NIAGARA HOSPICE INC: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- NIAGARA HOSPICE INC (EIN 22-2524016)
- Tax period
- 2009-07-01 to 2010-06-30
- Filed
- 2011-04-04
- IRS object ID
- 201110949349300411
- Schema version
- 2009v1.7
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-04-04T16:04:56-05:00 | Timestamp |
| Tax Period End Date | 2010-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DOPKINS & COMPANY LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 INTERNATIONAL DR | AddressLine1 |
| City | BUFFALO | City |
| State | NY | State |
| ZIP Code | 142215794 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2009-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 222524016 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NIAGARA HOSPICE INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | NIAG | NameControl |
| Phone | 7164394417 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4675 SUNSET DRIVE | AddressLine1 |
| City | LOCKPORT | City |
| State | NY | State |
| ZIP Code | 14094 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Paul c Collins | Name |
| Title | chairperson | Title |
| Phone | 7164394417 | Phone |
| Date Signed | 2011-03-31 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | james sciarrino | Name |
| Phone | 7166348800 | Phone |
| Self Employed | X | SelfEmployed |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | john lomeo | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4675 SUNSET DRIVE | AddressLine1 |
| City | LOCKPORT | City |
| State | NY | State |
| ZIP Code | 14094 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 12468225 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | WWW.NIAGARAHOSPICE.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1982 | YearFormation |
| State Legal Domicile | NY | StateLegalDomicile |
| Activity Or Mission Description | to provide specialized services to persons with a life limiting illness and their families. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 16 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 16 | NbrIndependentVotingMembers |
| Total Nbr Employees | 143 | TotalNbrEmployees |
| Total Nbr Volunteers | 122 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1007154 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 485604 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 11527767 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 11784296 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 44947 | InvestmentIncomePriorYear |
| Investment Income Current Year | 102723 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 29721 | OtherRevenuePriorYear |
| Other Revenue Current Year | 67699 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 12609589 | TotalRevenuePriorYear |
| Total Revenue Current Year | 12440322 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 4841038 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 5060431 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 69302 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 6786169 | OtherExpensePriorYear |
| Other Expenses Current Year | 7160229 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 11627207 | TotalExpensesPriorYear |
| Total Expenses Current Year | 12220660 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 982382 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 219662 | RevenuesLessExpensesCY |
| Total Assets BOY | 12144976 | TotalAssetsBOY |
| Total Assets EOY | 11488502 | TotalAssetsEOY |
| Total Liabilities BOY | 4691285 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 3815148 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 7453691 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 7673354 | NetAssetsOrFundBalancesEOY |
| Mission Description | to provide specialized services to persons with a life limiting illness and their families. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 7275329 | Expense |
| Revenue | 9608539 | Revenue |
| Description | Patient 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 2900050 | Expense |
| Revenue | 2175757 | Revenue |
| Description | Although 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 10175379 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | 1 | BalanceSheetAmountsReported |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 1 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 41 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 143 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Form8899 Filed | 0 | Form8899Filed |
| Form1098 C Filed | 0 | Form1098CFiled |
| Nbr Voting Governing Body Members | 16 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 16 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 1 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | NY | StatesWhereCopyOfReturnIsFiled |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CARLO FIGLIOMENI | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 7164394417 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4675 SUNSET DRIVE | AddressLine1 |
