2017-11-14T09:06:47-07:00 2016-12-31 990 2016-01-01 112925757 Hospice Care Network HOSP 5168327100 99 Sunnyside Blvd Woodbury NY 11797 Susan Mauro CFO & SVP of Finance 5162246411 2017-11-14 108.179.28.202 2016 2018-03-14 21:41:22Z Maureen Hinkelman 99 Sunnyside blvd Woodbury NY 11797 52046096 0 X www.hospicecarenetwork.org X 1988 NY Our mission is to enable persons to live with peace and dignity in a caring environment during the final stages of life by offering care and comfort to both to them and to those whom they share their lives. 17 17 377 196 0 0 1544201 1657349 51227518 49621190 823922 626269 -28356 -26248 53567285 51878560 0 0 0 0 23508712 24382923 0 0 274486 24960219 21838156 48468931 46221079 5098354 5657481 41908948 48934594 5007833 6102090 36901115 42832504 Our mission is to enable persons to live with peace and dignity in a caring environment during the final stages of life by offering care and comfort to both to them and to those whom they share their lives. 0 0 42217145 0 49621190 Hospice Care Network provided a wide range of medical and psychosocial services to terminally ill patients and their families. Services include nursing, social work, pastoral care, home health aide, volunteer, bereavement, medical equipment and pharmacy services. 0 0 0 42217145 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 0 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 41 0 1 377 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 17 17 0 0 0 0 0 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X X Susan Mauro 5612246411 99 Sunnyside Blvd Woodbury NY 11797 Maria Carney Board 2 0 X 0 0 0 Patricia Mulholland Board 2 0 X 0 0 0 Deborah Tascone Kennedy Board 2 0 X 0 0 0 Dorothy Greene Board 2 0 X 0 0 0 Gedale Horowitz Board 2 0 X 0 0 0 John Peterkin Board 2 0 X 0 0 0 Jeffrey Gabel Board 2 0 X 0 0 0 Joan Heaney Board 2 0 X 0 0 0 Mary Jane Belt Board 2 0 X 0 0 0 Michael Nolan Board 2 0 X 0 0 0 Norma Henriksen Board 2 0 X 0 0 0 Patrick Edwards Chairperson 2 0 X 0 0 0 Richard Ranieri Board 2 0 X 0 0 0 Richard Tretler Treasurer 2 0 X 0 0 0 Rita Marcus Board 2 0 X 0 0 0 Romayne Kovach Berk Board 2 0 X 0 0 0 Marvin Appel Board 2 0 X 0 0 0 Maureen Hinkelman President & CEO 35 0 X 423122 0 57562 Nan Toelstedt Executive Vice President 35 0 X 222235 0 16039 Susan Mauro CFO & Senior VP of Finance 35 0 X 182956 0 36502 Lori Ann Attivissimo Senior Medical Director 35 0 X 322683 0 29954 Dimitris Platis Medical Director 35 0 X 190881 0 14733 Eirene Milano Medical Director 35 0 X 182551 0 6069 Immaculada Espiritu Medical Director 35 0 X 182524 0 40552 Darrin London Director of the Hospice Inn 35 0 X 171304 0 12596 Elise Ross Vice President of HR 35 0 X 170044 0 35628 2048300 0 249635 26 0 1 0 Edward Halbridge 155 Pebble lane Hewlet NY 11577 Physician Services 141080 Lawrence Shulman 14 Chiswell Dr Melville NY 11747 Physician Services 117750 Avanti Scripts 75 Nassau Terminal road New Hyde Park NY 11040 Medication services 107443 3 17578 0 612077 6250 0 1021444 0 1657349 Program service revenue 900099 49621190 49621190 0 0 0 0 0 0 49621190 626269 0 0 626269 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 141288 612077 167536 -26248 0 -26248 0 51878560 49621190 0 600021 X 0 0 0 0 0 0 1150995 989856 161139 0 0 0 0 0 18276095 15717442 2375892 182761 624854 537374 81231 6249 2908610 2501405 378119 29086 1422369 1223237 184908 14224 0 0 0 0 1239 1066 161 12 66676 57341 8668 667 0 0 0 0 0 0 0 0 0 0 414584 356542 53896 4146 14770 12702 1920 148 589318 506814 76611 5893 321790 276739 41833 3218 0 0 0 0 2021563 1738544 262803 