HOSPICE & PALLIATIVE CARE BUFFALO INC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- HOSPICE & PALLIATIVE CARE BUFFALO INC (EIN 22-3141532)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-10-17
- IRS object ID
- 202242909349300809
- Schema version
- 2021v4.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-10-17T10:29:53-05:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 160929175 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DOPKINS & COMPANY LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 INTERNATIONAL DR | AddressLine1Txt |
| City | BUFFALO | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 142215794 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 223141532 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOSPICE & PALLIATIVE CARE BUFFALO INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HOSP | BusinessNameControlTxt |
| Phone | 7166861900 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 225 COMO PARK BLVD | AddressLine1Txt |
| City | CHEEKTOWAGA | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14227 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ROSEANN MCANULTY | PersonNm |
| Person Title | COO | PersonTitleTxt |
| Phone | 7166861900 | PhoneNum |
| Signature | 2022-09-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | ROSEANN | PersonFirstNm |
| Person Last | MCANULTY | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MICHAEL ORLOWSKI | PreparerPersonNm |
| PTIN | P00956557 | PTIN |
| Phone | 7166348800 | PhoneNum |
| Preparation | 2022-09-14 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 0 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | CHRISTOPHER KERR | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 225 COMO PARK BLVD | AddressLine1Txt |
| City | CHEEKTOWAGA | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14227 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $13,710,188 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.HOSPICEBUFFALO.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1997 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | SEE SCHEDULE O | ActivityOrMissionDesc |
| Voting Members Governing Body | 18 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 17 | VotingMembersIndependentCnt |
| Total Employee | 82 | TotalEmployeeCnt |
| Total Volunteers | 35 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,017,337 | PYContributionsGrantsAmt |
| CY Contributions Grants | $184,808 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $11,763,227 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $13,488,479 | CYProgramServiceRevenueAmt |
| PY Investment Income | $66,609 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $13,025 | PYOtherRevenueAmt |
| CY Other Revenue | $36,901 | CYOtherRevenueAmt |
| PY Total Revenue | $12,860,198 | PYTotalRevenueAmt |
| CY Total Revenue | $13,710,188 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $2,005,534 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $9,873,191 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $9,390,121 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $4,032,697 | PYOtherExpensesAmt |
| CY Other Expenses | $4,292,837 | CYOtherExpensesAmt |
| PY Total Expenses | $13,905,888 | PYTotalExpensesAmt |
| CY Total Expenses | $15,688,492 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$1,045,690 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$1,978,304 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $15,740,512 | TotalAssetsBOYAmt |
| Total Assets EOY | $16,859,718 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $8,838,171 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $11,935,681 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $6,902,341 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $4,924,037 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | WE ARE WESTERN NEW YORK'S COMMUNITY BASED HEALTHCARE ORGANIZATION DEDICATED TO THE CARE AND SUPPORT OF INDIVIDUALS WITH A SERIOUS OR END OF LIFE ILLNESS. WE REPRESENT A PASSIONATE AND DIVERSE TEAM OF PROFESSIONALS DEDICATED TO THE HOLISTIC CARE OF HUMAN BEINGS REGARDLESS OF SETTING. WE ARE A LEARNING ORGANIZATION WITH A GOAL OF EDUCATION, COLLABORATION, INNOVATION AND RESEARCH. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $15,688,492 | ExpenseAmt |
