NIAGARA HOSPICE INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
NIAGARA HOSPICE INC (EIN 22-2524016)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-03-30
IRS object ID
201240909349301009
Schema version
2010v3.4
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)
Timestamp2012-03-30T13:31:34-05:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

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 Date2010-07-01TaxPeriodBeginDate

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)
NamePAUL C COLLINSName
TitleCHAIRPERSONTitle
Phone7164394417Phone
Date Signed2012-03-29DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameGERALD REGERName
Phone7166348800Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

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 Receipts12178212GrossReceipts
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 Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members16NbrIndependentVotingMembers
Total Nbr Employees148TotalNbrEmployees
Total Nbr Volunteers122TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year485604ContributionsGrantsPriorYear
Contributions Grants Current Year78808ContributionsGrantsCurrentYear
Program Service Revenue Prior Year11784296ProgramServiceRevenuePriorYear
Program Service Revenue CY11987944ProgramServiceRevenueCY
Investment Income Prior Year102723InvestmentIncomePriorYear
Investment Income Current Year29993InvestmentIncomeCurrentYear
Other Revenue Prior Year67699OtherRevenuePriorYear
Other Revenue Current Year51233OtherRevenueCurrentYear
Total Revenue Prior Year12440322TotalRevenuePriorYear
Total Revenue Current Year12147978TotalRevenueCurrentYear
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 Year5060431SalariesEtcPriorYear
Salaries Etc Current Year5572471SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year40428TotalFundrsngExpCurrentYear
Other Expense Prior Year7160229OtherExpensePriorYear
Other Expenses Current Year6817712OtherExpensesCurrentYear
Total Expenses Prior Year12220660TotalExpensesPriorYear
Total Expenses Current Year12390183TotalExpensesCurrentYear
Revenues Less Expenses Prior Year219662RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-242205RevenuesLessExpensesCY
Total Assets BOY11488502TotalAssetsBOY
Total Assets EOY10970621TotalAssetsEOY
Total Liabilities BOY3815148TotalLiabilitiesBOY
Total Liabilities EOY3314663TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY7673354NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY7655958NetAssetsOrFundBalancesEOY
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
Expense7705935Expense
Revenue9676937Revenue
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)
Expense3077137Expense
Revenue2311007Revenue
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 Expense10783072TotalProgramServiceExpense
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
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109636NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees148NumberOfEmployees
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 Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members16NumberIndependentVotingMembers
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
Other WebsiteXOtherWebsite
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
No Listed Persons CompensatedXNoListedPersonsCompensated

Form990 Part VII Section A Form990PartVIISectionA (19 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
DAN MANDAVILLE
DIRECTOR0.50X000
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 READON
DIRECTOR0.50X000
REV LOU PEREZ
DIRECTOR0.50X000
JANICE P LITZ LCSW-R
DIRECTOR0.50X000
STEVEN M SINCLAIR
VICE PRESIDENT0.50000X
PAUL COLLINS
CHAIRMAN0.50000X
JAMES M SHAW DDS
TREASURER0.50000X
ANDREA SAMMARCO ESQ
SECRETARY0.50000X
CARLO FIGLIOMENI VIA HPCG
CHIEF OPERATING OFFICER19.00000X
JOHN LOMEO VIA HPCG
CHIEF EXECUTIVE OFFICER24.00000X
SARINA BAX DEBIASO
ASSISTANT MEDICAL DIRECTOR26.3011847705331X
FieldValueIRS element (for citing)
Total Reportable Comp From Org118477TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation5331TotalOtherCompensation
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 FEE908886
HOSPI-SCRIPT SERVICES
PO BOX 933273ATLANTAGA31193PHARMACY368061
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
Federated Campaigns1829FederatedCampaigns
All Other Contributions76979AllOtherContributions
Total Contributions78808TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
HOME CARE62399096769379676937$0
HOSPICE HOUSE62399023110072311007
FieldValueIRS element (for citing)
Total Program Service Revenue11987944TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column29993TotalRevenueColumn
Exclusion$29,993ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real28800Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real28800Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column28800TotalRevenueColumn
Exclusion$28,800ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events49970GrossIncomeFundraisingEvents
Fundraising Direct Expenses30234FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column19736TotalRevenueColumn
Exclusion$19,736ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUSDescription
Business Code561000BusinessCode
Total Revenue Column2697TotalRevenueColumn
Exclusion$2,697ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue2697TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column12147978TotalRevenueColumn
Related Or Exempt Function Income11987944RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$81,226ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total4468855Total
Program Services4153927ProgramServices
Management And General314928ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total129262Total
Program Services115572ProgramServices
Management And General13690ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total618184Total
Program Services581384ProgramServices
Management And General36800ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total356170Total
Program Services331276ProgramServices
Management And General24894ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total908886Total
Management And General908886ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total25752Total
Management And General25752ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total16568Total
Management And General16568ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total2517975Total
Program Services2507561ProgramServices
Management And General10414ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total40169Total
Program Services15293ProgramServices
Management And General10429ManagementAndGeneral
Fundraising14447Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total377297Total
Program Services332775ProgramServices
Management And General37765ManagementAndGeneral
Fundraising6757Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total49684Total
Program Services47829ProgramServices
Fundraising1855Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total207545Total
Program Services202351ProgramServices
Management And General5194ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total158258Total
Program Services157561ProgramServices
Management And General697ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total13050Total
Management And General13050ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total445616Total
Program Services377968ProgramServices
Management And General51597ManagementAndGeneral
Fundraising16051Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total60197Total
Program Services57536ProgramServices
Management And General2661ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
NURSING HOME EXPENSE941574941574
MEDICAL EQUIPMENT RENTA752860752860
REPAIRS AND MAINTENANCE129648129648
DUES AND FEES2404724047
MISC2325223252

