2014-08-14T14:45:25-05:00 2013-12-31 271728945 O'CONNOR DAVIES LLP 555 HUDSON VALLEY AVENUE SUITE 106 NEW WINDSOR NY 12553 990 2013-01-01 141703185 HOSPICE OF ORANGE AND SULLIVAN COUNTIES INC HOSP 8455616111 800 STONY BROOK COURT NEWBURGH NY 12550 DAN GRADY CEO 8455616111 2014-08-05 1 GARRETT M HIGGINS P00543209 8452202400 2014-08-05 2013 2015-11-30 17:44:51Z DAN GRADY 800 STONY BROOK COURT NEWBURGH NY 12550 15123895 0 X HOSPICEOFORANGE.COM X 1988 NY THE PRINCIPAL PURPOSE OF THE ORGANIZATION IS TO PROVIDE HOSPICE SERVICES. 21 21 179 150 0 0 1115846 1280775 11100119 10608380 175842 15118 31287 121722 12423094 12025995 0 0 0 0 6580852 6669837 0 0 76901 5812183 5825925 12393035 12495762 30059 -469767 12970892 12771641 3641007 3007445 9329885 9764196 X HOSPICE OF ORANGE AND SULLIVAN COUNTIES, INC. PROVIDES PHYSICAL, EMOTIONAL AND SPIRITUAL CARE FOR PATIENTS WITH LIFE LIMITING DISEASES AND THEIR FAMILIES. HOSPICE SERVICES ARE COORDINATED THROUGH A TEAM OF PROFESSIONALS, WHICH INCLUDE NURSES, SOCIAL WORKERS, PHYSICIANS, HOSPICE AIDES AND VOLUNTEERS. 0 0 10186436 10608380 HOSPICE OF ORANGE & SULLIVAN COUNTIES, INC. PROVIDED 47,002 DAYS OF CARE TO 1,193 PATIENTS AND THEIR FAMILIES IN 2013. HOSPICE ALSO SERVED 153 PATIENTS AND THEIR FAMILIES FOR A TOTAL OF 3,236 DAYS AT THE KAPLAN FAMILY HOSPICE RESIDENCE. 10186436 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 77 1 1 179 1 0 0 0 0 0 1 1 0 0 0 0 X 21 21 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X X JEANNE MALTES 8455616111 800 STONY BROOK COURT NEWBURGH NY 12550 GLEN L HELLER TREASURER 5.00 X X 0 0 0 HON ANTHONY T KANE CHAIRMAN 4.00 X X 0 0 0 HON JEFFERY G BERRY VICE CHAIRMAN 1.00 X X 0 0 0 RONALD BARTON IMMEDIATE PAST CHAIR 3.00 X X 0 0 0 SUE NAJORK SECRETARY 2.00 X X 0 0 0 A VINCENT MAZZIE DIRECTOR 5.00 X 0 0 0 BARBARA NARU DIRECTOR 5.00 X 0 0 0 CHARLES MILICH DIRECTOR THRU MARCH 2013 1.00 X 0 0 0 THOMAS P SULLIVAN DIRECTOR 1.00 X 0 0 0 DR JOSEPH LAUTERSTEIN DIRECTOR 1.00 X 0 0 0 FRANK PHILLIPS DIRECTOR 1.00 X 0 0 0 IAN RIEGER DIRECTOR 1.00 X 0 0 0 JOAN P KAPLAN DIRECTOR 2.00 X 0 0 0 JOHN D'AMBROSIO DIRECTOR THRU MARCH 2013 2.00 X 0 0 0 LEWIS KLUGMAN DIRECTOR 1.00 X 0 0 0 MARY BONURA DIRECTOR 5.00 X 0 0 0 PRESTON L FELTON DIRECTOR THRU MARCH 2013 1.00 X 0 0 0 WILLIAM RICHARDS DIRECTOR 2.00 X 0 0 0 JOSEPH V SMITH DIRECTOR 3.00 X 0 0 0 SR ANN SAKAC DIRECTOR 1.00 X 0 0 0 MYRIAM LOOR DIRECTOR 1.00 X 0 0 0 DANIEL BERKOWICZ DIRECTOR 2.00 X 0 0 0 DEBRA L JOHNSON DIRECTOR THRU MARCH 2013 1.00 X 0 0 0 ERIC MALDONADO DIRECTOR 1.00 X 0 0 0 ROBIN MARKS DIRECTOR 1.00 X 0 0 0 DANIEL GRADY PRESIDENT & CEO 37.50 X 164738 0 21031 GAIL BURTON VP & COO 37.50 X 123210 0 10842 287948 0 31873 2 0 1 0 ORANGE REGIONAL MEDICAL CENTER 707 EAST MAIN STREET MIDDLETOWN NY 10940 PHYSICIAN SERVICES 