| Grant | $2,005,534 | GrantAmt |
| Revenue | $13,525,380 | RevenueAmt |
| Desc | OPERATED A WESTERN NEW YORK COMMUNITY BASED HEALTHCARE ORGANIZATION DEDICATED TO THE CARE AND SUPPORT OF INDIVIDUALS WITH A SERIOUS OR END OF LIFE ILLNESS. REPRESENTED A PASSIONATE AND DIVERSE TEAM OF PROFESSIONALS DEDICATED TO THE HOLISTIC CARE OF HUMAN BEINGS REGARDLESS OF SETTING AND WERE A LEARNING ORGANIZATION WITH GOALS OF EDUCATION, COLLABORATION, INNOVATION, AND RESEARCH. | Desc |
| Total Program Service Expenses | $15,688,492 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | Yes (1) | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 9 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 82 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 18 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 17 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE ORGANIZATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7166861900 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 225 COMO PARK BLVD | AddressLine1Txt |
| City | CHEEKTOWAGA | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14227 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| BRENDAN HARRINGTON | |||||||||
| TRUSTEE | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| CHERYL A KLASS RN | |||||||||
| TRUSTEE | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| CHRISTOPHER KERR MD | |||||||||
| CHIEF EXECUTIVE OFFICER | 30.38 | 7.12 | Yes (X) | $427,278 | $100,226 | $37,427 | Yes (X) | ||
| DANIEL T RIORDAN | |||||||||
| TRUSTEE | 1.00 | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| G RICHARD BRAEN MD | |||||||||
| TRUSTEE | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| HURON O HILL II DDS | |||||||||
| TRUSTEE | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| JOCK MITCHELL | |||||||||
| EMERITUS TRUSTEE (NON- VOTING) | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| JOHN D REINHOLD | |||||||||
| TRUSTEE | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| JOHN L D'ANGLEO | |||||||||
| TRUSTEE | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| JOYCE A MARKIEWICZ | |||||||||
| TRUSTEE | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| MICHAEL J EDBAUER MD | |||||||||
| TRUSTEE | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| MICHAEL W LAIPPLE | |||||||||
| EMERITUS TRUSTEE (NON- VOTING) | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| NANCY H NIELSEN MD PHD | |||||||||
| TRUSTEE | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| NORA K MCGUIRE | |||||||||
| TRUSTEE/CHAIR | 1.00 | 4.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| PAUL S DUGGAN CFP | |||||||||
| TRUSTEE | 1.00 | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| R BUFORD SEARS | |||||||||
| EMERITUS TRUSTEE (NON- VOTING) | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| ROBERT J SCHRECK ESQ | |||||||||
| TRUSTEE | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| RYAN M ZEBRO | |||||||||
| TRUSTEE/SECRETARY & FOUNDATION CHAIR | 1.00 | 4.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| THOMAS J FOELS MD MMM | |||||||||
| TRUSTEE | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| VICKI FEINE | |||||||||
| TRUSTEE | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| VINCE J MANCUSO | |||||||||
| TRUSTEE/VICE CHAIR | 1.00 | 4.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| CARY SISTI | |||||||||
| CHIEF CLINICAL OPERATIONS OFFICER | 0.00 | 37.50 | $21,254 | $191,290 | $32,072 | Yes (X) | |||
| ROSEANN MCANULTY | |||||||||
| CHIEF OPERATING OFFICER | 36.50 | 1.00 | $241,507 | $0 | $23,627 | Yes (X) | |||
| ABIGAIL UNGER | |||||||||
| VP OF PSYCHOSOCIAL SERVICES | 1.50 | 36.00 | $6,167 | $148,009 | $17,230 | Yes (X) | |||
| JENNIFER VALENTINE | |||||||||
| DIRECTOR OF OPERATIONS | 37.50 | $150,637 | $0 | $27,048 | Yes (X) | ||||
| ELIZABETH SIDERAKIS | |||||||||
| VICE PRESIDENT HOSPICE FOUNDATION | 11.25 | 26.25 | $51,464 | $120,082 | $15,243 | Yes (X) | |||
