2012-10-15T08:47:57-05:00 2011-12-31 454051133 FREED MAXICK CPAS PC 800 LIBERTY BUILDING 420 MAIN STREE BUFFALO NY 14202 990 2011-01-01 510202066 HOSPICE BUFFALO INC HOSP 7166861900 225 COMO PARK BLVD CHEEKTOWAGA NY 14227 MAUREEN LEHSTEN 7166861900 2012-10-16 1 THOMAS DALTON P00645802 7168472651 2011 2016-02-24 21:20:13Z MAUREEN LEHSTEN 225 COMO PARK BLVD CHEEKTOWAGA NY 14227 42681787 0 X WWW.PALLIATIVECARE.ORG X 1976 NY HOSPICE PROGRAM SERVICES ARE A SPECIAL WAY OF CARING FOR PEOPLE WITH LIFE THREATENING ILLNESS AND THEIR FAMILIES. OUR PURPOSE IS TO HELP PEOPLE MAINTAIN DIGNITY AND CONTROL OVER THEIR OWN LIVES AND CARE. THE PATIENTS SYMPTOMS ARE MANAGED SO THAT THEY CAN LIVE A FULL LIFE WITH THE SUPPORT OF FAMILY AND FRIENDS. THIS MEANS THAT WE CARE FOR THEIR PHYSICAL, EMOTIONAL AND SPIRITUAL NEEDS. CARING PROFESSIONALS OFFER MEDICAL AND NURSING SERVICES, SOCIAL SERVICES, PASTORAL AND SPIRITUAL CARE, ASSISTANCE WITH LEGAL AND OTHER ISSUES, AND BEREAVEMENT COUNSELING. 22 21 518 1411 0 0 6931 16688 44775127 42649811 105 1280 7731 14008 44789894 42681787 0 0 0 0 23041173 27216113 0 0 0 18223863 16380869 41265036 43596982 3524858 -915195 19226695 18555015 2698710 2942335 16527985 15612680 X HOSPICE PROGRAM SERVICES ARE A SPECIAL WAY OF CARING FOR PEOPLE WITH LIFE-THREATENING ILLNESS AND THEIR FAMILIES. OUR PURPOSE IS TO HELP PEOPLE MAINTAIN DIGNITY AND CONTROL OVER THEIR OWN LIVES AND CARE. THE PATIENTS SYMPTOMS ARE MANAGED SO THAT THEY CAN LIVE A FULL LIFE WITH THE SUPPORT OF FAMILY AND FRIENDS. THIS MEANS THAT WE CARE FOR THEIR PHYSICAL, EMOTIONAL AND SPIRITUAL NEEDS. CARING PROFESSIONALS OFFER MEDICAL AND NURSING SERVICES, SOCIAL SERVICES, PASTORAL AND SPIRITUAL CARE, ASSISTANCE WITH LEGAL AND OTHER ISSUES, AND BEREAVEMENT COUNSELING. 0 0 41918405 42663819 TO PROVIDE HOPE, CARE AND DIGNITY TO PATIENTS WITH A LIFE-THREATENING ILLNESS AND THEIR FAMILIES. 41918405 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 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 1 11 0 1 518 1 0 0 0 0 0 0 0 0 0 0 X 22 21 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X X MAUREEN LEHSTEN 7166861900 225 COMO PARK BLVD CHEEKTOWAGA NY 14227 LOU IZZO JR 1.00 X X 0 0 0 ELIZABETH S GURNEY 1.00 X X 0 0 0 JOHN D REINHOLD 1.00 X X 0 0 0 FLINT BESECKER 1.00 X X 0 439851 33454 VICTORIA DENT 1.00 X 0 0 0 HORACE A GIOIA ESQ 1.00 X 0 0 0 MCCARTHY GIPSON 1.00 X 0 0 0 HURON O HILL II DDS 1.00 X 0 0 0 JOCK MITCHELL 1.00 X 0 0 0 HVAN MOLLENBERG 1.00 X 0 0 0 R BUFORD SEARS 1.00 X 0 0 0 JOHN DAVANZO 1.00 X 0 0 0 KENNETH C DRAKE 1.00 X 0 0 0 TIMOTHY G MCEVOY ESQ 1.00 X 0 0 0 DONNA MOSTILLER 1.00 X 0 0 0 MICHAEL W LAIPPLE 1.00 X 0 0 0 VALERIE MCCAULEY 1.00 X 0 0 0 G RICHARD BRAEN MD 1.00 X 0 0 0 W LAWRENCE BUCK 1.00 X 0 0 0 E J BUTLER JR 1.00 X 0 0 0 JAMES F