreciation with a focus toward additional patient care. Part X, Line 2: The Organization accounts for uncertainty in income taxes using a recognition threshold of more-likely-than-not to be sustained upon examination by the appropriate taxing authority. Measurement of the tax uncertainty occurs if the recognition threshold has been met. Management determined that there were no tax uncertainties that met the recognition threshold in 2017 and 2016. The Organization's policy is to recognize interest related to unrelated tax benefits in interest expense and penalties in supplies and expense. Part XI, Line 2d - Other Adjustments: CHANGE IN VALUE OF DERIVATIVE FINANCIAL INSTRUMENT 288,550. Part XI, Line 4b - Other Adjustments: FUNDRAISING EXPENSES -86,262. Part XII, Line 2d - Other Adjustments: FUNDRAISING EXPENSES 86,262. X X X X 1 JCameron Yorkston PO Box 489 Hockessin DE 19707 Consult on Capital Campaign 0 0 37483 -37483 37483 -37483 DE PA NJ MD Jazz Brunch 113183 87605 25578 200 8849 12141 Festival of Trees 98722 49711 49011 1184 6201 15052 3 122631 68876 53755 600 12029 30006 334536 206192 128344 1984 27079 57199 86262 42082 X X X X X 0 0 0 0 0 0 0 1 0 Susan Lloyd President, CEO 286040 0 62606 0 0 0 5300 0 8034 0 361980 0 0 0 Michelle Burris Chief Financial Officer 160655 0 0 0 0 0 0 0 6243 0 166898 0 0 0 Andrew Himelstein Medical Director 202394 0 4202 0 0 0 4048 0 0 0 210644 0 0 0 Christopher Altamuro Regional Medical Director 173089 0 3589 0 0 0 3631 0 10172 0 190481 0 0 0 Tracy Tull VP of Compliance and Education 130598 0 19403 0 0 0 2682 0 5192 0 157875 0 0 0 Part I, Line 7 Incentive compensation is partially based upon Delaware Hospice, Inc. achieving its budgeted census and operating net income. Bonuses are also contingent upon each person listed achieving their own personal goals. A The Delaware Economic Development Authority 510269736 2010-12-16 23900000 Construction, New Castle County Project and refinancing, Milford Project 0 0 0 A 1345000 6849450 144450 6705000 17050550 1 0 0 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 1 0 1 1 Citizens Bank 4.100000000000 0 0 0 0 1 A 1 SCHEDULE K, PART II, LINE 3: The total proceeds listed on Part II Line 3 are not the same as the issue price listed in Part I, item E. The difference has not been drawn down as of year end as the project for which the funds are financed has been delayed. X 1 42118 quoted market price 0 0 0 Part I, Column (b): THe number of in column B represents the number of contributors. Form 990, Part VI, Section B, line 11b The Audit Committee and management are charged with reviewing and approving the Form 990. After approval, Form 990 is made available to the full Board before it is filed with the IRS. Form 990, Part VI, Section B, line 12c The conflict of interest policy must be reviewed and signed by Board members, Officers, and key employees. Board Members, officers, and key employees must report conflicts in the annual conflict of interest statement. Any conflicts are reported by the CEO to the Board. Our conflict of interest policy includes questions regarding relationships to other employees, whether family or business related. The Chief Financial Officer monitors and evaluates the policy reporting any issues to the ethics committee. Conflicts are reported to the board by the CEO. Conflicts are removed by emphasizing the need to abstain from decision making or voting action. Form 990, Part VI, Section B, line 15 A competitive compensation study of all staff members, is conducted every 2-3 years by an independent third party consulting firm. The results are presented to the CEO and Executive team and then to the Compensation Committee. The compensation Committee and the President of the Board of Trustees evaluate the performance of the CEO and approve compensation. The CEO evaluates the performance of the officers and key employees and makes recommendations to the Board President who gets approval from the compensation committee. All compensation decisions are documented in the minutes of the compensation committee. Form 990, Part VI, Section C, line 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. Form 990, Part Vi, Section A, lines 6 and 7 Delaware law requires that nonstock corporations have members. In the case of Delaware Hospice those members comprise the same individuals as its board of directors. Form 990, Part VI, Section B, Line 14 Delaware Hospice, Inc. has a written retention and destruction policy for medical records. Delaware Hospice also has a document outlining the number of years to maintain administrative documents such as: 1. Accounting and Fiscal, 2. Administrative, Corporate, and Executive, 3. Insurance, 4. Legal, and 5. Personnel. Form 990, Part XI, line 9: CHANGE IN VALUE OF DERIVATIVE FINANCIAL INSTRUMENT 288,550. The Institute for Advanced Illness Innovation 16 Polly Drummond Center 2nd Floor Newark DE 19711 830772733 coordinate health improvement initiatives DE 0 0 Delaware Hospice Inc