NIAGARA HOSPICE INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
NIAGARA HOSPICE INC (EIN 22-2524016)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-05-13
IRS object ID
201411339349300026
Schema version
2012v2.1
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-05-13T07:55:17-05:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN160929175EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1DOPKINS & COMPANY LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1200 INTERNATIONAL DRAddressLine1
CityBUFFALOCity
StateNYState
ZIP Code142215794ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN222524016EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1NIAGARA HOSPICE INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlNIAGNameControl
Phone7164394417Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line14675 SUNSET DRIVEAddressLine1
CityLOCKPORTCity
StateNYState
ZIP Code14094ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameANDREA SAMMARCOName
TitleCHAIRTitle
Phone7164394417Phone
Date Signed2014-05-02DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameKAREN COSTAName
PTINP01448677PTIN
Phone7166348800Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJOHN LOMEONameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line14675 SUNSET DRIVEAddressLine1
CityLOCKPORTCity
StateNYState
ZIP Code14094ZIPCode
FieldValueIRS element (for citing)
Gross Receipts12789393GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.NIAGARAHOSPICE.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1982YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE SPECIALIZED SERVICES TO PERSONS WITH A LIFE LIMITING ILLNESS AND THEIR FAMILIES.ActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members15NbrIndependentVotingMembers
Total Nbr Employees207TotalNbrEmployees
Total Nbr Volunteers120TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year262042ContributionsGrantsPriorYear
Contributions Grants Current Year245617ContributionsGrantsCurrentYear
Program Service Revenue Prior Year11453340ProgramServiceRevenuePriorYear
Program Service Revenue CY12373254ProgramServiceRevenueCY
Investment Income Prior Year28569InvestmentIncomePriorYear
Investment Income Current Year29695InvestmentIncomeCurrentYear
Other Revenue Prior Year25538OtherRevenuePriorYear
Other Revenue Current Year38065OtherRevenueCurrentYear
Total Revenue Prior Year11769489TotalRevenuePriorYear
Total Revenue Current Year12686631TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year5755091SalariesEtcPriorYear
Salaries Etc Current Year6524925SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year89329TotalFundrsngExpCurrentYear
Other Expense Prior Year6412952OtherExpensePriorYear
Other Expenses Current Year6176925OtherExpensesCurrentYear
Total Expenses Prior Year12168043TotalExpensesPriorYear
Total Expenses Current Year12701850TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-398554RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-15219RevenuesLessExpensesCY
Total Assets BOY10553759TotalAssetsBOY
Total Assets EOY10540513TotalAssetsEOY
Total Liabilities BOY3268205TotalLiabilitiesBOY
Total Liabilities EOY3159118TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY7285554NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY7381395NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO PROVIDE SPECIALIZED SERVICES TO PERSONS WITH A LIFE LIMITING ILLNESS AND THEIR FAMILIES.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense7658295Expense
Revenue10021592Revenue
DescriptionPATIENT REVENUE FOR NIAGARA HOSPICE (NH)IS EARNED BASED ON PATIENTS SERVICES PROVIDED AND THEN REIMBURSED BY INSURANCES. THERE ARE A FEW TYPES OF PATIENT SERVICE FEES, WHICH ARE EXPLAINED BELOW. PATIENTS RECEIVE VARIOUS TYPES OF SERVICES, IN WHICH THE LARGEST REVENUE TYPES INCLUDE HOMECARE ROUTINE, NURSING HOME REIMBURSEMENT AND IN-PATIENT GENERAL. HOMECARE ROUTINE CONSISTS OF THE BASIC IN-HOME VISISTS TO THE PATIENTS OWN HOME AT LEAST ONCE A WEEK TO DO VARIOUS CARE-TAKING SERVICES (IE. BATHS, LAUNDRY, VISITING). THE NURSING HOME REIMBURSEMENT REVENUE IS FROM THE HOSPICE PATIENTS THAT ARE IN NURSING HOMES, IN WHICH THE NURSING HOMES BILL NIAGARA HOSPICE AND NH, IN TURN, BILLS THE INSURANCES FOR REIMBURSEMENT. INPATIENT GENERAL CONSISTS OF PATIENTS IN THE VARIOUS HOSPITALS, IN WHICH THE HOSPITALS BILL NH AND NH SEEKS REIMBURSEMENT FROM THE INSURANCES. THE CONTINUOUS CARE PROGRAM PROVIDES "EXTENDED CARE" VERSUS THE REGULAR HOME HEALTH AIDES. THIS EXTENDED CARE IS BILLED AT A HIGHER RATE DUE TO THE INCREASED AMOUNT OF TIME THE LPNS. THIS SERVICE REQUIRES AT LEAST 12 HOURS OF TIME WITH A REGISTERED NURSE.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense3381505Expense
Revenue2351657Revenue