| KRISTIE WHITE | |||||||||
| COMPTROLLER | 37.50 | $148,718 | $0 | $17,470 | Yes (X) | ||||
| LYNN RIKER | |||||||||
| DIRECTOR - OUTREACH | 36.38 | 1.12 | $99,112 | $3,065 | $8,998 | Yes (X) | |||
| SAMANTHA PUDLEWSKI | |||||||||
| VP OF ADMISSIONS | 3.75 | 33.75 | $129,784 | $14,421 | $23,266 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,275,921 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $577,093 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $202,381 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 5 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | Yes (1) | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $184,808 | RelatedOrganizationsAmt |
| Total Contributions | $184,808 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| ADMINISTRATIVE SERVICE | 561000 | $7,862,100 | $7,862,100 |
| CONTRACTUAL ADMINISTRATIVE REVENU | 561700 | $4,489,389 | $4,489,389 |
| FACILITY SERVICES | 561700 | $1,136,990 | $1,136,990 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $13,488,479 | TotalProgramServiceRevenueAmt |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $36,901 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $36,901 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $36,901 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $13,710,188 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $13,525,380 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,005,534 | TotalAmt |
| Program Services | $2,005,534 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $931,730 | TotalAmt |
| Program Services | $931,730 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,306,016 | TotalAmt |
| Program Services | $6,306,016 | ProgramServicesAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $259,713 | TotalAmt |
| Program Services | $259,713 | ProgramServicesAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,577,297 | TotalAmt |
| Program Services | $1,577,297 | ProgramServicesAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $315,365 | TotalAmt |
| Program Services | $315,365 | ProgramServicesAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,988 | TotalAmt |
| Program Services | $26,988 | ProgramServicesAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $59,162 | TotalAmt |
| Program Services | $59,162 | ProgramServicesAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $479,147 | TotalAmt |
| Program Services | $479,147 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $431,977 | TotalAmt |
| Program Services | $431,977 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $334,387 | TotalAmt |
| Program Services | $334,387 | ProgramServicesAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $950,512 | TotalAmt |
| Program Services | $950,512 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $326,734 | TotalAmt |
| Program Services | $326,734 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $101,055 | TotalAmt |
| Program Services | $101,055 | ProgramServicesAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,041 | TotalAmt |
| Program Services | $21,041 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $907,162 | TotalAmt |
| Program Services | $907,162 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $204,848 | TotalAmt |
| Program Services | $204,848 | ProgramServicesAmt |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $449,824 | TotalAmt |
| Program Services | $449,824 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,688,492 | TotalAmt |
| Program Services | $15,688,492 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $924,101 | BOYAmt |
| EOY | $384,568 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $387,917 | BOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $457,289 | BOYAmt |
| EOY | $314,723 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $25,897,243 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $17,357,575 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,167,216 | BOYAmt |
| EOY | $8,539,668 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,803,989 | BOYAmt |
| EOY | $7,620,759 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,740,512 | BOYAmt |
