2022-10-17T10:29:53-05:00 2021-12-31 160929175 DOPKINS & COMPANY LLP 200 INTERNATIONAL DR BUFFALO NY 142215794 990 2021-01-01 223141532 HOSPICE & PALLIATIVE CARE BUFFALO INC HOSP 7166861900 225 COMO PARK BLVD CHEEKTOWAGA NY 14227 ROSEANN MCANULTY COO 7166861900 2022-09-15 1 ROSEANN MCANULTY 999009999 MICHAEL ORLOWSKI P00956557 7166348800 2022-09-14 0 AAL1 IAL1 2021 2022-09-23 18:48:47Z CHRISTOPHER KERR 225 COMO PARK BLVD CHEEKTOWAGA NY 14227 13710188 0 X WWW.HOSPICEBUFFALO.ORG X 1997 NY SEE SCHEDULE O 18 17 82 35 0 0 1017337 184808 11763227 13488479 66609 0 13025 36901 12860198 13710188 0 2005534 0 0 9873191 9390121 0 0 0 4032697 4292837 13905888 15688492 -1045690 -1978304 15740512 16859718 8838171 11935681 6902341 4924037 X 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. 0 0 15688492 2005534 13525380 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. 15688492 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 0 0 1 9 0 1 82 1 0 0 0 0 0 0 0 0 0 0 0 0 X 18 17 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X X THE ORGANIZATION 7166861900 225 COMO PARK BLVD CHEEKTOWAGA NY 14227 BRENDAN HARRINGTON TRUSTEE 1.00 3.00 X 0 0 0 CHERYL A KLASS RN TRUSTEE 1.00 3.00 X 0 0 0 CHRISTOPHER KERR MD CHIEF EXECUTIVE OFFICER 30.38 7.12 X X 427278 100226 37427 DANIEL T RIORDAN TRUSTEE 1.00 4.00 X 0 0 0 G RICHARD BRAEN MD TRUSTEE 1.00 3.00 X 0 0 0 HURON O HILL II DDS TRUSTEE 1.00 3.00 X 0 0 0 JOCK MITCHELL EMERITUS TRUSTEE (NON- VOTING) 1.00 3.00 X 0 0 0 JOHN D REINHOLD TRUSTEE 1.00 3.00 X 0 0 0 JOHN L D'ANGLEO TRUSTEE 1.00 3.00 X 0 0 0 JOYCE A MARKIEWICZ TRUSTEE 1.00 3.00 X 0 0 0 MICHAEL J EDBAUER MD TRUSTEE 1.00 3.00 X 0 0 0 MICHAEL W LAIPPLE EMERITUS TRUSTEE (NON- VOTING) 1.00 3.00 X 0 0 0 NANCY H NIELSEN MD PHD TRUSTEE 1.00 3.00 X 0 0 0 NORA K MCGUIRE TRUSTEE/CHAIR 1.00 4.00 X X 0 0 0 PAUL S DUGGAN CFP TRUSTEE 1.00 4.00 X 0 0 0 R BUFORD SEARS EMERITUS TRUSTEE (NON- VOTING) 1.00 3.00 X 0 0 0 ROBERT J SCHRECK ESQ TRUSTEE 1.00 3.00 X 0 0 0 RYAN M ZEBRO TRUSTEE/SECRETARY & FOUNDATION CHAIR 1.00 4.00 X X 0 0 0 THOMAS J FOELS MD MMM TRUSTEE 1.00 3.00 X 0 0 0 VICKI FEINE TRUSTEE 1.00 3.00 X 0 0 0 VINCE J MANCUSO TRUSTEE/VICE CHAIR 1.00 4.00 X X 0 0 0 CARY SISTI CHIEF CLINICAL OPERATIONS OFFICER 0.00 37.50 X 21254 191290 32072 ROSEANN MCANULTY CHIEF OPERATING OFFICER 36.50 1.00 X 241507 0 23627 ABIGAIL UNGER VP OF PSYCHOSOCIAL SERVICES 1.50 36.00 X 6167 148009 17230 JENNIFER VALENTINE DIRECTOR OF OPERATIONS 37.50 X 150637 0 27048 ELIZABETH SIDERAKIS VICE PRESIDENT HOSPICE FOUNDATION 11.25 26.25 X 51464 120082 15243 KRISTIE WHITE COMPTROLLER 37.50 X 148718 0 17470 LYNN RIKER DIRECTOR - OUTREACH 36.38 1.12 X 99112 3065 8998 SAMANTHA PUDLEWSKI VP OF ADMISSIONS 3.75 33.75 X 129784 14421 23266 1275921 577093 202381 5 0 1 1 0 184808 184808 ADMINISTRATIVE SERVICE 561000 7862100 7862100 CONTRACTUAL ADMINISTRATIVE REVENU 561700 4489389 4489389 FACILITY SERVICES 561700 1136990 1136990 13488479 36901 36901 36901 13710188 13525380 0 0 X 2005534 2005534 931730 931730 6306016 6306016 259713 259713 1577297 1577297 315365 315365 26988 26988 59162 59162 479147 479147 431977 431977 334387 334387 950512 950512 326734 326734 101055 101055 21041 21041 907162 907162 204848 204848 449824 