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HIGH PEAKS HOSPICE & PALLIATIVE CARE IN

SARANAC LAKE, NY · EIN 141712904 · Form 990 · FY2024 · NTEE P74Z · Human Services · Medium ($1M-$10M) · highpeakshospice.org
revenue
$4.4M
expenses
$4.8M
net assets
$2.7M
employees
63
program ratio
74%
mission · from form 990

DIGNITY, COMFORT AND PEACE AT THE END OF LIFE HIGH PEAKS HOSPICE & PALLIATIVE CARE, INC PROVIDES END OF LIFE CARE THAT LISTENS WITH RESPECT, CARES WITH COMPASSION, SUPPORTS WITH CHOICE, AND COMFORTS WITH UNDERSTANDING WHEREVER YOU CALL HOME

profile · synthesized from sources

High Peaks Hospice & Palliative Care provides end-of-life care focused on dignity, comfort, and peace for individuals with terminal illnesses and their families. Services are delivered wherever the patient calls home, including private residences, assisted living facilities, and nursing homes. The organization emphasizes pain management, emotional and spiritual support, and patient autonomy in care decisions.

named programs · 5 · from sources

What they call their work

Bereavement Counseling
Counseling and support groups for families before and up to 13 months after the death of a loved one, available for adults and children
Hospice Care
In-home visits from nurses and LPNs, symptom management, medications, medical equipment, and 24/7 access to care for patients with terminal illness
Social Work Support
Emotional and practical support from social workers, including advance care planning, resource coordination, and counseling for patients and families
Spiritual Care Services
Support from a nondenominational chaplain and Hospice Care Specialists to explore meaning, peace, and connection through prayer, meditation, or personal reflection based on patient wishes
Volunteer Services
Trained volunteers provide respite care, companionship, and assistance with daily tasks to support patients and caregivers
activities · 6 groups

What they do

  • Hospice and Palliative Care Services 3 activities
    • Provision of in-home hospice care services
      Provides comprehensive end-of-life care in patients' homes, including nursing and LPN visits, symptom management, medications, medical equipment, and supplies related to terminal illness. Care is delivered regardless of patients' ability to pay or insurance status, with 24/7 on-call nursing support for urgent needs.
    • Short-term inpatient hospice care
      Offers short-term inpatient care for symptom management that cannot be controlled at home and for caregiver respite, ensuring patient comfort and family support during critical periods.
    • Spiritual care services
      Conducts initial spiritual assessments within five days of enrollment and provides ongoing spiritual care tailored to patients’ and families’ beliefs, including prayers, guided meditation, life review, spiritual directives, and after-death ritual planning.
  • Advance Care Planning Support 2 activities
    • End-of-life education and counseling
      Provides free informational sessions and end-of-life education to families considering hospice care, including discussions about the dying process, fears, and questions. Also assists with completion of advanced directives such as Health Care Proxy, MOLST, and DNR forms.
    • Support for healthcare professionals
      Provides guidance and support to healthcare professionals in conducting end-of-life discussions with patients, including participation in sensitive conversations and offering expert recommendations on care approaches.
  • Grief Support Groups and Counseling 1 activity
    • Bereavement and grief support services
      Provides free grief and loss support to families, caregivers, and loved ones for up to 13 months after a patient's death, regardless of whether the deceased received hospice care. Services include individual check-ins, support groups, memorial events, educational materials, and referrals to counseling or spiritual resources.
  • Caregiver Support for Dementia and Aging 1 activity
    • Caregiver training and education
      Offers scheduled caregiver training sessions providing practical instruction for family and community caregivers, delivered in-home or in group settings to support effective patient care.
  • Direct Mental Health Counseling and Support Services 1 activity
    • Psychosocial and practical support services
      Provides emotional and practical support to patients and families through social workers, including brief life reviews, crisis intervention, Cognitive Behavioral Therapy, assistance with financial and legal planning, and connection to community resources such as meals on wheels and housing support.
  • Volunteer-Driven Residential Care Support 1 activity
    • Volunteer and respite support programs
      Deploys trained volunteers to provide companionship, light housework, meal preparation, pet care, and engagement in hobbies or spiritual activities. Volunteer visits also offer respite care to support family caregivers’ well-being and prevent burnout.
financials · form 990 · fy2024
revenue
Total revenue$4.37M
Contributions & grants$287K7%
Program service revenue$4.06M93%
Investment income$-14K-0%
Other revenue$43K
expenses
Total expenses$4.81M
Program expenses74%
Admin / overhead24%
Fundraising1%
Salaries & benefits$3.41M
Grants paid out$0
Largest expense lineCompensation
balance sheet
Total assets$3.10M
Cash$792K
Investments$1.55M
Liabilities$393K
Net assets$2.71M
Liquid reserves5.8 mo
5 years on record · 2020–2024 · YoY revenue -9.9%
leadership · form 990 part vii · fy2024