DENTINGER 1.00 X 0 0 0 PAUL DUGGAN 1.00 X 0 0 0 MAUREEN M LEHSTEN 1.00 X 0 160055 26489 JOHN C TANGEMAN MD 37.50 X 223625 0 32065 CHRISTOPHER KERR MD 37.50 X 299370 0 34590 DEBORAH A CHILDS 33.80 X 130683 14520 6475 JUDITH SKRETNY 1.00 X 0 117025 11240 EDWARD KOSMOSKI 1.00 X 0 114904 16090 ERICA REGER 1.00 X 0 150897 25717 KELLEY CLEM 28.50 X 97333 30737 23696 JOSEPH BACH 1.00 X 0 101601 20544 ELIZABETH MAHER 37.50 X 200376 0 17749 DOMINIC LIPOME 37.50 X 200112 0 18779 ROBERT MILCH 37.50 X 209287 0 31984 MEGAN FARRELL 37.50 X 213610 0 31856 CARY SISTI 37.50 X 110849 0 21048 WILLIAM E FINN 0.00 X 0 305772 0 1685245 1435362 351776 9 1 1 0 0 5688 11000 16688 HOME CARE REVENUE 621610 42649811 42649811 42649811 1280 1280 MISCELLANEOUS 621610 14008 14008 14008 42681787 42663819 0 1280 841503 841503 20363907 20344388 19519 1690864 1689303 1561 2761623 2761623 1558216 1556768 1448 63903 63682 221 54548 54548 6275 6275 1389822 218259 1171563 509949 509949 91458 88018 3440 54700 32926 21774 283243 37388 245855 14487 14487 NURSING HOME 5% EXPENSE 3947472 3947472 PRESCRIPTION DRUGS 2808608 2808608 CARING HEARTS - CONTRAC 2247231 2247231 INPATIENT PER DIEM EXPE 1265318 1265318 3643855 3430659 213196 43596982 41918405 1678577 0 5065834 979116 3227737 3111727 18580 16935 1193547 572896 540471 620651 10374073 13826586 19226695 18555015 2677434 2933100 21276 9235 2698710 2942335 X 16527985 15612680 16527985 15612680 19226695 18555015 X -915195 -110 X X 0 1 1 X 0 X 46603 28743 29724 6931 16688 128689 33270956 36835970 42126651 44775127 42663819 199672523 33317559 36864713 42156375 44782058 42680507 199801212 0 0 0 199801212 73428 37287 2469 105 1280 114569 73428 37287 2469 105 1280 114569 7008 1113 26952 7731 14008 56812 33397995 36903113 42185796 44789894 42695795 199972593 0.99910 0.99880 0.00060 0.00090 X SCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1193547 572896 620651 620651 CASH SURRENDER VAULE OF OFFICERS LIFE INSURANCE 8512 DUE FROM RELATED PARTIES 13818074 13826586 OTHER LIABILITIES 9235 9235 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE ORGANIZATION IS A NOT-FOR-PROFIT ENTITY THAT IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND, ACCORDINGLY, NO PROVISION FOR FEDERAL TAXES IS INCLUDED IN THE FINANCIAL STATEMENTS. U.S. GAAP PROVIDES GUIDANCE ON THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT FOR INCOME TAX POSITIONS THAT THE ORGANIZATION HAS TAKEN OR EXPECTS TO TAKE IN THE ORGANIZATION'S IRS FILINGS. THE ORGANIZATION TAKES MANY TAX POSITIONS RELATIVE TO TAX LAWS, INCLUDING THOSE TAKEN IN DETERMINING WHETHER TAX IS DUE, A REFUND IS OWED, A TAX RETURN NEEDS TO BE FILED, OR THE CHARACTERIZATION OF INCOME AS TAXABLE (FOR EXAMPLE, UNRELATED BUSINESS INCOME) OR NON TAXABLE. THE ORGANIZATION HAS NOT RECORDED ANY