2015-01-12T16:11:23-06:00 2014-05-31 161131146 BONADIO & CO LLP 115 SOLAR STREET SYRACUSE NY 13204 990 2013-06-01 161047041 THE CARING COALITION OF CENTRAL NEW YORK CARI 3156341100 990 7TH NORTH STREET LIVERPOOL NY 130883148 CYNTHIA L CHANDLER CEO 3156341100 2015-01-12 1 BETTINA LIPPHARDT P00956232 3152147575 2013 2016-02-25 16:41:14Z HOSPICE OF CENTRAL NEW YORK CYNTHIA L CHANDLER 990 7TH NORTH STREET LIVERPOOL NY 130883148 8694026 0 X WWW.HOSPICECNY.ORG X 1984 NY END-OF-LIFE CARE TO PATIENTS AND THEIR FAMILIES THROUGH UNIQUE INTERDISCIPLINARY SERVICES. 14 14 118 300 0 0 210555 280572 8992388 7523575 32236 48416 201942 224347 9437121 8076910 0 0 0 0 4854354 4875679 0 0 274135 4218939 3433428 9073293 8309107 363828 -232197 10235775 11173662 769182 647712 9466593 10525950 HOSPICE OF CENTRAL NEW YORK, AS OUR COMMUNITY'S EXPERT RESOURCE AT THE END-OF-LIFE, PROVIDES COMPREHENSIVE COMFORT CARE TO PATIENTS AND FAMILIES THROUGH UNIQUE INTERDISCIPLINARY SERVICES, BEREAVEMENT COUNSELING, EDUCATION AND COLLABORATION. 0 0 7026725 7746872 HOSPICE PROGRAM PROVIDES A SET OF SUPPORTING SERVICES TO TERMINALLY ILL PATIENTS AND THEIR FAMILIES PRINCIPALLY IN THE HOME SETTING. HOSPICE SERVICES ARE ALSO AVAILABLE TO PATIENTS IN NURSING HOMES, HOSPITALS, ASSISTED LIVING AND OTHER CARE FACILITIES. 1,097 PATIENTS SERVED RESULTING IN 45,039 PATIENT CARE DAYS. 19348 QUALIFIED COUNSELORS PROVIDE INDIVIDUAL COUNSELING AND BEREAVEMENT THERAPY FOR COMMUNITY MEMBERS WHO ARE LIVING WITH LOSS. 328 PEOPLE SERVED. SERVICES WERE PROVIDED THROUGH 545 INDIVIDUAL SESSIONS, 186 PHONE CALLS, AND 61 GROUP SESSIONS. 19079 1050 CAMP HEALING HEARTS IS A FOUR DAY BEREAVEMENT CAMP PROVIDING LEARNING, HEALTHY GRIEF AND HOPEFUL LIVING FOR 47 CHILDREN AND TEENS AGES 6-14, WHO HAVE EXPERIENCED THE LOSS OF SOMEONE CLOSE TO THEM. 7065152 1 1 0 0 0 0 0 0 0 1 1 0 0 1 0 1 0 1 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 1 1 1 0 0 1 58 0 1 118 1 0 0 0 0 0 0 0 0 0 0 X 14 14 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 NY X THOMAS MARONEY 3156341100 990 7TH NORTH ST LIVERPOOL NY 13088 MARYANN ROEFARO PRESIDENT 1.50 X X 0 0 0 RACHEL WINDOVER 1ST VICE PRESIDENT 1.00 X X 0 0 0 MICHAEL J LUTON 2ND VICE PRESIDENT 1.00 X X 0 0 0 MARY HUNTINGTON TREASURER 1.00 X X 0 0 0 ANNE MARIE MULLIN SECRETARY 1.00 X X 0 0 0 DON SCHOLL BOARD MEMBER 0.10 1.00 X 0 0 0 ROZ LETIECQ TREASURER (FORMER) 0.10 X 0 0 0 CARL I AUSTIN JR BOARD MEMBER 0.10 X 0 0 0 CHRISTOPHER DIDIO BOARD MEMBER 0.10 0.50 X 0 0 0 DAN GARDNER BOARD MEMBER 0.10 X 0 0 0 CAROL GAVAN BOARD MEMBER 0.10 X 0 0 0 CATHERINE GREEN BOARD MEMBER 0.10 X 0 0 0 STEFANIA MORBIDINI-GAFFNEY BOARD MEMBER 0.10 X 0 0 0 MARK A MUTHUMBI BOARD MEMBER 0.10 X 0 0 0 TIM REED BOARD MEMBER 0.10 X 0 0 0 JOSEPH NAVONE MD BOARD MEMBER (FORMER) 0.10 X 0 0 0 THOMAS MARONEY CFO 40.00 X 89093 0 14943 JUDITH SETLA MD MEDICAL DIRECTOR 30.00 X 129122 0 5226 CYNTHIA CHANDLER CEO 40.00 X 114909 0 12069 CARYN HUGHES DIRECTOR OF DEVELOPMENT 0.00 20.00 X 66130 0 1652 399254 0 33890 2 0 0 0 HOME AIDES OF CENTRAL NEW YORK 723 JAMES STREET SYRACUSE NY 13203 CONTRACTED HHA'S 735057 HOSPICE PHARMACIA BOX 510818 PHILADELPHIA PA 191750818 CONTRACTED MEDICATIONS 488129 FRANCISCAN HEALTH