| City | LOCKPORT | City |
| State | NY | State |
| ZIP Code | 14094 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | X | NoListedPersonsCompensated |
Form990 Part VII Section A Form990PartVIISectionA (20 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| patrICIA EVANS | ||||||||
| director | 0.50 | X | 0 | 0 | 0 | |||
| sharon jean hewner phd | ||||||||
| director | 0.50 | X | 0 | 0 | 0 | |||
| LINDA FLESSEL RN | ||||||||
| director | 0.50 | X | 0 | 0 | 0 | |||
| DAN MANDAVILLE | ||||||||
| director | 0.50 | X | 0 | 0 | 0 | |||
| frank demart | ||||||||
| director | 0.50 | X | 0 | 0 | 0 | |||
| Nicholas Granchelli | ||||||||
| director | 0.50 | X | 0 | 0 | 0 | |||
| PAUL BEATTY sr | ||||||||
| director | 0.50 | X | 0 | 0 | 0 | |||
| eugene nenni | ||||||||
| director | 0.50 | X | 0 | 0 | 0 | |||
| mary brennan-taylor | ||||||||
| director | 0.50 | X | 0 | 0 | 0 | |||
| john j m readon | ||||||||
| director | 0.50 | X | 0 | 0 | 0 | |||
| rev lou perez | ||||||||
| director | 0.50 | X | 0 | 0 | 0 | |||
| janice p litz lcsw-r | ||||||||
| director | 0.50 | X | 0 | 0 | 0 | |||
| PAUL C COLLINS | ||||||||
| chairman | 0.50 | 0 | 0 | 0 | X | |||
| STEVEN M SINCLAIR | ||||||||
| VICE PRESIDENT | 0.50 | 0 | 0 | 0 | X | |||
| ANDREA SAMMARCO ESQ | ||||||||
| SECRETARY | 0.50 | 0 | 0 | 0 | X | |||
| JAMES M SHAW DDS | ||||||||
| TREASURER | 0.50 | 0 | 0 | 0 | X | |||
| carlo figliomeni VIA HPCG | ||||||||
| chief operating officer | 37.50 | 0 | 147383 | 16995 | X | |||
| john lomeo via hpcg | ||||||||
| medical director | 37.50 | 0 | 226213 | 61243 | X | |||
| alfred bax via hpcg | ||||||||
| chief executive officer | 37.50 | 0 | 266986 | 12164 | X | |||
| sarina bax-debiaso | ||||||||
| Assistan medical director | 26.50 | 114267 | 0 | 1560 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 114267 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 640582 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 91962 | TotalOtherCompensation |
| Number Individuals GT100 K | 3 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation
Name Of Contractor NameOfContractor
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Hospi-Script Services | BusinessNameLine1 |
Address Of Contractor AddressOfContractor
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 933273 | AddressLine1 |
| City | atlanta | City |
| State | GA | State |
| ZIP Code | 31193 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Of Services | Pharmacy | DescriptionOfServices |
| Compensation | 311650 | Compensation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 1 | NumberOfContractorsGT100K |
| Federated Campaigns | 6992 | FederatedCampaigns |
| Government Grants | 275933 | GovernmentGrants |
| All Other Contributions | 202679 | AllOtherContributions |
| Total Contributions | 485604 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| Home Care | 623990 | 9608539 | 9608539 |
| Hospice House | 623990 | 2175757 | 2175757 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 11784296 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 102723 | TotalRevenueColumn |
| Exclusion | $102,723 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 28800 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 28800 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 28800 | TotalRevenueColumn |
| Exclusion | $28,800 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 66802 | GrossIncomeFundraisingEvents |
| Fundraising Direct Expenses | 27903 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 38899 | TotalRevenueColumn |
| Exclusion | $38,899 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 12440322 | TotalRevenueColumn |
| Related Or Exempt Function Income | 11784296 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $170,422 | ExclusionAmount |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4156175 | Total |
| Program Services | 3851379 | ProgramServices |
| Management And General | 304796 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 86616 | Total |
| Program Services | 74734 | ProgramServices |
| Management And General | 11882 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 495871 | Total |
| Program Services | 461074 | ProgramServices |
| Management And General | 34797 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 321769 | Total |
| Program Services | 298197 | ProgramServices |
| Management And General | 23572 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 960274 | Total |
| Management And General | 960274 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 28173 | Total |
| Program Services | 2204 | ProgramServices |
| Management And General | 25969 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 21303 | Total |
| Management And General | 21303 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2232241 | Total |
| Program Services | 2221588 | ProgramServices |
| Management And General | 10653 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 45558 | Total |