352763 SIMIONE CONSULTANTS LLC 1700 WEST PARK DRIVE SUITE 180 WESTBORO MA 01581 COMPUTER CONSULTING 208067 SULLIVAN COUNTY ADULT CARE CENTER PO BOX 671 LIBERTY NY 12754 NURSING HOME SERVICES 191924 UNIDINE CORPORATION 1000 WASHINGTON STREET SUITE 510 BOSTON MA 02118 FOOD SERVICE 176592 HUDSON VALLEY HOSPITAL PROGRAM PLLC 707 EAST MAIN STREET MIDDLETOWN NY 10940 PHYSICIAN SERVICES 139975 7 22238 282940 42078 933519 32757 1280775 HOSPICE SERVICES 623000 10608380 10608380 10608380 199409 199409 2760900 2807840 137351 -46940 -137351 -184291 -184291 58853 282940 128652 -69799 -69799 52544 24057 28487 28487 SETTLEMENT INCOME 900099 151244 151244 REFUNDS 900099 8969 8969 OTHER INCOME 900099 2821 2821 163034 12025995 10608380 0 136840 X 326687 120606 191085 14996 5089770 4269441 790180 30149 93932 79759 13952 221 638177 535961 100286 1930 521271 402935 115444 2892 71859 71859 18000 18000 2609 2609 26358 26358 1813560 1764791 48769 66333 4864 61469 405717 278484 108825 18408 392408 25832 366576 139582 100236 39346 338229 312747 23518 1964 3348 320 3028 48994 29396 19598 295091 177055 118036 52848 31709 20775 364 PHARMACY 867464 867464 MEDICAL EQUIPMENT AND S 573591 573591 NURSING HOME ROOM & BOA 496356 496356 REPAIRS AND MAINTENANCE 150752 108863 41889 62826 6026 50823 5977 12495762 10186436 2232425 76901 54092 822 1263156 583189 158000 89000 1376749 1280097 65820 52108 6704404 1924747 5010074 4779657 5039455 5983222 3546 3546 12970892 12771641 1706866 1797667 50000 50000 1552786 990992 1065 330290 168786 3641007 3007445 X 5355694 5358849 731819 1162975 3242372 3242372 9329885 9764196 12970892 12771641 -469767 904078 0 X X 0 1 X 1 0 X 623490 716385 921031 1115846 1280775 4657527 9828761 10251112 10963596 11252574 10608380 52904423 10452251 10967497 11884627 12368420 11889155 57561950 50000 25887 111760 57220 244867 0 50000 25887 111760 57220 244867 57317083 228723 225430 200637 199767 199409 1053966 228723 225430 200637 199767 199409 1053966 9212 46691 18601 163034 237538 10690186 11192927 12131955 12586788 12251598 58853454 0.97390 0.97590 0.01790 0.01940 X SCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2009 AMOUNT: $ 9,212. 2011 AMOUNT: $ 8,738. 2012 AMOUNT: $ 18,601. 2013 AMOUNT: $ 2,821. BAD DEBT RECOVERY - 2011 AMOUNT: $ 37,953. SETTLEMENT INCOME - 2013 AMOUNT: $ 151,244. REFUNDS - 2013 AMOUNT: $ 8,969. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 1 722 0 1 2609 3331 0 PART II-B, LINE 1: OTHER LOBBYING ACTIVITIES INCLUDE DUES PAID TO THE NATIONAL AND STATE HOSPICE AND PALLIATIVE CARE ASSOCIATIONS. IN ADDITION, THE CEO SPENT TIME IN WASHINGTON DC LOBBYING THE NATIONAL HOSPICE AND PALLIATIVE CARE ORGANIZATION TO SET THE 2013 PRIORITIES FOR THE PUBLIC POLICY INITIATIVE. 