SUPPORT PO BOX 2237 SYRACUSE NY 132202237 CONTRACTED MEDICAL EQUIPM'T & SUPPLIES, 294421 VAN DUYN HOME & HOSPITAL 5075 W SENECA TURNPIKE SYRACUSE NY 13215 CONTRACTED RESIDENTIAL SERVICES 156733 4 265261 15311 280572 HOSPICE SVCS - MEDICAR 624100 6892148 6892148 HOSPICE SVCS - OTHER 624100 606938 606938 CAMP HEALING HEARTS 624100 1050 1050 23439 23439 7523575 44243 44243 621289 617116 4173 4173 4173 DEVELOPMENT REIMBURSEM 561000 222480 222480 1867 1867 224347 8076910 7747922 0 48416 X 433144 134348 231014 67782 3479636 2972339 375107 132190 113537 97396 11094 5047 560550 463459 67593 29498 288812 230927 43119 14766 1724 1724 20000 20000 4903 4903 1446502 1445405 928 169 80150 80150 109961 94101 13791 2069 49824 39606 2292 7926 137927 99757 31221 6949 146009 145813 196 14345 5076 9269 137089 100173 30355 6561 36290 30249 5112 929 PATIENT CARE ANCILLIARI 1187575 1187575 MEMBERSHIP DUES 26169 355 25814 VOLUNTEER EXPENSE 11065 9666 1399 23895 8907 14739 249 8309107 7065152 969820 274135 880398 604676 1935288 1593542 977907 1027487 77788 116098 4402110 2224734 2246581 2177376 1040228 1319450 3077585 4335033 10235775 11173662 769182 647712 769182 647712 X 9156204 10190708 76689 101542 233700 233700 9466593 10525950 10235775 11173662 X -232197 40395 1251159 X X 0 1 X 1 0 X 539088 503541 157915 210555 280572 1691671 8907362 8395836 9313577 8992388 7525442 43134605 9446450 8899377 9471492 9202943 7806014 44826276 0 0 0 44826276 1513 3801 8970 33105 44243 91632 1513 3801 8970 33105 44243 91632 157345 143260 150547 201942 222480 875574 9605308 9046438 9631009 9437990 8072737 45793482 0.97890 0.98060 0.00200 0.00110 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2485702 940271 338394 3764367 1884798 367598 233306 2485702 1911131 35391 -59434 2290 1884798 1707031 24417 188843 9160 1911131 1597582 21709 87740 1707031 0.91870 0.06210 0.01920 0 1 1 230000 230000 3215225 1348173 1867052 852201 803470 48731 104684 73091 31593 2177376 OTHER RECEIVABLES 4473 DUE FROM HOSPICE FOUNDATION OF CENTRAL NEW YORK, INC. 6032 INTEREST IN NET ASSETS OF HOSPICE FOUNDATION OF CENTRAL NEW YORK, INC. 4324528 4335033 X 9363561 40395 1251159 1291554 8072007 4903 4903 8076910 8304204 0 8304204 4903 4903 8309107 PART V, LINE 4: ENDOWMENT FUNDS ARE HELD BY HOSPICE FOUNDATION OF CENTRAL NEW YORK, INC. AND ARE TO BE USED TO PROVIDE FUTURE FUNDING FOR HOSPICE'S PROGRAMS. DUE TO THE RELATIONSHIP BETWEEN THE HOSPICE AND THE FOUNDATION, THE ENDOWMENT FUNDS OF THE FOUNDATION ARE INCLUDED IN THE NET ASSETS OF THE HOSPICE. PART X, LINE 2: THE ORGANIZATION IS A NOT-FOR-PROFIT CORPORATION, EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE CODE). THE ORGANIZATION ALSO HAS BEEN CLASSIFIED BY THE INTERNAL REVENUE SERVICE AS AN ENTITY THAT IS NOT A PRIVATE FOUNDATION UNDER SECTION 509(A) OF THE CODE. FOR TAX-EXEMPT ENTITIES, THEIR TAX-EXEMPT STATUS ITSELF IS DEEMED TO BE AN UNCERTAINTY, SINCE EVENTS COULD POTENTIALLY OCCUR TO JEOPARDIZE THEIR TAX-EXEMPT STATUS. AS OF MAY 31, 2014 AND 2013, THE ORGANIZATION DOES NOT HAVE A LIABILITY FOR UNRECOGNIZED TAX BENEFITS. THE ORGANIZATION FILES INCOME TAX RETURNS IN THE U.S. FEDERAL JURISDICTION AND NEW YORK STATE. THE ORGANIZATION IS GENERALLY NO