| EOY | $16,859,718 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,632,166 | BOYAmt |
| EOY | $1,026,696 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,206,005 | BOYAmt |
| EOY | $10,908,985 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,838,171 | BOYAmt |
| EOY | $11,935,681 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,902,341 | BOYAmt |
| EOY | $4,924,037 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,902,341 | BOYAmt |
| EOY | $4,924,037 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,740,512 | BOYAmt |
| EOY | $16,859,718 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$1,978,304 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $284,851 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $241,531 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $332,958 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,017,337 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $184,808 | CurrentTaxYearAmt |
| Total | $2,061,485 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $11,608,022 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $12,678,186 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $11,726,474 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $11,763,227 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $13,488,479 | CurrentTaxYearAmt |
| Total | $61,264,388 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,415 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $8,396 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $14,742 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $13,025 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $36,901 | CurrentTaxYearAmt |
| Total | $77,479 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $11,897,288 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $12,928,113 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $12,074,174 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $12,793,589 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $13,710,188 | CurrentTaxYearAmt |
| Total | $63,403,352 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $63,403,352 | PublicSupportTotal509Amt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $11,897,288 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $12,928,113 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $12,074,174 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $12,793,589 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $13,710,188 | CurrentTaxYearAmt |
| Total | $63,403,352 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 1.00000 | PublicSupportCY509Pct |
| Public Support PY509 | 1.00000 | PublicSupportPY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $994,324 | OtherCostOrOtherBasisAmt |
| Book Value | $994,324 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $18,431,358 | OtherCostOrOtherBasisAmt |
| Depreciation | $12,092,844 | DepreciationAmt |
| Book Value | $6,338,514 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,420,002 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,264,731 | DepreciationAmt |
| Book Value | $1,155,271 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $51,559 | OtherCostOrOtherBasisAmt |
| Book Value | $51,559 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $8,539,668 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| RELATED PARTY RECEIVABLE | $7,389,342 |
| MISCELLANEOUS RECEIVABLES | $231,417 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $7,620,759 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO RELATED PARTIES | $10,327,386 |
| MORTGAGES AND NOTES PAYABLE TO RELATED PARTIES | $581,599 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $10,908,985 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION INC IS EXEMPT FROM TAXATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE ORGANIZATION TAKES MANY TAX POSITIONS RELATIVE TO TAX LAWS INCLUDING THOSE TAKEN IN DETERMINING THE CHARACTERIZATION OF INCOME AS TAXABLE (FOR EXAMPLE, UNRELATED BUSINESS INCOME) OR NONTAXABLE. THE ORGANIZATION IS NOT AWARE OF ANY UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2021. THE TAX RETURNS FOR THE YEARS ENDED DECEMBER 31, 2018 THROUGH 2021 REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE FOR U.S. FEDERAL TAX PURPOSES AND ALSO BY NEW YORK STATE FOR STATE TAX PURPOSES. | ExplanationTxt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | 0 | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SUPPORTIVE MEDICAL PARTNERS PLLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 225 COMO PARK BLVD | AddressLine1Txt |
