2024-05-14T09:55:08-05:00 2023-06-30 160929175 DOPKINS & COMPANY LLP 200 INTERNATIONAL DR BUFFALO NY 142215794 990 2022-07-01 261101852 NIAGARA HOSPICE ALLIANCE INC NIAG 7164394417 4675 SUNSET DRIVE LOCKPORT NY 14094 CARLO FIGLIOMENI COO & CFO 7164394417 2024-05-13 1 CARLO FIGLIOMENI 999009999 1 MICHAEL ORLOWSKI P00956557 7166348800 2024-04-22 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z JOHN LOMEO 4675 SUNSET DRIVE LOCKPORT NY 14094 1669438 0 X WWW.NIAGARAHOSPICE.ORG X 2007 NY PROMOTE AND PROVIDE FINANCIAL AND OTHER SUPPORT SERVICES AND RELATED ASSISTANCE TO THE PROGRAMS OF THE HOSPICE AND PALLIATIVE CARE GROUP, INC. D/B/A THE HOMECARE PARTNERS, AND ITS AFFILIATED CORPORATIONS OR THEIR SUCCESSORS. FOR THIS PURPOSE, THE CORPORATION SHALL SEEK, RECEIVE, HOLD, MAINTAIN, INVEST, AND REINVEST MONEY AND OTHER REAL AND PERSONAL PROPERTY. THE ORGANIZATION WAS INACTIVE DURING THE YEAR AND HAS BEEN DISOLVED. 3 3 0 0 0 0 0 0 0 1661773 0 7665 0 0 0 1669438 0 0 0 0 0 1635632 0 0 142339 0 25990 0 1661622 0 7816 2085891 2346393 0 225551 2085891 2120842 X PROMOTE AND PROVIDE FINANCIAL AND OTHER SUPPORT SERVICES AND RELATED ASSISTANCE TO THE PROGRAMS OF THE HOSPICE AND PALLIATIVE CARE GROUP, INC. D/B/A, THE HOMECARE PARTNERS AND ITS AFFILIATED CORPORATIONS OR THEIR SUCCESSORS. FOR THIS PURPOSE, THE CORPORATION SHALL SEEK, RECEIVE, HOLD, MAINTAIN, INVEST, AND REINVEST MONEY AND OTHER REAL AND PERSONAL PROPERTY. 0 0 1508336 1661773 CONTRACTED SERVICES ARRANGEMENT WITH NIAGARA HOSPICE, INC. 1508336 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 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 X 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 3 3 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 TREASURER 0.50 0.00 X X 0 0 0 JAMES BAKER DIRECTOR 0.50 0.00 X 0 0 0 STEVE SINCLAIR CHAIRMAN 0.50 0.00 X X 0 0 0 JOHN LOMEO VIA HPCG PRESIDENT/CEO 2.00 X 0 0 0 CARLO FIGLIOMENI VIA HPCG COO/CFO 2.00 X 0 0 0 JAY NEWMAN ASSISTANT MEDICAL DIRECTOR 1.00 37.00 X 0 314269 14530 RICHARD CASTALDO MEDICAL DIRECTOR 1.00 37.00 X 0 244583 28420 DANIELLE M BURNGASSER DIRECTOR-HOSPICE HOMECARE 1.00 37.00 X 0 161961 24383 JANE JAMES DIRECTOR OF ADMISSIONS 1.00 37.00 X 0 158519 7449 SANDRA SAUVAGEAU NURSE PRACTITIONER 1.00 37.00 X 0 129861 12556 JANET LIGAMMARI DIRECTOR OF CLINICAL SERVI 1.00 37.00 X 0 110582 11651 0 1119775 98989 0 0 1 0 0 CONTRACTED SERVICE INC 623990 1661773 1661773 1661773 7665 7665 1669438 1661773 0 7665 392189 392189 912184 793650 118534 34614 32471 2143 177609 166382 297 10930 119036 108955 10081 5669 194 5475 15146 14495 651 5175 5175 1661622 1508336 10947 142339 486558 13389 788941 0 25324 1599333 1518739 2085891 2346393 0 223348 0 2203 0 225551 X 2085891 2120842 2085891 2120842 2085891 2346393 7816 27135 0 X X 0 1 X 1 0 X X 4 NIAGARA HOSPICE INC 222524016 10 1 0 0 PALLIATIVE HOME CARE OF NIAGARA INC DBA 161611701 10 1 0 0 THE HOSPICE AND PALLIATIVE CARE GROUP INC 562298553 10 1 0 0 KALOS HEALTH INC 461066844 10 1 0 0 4 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 X 1 0 PART IV, SECTION E, LINE 2A: NIAGARA HOSPICE ALLIANCE, INC. IS A NOT-FOR-PROFIT CORPORATION ORGANIZED TO PROMOTE AND PROVIDE FINANCIAL AND OTHER SUPPORT SERVICES AND RELATED ASSISTANCE TO THE PROGRAMS OF HOSPICE AND PALLIATIVE CARE GROUP, INC D/B/A THE HOMECARE PARTNERS