| Program Services | 12271 | ProgramServices |
| Management And General | 3013 | ManagementAndGeneral |
| Fundraising | 30274 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 172594 | Total |
| Program Services | 130637 | ProgramServices |
| Management And General | 22806 | ManagementAndGeneral |
| Fundraising | 19151 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 46529 | Total |
| Program Services | 44874 | ProgramServices |
| Fundraising | 1655 | Fundraising |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4583 | Total |
| Management And General | 4583 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 121162 | Total |
| Program Services | 117071 | ProgramServices |
| Management And General | 4091 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 154573 | Total |
| Program Services | 153951 | ProgramServices |
| Management And General | 622 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 102530 | Total |
| Program Services | 78212 | ProgramServices |
| Management And General | 24318 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 439767 | Total |
| Program Services | 378814 | ProgramServices |
| Management And General | 44787 | ManagementAndGeneral |
| Fundraising | 16166 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 71933 | Total |
| Program Services | 68743 | ProgramServices |
| Management And General | 3190 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Nursing Home Expense | 1193815 | 1193815 | |
| Medical Equipment | 696474 | 696474 | |
| Workers Comp Assessment | 398158 | 398158 | |
| HH Supplies | 180235 | 180235 | |
| Repairs and Maintenance | 137480 | 137480 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 152847 | Total |
| Program Services | 73626 | ProgramServices |
| Management And General | 77165 | ManagementAndGeneral |
| Fundraising | 2056 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12220660 | Total |
| Program Services | 10175379 | ProgramServices |
| Management And General | 1975979 | ManagementAndGeneral |
| Fundraising | 69302 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1100 | BOY |
| EOY | 1100 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3313869 | BOY |
| EOY | 1086510 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 228757 | BOY |
| EOY | 186775 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1121810 | BOY |
| EOY | 2131145 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 71801 | BOY |
| EOY | 387939 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 164766 | BOY |
| EOY | 148380 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 8979907 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 2237986 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6466640 | BOY |
| EOY | 6741921 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14914 | BOY |
| EOY | 16155 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 714431 | BOY |
| EOY | 788577 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 46888 | BOY |
| EOY | 0 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12144976 | BOY |
| EOY | 11488502 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 667157 | BOY |
| EOY | 1217864 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 48485 | BOY |
| EOY | 30671 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3827649 | BOY |
| EOY | 2394349 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 147994 | BOY |
| EOY | 172264 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4691285 | BOY |
| EOY | 3815148 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7443691 | BOY |
| EOY | 7663354 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10000 | BOY |
| EOY | 10000 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7453691 | BOY |
| EOY | 7673354 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12144976 | BOY |
| EOY | 11488502 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Both | X | FinancialStatementBoth |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 33265 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 565861 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 811445 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1012875 | CurrentTaxYearMinus1Year |
| Current Tax Year | 520509 | CurrentTaxYear |
| Total | 2943955 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 8368833 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 8550840 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 9922773 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 11527767 | CurrentTaxYearMinus1Year |
| Current Tax Year | 11852456 | CurrentTaxYear |
| Total | 50222669 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 8402098 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 9116701 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 10734218 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 12540642 | CurrentTaxYearMinus1Year |
| Current Tax Year | 12372965 | CurrentTaxYear |