5152700 996101 200000 5948801 4783418 40000 439297 110015 5152700 4967375 197233 -310190 71000 4783418 4583588 22436 402209 5008233 3891794 106630 585164 4583588 0.27000 0.55000 0.18000 0 0 388933 388933 5316743 1205178 4111565 998728 719569 279159 4779657 WORKERS' COMPENSATION TRUST OBLIGATION 168786 168786 X 12905180 904078 152709 1056787 11848393 26358 151244 177602 12025995 12470869 152709 152709 12318160 26358 151244 177602 12495762 PART V, LINE 4: HOSPICE MAINTAINS VARIOUS DONOR-RESTRICTED ENDOWMENT FUNDS AND BOARD DESIGNATED QUASI-ENDOWMENT FUNDS WHOSE PURPOSE IS TO PROVIDE LONG TERM SUPPORT FOR HOSPICE PROGRAMS. PART X, LINE 2: HOSPICE RECOGNIZES THE EFFECTS OF INCOME TAX POSITIONS ONLY IF THEY ARE MORE LIKELY THAN NOT TO BE SUSTAINED. MANAGEMENT HAS DETERMINED THAT HOSPICE HAS NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION AND/OR DISCLOSURE. HOSPICE IS NO LONGER SUBJECT TO EXAMINATIONS BY APPLICABLE TAXING JURISDICTIONS FOR PERIODS PRIOR TO DECEMBER 31, 2010. PART XI, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSES REPORTED ON PART VIII, LINES 8B & 9B 152,709. PART XI, LINE 4B - OTHER ADJUSTMENTS: SETTLEMENT INCOME NETTED AGAINST EXPENSES 151,244. PART XII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENT EXPENSES REPORTED ON PART VIII, LINES 8B & 9B 152,709. PART XII, LINE 4B - OTHER ADJUSTMENTS: SETTLEMENT INCOME NETTED AGAINST EXPENSES 151,244. GALA 224008 176630 47378 46176 5471 36242 GOLF OUTING 74134 62659 11475 16200 8917 5 43651 43651 15645 341793 282940 58853 62376 5471 60804 128651 -69798 52544 22500 1557 0 52544 22500 1557 24057 28487 NY 1 0 1 0 1.00000 JEANNE MALTES 800 STONY BROOK COURT NEWBURGH NY 12550 0 0 X X X X 0 0 0 0 0 0 0 0 0 DANIEL GRADY PRESIDENT & CEO 164738 0 0 0 0 0 3516 0 17515 0 185769 0 0 0 X AUCTION ITEMS 109 32757 FAIR MARKET VALUE 0 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 HOSPICE OF ORANGE AND SULLIVAN COUNTIES, INC. HAS ITS FORM 990 PREPARED BY AN OUTSIDE ACCOUNTING FIRM AND HAS ESTABLISHED THE FOLLOWING REVIEW PROCESS TO ENSURE THAT THE INFORMATION REPORTED IS COMPLETE AND ACCURATE. WHEN THE FORM 990 HAS BEEN PREPARED, REVIEWED BY THE OUTSIDE ACCOUNTANTS AND IS READY TO BE FILED WITH THE INTERNAL REVENUE SERVICE, IT IS ELECTRONICALLY SENT TO THE VP OF FINANCE OF THE ORGANIZATION. ANY QUESTIONS OR CHANGES ARE PROVIDED TO THE OUTSIDE ACCOUNTANTS. A REVISED COPY OF THE FORM 990 IS THEN ELECTRONICALLY SENT TO THE TREASURER AND CHAIRMAN OF THE BOARD FOR REVIEW. AFTER THEIR REVIEW IS COMPLETE, A COPY IS PROVIDED TO THE BOARD MEMBERS, AND THE RETURN IS FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION'S CONFLICT OF INTEREST POLICY IS APPLICABLE TO ALL HOSPICE PERSONNEL, AS WELL AS MEMBERS OF THE GOVERNING BODY AND ADVISORY BOARDS. EACH MEMBER OF THE GOVERNING BODY IS REQUIRED TO SIGN AN ANNUAL DISCLOSURE STATEMENT WHICH STATES IF THEY BELIEVE THAT THEY HAVE ANY ACTUAL OR POTENTIAL CONFLICTS. IF A CONFLICT WERE TO ARISE DURING THE YEAR, THE INDIVIDUAL MUST MAKE THE PRESIDENT/CEO OF THE ORGANIZATION AWARE OF THE CONFLICT IN WRITING. THE PRESIDENT/CEO MAKES A DECISION ON HOW TO PROCEED WITH THE MATTER. THIS PROCESS WAS LAST UNDERTAKEN IN 2013. