2018-08-28T16:11:45-05:00 2017-12-31 161131146 BONADIO & CO LLP 100 CORPORATE PKWY STE 200 AMHERST NY 14226 990 2017-01-01 161336090 HOSPICE OF ORLEANS INC HOSP 5855890809 14080 ROUTE 31 WEST PO BOX 489 ALBION NY 14411 KELLIE SPYCHALSKI CEO 5855890809 2018-07-12 1 JUSTIN N REID P01321869 7162506600 2017 2022-09-23 18:48:47Z KELLIE SPYCHALSKI 14080 ROUTE 31 WEST PO BOX 489 ALBION NY 14411 1492330 0 X WWW.HOSPICEOFORLEANS.ORG X 1989 NY PROVIDE HOSPICE CARE TO QUALIFIED INDIVIDUALS AND TO INFORM THE GENERAL PUBLIC REGARDING THE DEFINITION AND ROLE OF HOSPICE CARE. 11 11 54 151 0 0 236779 213065 1377884 1165014 20251 18277 95151 68930 1730065 1465286 0 0 0 0 1153493 1329728 0 0 97000 510252 657580 1663745 1987308 66320 -522022 4420417 4025276 254760 286615 4165657 3738661 PROVIDE HOSPICE CARE TO QUALIFIED INDIVIDUALS AND TO INFORM THE GENERAL PUBLIC REGARDING THE DEFINITION AND ROLE OF HOSPICE CARE. 0 0 1583091 1165014 PROVIDE HOSPICE CARE TO QUALIFIED INDIVIDUALS AND TO INFORM THE GENERAL PUBLIC REGARDING THE DEFINITION AND ROLE OF HOSPICE CARE. 138 INDIVIDUALS WERE SERVED TOTAL THROUGH HOME CARE SERVICES AND RESIDENCE SERVICES. 1583091 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 54 1 0 0 0 0 0 1 1 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X KELLIE SPYCHALSKI CHIEF EXECUTIVE OFFICER 5855890809 14080 ROUTE 31 WEST PO BOX 489 ALBION NY 14411 CRAIG LAPE PRESIDENT 1.00 X X 0 0 0 MAURA PIERCE VICE PRESIDENT 1.00 X X 0 0 0 ANNETTE PEARL SECRETARY 1.00 X X 0 0 0 BEVERLY SASKOWSKI TREASURER 1.00 X X 0 0 0 NANCY ALBANESE DIRECTOR EMERITUS 1.00 X 0 0 0 LINDA NIELSEN DIRECTOR 1.00 X 0 0 0 SHEILA MYER DIRECTOR EMERITUS 1.00 X 0 0 0 ADA GRABOWSKI VICE SECRETARY 1.00 X X 0 0 0 ROLAND HOWELL DIRECTOR EMERITUS 1.00 X 0 0 0 MARY JANET SAHUKAR DIRECTOR EMERITUS 1.00 X 0 0 0 DOUG MILLER DIRECTOR 1.00 X 0 0 0 LYNNE SHORT DIRECTOR 1.00 X 0 0 0 KAREN SAWICZ DIRECTOR 1.00 X 0 0 0 DAVID MITCHELL DIRECTOR 1.00 X 0 0 0 JOHN KENNEY DIRECTOR 1.00 X 0 0 0 KELLIE SPYCHALSKI CEO 40.00 X 52588 0 6373 JOEL ALLEN DIRECTOR OF FINANCE 20.00 X 20659 0 2683 SARAH BRUNDAGE DIRECTOR OF FINANCE (VACATED DURING 2017) 40.00 X 31892 0 3766 105139 0 12822 0 0 0 0 0 10066 8417 194582 213065 FEES FOR SERVICES 621610 1165014 1165014 1165014 18277 18277 95974 27044 68930 68930 1465286 1165014 0 87207 105138 29626 75512 1000006 858702 68883 72421 12402 9969 1620 813 130720 105074 17080 8566 81462 65480 10644 5338 30337 30337 65651 7883 57768 7806 7806 30717 30717 4133 4133 16100 13312 2468 320 18099 14554 2361 1184 16735 15127 1608 13509 9369 4140 2911 2911 112568 90483 14708 7377 11929 9593 1556 780 PATIENT EXPENSES 169382 169382 SUPPLIES - PROGRAM 79674 79542 132 REPAIRS AND MAINTENANCE 29011 23054 5957 SPECIFIC PURPOSE EXPENS 27535 27535 21483 16645 4769 69 1987308 1583091 307217 97000 145272 71258 487739 265589 13617 342 158103 90008 18641 0 3190329 694555 2557909 2495774 1039136 1102305 4420417 4025276 82493 85395 0 0 172267 13658 0 187562 254760 286615 X 4108428 3687026 57229 51635 4165657 3738661 4420417 4025276 -522022 95026 0 X X 0 1 X 1 0 X 207400 147655 164823 236779 213065 969722 207400 147655 164823 236779 213065 969722 969722 33457 19633 19569 20251 18277 111187 1080909 0.89710 0.90310 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 30193 30193 2988160 548711 2439449 171976 145844 26132 2495774 DUE TO THIRD PARTY PAYOR 187562 187562 X 1587356 95026 27044 122070 1465286 0 1465286 2014352 27044 27044 1987308 0 1987308 PART X, LINE 2: FOR TAX-EXEMPT ENTITIES, THEIR TAX-EXEMPT STATUS ITSELF IS DEEMED TO BE AN UNCERTAINTY, SINCE EVENTS COULD POTENTIALLY OCCUR TO JEOPARDIZE THEIR TAX-EXEMPT STATUS. AS OF DECEMBER 31, 2017, THE HOSPICE DOES NOT HAVE A LIABILITY FOR UNRECOGNIZED TAX BENEFITS. PART XI, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENTS EXPENSE 27,044. PART XII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENTS EXPENSE 27,044. GOLF TOURNAMENT 26436 26436 1072 8975 1751 ANNUAL APPEAL 36073 36073 3486 5 33465 33465 1500 10260 95974 95974 2572 8975 15497 27044 68930 FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE FORM 990 IS PROVIDED TO THE GOVERNING BODY FOR REVIEW BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C THE HOSPICE HAS A BOARD OF DIRECTORS ETHICS POLICY WHICH STATES IT IS THE BOARD MEMBERS' RESPONSIBILITY TO DISCLOSE ALL CONFLICTS OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 ALL COMPENSATION IS PAID ACCORDING TO A PAY SCALE BY POSITION AND RAISES ARE GRANTED BASED ON YEARS OF SERVICE. COMPENSATION OF THE EXECUTIVE DIRECTOR IS DETERMINED ANNUALLY BASED ON A PERFORMANCE REVIEW BY THE PERSONNEL COMMITTEE AND A DISCUSSION WITH THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S FORM 990, ORGANIZING DOCUMENTS, AND CONFLICT OF INTEREST POLICY ARE AVAILABLE BY REQUEST AT THE ORGANIZATION'S OFFICE, AS LISTED ON PAGE 1 OF FORM 990. FORM 990, PART XII, LINE 2C PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.