DescriptionALTHOUGH HOSPICE CARE WILL ALWAYS BE PRIMARILY PROVIDED IN A PATIENT'S OR CAREGIVER'S HOME, THERE ARE SOME INDIVIDUALS WHO DO NOT HAVE A HOME ENVIRONMENT APPROPRIATE FOR HOSPICE CARE, OR LACK THE FAMILY OR FRIENDS NECESSARY TO PROVIDE 24/7 CARE IN A HOME ENVIRONMENT. ADDITIONALLY, SOME HOSPICE PATIENTS NEED AROUND-THE-CLOCK MEDICAL ATTENTION DURING MEDICATION ADJUSTMENTS OR FOR SYMPTOM MANAGEMENT. IN RESPONSE TO THESE NEEDS, NIAGARA HOSPICE HOUSE WAS BUILT.NIAGARA HOSPICE HOUSE IS NIAGARA COUNTY'S ONLY RESIDENTIAL HOSPICE HOUSE, PROVIDING SERVICES TO PATIENTS AND THEIR FAMILIES WHO ARE NOT ABLE TO RECEIVE HOME HOSPICE CARE. THE RESIDENTIAL WING CONSISTS OF EIGHT SUITES SPECIFICALLY DESIGNED FOR LONGER STAYS WHEN THE HOME CAREGIVING STRUCTURE IS COMPROMISED. THE IN-PATIENT WING HAS TEN SUITES DESIGNED FOR PATIENTS NEEDING SHORT-TERM MEDICAL MONITORING AND SYMPTOM MANAGEMENT.EACH SUITE IS DESIGNED WITH PATIENT AND FAMILY IN MIND WITH A SITTING AREA AND EASY-CHAIR SLEEPER. EACH FAMILY ALSO HAS ACCESS TO GATHERING ROOMS, FIREPLACES, A CHAPEL, KITCHEN AND THE HOSPICE MEMORIAL GARDENS.Description
FieldValueIRS element (for citing)
Total Program Service Expense11039800TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required0ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109630NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees207NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members15NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1CARLO FIGLIOMENIBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7164394417TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line14675 SUNSET DRIVEAddressLine1
CityLOCKPORTCity
StateNYState
ZIP Code14094ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (18 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
PATRICIA EVANS
DIRECTOR0.50X000
SHARON JEAN HEWNER PHD
DIRECTOR0.50X000
LINDA FLESSEL RN
DIRECTOR0.50X000
FRANK DEMART
DIRECTOR0.50X000
NICHOLAS GRANCHELLI
DIRECTOR0.50X000
PAUL BEATTY JR
DIRECTOR0.50X000
EUGENE NENNI
DIRECTOR0.50X000
MARY BRENNAN-TAYLOR
DIRECTOR0.50X000
JOHN J M REARDON
DIRECTOR0.50X000
REV LOU PEREZ
DIRECTOR0.50X000
JANICE P LITZ LCSW-R
DIRECTOR0.50X000
DAN MANDAVILLE
SECRETARY0.50000X
STEVEN M SINCLAIR
VICE PRESIDENT0.50000X
JAMES M SHAW DDS
TREASURER0.50000X
ANDREA SAMMARCO ESQ
CHAIR0.50000X
CARLO FIGLIOMENI
CHIEF OPERATING OFFICER16.00000X
JOHN LOMEO
CHIEF EXECUTIVE OFFICER20.70000X
SARINA BAX DEBIASO
ASSISTANT MEDICAL DIRECTOR40.0013330808355X
FieldValueIRS element (for citing)
Total Reportable Comp From Org133308TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation8355TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
THE HOSPICE AND PALLIATIVE CARE GROUP I
4675 SUNSET DRIVELOCKPORTNY14094MANAGMENT FEE926412
HOSPI-SCRIPT SERVICES
PO BOX 933273ATLANTAGA31193PHARMACY285562
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
Federated Campaigns14196FederatedCampaigns
Fundraising Events57089FundraisingEvents
All Other Contributions174332AllOtherContributions
Total Contributions245617TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
HOME CARE6239901002159710021597
HOSPICE HOUSE62399023516572351657
FieldValueIRS element (for citing)
Total Program Service Revenue12373254TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column29695TotalRevenueColumn
Exclusion$29,695ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real27000Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real27000Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column27000TotalRevenueColumn
Exclusion$27,000ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events114439GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events57089CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses102762FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column11677TotalRevenueColumn
Exclusion$11,677ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
MISC. REVENUE-RELATED-990561000-5-5
MISCELLANEOUS561000-607-$607
FieldValueIRS element (for citing)
Total Other Revenue-612TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column12686631TotalRevenueColumn
Related Or Exempt Function Income12373249RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$67,765ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total5077901Total
Program Services4821514ProgramServices
Management And General256387ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total159035Total
Program Services150218ProgramServices
Management And General8817ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total884555Total
Program Services842264ProgramServices
Management And General42291ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total403434Total
Program Services382596ProgramServices