LIABILITIES RELATING TO UNCERTAIN TAX POSITIONS. THE ORGANIZATION FILES ITS RETURN FOR AN ORGANIZATION EXEMPT FROM INCOME TAX IN THE U.S. FEDERAL JURISDICTION AND ITS ANNUAL FILING FOR A CHARITABLE ORGANZATION IN NEW YORK STATE. THE TAX YEARS 2008-2011 GENERALLY REMAIN OPEN TO EXAMINATION IN TAXING JURISDICTIONS IN WHICH THE ORGANIZATION IS SUBJECT TO FILING REQUIREMENTS IN THOSE JURISDICTIONS. X X X 1 0 0 0 0 0 0 0 0 FLINT BESECKER 0 268171 0 171500 0 180 0 0 0 33454 0 473305 0 0 MAUREEN M LEHSTEN 0 118607 0 30000 0 11448 0 0 0 26489 0 186544 0 0 JOHN C TANGEMAN MD 191573 0 10000 0 22052 0 0 0 32065 0 255690 0 0 0 CHRISTOPHER KERR MD 226035 0 50000 0 23335 0 0 0 34590 0 333960 0 0 0 DEBORAH A CHILDS 99020 11002 18000 2000 13663 1518 0 0 5828 647 136511 15167 0 0 ERICA REGER 0 83542 0 50000 0 17355 0 0 0 25717 0 176614 0 0 KELLEY CLEM 66345 20951 26600 8400 4388 1386 0 0 18009 5687 115342 36424 0 0 ELIZABETH MAHER 174716 0 0 0 25660 0 0 0 17749 0 218125 0 0 0 DOMINIC LIPOME 188454 0 0 0 11658 0 0 0 18779 0 218891 0 0 0 ROBERT MILCH 176928 0 15000 0 17359 0 0 0 31984 0 241271 0 0 0 MEGAN FARRELL 174335 0 15000 0 24275 0 0 0 31856 0 245466 0 0 0 WILLIAM E FINN 0 0 0 0 0 305772 0 0 0 0 0 305772 0 0 PART I, LINE 4A PART I, LINE 4A: THE FOLLOWING SEVERANCE PAYMENTS WERE MADE DURING 2011 FOR THE FOLLOWING INDIVIDUALS WHO ARE LISTED IN FORM 990, PART VII, SECTION A, LINE 1(A): WILLIAM FINN $305,772 EDWARD KOSMOSKI $30,408 DEBORAH CHILDS $68,421 SUPPORTIVE MEDICAL PARTNERS PLLC THE PARTNERS OF THE PRACTICE ARE ALSO PHYSICIANS EMPLOYED BY HOSPICE. 0 SUPPORTIVE MEDICAL PARTNERS, PLLC, ("THE PRACTICE") A PROFESSIONAL SERVICES LIMITED LIABILITY COMPANY WITH ITS PRINCIPAL OFFICE LOCATED AT 892 MAIN ST, BUFFALO, NEW YORK 14202, IS A GROUP MEDICAL PRACTICE SPECIALIZING IN THE DELIVERY OF PALLIATIVE CARE TO SERIOUSLY AND TERMINALLY ILL PATIENTS. THE PARTNERS OF THE PRACTICE ARE ALSO FULL-TIME PHYSICIANS EMPLOYED BY HOSPICE BUFFALO, INC. THE PRACTICE CONTRACTS PHYSICIAN MANAGEMENT SERVICES WITH THE CENTER FOR HOSPICE AND PALLIATIVE CARE, INC. (CHPC) UNDER A MANAGEMENT AGREEMENT AND ALSO RENTS OFFICES FROM CHPC. 0 FORM 990, PART VI, SECTION A, LINE 6 THE CENTER FOR HOSPICE AND PALLIATIVE CARE, INC. IS THE SOLE CORPORATE MEMBER. FORM 990, PART VI, SECTION A, LINE 7A THE ORGANIZATION HAS A STOCKHOLDER AND MEMBERS WHO MAY ELECT ONE OR MORE MEMBERS OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11 THE COMPLETED 990 FORM IS PRESENTED TO THE AUDIT COMMITTEE AND BOARD OF DIRECTORS AND 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 MANNERS IN WHICH COMPLIANCE VIOLATIONS CAN BE REPORTED WITHIN THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS,COMPENSATION COMMITTEE AND CEO HAVE THE RESPONSIBILITY AND OVERSIGHT OF ALL ELEMENTS OF EXECUTIVE COMPENSATION.AN ANNUAL REVIEW & 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 BY AN INDEPENDENT PARTY. 