| Total | 53166624 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 53166624 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 52054 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 96451 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 102856 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 68947 | CurrentTaxYearMinus1Year |
| Current Tax Year | 131523 | CurrentTaxYear |
| Total | 451831 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 52054 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 96451 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 102856 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 68947 | CurrentTaxYearMinus1Year |
| Current Tax Year | 131523 | CurrentTaxYear |
| Total | 451831 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1982 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 450 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 450 | CurrentTaxYearMinus2Years |
| Total | 2882 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 8456134 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 9213602 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 10837524 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 12609589 | CurrentTaxYearMinus1Year |
| Current Tax Year | 12504488 | CurrentTaxYear |
| Total | 53621337 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.99150 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.99250 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00840 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.00710 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 16694 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 1043 | InvestmentEarningsOrLosses |
| End Of Year Balance | 17737 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 13710 | BeginningOfYearBalance |
| Investment Earnings Or Losses | -2570 | InvestmentEarningsOrLosses |
| End Of Year Balance | 11140 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 1.00000 | PermanentEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 108248 | OtherCostOrOtherBasis |
| Book Value | 108248 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 6896326 | OtherCostOrOtherBasis |
| Depreciation | 995340 | Depreciation |
| Book Value | 5900986 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1975333 | OtherCostOrOtherBasis |
| Depreciation | 1242646 | Depreciation |
| Book Value | 732687 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 6741921 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities (8 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| LAND INVESTMENT | 15000 | C |
| sentinel common stock fund | 55586 | F |
| oppenheimer funds | 283516 | F |
| merrill lynch | 13172 | F |
| balloon payment account | 115652 | F |
| capital fund | 287698 | F |
| endowment account | 12434 | F |
| niagara area endowment | 5519 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 788577 | TotalOfBookValueSecurities |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | due to palliative home care of niagara | Description |
| Amount | $172,264 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 172264 | TotalOfAmounts |
| Total Revenue | 12440322 | TotalRevenue |
| Total Expenses | 12220660 | TotalExpenses |
| Excess Or Deficit For Year | 219662 | ExcessOrDeficitForYear |
| Total Adjustments | 0 | TotalAdjustments |
| Excess Or Deficit Per FS | 219662 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 12465575 | TotRevenueEtcAuditedFinclStmt |
| Donated Srvc And Use Of Facilities | 25253 | DonatedSrvcAndUseOfFacilities |
| Revenue Not Rptd F990 | 25253 | RevenueNotRptdF990 |
| Revenue Subtotal | 12440322 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 12440322 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 11847754 | TotExpensesEtcAuditedFinclStmt |
| Donated Services Use Of Facilities | 25253 | DonatedServicesUseOfFacilities |
| Expenses Not Rptd F990 | 25253 | ExpensesNotRptdF990 |
| Expenses Subtotal | 11822501 | ExpensesSubtotal |
| Other Expenses Not Included | 398158 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 398158 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 12220659 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Part V, Line 4: | Description of Intended Use of Endowment Funds: | permanent endowment of $10,000 with generated income available for unrestricted operations. |
| Part X: | Description of Uncertain Tax Positions Under FIN 48: | The Agency is an organization exempt from taxation under Section 501(c)(3) of the Internal Revenue Code. Effective July 1, 2009, the Agency adopted the accounting standard regarding accounting for uncertainty in income taxes. This standard clarifies the financial statement recognition and measurement criteria of tax positions taken or expected to be taken in a tax return. There was no effect of adopting this standard on the financial statements. 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. The tax returns for the tax years 2007 through 2010 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. |