Who runs it

board members · 11
  • AMY FOY — PRESIDENT
  • BEATRICE BEQUIN — DIRECTOR
  • CHRIS HYSON — DIRECTOR
  • ELIZABETH REINHARDT — DIRECTOR
  • GREG DENNIN — DIRECTOR
  • JACQUELYN DUNN — DIRECTOR
  • NANCY MURPHY — DIRECTOR
  • RAY AGNEW — TREASURER
  • RICK BERGERON — SECRETARY
  • SHARON SHANNON — VICE PRESIDENT
  • WENDY STEINHACKER — DIRECTOR
relationships · 9

Who they work with

  • Adirondack Death Care Community Partner — Collaborates with a local group supporting individuals and families in rediscovering meaningful relationships with grief, end-of-life, and after-death care in the Tri-Lakes region.
  • Center for Loss & Life Transition Partner — Recommended resource for grief and loss support, affiliated with Dr. Alan Wolfelt's grief framework.
  • High Peaks Hospice Network — Member organization providing hospice services in upstate NY counties.
  • Medicaid Government — Coverage source for hospice services through the Medicaid Hospice Benefit.
  • Medicare Government — Primary payer for hospice services through the Medicare Hospice Benefit.
  • New York State Government — Provides state-specific advance directive forms and collaborates on legal healthcare planning resources.
  • Patient’s Primary Care Provider Partner — Collaborates with the hospice team to develop an individualized Plan of Care for each patient.
  • patient’s personal physician Partner — Collaborates with the patient's personal physician in developing and implementing the plan of care.
  • primary care physicians Partner — Works in close consultation with patients' primary care physicians to determine and adjust course of care during hospice
strategies · 5

How they approach the work

Named approaches extracted from this org’s sources. Where others share an approach, follow it to see the full set of orgs running it.

  • Compassionate Grief Support Framework
    methodology: wolfelt-grief-framework
    By applying Dr. Alan Wolfelt’s grief framework, we facilitate healing through reflection, storytelling, and connection, because grief is best processed in a non-prescriptive, emotionally safe space that honors individual mourning processes.
  • Home-Based Care Model
    methodology: home-based_care
    By delivering hospice services in the patient’s home rather than in facilities, we support comfort, quality of life, and dignity during end-of-life, because being in a familiar, personal environment improves psychological and emotional well-being.
  • Inclusive and Personalized Spiritual Care
    methodology: inclusive-spiritual-care
    By tailoring spiritual support to individual sources of meaning—whether religious, natural, or relational—we foster peace and emotional resilience, because spiritual well-being is central to holistic end-of-life care and must be defined by the patient, not the provider.
  • Interdisciplinary Team-Based Care
    methodology: interdisciplinary_team_care
    By using a coordinated team of medical, emotional, and spiritual professionals who regularly assess and adapt care, we produce more holistic and responsive support, because integrated, dynamic assessment better addresses the evolving physical, emotional, and existential needs of patients and families during end-of-life.
  • Patient-Centered Autonomy in End-of-Life Care
    methodology: patient-centered care
    By prioritizing patient and family goals, values, and preferences over life-prolonging interventions, we improve quality of life and emotional well-being during terminal illness, because honoring autonomy fosters dignity, reduces distress, and aligns care with personal definitions of a good death.