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total125334Total
Program Services77957ProgramServices
Management And General46059ManagementAndGeneral
Fundraising1318Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total12390183Total
Program Services10783072ProgramServices
Management And General1566683ManagementAndGeneral
Fundraising40428Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1100BOY
EOY1100EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1086510BOY
EOY1857320EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY186775BOY
EOY92727EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2131145BOY
EOY1431595EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY148380BOY
EOY190679EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis9028796LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec2656467LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY6741921BOY
EOY6372329EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY789732BOY
EOY972939EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY15000BOY
EOY15000EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY387939BOY
EOY36932EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY11488502BOY
EOY10970621EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1217864BOY
EOY944881EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY30671BOY
EOY43163EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY2394349BOY
EOY2207611EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY172264BOY
EOY119008EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY3815148BOY
EOY3314663EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY7663354BOY
EOY7645958EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY10000BOY
EOY10000EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7673354BOY
EOY7655958EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY11488502BOY
EOY10970621EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-242205ReconcilationRevenueExpenses
Reconcilation Other Changes224809ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement BothXFinancialStatementBoth
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 Years565861CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years811445CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1012875CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year524503CurrentTaxYearMinus1Year
Current Tax Year98544CurrentTaxYear
Total3013228Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years8550840CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years9922773CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11527767CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11784296CurrentTaxYearMinus1Year
Current Tax Year11987944CurrentTaxYear
Total53773620Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9116701CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10734218CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12540642CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12308799CurrentTaxYearMinus1Year
Current Tax Year12086488CurrentTaxYear
Total56786848Total

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 Total50956786848PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years96451CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years102856CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years68947CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year131523CurrentTaxYearMinus1Year
Current Tax Year58793CurrentTaxYear
Total458570Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years96451CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years102856CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years68947CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year131523CurrentTaxYearMinus1Year
Current Tax Year58793CurrentTaxYear
Total458570Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years450CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years450CurrentTaxYearMinus3Years
Current Tax Year2697CurrentTaxYear
Total3597Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years9213602CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10837524CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12609589CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12440322CurrentTaxYearMinus1Year
Current Tax Year12147978CurrentTaxYear
Total57249015Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99190PublicSupportPercentage509
Prior Year Support Percentage0.99150PriorYearSupportPercentage
Investment Income Percentage0.00800InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00840PriorYrInvestIncomePercentage
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 Balance17953BeginningOfYearBalance
Investment Earnings Or Losses3961InvestmentEarningsOrLosses
End Of Year Balance21914EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

