2013-01-07T15:41:27-06:00 2012-05-31 161131146 BONADIO & CO LLP 115 SOLAR STREET SYRACUSE NY 13204 990 2011-06-01 161047041 THE CARING COALITION OF CENTRAL NEW YORK CARI 3156341100 990 7TH NORTH STREET LIVERPOOL NY 130883148 CYNTHIA CHANDLER 3156341100 2013-01-07 1 BETTINA LIPPHARDT P00956232 3152147575 2011 2016-03-07 17:11:31Z HOSPICE OF CENTRAL NEW YORK CYNTHIA CHANDLER 990 7TH NORTH STREET LIVERPOOL NY 130883148 9632530 0 X WWW.HOSPICECNY.ORG X 1984 NY END-OF-LIFE CARE TO PATIENTS AND THEIR FAMILIES THROUGH UNIQUE INTERDISCIPLINARY SERVICES. 19 19 117 232 0 0 509475 157915 8395836 9313577 3801 8970 143260 152068 9052372 9632530 0 0 0 0 4225488 4638544 0 0 244728 4085936 4408857 8311424 9047401 740948 585129 8369195 8977326 934410 777837 7434785 8199489 X 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 7789450 9464480 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. 1,069 PATIENTS SERVED RESULTING IN 52,124 PATIENT CARE DAYS. 33064 QUALIFIED COUNSELORS PROVIDE INDIVIDUAL COUNSELING AND BEREAVEMENT THERAPY FOR COMMUNITY MEMBERS WHO ARE LIVING WITH LOSS. 418 PEOPLE SERVED. SERVICES WERE PROVIDED THROUGH 989 INDIVIDUAL SESSIONS, 339 PHONE CALLS, AND 61 GROUP SESSIONS. 14981 645 CAMP HEALING HEARTS IS A FOUR DAY BEREAVEMENT CAMP PROVIDING LEARNING, HEALTHY GRIEF AND HOPEFUL LIVING FOR 49 CHILDREN AND TEENS AGES 6-14, WHO HAVE EXPERIENCED THE LOSS OF SOMEONE CLOSE TO THEM. 20045 520 CARE AT HOME SERVICES CHILDREN UNDER THE AGE OF EIGHTEEN, DETERMINED PHYSICALLY DISABLED, WHO WOULD BE AT RISK OF INSTITUTIONALIZATION. CHILDREN ARE PROVIDED ACCESS TO PALLIATIVE CARE SERVICES THAT ENABLE THEM TO REMAIN WITH THEIR FAMILY AT HOME, WHILE ADDRESSING END OF LIFE ISSUES RELATED TO THEIR ILLNESS. SERVICE WAS PROVIDED TO 2 CHILDREN, WHO WERE IN THE PROGRAM FOR 221 DAYS. 20045 520 7857540 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 60 0 1 117 1 0 0 0 0 0 0 0 0 0 0 X 19 19 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 CARL I AUSTIN JR 1.00 X 0 0 0 PAUL J CURTIN JR ESQ 0.10 X 0 0 0 GAIL CARMICHEL 0.10 X X 0 0 0 LYNN GERRITY-AMES 0.10 X 0 0 0 CATHERINE GREEN 0.10 X 0 0 0 MARY HUNTINGTON 1.00 X X 0 0 0 ANDREW KNOLL MD JD 0.10 X 0 0 0 ROZ LETIECQ 3.00 X X 0 0 0 MICHAEL LUTON 1.00 X X 0 0 0 MARK MUTHUMBI 0.10 X 0 0 0 JOSEPH NAVONE MD 0.10 X 0 0 0 KRISTEN PEASE 0.10 X X 0 0 0 MARYANN ROEFARO 1.50 X X 0 0 0 ED SALEH 0.10 X 0 0 0 MARTIN SCHWAB ESQ 1.00 X 0 0 0 LISA SMITH 1.80 X X 0 0 0 LYNN STEENBERG 0.10 X 0 0 0 JIM WIGGINS PHD 0.10 X 0 0 0 RACHEL WINDOVER 0.10 X 0 0 0 CYNTHIA CHANDLER 40.00 X 103305 0 9862 THOMAS MARONEY 40.00 X 76106 0 3431 JUDITH SETLA MD 30.00 X 114159 0 4772 ANTOINETTE PAGLIA 40.00 X 51874 0 5761 345444 0 23826 2 0 0 0 HOME AIDES OF CENTRAL NEW YORK 723 JAMES STREET SYRACUSE NY 13203 CONTRACTED HHA'S 679425 HOSPICE PHARMACIA BOX 510818 PHILADELPHIA PA 191750818 CONTRACTED MEDICATIONS 506656 VAN DUYN HOME & HOSPITAL 5075 W SENECA TURNPIKE SYRACUSE NY 13215 CONTRACTED RESIDENTIAL SERVICES 279444 FRANCISCAN HEALTH SUPPORT PO BOX 2237 SYRACUSE NY 132202237 CONTRACTED MEDICAL EQUIPM'T & SUPPLIES, 271655 ROSEWOOD HEIGHTS NURSING HOME 614 S CROUSE AVE SYRACUSE NY 13210 CONTRACTED RESIDENTIAL SERVICES 199896 10 147743 10172 5728 157915 HOSPICE SVCS - MEDICAR 624100 8793158 