| City | CHEEKTOWAGA | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14227 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 200847340 | RecipientEIN |
| Cash Grant | $2,005,534 | CashGrantAmt |
| Non Cash Assistance | $0 | NonCashAssistanceAmt |
| Purpose Of Grant | PROGRAM EXPENSES | PurposeOfGrantTxt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | GRANTS ARE ONLY MADE TO RELATED ORGANIZATIONS WHO SHARE THE SAME CEO AND CFO, AND ARE SUBJECT TO BOARD APPROVAL. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CHRISTOPHER KERR MD | ||||||||||||||
| CHIEF EXECUTIVE OFFICER | $346,981 | $81,391 | $71,942 | $16,875 | $8,355 | $1,960 | $21,141 | $4,959 | $9,175 | $2,152 | $457,594 | $107,337 | $0 | $0 |
| ROSEANN MCANULTY | ||||||||||||||
| CHIEF OPERATING OFFICER | $228,547 | $0 | $7,636 | $0 | $5,324 | $0 | $18,474 | $0 | $5,153 | $0 | $265,134 | $0 | $0 | $0 |
| CARY SISTI | ||||||||||||||
| CHIEF CLINICAL OPERATIONS OFFICER | $20,089 | $180,803 | $742 | $6,675 | $423 | $3,812 | $0 | $18,708 | $0 | $13,364 | $21,254 | $223,362 | $0 | $0 |
| ELIZABETH SIDERAKIS | ||||||||||||||
| VICE PRESIDENT HOSPICE FOUNDATION | $50,455 | $117,728 | $794 | $1,853 | $215 | $501 | $4,541 | $10,596 | $32 | $74 | $56,037 | $130,752 | $0 | $0 |
| JENNIFER VALENTINE | ||||||||||||||
| DIRECTOR OF OPERATIONS | $148,237 | $0 | $2,276 | $0 | $124 | $0 | $13,785 | $0 | $13,263 | $0 | $177,685 | $0 | $0 | $0 |
| ABIGAIL UNGER | ||||||||||||||
| VP OF PSYCHOSOCIAL SERVICES | $5,943 | $142,636 | $99 | $2,367 | $125 | $3,006 | $551 | $13,220 | $138 | $3,321 | $6,856 | $164,550 | $0 | $0 |
| SAMANTHA PUDLEWSKI | ||||||||||||||
| VP OF ADMISSIONS | $127,501 | $14,167 | $2,025 | $225 | $258 | $29 | $12,453 | $1,384 | $8,486 | $943 | $150,723 | $16,748 | $0 | $0 |
| KRISTIE WHITE | ||||||||||||||
| COMPTROLLER | $134,558 | $0 | $12,469 | $0 | $1,691 | $0 | $12,332 | $0 | $5,138 | $0 | $166,188 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | FORM 990, PART VII, SECTION A, LINE 5 | FormAndLineReferenceDesc |
| Explanation | REPORTABLE COMPENSATION FROM UNRELATED ORGANIZATION INCLUDED IN BASE COMPENSATION: CHRISTOPHER KERR (CHIEF MEDICAL DIRECTOR/CHIEF EXECUTIVE OFFICER) - $56,493 WAGES AND BENEFITS FROM SUPPORTIVE MEDICAL PARTNERS, PLLC CARY SISTI (CHIEF CLINICAL OPERATIONS OFFICER) - $24,462 WAGES AND BENEFITS FROM SUPPORTIVE MEDICAL PARTNERS, PLLC KRISTIE WHITE (COMPTROLLER) - $48,195 WAGES AND BENEFITS FROM SUPPORTIVE MEDICAL PARTNERS, PLLC SAMANTHA PUDLEWSKI (VP OF ADMISSIONS) - $150,724 WAGES AND BENEFITS FROM SUPPORTIVE MEDICAL PARTNERS, PLLC LYNN RIKER (DIRECTOR - OUTREACH) - $30,653 WAGES AND BENEFITS FROM SUPPORTIVE MEDICAL PARTNERS, PLLC ABIGAIL UNGER (VP OF PSYCHOSOCIAL SERVICES) - $6,856 WAGES AND BENEFITS FROM SUPPORTIVE MEDICAL PARTNERS, PLLC JENNIFER VALENTINE (DIRECTOR OF OPERATIONS) - $33,760 WAGES AND BENEFITS FROM SUPPORTIVE MEDICAL PARTNERS, PLLC | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| SUPPORTIVE MEDICAL PARTNERS PLLC | |||
| OWNERS OF THE PLLC | $4,489,389 | ORGANIZATION PROVIDES PRACTICE MANAGEMENT AND BILLING SERVICES TO THE PLLC UNDER A WRITTEN MANAGEMENT AGREEMENT. | 0 |
| SUPPORTIVE MEDICAL PARTNERS PLLC | |||