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

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance20175BeginningOfYearBalance
Investment Earnings Or Losses-3932InvestmentEarningsOrLosses
End Of Year Balance16243EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.54370BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.45630PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis108248OtherCostOrOtherBasis
Book Value108248BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis6917973OtherCostOrOtherBasis
Depreciation1201823Depreciation
Book Value5716150BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2002575OtherCostOrOtherBasis
Depreciation1454644Depreciation
Book Value547931BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings6372329TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
DUE TO PALLIATIVE HOME CARE OF NIAGARA, INC. D/B/A LIBERTY HOME CARE$75,161
DUE TO HOSPICE AND PALLIATIVE CARE GROUP, INC. D/B/A THE HOMECARE PARTNERS$43,847
FieldValueIRS element (for citing)
Total Of Amounts119008TotalOfAmounts
Total Revenue12147978TotalRevenue
Total Expenses12390183TotalExpenses
Excess Or Deficit For Year-242205ExcessOrDeficitForYear
Net Unrealized GL On Investments161253NetUnrealizedGLOnInvestments
Donated Services And Facilities18348DonatedServicesAndFacilities
Other$45,208OtherAmount
Total Adjustments224809TotalAdjustments
Excess Or Deficit Per FS-17396ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt12372787TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments161253NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities18348DonatedSrvcAndUseOfFacilities
Other Revenues45208OtherRevenues
Revenue Not Rptd F990224809RevenueNotRptdF990
Revenue Subtotal12147978RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99012147978TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt12408531TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities18348DonatedServicesUseOfFacilities
Expenses Not Rptd F99018348ExpensesNotRptdF990
Expenses Subtotal12390183ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99012390183TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:PART V, LINE 4:THE AGENCY RECEIVED A GRANT WHICH WAS PERMANENTLY RESTRICTED BY THE DONOR AS AN ENDOWMENT TO BE HELD INDEFINITELY. THE INCOME GENERATED FROM THE ENDOWMENT IS AVAILABLE FOR UNRESTRICTED OPERATIONS.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X: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 2008 THROUGH 2011 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 8 - OTHER ADJUSTMENTS:WORKERS COMPENSATION ASSESSMENT RELATED TO PRIOR YEARS 45,208.
PART XII, LINE 2D - OTHER ADJUSTMENTS:WORKERS COMPENSATION ASSESSMENT RELATED TO PRIOR YEARS 45,208.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1LOMEO GOLFNameOfEvent1
Gross Receipts Event149970GrossReceiptsEvent1
Gross Revenue Event149970GrossRevenueEvent1
Cash Prizes Event10CashPrizesEvent1
Non Cash Prizes Event12349NonCashPrizesEvent1
Rent Facility Costs Event121601RentFacilityCostsEvent1
Other Direct Expenses Event16284OtherDirectExpensesEvent1
Gross Receipts Total49970GrossReceiptsTotal
Gross Revenue Total Events49970GrossRevenueTotalEvents
Non Cash Prizes Total Events2349NonCashPrizesTotalEvents
Rent Facility Costs Total Events21601RentFacilityCostsTotalEvents
Other Direct Expenses Total Events6284OtherDirectExpensesTotalEvents
Direct Expense Summary Events30234DirectExpenseSummaryEvents
Net Income Summary19736NetIncomeSummary
FieldValueIRS element (for citing)
Percentage Of Gaming Own Facility0.00000PercentageOfGamingOwnFacility
Percentage Of Gaming Othr Facility0.00000PercentageOfGamingOthrFacility

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
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.
NIAGARA 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 12C
THE 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 B, LINE 15
THE 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 VI, SECTION C, LINE 19
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. IF THE AMOUNTS WERE TO BE REPORTED ON PART VII, SECTION A THEY WOULD BE REPORTED AS FOLLOWS: JOHN LOMEO, CHIEF EXECUTIVE OFFICER, REPORTABLE COMPENSATION (COLUMN E) $237,661, OTHER COMPENSATION (COLUMN F)$56,749; CARLO FIGLIOMENI, CHIEF OPERATING OFFICER, REPORTABLE COMPENSATION (COLUMN E) $158,882, OTHER COMPENSATION (COLUMN F)$17,042.FORM 990, PART VII, SECTION A:
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED GAINS ON INVESTMENTS: 161,253. DONATED SERVICES AND USE OF FACILITIES: 18,348. WORKERS COMPENSATION ASSESSMENT RELATED TO PRIOR YEARS 45,208. TOTAL TO FORM 990, PART XI, LINE 5: 224,809.FORM 990, PART XI, LINE 5:
DONATED SERVICESNIAGARA HOSPICE, INC. RECEIVED VOLUNTEER SERVICES IN THE AMOUNT OF $18,348. THEY RECEIVED AN ADDITIONAL APPROXIMATE 15,000 HOURS FROM VOLUNTEERS WHO ASSISTED WITH PATIENT SERVICES AND FUNDRAISING, THE VALUE OF WHICH CANNOT BE DETERMINED.FORM 990; SCHEDULE D; PAGE 4; PART XII LINE 2B AND PART XIII LINE 2A
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.FORM 990, PART IV, LINE 34:

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