Management And General20838ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total926412Total
Management And General926412ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total28860Total
Management And General28860ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total18459Total
Management And General18459ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total973339Total
Program Services965000ProgramServices
Management And General8339ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total143667Total
Program Services105470ProgramServices
Management And General27032ManagementAndGeneral
Fundraising11165Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total479125Total
Program Services383656ProgramServices
Management And General34758ManagementAndGeneral
Fundraising60711Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total60410Total
Program Services58992ProgramServices
Management And General1418ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total178321Total
Program Services166808ProgramServices
Management And General11513ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total272254Total
Program Services270847ProgramServices
Management And General1407ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total12472Total
Program Services-1ProgramServices
Management And General12473ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total415012Total
Program Services339998ProgramServices
Management And General59333ManagementAndGeneral
Fundraising15681Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total57418Total
Program Services55102ProgramServices
Management And General2316ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
NURSING HOME EXPENSE15287761528776
MEDICAL EQUIPMENT743104743104
REPAIRS AND MAINTENANCE148320148320
REPAIRS AND MAINTENANCE3786437864

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total153112Total
Program Services77136ProgramServices
Management And General74204ManagementAndGeneral
Fundraising1772Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total12701850Total
Program Services11039800ProgramServices
Management And General1572721ManagementAndGeneral
Fundraising89329Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1100BOY
EOY1100EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1471811BOY
EOY1117336EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY54247BOY
EOY22156EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1516946BOY
EOY1873646EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY1419BOY
EOY119EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY161293BOY
EOY174284EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis9529124LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec3524288LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY6200262BOY
EOY6004836EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY986590BOY
EOY1126166EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY15000BOY
EOY15000EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY145091BOY
EOY205870EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY10553759BOY
EOY10540513EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1107153BOY
EOY1175693EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY63826BOY
EOY83725EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY2020592BOY
EOY1833277EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY76634BOY
EOY66423EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY3268205BOY
EOY3159118EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY7240969BOY
EOY7336810EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY44585BOY
EOY44585EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7285554BOY
EOY7381395EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY10553759BOY
EOY10540513EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-15219ReconcilationRevenueExpenses
Reconciliation Unrealized Invest111060ReconciliationUnrealizedInvest
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement BothXFinancialStatementBoth
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1012875CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years524503CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years98544CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year257915CurrentTaxYearMinus1Year
Current Tax Year188528CurrentTaxYear
Total2082365Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11527767CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11784296CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11987944CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11453340CurrentTaxYearMinus1Year
Current Tax Year12373254CurrentTaxYear