AND ITS AFFILIATED CORPORATIONS WHICH INCLUDE NIAGARA HOSPICE, INC., PALLIATIVE HOME CARE OF NIAGARA, INC. D/B/A LIBERTY HOME CARE, AND KALOS HEALTH, INC. 0 DUE FROM AFFILIATES 122519 BENEFICIAL INTEREST IN ASSETS HELD IN TRUST 1396220 1518739 DUE TO AFFILIATES 2203 2203 1696573 27135 27135 1669438 0 1669438 1661622 0 1661622 0 1661622 PART XI, LINE 2D - OTHER ADJUSTMENTS: GAIN ON BENEFICIAL INTEREST IN ASSETS HELD IN TRUST 27,135. X X X X X X 0 0 0 0 0 0 0 0 0 JAY NEWMAN ASSISTANT MEDICAL DIRECTOR 0 314269 0 0 0 0 0 14109 0 421 0 328799 0 0 RICHARD CASTALDO MEDICAL DIRECTOR 0 244583 0 0 0 0 0 11408 0 17012 0 273003 0 0 DANIELLE M BURNGASSER DIRECTOR-HOSPICE HOMECARE 0 161961 0 0 0 0 0 7371 0 17012 0 186344 0 0 JANE JAMES DIRECTOR OF ADMISSIONS 0 158519 0 0 0 0 0 7132 0 317 0 165968 0 0 FORM 990, PART VII, SECTION A: THE HOSPICE AND PALLIATIVE CARE GROUP, INC. (THE GROUP) PERFORMS SOME MANAGEMENT, FUNDRAISING AND ADMINISTRATIVE SERVICES FOR NIAGARA HOSPICE ALLIANCE, INC. THE GROUP CHARGES NIAGARA HOSPICE ALLIANCE, INC. A MANAGEMENT FEE FOR THESE SERVICES WHICH INCLUDES THE PAYROLL RELATED EXPENSES OF THE CHIEF EXECUTIVE OFFICER AND CHIEF OPERATING AND FINANCIAL OFFICER. THESE INDIVIDUALS MEET THE DEFINITION OF OFFICERS OF NIAGARA HOSPICE ALLIANCE, INC. ACCORDING TO THE IRS 990 INSTRUCTIONS. HOWEVER, NIAGARA HOSPICE ALLIANCE, INC.'S AND THE GROUP'S RELATIONSHIP DOES NOT MEET THE DEFINITION OF RELATED PARTIES PER THE IRS 990 INSTRUCTIONS AND THEREFORE THEIR WAGE INFORMATION HAS NOT BEEN REPORTED ON PART VII, SECTION A NOR ON SCHEDULE J. FORM 990, PART VI, SECTION A, LINE 3 THE HOSPICE AND PALLIATIVE CARE GROUP, INC. (AN AFFILIATED 501(C)(3) ORGANIZATION - EIN 56-2298553) PERFORMS SOME MANAGEMENT, FUND-RAISING AND ADMINISTRATIVE SERVICES FOR NIAGARA HOSPICE ALLIANCE, INC. THE HOSPICE AND PALLIATIVE CARE GROUP, INC. CHARGES NIAGARA HOSPICE ALLIANCE, INC. A MANAGEMENT FEE FOR THESE SERVICES. 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 ALLIANCE, 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 ALLIANCE, 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 NIAGARA HOSPICE ALLIANCE, INC. AND AFFILIATED ORGANIZATIONS 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 EMPLOYEES OF NIAGARA HOSPICE ALLIANCE, INC. OR AFFILIATED ORGANIZATIONS 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 OFFICER OF NIAGARA HOSPICE, INC. 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 AVAILIABLE TO THE PUBLIC UPON REQUEST OVER THE PHONE, IN WRITING AND VIA E-MAIL. THE ORGANIZATIONS GOVERNING DOCUMENTS, CONFLICT OF INTERST POLICY, AND FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE PUBLIC. FORM 990; PART XII; LINE 2C THE PROCESS HAS NOT CHANGED FROM PRIOR YEAR. FORM 990, PART IV, LINE 34: NIAGARA HOSPICE ALLIANCE, INC. (EIN 26-1101852) AND NIAGARA HOSPICE, INC. (EIN 22-2524016) ARE RELATED ACCORDING TO THE IRS 990 INSTRUCTIONS. NIAGARA HOSPICE ALLIANCE, INC. RELATIONSHIP WITH THE HOSPICE AND PALLIATIVE CARE GROUP, INC. (EIN 56-2298553), 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. NIAGARA HOSPICE INC 4675 SUNSET DRIVE LOCKPORT NY 14904 222524016 PROVIDES CONTRACTED SERVICES. NY 501(C)(3) 509(A)(3) NIAGARA HOSPICE ALLIANCE INC 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 NIAGARA HOSPICE INC L 1661773 ACTUAL PR DOLLARS/TIME SPENT