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. 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 PHONE NUMBER ON THE WEBSITE OR BY MAIL. THE ORGANIZATION'S IRS FORM 990 IS ALSO AVAILABLE AT GUIDESTAR.ORG. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -110. FORM 990, PART XII, LINE 2C THERE HAVE BEEN NO CHANGES FROM THE PRIOR YEAR TO THE PROCESS THAT THE ORGANIZATION HAS IN PLACE FOR THE OVERSIGHT OF THE AUDIT OR THE SELECTION OF AN INDEPENDENT ACCOUNTANT. FORM 990, PART VII, SECTION A, COLUMN B KELLEY CLEM AVERAGE HOURS PER WEEK FOR RELATED ORGANIZATIONS - 9 HOURS DEBORAH CHILDS AVERAGE HOURS PER WEEK FOR RELATED ORGANIZATIONS - 3.7 HOURS FORM 990, SCHEDULE D, PART IV DURING 2011, THE ORGANIZATION CHANGED SOFTWARE FOR TRACKING THEIR PROPERTY, EQUIPMENT AND THE RELATED DEPRECIATION EXPENSE. AS PART OF THE PROCESS, A COMPREHENSIVE REVIEW WAS PERFORMED AND ALL ASSETS NO LONGER IN SERVICE WERE REMOVED FROM THE ORGANIZATION'S BOOKS AND RECORDS. ALL THE ASSETS IDENTIFIED WERE FULLY DEPRECIATED, SO NO GAIN OR LOSS WAS REQUIRED TO BE RECORDED. THE TOTAL AMOUNT OF FIXED ASSETS AND RELATED ACCUMULATED DEPRECIATION REMOVED FROM THE ORGANIZATION'S BALANCE SHEET IN 2011 WAS $884,923. CARING HEARTS HOME CARE INC 225 COMO PARK BLVD CHEEKTOWAGA NY 14227 161577861 LICENSED HOME HEALTH CARE SERVICE AGENCY THAT PROVIDES A PLAN OF CARE NY 501(C)(3) LINE 9 N/A 0 PALLIATIVE CARE INSTITUTE INC 225 COMO PARK BLVD CHEEKTOWAGA NY 14227 161593163 INTERCONNECT COMMUNITY AND UNIVERSITY EFFORTS ACROSS DISCIPLINES NY 501(C)(3) LINE 9 N/A 0 HOME CARE BUFFALO INC 225 COMO PARK BLVD CHEEKTOWAGA NY 14227 161481488 PROVIDE HIGH QUALITY COMPREHENSIVE CARE TO MEDICALLY COMPROMISED PATIENTS NY 501(C)(3) LINE 9 N/A 0 HOSPICE FOUNDATION INC 225 COMO PARK BLVD CHEEKTOWAGA NY 14227 223137812 ACCEPTS, ADMINISTERS AND INVESTS ALL CHARITABLE FUNDS NY 501(C)(3) LINE 7 N/A 0 KRESGE RESIDENCE INC 225 COMO PARK BLVD CHEEKTOWAGA NY 14227 161467560 PROVIDE SKILLED NURSING SERVICES NY 501(C)(3) LINE 9 N/A 0 LIFE TRANSITIONS CENTER INC 225 COMO PARK BLVD CHEEKTOWAGA NY 14227 222203585 HELP PEOPLE COPE WITH DEATH RELATED ISSUES NY 501(C)(3) LINE 9 N/A 0 SAUNDERS PROPERTIES OF WNY INC 225 COMO PARK BLVD CHEEKTOWAGA NY 14227 205359753 HOLD PROPERTIES FOR ITS PARENT COMPANY NY 501(C)(2) LINE 9 N/A 0 THE CENTER FOR HOSPICE AND PALLIATIVE CARE 225 COMO PARK BLVD CHEEKTOWAGA NY 14227 223141532 PROVIDE SERVICES THAT ENHANCE COMFORT & QUALITY OF LIFE NY 501(C)(3) LINE 9 N/A 0 GILDA'S CLUB INC 225 COMO PARK BLVD CHEEKTOWAGA NY 14227 161575630 PROVIDE A MEETING PLACE FOR PEOPLE WITH CANCER AND THEIR FAMILIES NY 501(C)(3) LINE 9 N/A 0 0 0 1 0 0 0 0 0 0 1 0 1 1 1 1 0 1 1