Total59126601Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years12540642CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12308799CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12086488CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11711255CurrentTaxYearMinus1Year
Current Tax Year12561782CurrentTaxYear
Total61208966Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50961208966PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years68947CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years131523CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years58793CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year57369CurrentTaxYearMinus1Year
Current Tax Year56695CurrentTaxYear
Total373327Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years68947CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years131523CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years58793CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year57369CurrentTaxYearMinus1Year
Current Tax Year56695CurrentTaxYear
Total373327Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years2697CurrentTaxYearMinus2Years
Current Tax Year-612CurrentTaxYear
Total2085Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years12609589CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12440322CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12147978CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11768624CurrentTaxYearMinus1Year
Current Tax Year12617865CurrentTaxYear
Total61584378Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99390PublicSupportPercentage509
Prior Year Support Percentage0.99290PriorYearSupportPercentage
Investment Income Percentage0.00610InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00700PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance57023BeginningOfYearBalance
End Of Year Balance57023EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance21914BeginningOfYearBalance
Contributions34585Contributions
Investment Earnings Or Losses524InvestmentEarningsOrLosses
End Of Year Balance57023EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance17953BeginningOfYearBalance
Investment Earnings Or Losses3961InvestmentEarningsOrLosses
End Of Year Balance21914EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance16243BeginningOfYearBalance
Investment Earnings Or Losses1710InvestmentEarningsOrLosses
End Of Year Balance17953EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance20175BeginningOfYearBalance
Investment Earnings Or Losses-3932InvestmentEarningsOrLosses
End Of Year Balance16243EndOfYearBalance
FieldValueIRS element (for citing)
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis160248OtherCostOrOtherBasis
Book Value160248BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis7038502OtherCostOrOtherBasis
Depreciation1619029Depreciation
Book Value5419473BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2330374OtherCostOrOtherBasis
Depreciation1905259Depreciation
Book Value425115BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings6004836TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO PALLIATIVE HOME CARE OF NIAGARA, INC. D/B/A LIBERTY HOME CAREDescription
Amount$66,423Amount
FieldValueIRS element (for citing)
Total Of Amounts66423TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt12874088TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments111060NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities30819DonatedSrvcAndUseOfFacilities
Other Revenues45578OtherRevenues
Revenue Not Rptd F990187457RevenueNotRptdF990
Revenue Subtotal12686631RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99012686631TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt12778248TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities30819DonatedServicesUseOfFacilities
Other Expenses Included45578OtherExpensesIncluded
Expenses Not Rptd F99076397ExpensesNotRptdF990
Expenses Subtotal12701851ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99012701851TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X, LINE 2:THE AGENCY IS AN ORGANIZATION EXEMPT FROM TAXATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. IT IS HIGHLY CERTAIN THAT SOME POSITIONS TAKEN FOR INCOME TAX PURPOSES WOULD BE SUSTAINED UPON EXAMINATION BY THE TAXING AUTHORITIES, WHILE OTHERS ARE SUBJECT TO UNCERTAINTY ABOUT THE MERITS OF THE POSITION TAKEN OR THE AMOUNT OF THE POSITION THAT WOULD BE ULTIMATELY SUSTAINED. THE BENEFIT OF A TAX POSITION IS RECOGNIZED IN THE FINANCIAL STATEMENTS ONLY TO THE EXTENT THAT AN UNCERTAIN TAX POSITION (IF ANY) IS ATTRIBUTABLE TO THE AGENCY. MANAGEMENT HAS EVALUTATED THESE TAX POSITIONS AND AS A RESULT NOTHING HAS BEEN RECORDED. THE TAX RETURNS FOR THE TAX YEARS ENDED JUNE 30TH, 2009 - 2012 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.
PART XI, LINE 2D - OTHER ADJUSTMENTS:FUNDRAISING REVENUE OFFSET 45,578.
