2012-03-26T16:21:35-05:00 2011-05-31 BONADIO & CO LLP 115 SOLAR STREET SYRACUSE NY 13204 990 2010-06-01 161047041 THE CARING COALITION OF CENTRAL NEW YORK CARI 3156341100 990 7TH NORTH STREET LIVERPOOL NY 130883148 CYNTHIA CHANDLER 3156341100 2012-03-24 1 BETTINA LIPPHARDT 3152147575 2010 2016-02-24 21:20:13Z HOSPICE OF CENTRAL NEW YORK CYNTHIA CHANDLER 990 7TH NORTH STREET LIVERPOOL NY 130883148 9052372 0 X WWW.HOSPICECNY.ORG X 1984 NY END-OF-LIFE CARE TO PATIENTS AND THEIR FAMILIES THROUGH UNIQUE INTERDISCIPLINARY SERVICES. 20 19 112 200 0 0 542367 509475 8915180 8395836 1513 3801 146248 143260 9605308 9052372 0 0 0 0 4056400 4225488 0 0 227128 4446112 4085936 8502512 8311424 1102796 740948 7554899 8369195 1004205 934410 6550694 7434785 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 7091887 8538361 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. 1,065 PATIENTS SERVED RESULTING IN 49,041 PATIENT CARE DAYS. 54899 QUALIFIED COUNSELORS PROVIDE INDIVIDUAL COUNSELING AND BEREAVEMENT THERAPY FOR COMMUNITY MEMBERS WHO ARE LIVING WITH LOSS. 332 PEOPLE SERVED. 12588 735 CHILDRENS CAMP - CAMP HEALING HEARTS IS A FOUR DAY BEREAVEMENT CAMP PROVIDING LEARNING, HEALTHY GRIEF AND HOPEFUL LIVING FOR 51 CHILDREN AND TEENS AGES 6-14, WHO HAVE EXPERIENCED THE LOSS OF SOMEONE CLOSE TO THEM. 7159374 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 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 1 112 1 0 0 0 0 0 0 0 0 X 20 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 HUGO ACOSTA 0.10 X 0 0 0 CARL AUSTIN JR 1.00 X 0 0 0 LYNN GERRITY-AMES 1.00 X 0 0 0 CATHERINE GREEN 0.10 X 0 0 0 GAIL CARMICHEL 0.10 X X 0 0 0 MARY HUNTINGTON 0.10 X 0 0 0 ANDREW M KNOLL MD JD 1.00 X X 0 0 0 ROZ LETIECQ 3.00 X X 0 0 0 MICHAEL LUTON 1.00 X 0 0 0 EMMA MCDONALD 0.10 X 0 0 0 MARK MUTHUMBI 0.10 X 0 0 0 ANNE MARIE MULLIN 0.10 X 0 0 0 JOSEPH NAVONE 0.10 X 0 0 0 KRISTEN PEASE 1.50 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 1.50 X X 0 0 0 RACHEL WINDOVER 0.10 X 0 0 0 JIM WIGGINS PHD 0.10 X 0 0 0 CYNTHIA CHANDLER 40.00 X 99586 0 9062 THOMAS MARONEY 40.00 X 74247 0 3088 JUDITH SETLA MD 28.00 X 106203 0 4228 CASSANDRA RAMOS 40.00 X 17509 0 884 ANTOINETTE PAGLIA 40.00 X 0 0 0 297545 0 17262 1 0 0 0 HOME AIDES OF CENTRAL NEW YORK 723 JAMES STREET SYRACUSE NY 13203 CONTRACTED HHA'S 617031 HOSPICE PHARMACIA BOX 510818 PHILADELPHIA PA 191780818 CONTRACTED MEDICATIONS 454057 ROSEWOOD HEIGHTS NURSING HOME 614 S CROUSE AVE SYRACUSE NY 13210 CONTRACTED RESIDENTIAL SERVICES 425610 JAMES SQUARE HEALTH & REHAB 918 JAMES STREET SYRACUSE NY 13203 CONTRACTED RESIDENTIAL SERVICES 277070 FRANCISCAN HEALTH SUPPORT PO BOX 2237 SYRACUSE NY 132202237 CONTRACTED MEDICAL EQUIPM'T & SUPPLIES, 245274 10 503541 5934 2849 509475 HOSPICE SVCS - MCR & M 624100 7821792 7821792 HOSPICE SVCS - OTHER 624100 572454 572454 CAMP HEALING HEARTS 624100 735 735 855 855 8395836 3801 3801 14100 14100 14100 14100 DEVELOPMENT REIMBURSEM 561000 126081 126081 3079 3079 129160 9052372 8539096 0 3801 345859 109367 191112 45380 3153804 2663329 368188 122287 96057 81122 9852 5083 362879 295310 52728 14841 266889 212316 41926 12647 8845 8845 20000 20000 2123810 2121727 1743 340 65598 