LONGER SUBJECT TO U.S. FEDERAL AND STATE INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2011. PART XI, LINE 2D - OTHER ADJUSTMENTS: INTEREST IN NET ASSETS OF HOSPICE FDN OF CNY FOR YEAR END 5/31/14 1,251,159. FORM 990, PART VI, SECTION B, LINE 11 HOSPICE PROVIDES A DRAFT COPY OF THE IRS FORM 990 TO THE TREASURER OF THE BOARD FOR REVIEW PRIOR TO COMPLETION AND FILING WITH THE IRS. FORM 990 IS REVIEWED BY THE JOINT EXECUTIVE AND FINANCE COMMITTEES ON BEHALF OF THE FULL BOARD PRIOR TO SUBMISSION. A FINAL DRAFT IS THE PROVIDED TO THE BOARD OF DIRECTORS FOR APPROVAL. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY THE CEO AND CHIEF COMPLIANCE OFFICER ADMINISTER THE DISTRIBUTION, RETURN, REVIEW, INVESTIGATION AND FOLLOW UP DISCLOSURE OF THE "MEMBER ACKNOWLEDGEMENT OF BOARD POLICY ON CONFLICTS OF INTEREST" FORMS. FORM 990, PART VI, SECTION B, LINE 15A THE EXECUTIVE COMMITTEE ANNUALLY REVIEWS AND APPROVES PERFORMANCE GOALS AND OBJECTIVES WITH RESPECT TO COMPENSATION BASED ON THE CEO'S EVALUATION. AN INDEPENDENTLY PUBLISHED SALARY GUIDE IS ALSO USED TO ASSIST IN THE DETERMINATION OF COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 A HIGH LEVEL FINANCIAL PICTURE IS PROVIDED IN THE HOSPICE'S ANNUAL REPORT, WHICH IS AVAILABLE TO THE PUBLIC AND OUR WEBSITE. IRS FORMS 990 AND 1023 WILL BE PROVIDED TO ANY INDIVIDUAL UPON WRITTEN OR IN PERSON REQUEST WITHOUT CHARGE OTHER THAN A REASONABLE CHARGE FOR COPYING AND POSTAGE. FORM 990, PART IX, LINE 11G CONTRACTED NURSES: PROGRAM SERVICE EXPENSES 63,038. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 63,038. CONTRACTED NURSING HOME ROOM AND BOARD: PROGRAM SERVICE EXPENSES 376,487. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 376,487. CONTRACTED HOME HEALTH AIDES: PROGRAM SERVICE EXPENSES 767,524. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 767,524. CONTRACTED PHYSICIANS: PROGRAM SERVICE EXPENSES 65,882. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 65,882. CONTRACTED INPATIENT SERVICES: PROGRAM SERVICE EXPENSES 152,834. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 152,834. OTHER CONTRACTED PATIENT CARE AND ADMINISTRATIVE SERVICES: PROGRAM SERVICE EXPENSES 19,640. MANAGEMENT AND GENERAL EXPENSES 928. FUNDRAISING EXPENSES 169. TOTAL EXPENSES 20,737. FORM 990, PART XI, LINE 9: INTEREST IN NET ASSETS OF HOSPICE FDN OF CNY FOR YEAR ENDING 5/31/14 1,251,159. FORM 990 PART XII LINE 2C THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS IS RESPONSIBLE FOR THE OVERSIGHT OF THE AUDIT. THE COMMITTEE REVIEWS THE SCOPE OF THE AUDIT WITH THE INDEPENDENT AUDITORS AND HAS RESPONSIBILITY FOR RECOMMENDING FINAL APPROVAL OF THE AUDITED FINANCIAL STATEMENTS BY THE BOARD OF DIRECTORS. THE COMMITTEE ALSO APPOINTS THE INDEPENDENT AUDITORS. HOSPICE FOUNDATION OF CNY INC 990 7TH NORTH STREET LIVERPOOL NY 13088 161438980 RECEIVE GRANTS FOR HOSPICE NY 501(C)(3) LINE 11A, I THE CARING COALITION OF CNY 1 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 HOSPICE FOUNDATION OF CENTRAL NEW YORK INC C 226428 HOSPICE ANNUAL SUPPORT REQUEST HOSPICE FOUNDATION OF CENTRAL NEW YORK INC Q 222480 COSTS INCURRED HOSPICE FOUNDATION OF CENTRAL NEW YORK INC C 38833 EXPENSES FOR RESTRICTED GRANTS