PART XII, LINE 2D - OTHER ADJUSTMENTS:FUNDRAISING EXPENSE OFFSET 45,578.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GM RAFFLENameOfEvent1
Gross Receipts Event165262GrossReceiptsEvent1
Charitable Contributions Event139736CharitableContributionsEvent1
Gross Revenue Event125526GrossRevenueEvent1
Other Direct Expenses Event116170OtherDirectExpensesEvent1
Name Of Event2MIGHTY NIAGARANameOfEvent2
Gross Receipts Event2106266GrossReceiptsEvent2
Charitable Contributions Event217353CharitableContributionsEvent2
Gross Revenue Event288913GrossRevenueEvent2
Non Cash Prizes Event2251NonCashPrizesEvent2
Rent Facility Costs Event22043RentFacilityCostsEvent2
Food And Beverage Event21143FoodAndBeverageEvent2
Entertainment Event2700EntertainmentEvent2
Other Direct Expenses Event282455OtherDirectExpensesEvent2
Gross Receipts Total171528GrossReceiptsTotal
Charitable Contributions Total57089CharitableContributionsTotal
Gross Revenue Total Events114439GrossRevenueTotalEvents
Non Cash Prizes Total Events251NonCashPrizesTotalEvents
Rent Facility Costs Total Events2043RentFacilityCostsTotalEvents
Food And Beverage Total Events1143FoodAndBeverageTotalEvents
Entertainment Total Events700EntertainmentTotalEvents
Other Direct Expenses Total Events98625OtherDirectExpensesTotalEvents
Direct Expense Summary Events102762DirectExpenseSummaryEvents
Net Income Summary11677NetIncomeSummary

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 3THE HOSPICE AND PALLIATIVE CARE GROUP, INC. (AN AFFILIATED 501 (C) (3) ORGANIZATION - AFFILIATED THROUGH COMMON BOARD MEMBERS) (EIN 56-2298553) PERFORMS SOME MANAGEMENT, FUNDRAISING AND ADMINISTRATIVE SERVICES FOR NIAGARA HOSPICE, INC. THE HOSPICE AND PALLIATIVE CARE GROUP, INC. CHARGES NIAGARA HOSPICE, INC. A MANAGEMENT FEE FOR THESE SERVICES. NIAGARA HOSPICE, INC.'S BOARD OF DIRECTORS HAS OVERSIGHT OVER THESE ACTIVITIES.
FORM 990, PART VI, SECTION B, LINE 11THE 990 IS PRESENTED IN DRAFT FORM TO THE MEMBERS OF THE GOVERNING BODY OF NIAGARA HOSPICE, INC. AFTER IT HAS BEEN REVIEWED BY AGENCY FISCAL PERSONNEL. EACH MEMBER OF THE BOARD HAS THE OPPORTUNITY TO REVIEW THE RETURN AND SUGGEST ANY CHANGES PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12CNIAGARA HOSPICE, INC. IS COMMITTED TO IDENTIFY AND DISCLOSE ALL INDIVIDUALS THAT MAY HAVE A POTENTIAL TO INFLUENCE OR DIRECT DECISIONS TO HIS/HER OWN GAIN. ALL BOARD MEMBERS AND EMPLOYEES PARTICIPATING IN THE ACTIVITIES AND/OR OPERATIONS OF THE NIAGARA HOSPICE, INC. MUST SIGN A CONFLICT OF INTEREST FORM, AND DISCLOSE ANY DIRECT OR INDIRECT RELATIONSHIP, INVESTMENT OR INTEREST WHICH MAY REQUIRE HIS/HER EXCLUSION FROM PARTICIPATING IN CERTAIN DECISION - MAKING PROCESSES. IN ADDITION, EACH MEMBER OF THE BOARD OF DIRECTORS MUST COMPLETE A DISCLOSURE OF POTENTIAL CONFLICT OF INTEREST FORM. NO EMPLOYEE OF NIAGARA HOSPICE, INC. MAY HAVE EMPLOYMENT, CONSULTING OR OTHER BUSINESS RELATIONSHIP WITH A COMPETITOR, PATIENT/FAMILY, SUPPLIER, OR INVEST IN ANY COMPETITOR OR SUPPLIER (EXCEPT FOR MODERATE HOLDINGS OF PUBLICLY TRADED SECURITIES) UNLESS WRITTEN PERMISSION IS GRANTED BY THE CEO AND COO IN ADVANCE. OUTSIDE EMPLOYMENT MAY CONSTITUTE A CONFLICT OF INTEREST IF IT PLACES AN EMPLOYEE IN THE POSITION OF APPEARING TO REPRESENT THE AGENCY, INVOLVES SERVICES SIMILAR TO THOSE THE AGENCY PROVIDES OR LESSENS THE EFFICIENCY, ALERTNESS OR PRODUCTIVITY NORMALLY EXPECTED OF EMPLOYEES ON THEIR JOBS. OUTSIDE EMPLOYMENT MAY ALSO CONSTITUTE A CONFLICT OF INTEREST IF EMPLOYEES PERFORM SERVICES EITHER FOR INDIVIDUALS OR ENTITIES THAT MAKE REFERRALS. ALL OUTSIDE EMPLOYMENT THAT IS IN QUESTION MUST BE DISCLOSED TO THE AGENCY AND BE EVALUATED BY THE CCO.