8793158 HOSPICE SVCS - OTHER 624100 519254 519254 CAMP HEALING HEARTS 624100 645 645 CARE AT HOME 624100 520 520 9313577 8970 8970 14100 0 14100 14100 14100 DEVELOPMENT REIMBURSEM 561000 136558 136558 1410 1410 137968 9632530 9465645 0 8970 397270 124938 220636 51696 3427034 2976879 319801 130354 100720 87099 8354 5267 427485 361018 50161 16306 286035 233292 39361 13382 7308 7308 14000 14000 2340279 2338435 1441 403 78228 19 78209 127119 95450 28001 3668 50674 40734 2058 7882 142085 97736 37239 7110 157828 157107 721 16687 7119 9568 124884 85672 32627 6585 39706 32186 5875 1645 PATIENT CARE ANCILLIARI 1197105 1197105 BAD DEBTS 57240 57240 MEMBERSHIP DUES 24968 375 24593 HR EXPENSE 7499 5279 1790 430 23247 17097 6150 9047401 7857540 945133 244728 1683000 749524 729429 2540056 1284996 1044084 64266 98623 4222449 1958304 2260501 2264145 2347003 2280894 8369195 8977326 934410 777837 934410 777837 X 7139920 7918107 53289 39806 241576 241576 7434785 8199489 8369195 8977326 X 585129 179575 X X 0 1 1 X 0 X 713623 714108 539088 503541 157915 2628275 6679341 6365693 8907362 8395836 9313577 39661809 7392964 7079801 9446450 8899377 9471492 42290084 0 0 0 42290084 8994 3341 1513 3801 8970 26619 8994 3341 1513 3801 8970 26619 160359 168781 157345 143260 150547 780292 7562317 7251923 9605308 9046438 9631009 43096995 0.98130 0.97990 0.00060 0.00080 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1911131 35391 -59434 2290 1884798 1707031 24417 188843 9160 1911131 1597582 21709 87740 1707031 1947741 60292 -410451 1597582 0.86310 0.12820 0.00870 0 1 1 230000 230000 3067471 1148039 1919432 0 820295 746579 73716 104683 63686 40997 2264145 OTHER RECEIVABLES 1160 DUE FROM HOSPICE FOUNDATION OF CENTRAL NEW YORK, INC. 89828 INTEREST IN NET ASSETS OF HOSPICE FOUNDATION OF CENTRAL NEW YORK, INC. 2189906 2280894 9632530 9047401 585129 179575 179575 764704 9812105 179575 179575 9632530 0 9632530 9047401 0 9047401 0 9047401 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: 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. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: 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, 2012 AND 2011, 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 2009. PART XI, LINE 8 - OTHER ADJUSTMENTS: INTEREST IN NET ASSETS OF HOSPICE FDN OF CNY FOR YEAR ENDING 5/31/12 179,575. PART XII, LINE 2D - OTHER ADJUSTMENTS: INTEREST IN NET ASSETS OF HOSPICE FDN OF CNY FOR YEAR END 5/31/12 179,575. 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. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: INTEREST IN NET ASSETS OF HOSPICE FDN OF CNY FOR YEAR ENDING 5/31/12 179,575. TOTAL TO FORM 990, PART XI, LINE 5: 179,575. RESPONSIBILITY FOR AUDIT 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 RESULTS 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. DURING THE FISCAL YEAR ENDED MAY 31, 2012 THE COALITION TERMINATED ITS' MEMBER INTEREST IN CCH HOME CARE & PALLIATIVE SERVICES, INC. (CCH). 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 0 1 0 0 0 0 HOSPICE FOUNDATION OF CENTRAL NEW YORK INC C 102351 GRANT TO SUPPORT HOSPICE HOSPICE FOUNDATION OF CENTRAL NEW YORK INC N 136557 COSTS INCURRED HOSPICE FOUNDATION OF CENTRAL NEW YORK INC C 45392 EXPENSES FOR RESTRICTED GRANTS