20216 303728 261206 39485 3037 0 0 0 0 0 0 0 0 0 0 0 0 0 310906 267379 40418 3109 65667 65667 Other Expenses - Inpatient Expenses 3883776 3883776 0 0 Other Expenses - Miscellaneous 397027 372943 22364 1720 Other Expenses - Contract Labor 4511183 4511183 0 0 Other Expenses - Nursing Home Pass Through 1696591 1696591 0 0 7239338 7239338 0 0 46221079 42217145 3729448 274486 X 10520860 13618615 963729 113299 323874 242905 6706385 7602098 0 0 542301 236827 1873773 990050 901220 883723 20236385 25829594 1714194 407533 41908948 48934594 4070822 4440355 751566 833861 185445 827874 5007833 6102090 X 34994136 40862627 1528750 1591648 378229 378229 36901115 42832504 41908948 48934594 5657481 273908 0 0 0 0 X 0 1 X 1 0 X 1893126 1558760 1633508 1544201 1661051 8290646 47511130 49160999 49322148 51227518 49621190 246842985 49404256 50719759 50955656 52771719 51282241 255133631 108670 67073 43830 69346 34925 323844 108670 67073 43830 69346 34925 323844 254809787 662058 391212 597354 823922 547494 3022040 662058 391212 597354 823922 547494 3022040 50066314 51110971 51553010 53595641 51829735 258155671 0.98704 0.98838 0.01171 0.01020 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1906979 1089889 0 0 1026991 0 1969877 1916208 1064960 0 0 1074189 0 1906979 2149918 1119366 0 0 1353076 0 1916208 2259457 958714 0 0 1068253 0 2149918 2249036 1029850 0 0 1019429 0 2259457 0.056 0.192 0.752 0 0 0 21000 21000 0 189000 132516 56484 0 444105 173096 271009 0 1185967 656510 529457 0 33701 27928 5773 883723 Insurance Claims liability 185445 Due to affiliated 642429 827874 X 51864569 273907 0 0 -225000 48907 51815662 0 62898 62898 51878560 45996079 0 0 0 0 0 45996079 0 225000 225000 46221079 Schedule D, Part V, Line 4 Special Purpose Fund - Caregivers - for support to the patient's caregivers. Special Purpose Fund - Complementary Therapy - Massage therapy through services for patients. Special Purpose Fund - Capital Campaign - Collective funds support including facility projects and enhancements. Special Purpose Fund - Palliative Care - Support expenses related to the patients in palliative care services. Special Purpose Fund - Bereavement - Support expenses to the bereavement services of the families of hospice patients and the people of the communities. Schedule D, Part X, Line 2 The Hospice Care Network has adopted requirements for income taxes codified in Accounting Standards Codifications (ASC) 740, Income Taxes. As of 12/31/16, Hospice Care Network does not believe it has any uncertain tax positions that would require recognition or disclosure. Schedule D, Part XI, Line 2d Provision for bad debt $225,000 Schedule D, Part XI, Line 4b This is a reconciliation difference between the audited financials and the revenue as per the return. This is equal to the change in the 2016 temporarily restricted contributions and the net assets released from restrictions of $62,898.00 Schedule D, Part XII, Line 4b This is equal to the provision for bad debt expense of $225,000 Gala 234370 174285 60085 0 0 42680 0 0 30893 Tully Golf Outing 323325 273677 49648 3625 0 38306 0 0 13160 5 195670 164115 31555 0 0 21708 0 0 17163 753365 612077 141288 3625 0 102694 0 0 61216 167535 -26247 X 0 1 0 0 0 0 0 0 0 Maureen Hinkelman President & CEO 400622 0 0 0 22500 0 41850 0 15712 0 480684 0 0 0 Lori Ann Attivissimo Senior Medical Director 298683 0 0 0 24000 0 20950 0 9004 0 352637 0 0 0 Nan Toelstedt Executive Vice President 198235 0 0 0 24000 0 15439 0 600 0 238274 0 0 0 Susan Mauro CFO & Senior VP of Finance 172606 0 0 0 10350 0 13096 0 23406 0 219458 0 0 0 Dimitris