FORM 990, PART VI, SECTION B, LINE 15THE EXECUTIVE COMMITTEE IS CHARGED BY THE BOARD OF DIRECTORS WITH THE RESPONSIBILITY TO DETERMINE THE COMPENSATION OF THE CHIEF EXECUTIVE & CHIEF OPERATING OFFICER. THE PURPOSE OF THIS COMMITTEE IS TO: APPROVE THE ANNUAL PERFORMANCE STANDARDS OF THE EXECUTIVE DIRECTOR. DETERMINE APPROPRIATE PERFORMANCE MEASURES AND ESTABLISH CRITERIA FOR ANY INCENTIVE BASED COMPENSATION. CONDUCT THE ANNUAL PERFORMANCE APPRAISAL. DETERMINE THE TOTAL COMPENSATION PACKAGE. ANNUALLY REVIEW, AND APPROVE ANY CHANGE TO, THE TOTAL COMPENSATION OF THE CHIEF EXECUTIVE & CHIEF OPERATING OFFICER.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS FORM 1023 AND FORM 990 AVAILIABLE TO THE PUBLIC UPON REQUEST OVER THE PHONE, IN WRITING, IN PERSON, AND VIA E-MAIL. THE 990 IS ALSO AVAILABLE THROUGH THE GUIDESTAR AND NY AGS WEBSITES. THE ORGANIZATIONS GOVERNING DOCUMENTS, CONFLICT OF INTERST POLICY, AND FINANCIAL STATEMENTS ARE NOT AVAILABLE TO THE PUBLIC.
FORM 990, PART VII, SECTION A:THE HOSPICE AND PALLIATIVE CARE GROUP, INC. (THE GROUP) PERFORMS SOME MANAGEMENT, FUNDRAISING AND ADMINISTRATIVE SERVICES FOR NIAGARA HOSPICE, INC. THE GROUP CHARGES NIAGARA HOSPICE, INC. A MANAGEMENT FEE FOR THESE SERVICES WHICH INCLUDES THE PAYROLL RELATED EXPENSES OF THE CHIEF EXECUTIVE OFFICER AND CHIEF OPERATING OFFICER. THESE INDIVIDUALS MEET THE DEFINITION OF OFFICERS OF NIAGARA HOSPICE, INC. ACCORDING TO THE IRS 990 INSTRUCTIONS. HOWEVER, NIAGARA HOSPICE, INC.'S AND THE GROUP'S RELATIONSHIP DOES NOT MEET THE DEFINITION OF RELATED PARTIES PER THE IRS 990 INSTRUCTIONS AND THEREFORE THEIR WAGE INFORMATION HAS NOT BEEN REPORTED ON PART VII, SECTION A NOR ON SCHEDULE J.
FORM 990; SCHEDULE D; PAGE 4; PART XII LINE 2B AND PART XIII LINE 2ANIAGARA HOSPICE, INC. RECEIVED VOLUNTEER SERVICES IN THE AMOUNT OF $30,819. THEY RECEIVED AN ADDITIONAL APPROXIMATE 9,400 HOURS FROM VOLUNTEERS WHO ASSISTED WITH PATIENT SERVICES AND FUNDRAISING, THE VALUE OF WHICH CANNOT BE DETERMINED.DONATED SERVICES
FORM 990, PART IV, LINE 34:NIAGARA HOSPICE, INC. DOES NOT HAVE ANY RELATED PARTIES THAT MEET THE DEFINITION PER THE 990 INSTRUCTIONS. FOR FINANCIAL STATEMENT PURPOSES, NIAGARA HOSPICE, INC. IS CONSIDERED RELATED TO THE FOLLOWING ENTITIES: PALLIATIVE HOME CARE OF NIAGARA, INC. (16-1611701), NIAGARA HOSPICE ALLIANCE, INC.(26-1101852) AND HOSPICE AND PALLIATIVE CARE GROUP, INC. D/B/A THE HOMECARE PARTNERS (56-2298553). WHILE NONE OF THESE ORGANIZATIONS ARE COMPLETELY CONTROLLED BY ANY OTHER OF THE ORGANIZATIONS, THE ORGANIZATIONS DO HAVE COMMON BOARD MEMBERS AND MANAGEMENT.

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