2023-11-14T16:50:45-06:00 2022-12-31 410746749 CLIFTONLARSONALLEN LLP 150 S WARNER ROAD SUITE 310 KING OF PRUSSIA PA 19406 990 2022-01-01 651247278 GREENWOOD HOUSE HOSPICE SERVICES INC GREE 6098835391 53 WALTER STREET EWING NJ 08628 RICHARD S GOLDSTEIN TRUSTEE 6098835391 2023-11-10 1 RICHARD GOLDSTEIN 999009999 0 LAUREN N WEST P01970042 2156433900 2023-11-03 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z THE RENEE DENMARK PUNIA COMMUNITY HOSPICE OF GREENWOOD HOUSE RICHARD S GOLDSTEIN 53 WALTER STREET EWING NJ 08628 1994472 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 25 4 0 0 88657 4750 2009674 1989722 0 0 0 0 2098331 1994472 0 0 0 0 1021151 908181 0 0 0 988088 826379 2009239 1734560 89092 259912 686165 745562 844148 643633 -157983 101929 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 1542685 0 1989722 HOSPICE SERVICES TO GREENWOOD HOUSE, HOME FOR THE JEWISH AGED AND THOSE RESIDING IN THE SURROUNDING COMMUNITY. 1542685 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 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 9 0 25 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 ERIN MARSLAND JAMES GROUP CONSULTI 2156309068 53 WALTER STREET EWING NJ 08628 RICHARD S GOLDSTEIN SECRETARY/TREASURER 1.00 51.80 X 0 231379 13021 DEBORAH HUNTER TRUSTEE 25.00 15.00 X X 0 107339 2147 LILA ROSENTHAL PRESIDENT 1.00 0.30 X X 0 0 0 JEFFREY PERLMAN TRUSTEE 1.00 0.50 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 KELLIE MICHELLE FISHER RN SUPERVISOR/ADMINISTRATOR 40.00 0.00 X 117160 0 7696 117160 338718 22864 1 0 1 0 0 4750 4750 PATIENT SERVICE REVENUE 624100 1989722 1989722 1989722 1994472 1989722 0 0 755541 659361 96180 3401 3401 83168 72581 10587 66071 57660 8411 5653 5653 22874 22874 150096 150096 8487 8487 30184 30184 34064 34064 28271 25345 2926 2693 2693 80105 80105 ROOM AND BOARD 298130 298130 SUPPLIES 120842 120842 BAD DEBT 39541 39541 DUES AND SUBSCRIPTIONS 5024 5024 415 415 1734560 1542685 191875 0 479657 152435 181169 567293 19567 18765 44900 37831 5772 7069 686165 745562 272897 335356 571251 308277 844148 643633 X -162187 97725 4204 4204 -157983 101929 686165 745562 259912 0 X 0 0 0 X 3396 1410 322799 88657 4750 421012 2526720 2192066 2009619 2009674 1989722 10727801 2530116 2193476 2332418 2098331 1994472 11148813 0 475947 429889 361978 860333 548664 2676811 475947 429889 361978 860333 548664 2676811 8472002 493 598 1091 493 598 1091 52 52 2530661 2194074 2332418 2098331 1994472 11149956 0.75980 0.77280 0.00010 0.00020 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2018 AMOUNT: $ 52. 44900 37831 7069 7069 DUE TO RELATED PARTY 308277 308277 0 0 0 0 0 0 0 0 0 RICHARD S GOLDSTEIN SECRETARY/TREASURER 0 231379 0 0 0 0 0 4627 0 8394 0 244400 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 2022. 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, CONFLICT OF INTEREST, 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