449824 15688492 15688492 0 0 924101 384568 387917 457289 314723 25897243 17357575 9167216 8539668 4803989 7620759 15740512 16859718 1632166 1026696 7206005 10908985 8838171 11935681 X 6902341 4924037 6902341 4924037 15740512 16859718 -1978304 0 X 0 1 X 1 0 X 284851 241531 332958 1017337 184808 2061485 11608022 12678186 11726474 11763227 13488479 61264388 4415 8396 14742 13025 36901 77479 11897288 12928113 12074174 12793589 13710188 63403352 0 0 0 63403352 11897288 12928113 12074174 12793589 13710188 63403352 1.00000 1.00000 0.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 994324 994324 18431358 12092844 6338514 6420002 5264731 1155271 51559 51559 8539668 RELATED PARTY RECEIVABLE 7389342 MISCELLANEOUS RECEIVABLES 231417 7620759 DUE TO RELATED PARTIES 10327386 MORTGAGES AND NOTES PAYABLE TO RELATED PARTIES 581599 10908985 X PART X, LINE 2: 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. 0 SUPPORTIVE MEDICAL PARTNERS PLLC 225 COMO PARK BLVD CHEEKTOWAGA NY 14227 200847340 2005534 0 PROGRAM EXPENSES PART I, LINE 2: GRANTS ARE ONLY MADE TO RELATED ORGANIZATIONS WHO SHARE THE SAME CEO AND CFO, AND ARE SUBJECT TO BOARD APPROVAL. X X X 0 0 0 0 0 0 0 0 0 CHRISTOPHER KERR MD CHIEF EXECUTIVE OFFICER 346981 81391 71942 16875 8355 1960 21141 4959 9175 2152 457594 107337 0 0 ROSEANN MCANULTY CHIEF OPERATING OFFICER 228547 0 7636 0 5324 0 18474 0 5153 0 265134 0 0 0 CARY SISTI CHIEF CLINICAL OPERATIONS OFFICER 20089 180803 742 6675 423 3812 0 18708 0 13364 21254 223362 0 0 ELIZABETH SIDERAKIS VICE PRESIDENT HOSPICE FOUNDATION 50455 117728 794 1853 215 501 4541 10596 32 74 56037 130752 0 0 JENNIFER VALENTINE DIRECTOR OF OPERATIONS 148237 0 2276 0 124 0 13785 0 13263 0 177685 0 0 0 ABIGAIL UNGER VP OF PSYCHOSOCIAL SERVICES 5943 142636 99 2367 125 3006 551 13220 138 3321 6856 164550 0 0 SAMANTHA PUDLEWSKI VP OF ADMISSIONS 127501 14167 2025 225 258 29 12453 1384 8486 943 150723 16748 0 0 KRISTIE WHITE COMPTROLLER 134558 0 12469 0 1691 0 12332 0 5138 0 166188 0 0 0 FORM 990, PART VII, SECTION A, LINE 5 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 SUPPORTIVE MEDICAL PARTNERS PLLC OWNERS OF THE PLLC 4489389 ORGANIZATION PROVIDES PRACTICE MANAGEMENT AND BILLING SERVICES TO THE PLLC UNDER A WRITTEN MANAGEMENT AGREEMENT. 0 SUPPORTIVE MEDICAL PARTNERS PLLC OWNERS OF THE PLLC 2005534 FORGIVENESS OF INTERCOMPANY PAYABLE 0 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. 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 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 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 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 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 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 1 0 1 1 0 1 0 0 0 0 0 0 1 1 1 1 1 1 1 1 HOSPICE FOUNDATION OF WNY C 184808 CASH TRANSFER HOSPICE FOUNDATION OF WNY E 581599 END OF YEAR LOAN BALANCE HOSPICE BUFFALO Q 7086110 FAIR VALUE OF SERVICES HOSPICE FOUNDATION OF WNY Q 678500 FAIR VALUE OF SERVICES PALLIATIVE CARE INSTITUTE Q 97490 FAIR VALUE OF SERVICES HOSPICE BUFFALO L 1081894 FAIR VALUE OF SERVICES SUPPORTIVE MEDICAL PARTNERS PLLC Q 4489389 FAIR VALUE OF SERVICES SUPPORTIVE MEDICAL PARTNERS PLLC C 2005534 CASH TRANSFER