65598 111379 88648 19577 3154 48129 38531 1902 7696 186132 131298 46889 7945 132906 132069 837 11675 5031 6644 127972 88998 32986 5988 32145 26287 4491 1367 PATIENT CARE ANCILLIARI 1137689 1137689 MEMBERSHIP DUES 24841 965 23876 VOLUNTEER EXPENSE 18308 18308 BAD DEBTS 16176 16176 HR EXPENSE 7593 4913 2280 400 12738 3466 9272 8311424 7159374 924922 227128 1343859 1683000 525992 729429 1174478 1284996 65278 64266 4231378 1970877 2366206 2260501 2079086 2347003 7554899 8369195 1004205 934410 1004205 934410 X 6267195 7139920 41923 53289 241576 241576 6550694 7434785 7554899 8369195 X 740948 143143 X X 0 1 1 X 0 X 653240 713623 714108 539088 503541 3123600 7260426 6679341 6365693 8907362 8395836 37608658 7913666 7392964 7079801 9446450 8899377 40732258 0 0 0 40732258 17509 8994 3341 1513 3801 35158 17509 8994 3341 1513 3801 35158 172208 160359 168781 157345 143260 801953 8103383 7562317 7251923 9605308 9046438 41569369 0.97990 0.00080 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1707031 24417 188843 9160 1911131 1597582 21709 87740 1707031 1947741 60292 -410451 1597582 0.86110 0.12640 0.01250 0 1 1 230000 230000 2962736 1056339 1906397 12607 7518 5089 921352 848845 72507 104683 58175 46508 2260501 OTHER RECEIVABLES 1810 DUE FROM HOSPICE FOUNDATION OF CENTRAL NEW YORK, INC. 334862 INTEREST IN NET ASSETS OF HOSPICE FOUNDATION OF CENTRAL NEW YORK, INC. 2010331 2347003 9052372 8311424 740948 143143 143143 884091 9195515 143143 143143 9052372 0 9052372 8311424 0 8311424 0 8311424 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 ORGANIZATIONS ARE NOT-FOR-PROFIT CORPORATIONS, EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE CODE). THE ORGANIZATIONS ALSO HAVE BEEN CLASSIFIED BY THE INTERNAL REVENUE SERVICE AS ENTITIES THAT ARE NOT PRIVATE FOUNDATIONS 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, 2011 AND 2010, THE ORGANIZATIONS DO NOT HAVE A LIABILITY FOR UNRECOGNIZED TAX BENEFITS. THE ORGANIZATIONS FILES INCOME TAX RETURNS IN THE U.S. FEDERAL JURISDICTION AND NEW YORK STATE. THE ORGANIZATIONS ARE GENERALLY NO LONGER SUBJECT TO U.S. FEDERAL AND STATE INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2008. PART XI, LINE 8 - OTHER ADJUSTMENTS: INTEREST IN NET ASSETS OF HOSPICE FDN OF CNY FOR YEAR ENDING 5/31/11 143,143. PART XII, LINE 2D - OTHER ADJUSTMENTS: INTEREST IN NET ASSETS OF HOSPICE FDN ON CNY FOR YEAR ENDING 5/31/11 143,143. 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 ADMINISTRATIVE MANAGER 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. 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 5/31/11 143,143. TOTAL TO FORM 990, PART XI, LINE 5: 143,143. 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. HOSPICE FOUNDATION OF CENTRAL NEW YORK INC 990 7TH NORTH STREET LIVERPOOL NY 13088 161438980 RECEIVE GRANTS FOR HOSPICE NY 501(C)(3) LINE 11A, I THE CARING COALITION OF CENTRAL NEW YORK 1 CCH HOME CARE & PALLIATIVE SERVICES 1050 W GENESEE STREET SYRACUSE NY 13204 161575169 PROVIDE HOME HEALTHCARE SERVICE NY 501(C)(3) LINE 9 N/A 0 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 501815 SPENDING POLICY CALCULATION HOSPICE FOUNDATION OF CENTRAL NEW YORK INC N 126081 COSTS INCURRED