| OWNERS OF THE PLLC | $2,005,534 | FORGIVENESS OF INTERCOMPANY PAYABLE | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990; PART I; LINE 1 | WE ARE WESTERN NEW YORK'S COMMUNITY BASED HEALTHCARE ORGANIZATION DEDICATED TO THE CARE AND SUPPORT OF INDIVIDUALS WITH A SERIOUS OR END OF LIFE ILLNESS. WE REPRESENT A PASSIONATE AND DIVERSE TEAM OF PROFESSIONALS DEDICATED TO THE HOLISTIC CARE OF HUMAN BEINGS REGARDLESS OF SETTING. WE ARE A LEARNING ORGANIZATION WITH A GOAL OF EDUCATION, COLLABORATION, INNOVATION, AND RESEARCH. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE IRS FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTANT AND REVIEWED BY THE INTERNAL ACCOUNTING STAFF. THE COMPLETED FORM IS PRESENTED TO THE AUDIT COMMITTEE AND BOARD OF DIRECTORS. AFTER A REVIEW HAS TAKEN PLACE, SUCH IS RECOMMENDED FOR SUBMISSION TO THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION HAS A COMPREHENSIVE CORPORATE COMPLIANCE PLAN AND SET OF POLICIES. THE BOARD AND ALL EMPLOYEES ARE REQUIRED TO COMPLETE AN ANNUAL INSERVICE REGARDING CORPORATE COMPLIANCE. THE INSERVICE SPECIFICALLY REVIEWS THE POLICIES REGARDING CONFLICTS OF INTEREST, HOW TO DETERMINE IF A CONFLICT OF INTEREST HAS OCCURRED, AND ALL INSTANCES IN WHICH COMPLIANCE VIOLATIONS CAN BE REPORTED WITHIN THE ORGANIZATION. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE BOARD OF DIRECTORS, EXECUTIVE COMMITTEE HAVE THE RESPONSIBILITY AND OVERSIGHT OF ALL ELEMENTS OF EXECUTIVE COMPENSATION. AN ANNUAL REVIEW AND APPROVAL IS COMPLETED BY THE COMMITTEE. IN THE REVIEW PROCESS ANNUAL COMPENSATION AND KEY GOALS ARE REVIEWED. THE COMMITTEE ALSO COMPARES COMPENSATION OF KEY EMPLOYEES TO SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS. |
| FORM 990, PART VI, SECTION C, LINE 18 | AVAILABILITY OF THE ORGANIZATION'S IRS FORM 990 IS DISCLOSED ON THE WEBSITE AND REQUESTS ARE RECEIVED VIA THE WEBSITE, PHONE OR MAIL. THE ORGANIZATION'S IRS FORM 990 IS ALSO AVAILABLE ON THE WEBSITE, GUIDESTAR.ORG. |
| FORM 990, PART VI, SECTION C, LINE 19 | ALL GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. AVAILABILITY IS DISCLOSED ON THE WEBSITE AND REQUESTS ARE RECEIVED VIA THE WEBSITE, PHONE,OR MAIL. |
| FORM 990, PART IX, LINE 11G | CONSULTING AND OTHER FEES: PROGRAM SERVICE EXPENSES 267,286. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 267,286. SECURITY: PROGRAM SERVICE EXPENSES 211,861. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 211,861. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| THE PALLIATIVE CARE INSTITUTE INC | ||||||||||
| 225 COMO PARK BLVD | CHEEKTOWAGA | NY | 14227 | 161593163 | INTERCONNECT COMMUNITY AND UNIVERSITY EFFORTS ACROSS DISCIPLINES | NY | 501(C)(3) | LINE 10 | HOSPICE & PALLIATIVE CARE BUFFALO INC | Yes (1) |
| HOSPICE BUFFALO | ||||||||||
| 225 COMO PARK BLVD | CHEEKTOWAGA | NY | 14227 | 510202066 | PROVIDE EMOTIONAL, SPIRITUAL, SOCIAL AND MEDICARE CARE TO PATIENTS | NY | 501(C)(3) | LINE 10 | HOSPICE & PALLIATIVE CARE BUFFALO INC | Yes (1) |
| HOSPICE FOUNDATION OF WNY | ||||||||||
| 225 COMO PARK BLVD | CHEEKTOWAGA | NY | 14227 | 223137812 | ACCEPTS, ADMINISTERS & INVESTS ALL CHARITABLE FUNDS | NY | 501(C)(3) | LINE 7 | HOSPICE & PALLIATIVE CARE BUFFALO INC | Yes (1) |
| KRESGE RESIDENCE INC | ||||||||||
| 225 COMO PARK BLVD | CHEEKTOWAGA | NY | 14227 | 161467560 | PROVIDE SKILLED NURSING SERVICES | NY | 501(C)(3) | LINE 10 | HOSPICE & PALLIATIVE CARE BUFFALO INC | Yes (1) |
| LIFE TRANSITION CENTER INC | ||||||||||
| 225 COMO PARK BLVD | CHEEKTOWAGA | NY | 14227 | 222203558 | HELP PEOPLE COPE WITH DEATH RELATED ISSUES | NY | 501(C)(3) | LINE 10 | HOSPICE & PALLIATIVE CARE BUFFALO INC | Yes (1) |
| SAUNDERS PROPERTIES OF WNY INC | ||||||||||
| 225 COMO PARK BLVD | CHEEKTOWAGA | NY | 14227 | 205359753 | HOLD PROPERTIES FOR ITS PARENT COMPANY | NY | 501(C)(2) | LINE 10 | HOSPICE & PALLIATIVE CARE BUFFALO INC | Yes (1) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (8 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| HOSPICE FOUNDATION OF WNY | ||
| C | $184,808 | CASH TRANSFER |
| HOSPICE FOUNDATION OF WNY | ||
| E | $581,599 | END OF YEAR LOAN BALANCE |
| HOSPICE BUFFALO | ||
| Q | $7,086,110 | FAIR VALUE OF SERVICES |
| HOSPICE FOUNDATION OF WNY | ||
| Q | $678,500 | FAIR VALUE OF SERVICES |
| PALLIATIVE CARE INSTITUTE | ||
| Q | $97,490 | FAIR VALUE OF SERVICES |
| HOSPICE BUFFALO | ||
| L | $1,081,894 | FAIR VALUE OF SERVICES |
| SUPPORTIVE MEDICAL PARTNERS PLLC | ||
| Q | $4,489,389 | FAIR VALUE OF SERVICES |
| SUPPORTIVE MEDICAL PARTNERS PLLC | ||
| C | $2,005,534 | CASH TRANSFER |
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