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION FOR THE ORGANIZATION'S CEO IS APPROVED BY THE BOARD AFTER AN INTERNAL REVIEW IS COMPLETED. THE ORGANIZATION USES THE FOLLOWING ITEMS TO HELP AID IN DETERMINING THE APPROPRIATE COMPENSATION: FORM 990S OF OTHER ORGANIZATION THAT ARE SIMILAR IN SIZE AND OPERATIONS, AND A COMPENSATION SURVEY OR STUDY. AFTER THE BOARD REVIEWS THIS INFORMATION, AN APPROPRIATE SALARY IS DETERMINED BY THE BOARD FOR THAT POSITION AND APPROVED. THE BOARD'S APPROVAL IS DOCUMENTED IN THE MINUTES TO THE MEETING. THIS PROCESS WAS LAST UNDERTAKEN IN 2012. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS FORM 990 AND FORM 1023 AVAILABLE FOR PUBLIC INSPECTION AS REQUIRED UNDER SECTION 6104 OF THE INTERNAL REVENUE CODE. THE RETURN IS POSTED ON GUIDESTAR.ORG AND OTHER SIMILAR TYPES OF WEBSITES. IN ADDITION, THE FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY, ARTICLES OF INCORPORATION AND BY-LAWS ARE ALSO AVAILABLE UPON WRITTEN REQUEST OR BY CALLING THE ORGANIZATION DIRECTLY. FORM 990, PART IX, LINE 11G CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 15,791. MANAGEMENT AND GENERAL EXPENSES 15,330. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 31,121. INPATIENT SERVICES: PROGRAM SERVICE EXPENSES 1,163,615. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,163,615. HOME HEALTH AIDES: PROGRAM SERVICE EXPENSES 61,889. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 61,889. MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 514,863. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 514,863. COMMUNITY OUTREACH: PROGRAM SERVICE EXPENSES 2,334. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,334. BEREAVEMENT EXPENSE: PROGRAM SERVICE EXPENSES 2,099. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,099. CONSULTING: PROGRAM SERVICE EXPENSES 4,200. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,200. CORPORATE PLANNING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 7,269. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,269. RECOGNITION EXPENSE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 21,613. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 21,613. EDUCATION SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 4,557. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,557. FORM 990, PART XII, LINE 2C: THE ORGANIZATION HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS DID NOT CHANGE FROM THE PRIOR YEAR.