Platis Medical Director 185681 0 0 0 5200 0 5762 0 8970 0 205613 0 0 0 Immaculada Espiritu Medical Director 179024 0 0 0 3500 0 5743 0 34809 0 223076 0 0 0 Elise Ross Vice President of HR 167244 0 0 0 2800 0 12223 0 23406 0 205673 0 0 0 Eirene Milano Medical Director 164551 0 0 0 18000 0 5469 0 600 0 188620 0 0 0 Darrin London Director of the Hospice Inn 148304 0 0 0 23000 0 11996 0 600 0 183900 0 0 0 Schedule J, Part I, Line 4 Lori Attivisimo 457b employee contribution $15,600 & employer contribution $2,400. Maureen Hinkelman 457b employer contribution $18,000. Form 990, Part VI, Section A, Line 7a This organization is a member of Nortwell Health. Northwell Health is the sole corporate member of Hospice Care Network. It has the right to elect or appoint members of the organization's governing body and the right to approve or ratify certain corporate decisions. Form 990, Part VI, Section A, Line 7b This organization is a member of Northwell Health. Northwell Health is the sole corporate member of Hospice Care Network. It has the right to elect or appoint members of the organization's governing body and the right to approve or ratify certain corporate decisions. Form 990, Part VI, Section B, Line 11b The organization's executive committee which has governing authority is provided a copy of Form 990 before filling and is asked to comment or question accordingly. Form 990, Part VI, Section B, Line 12c A conflict of interest form is completed by all board trustees, reviewed by the executive committee with any potential conflicts of interest declared and discussed. Form 990, Part VI, Section B, Line 15 The compensation of the CEO is approved by the compensation committee who is empowered by the Board of Trustees. The approval is based on a review of comparable 990's. Other officer and key employee compensation is approved by the CEO based on a review of salary surveys of like positions in a similar industry and/or review of 990's of similar organizations. Form 990, Part VI, Section C, Line 19 Upon written request, governing documents, audited financials are available to the public. Annual reports and completed and mailed to donors who contribute over $500 annually. Annual reports are also posted on the organization's website. Form 990, Part IX, Line 24e Patient related medication: $2,586,681.95 Other patient related expenses: $4,588,469.07 Form 990, Part X, Line 11 Cash and short term investments: $1,118,108 - $335,040 - $439,060 Fixed Income mutual funds: $29,136 Equity mutual funds: $143,201 Northwell Health Inc 972 Brush Hollow Rd Westbury NY 11590 113418133 Health System NY 501c3 11 Type 1 Northwell Health Inc 0 Northwell Health Foundation 125 Community Dr Great Neck NY 11021 112965575 Fundraising NY 501c3 7 Northwell 0 North Shore University Hospital 300 Community Dr Manhasset NY 11030 111562701 Heath Care NY 501c3 3 Northwell HC 0 Long Island Jewish Medical Center 270-05 76 Ave New Hyde Park NY 11040 112241326 Health Care NY 501c3 3 Northwell HC 0 Glen Cove Hospital 101 St Andrews Lane Glen Cove NY 11542 111633487 Health Care NY 501c3 3 Northwell HC 0 Plainview Hospital 88 Old Country Rd Plainview NY 11803 113241243 Health Care NY 501c3 3 Northwell HC 0 Southside Hospital 301 E Main Street Bay Shore NY 11706 111667761 Health Care NY 501c3 3 Northwell HC 0 Huntington Hospital Association 270 Park Ave Huntington NY 11743 111630914 Health Care NY 501c3 3 Northwell HC 0 Region Care Inc 972 Brush Hollow Rd Westbury NY 11590 113052191 Health Care NY NSHS Enterprises C 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0