| Schedule D, Page 4, Part XIII, line 4b: This adjustment is due to workers comp assessment of $398,158 - See schedulue 0 for explanation |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | lomeo golf | NameOfEvent1 |
| Gross Receipts Event1 | 53264 | GrossReceiptsEvent1 |
| Gross Revenue Event1 | 53264 | GrossRevenueEvent1 |
| Non Cash Prizes Event1 | 319 | NonCashPrizesEvent1 |
| Rent Facility Costs Event1 | 15810 | RentFacilityCostsEvent1 |
| Other Direct Expenses Event1 | 7139 | OtherDirectExpensesEvent1 |
| Name Of Event2 | butterfly release | NameOfEvent2 |
| Gross Receipts Event2 | 13539 | GrossReceiptsEvent2 |
| Gross Revenue Event2 | 13539 | GrossRevenueEvent2 |
| Other Direct Expenses Event2 | 4621 | OtherDirectExpensesEvent2 |
| Gross Receipts Total | 66803 | GrossReceiptsTotal |
| Gross Revenue Total Events | 66803 | GrossRevenueTotalEvents |
| Non Cash Prizes Total Events | 319 | NonCashPrizesTotalEvents |
| Rent Facility Costs Total Events | 15810 | RentFacilityCostsTotalEvents |
| Other Direct Expenses Total Events | 11760 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 27889 | DirectExpenseSummaryEvents |
| Net Income Summary | 38914 | NetIncomeSummary |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Percentage Of Gaming Own Facility | 0.00000 | PercentageOfGamingOwnFacility |
| Percentage Of Gaming Othr Facility | 1.00000 | PercentageOfGamingOthrFacility |
Name Of Gaming Rec Keeper Bus NameOfGamingRecKeeperBus
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | carlo figliomeni | BusinessNameLine1 |
Address Of Gaming Rec Keeper US AddressOfGamingRecKeeperUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4675 SUNSET DRIVE | AddressLine1 |
| City | LOCKPORT | City |
| State | NY | State |
| ZIP Code | 14094 | ZIPCode |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| carlo figliomeni (VIA HPCG) | |||||||||||||
| 0 | 147383 | 0 | 0 | 0 | 0 | 0 | 6953 | 0 | 10042 | 0 | 164378 | 0 | 0 |
| john lomeo (via hpcg) | |||||||||||||
| 0 | 226213 | 0 | 0 | 0 | 0 | 0 | 45540 | 0 | 15703 | 0 | 287456 | 0 | 0 |
| alfred bax (via hpcg) | |||||||||||||
| 0 | 266986 | 0 | 0 | 0 | 0 | 0 | 12014 | 0 | 150 | 0 | 279150 | 0 | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (9 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| Form 990, Part VI, Section A, line 3 | Niagara Hospice, Inc. delegates control over its management duties to the Hospice and Palliative Care Group, inc. (a related 501c(3) organization). A management fee is charged between the two entities. | |
| Form 990, Part VI, Section B, line 11 | the 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 12c | 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 CCO 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 15 | 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 C, line 19 | 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 xi; line 2c | the process has not changed from prior year. | |
| Schedule d, Page 4, Part xiii, line 4b In a prior year The Company was a member of a self-insurance trust, which provided workers' compensation benefits and short-term disability to eligible Company employees. Under the terms of the Trust, the Company made annual contributions to the Trust based on reported salaries paid to employees. Effective June 30, 2009, the Trust was dissolved and the Company entered into a traditional insurance agreement. Under the Trust agreement, each participating organization has joint and several liability for trust obligations until all final claims of the Trust are settled which could take several years. Therefore, the Company has continued exposure to receive a refund of past contributions paid or to be assessed additional contributions until the point in time that all claims have been settled. The Trust has informed the Company that additional assessments may be charged in thefuture. For the year ended June 30, 2010 the Company recorded a charge, relating to year prior to 2010, totaling $398,158 for such assessments. | ||
| SCHEDULE D, PAGE 4, PART XI, LINE 8 This amount is the net income from fundraising activities listed in schedule J. | ||
| FORM 990; SCHEDULE D; PAGE 4; PART XII LINE 2B AND PART XIII LINE 2A | NIAGARA HOSPICE, INC. RECEIVED VOLUNTEER SERVICES IN THE AMOUNT OF $22,250. THEY RECEIVED AN ADDITIONAL 6,500 HOURS FROM VOLUNTEERS WHO ASSISTED WITH PATIENT SERVICES AND FUNDRAISING, THE VALUE OF WHICH CANNOT BE DETERMINED. | DONATED SERVICES |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus |
|---|---|---|---|---|---|---|---|---|
| hospice and palliative care group inc | ||||||||
| 4675 SUNSET DRIVE | lockport | NY | 14094 | 562298553 | to provide human resource,accounting,& computer services for niagara hospice | NY | 501c3 | 170(b)(1)(a)(iv) |
| palliative home care of niagara inc | ||||||||
| 4675 SUNSET DRIVE | lockport | NY | 14094 | 161611701 | to provide home care & pain care services to pre-hospice & hospice patients | NY | 501c3 | 170(b)(1)(a)(iv) |
| niagara hospice alliance | ||||||||
| 4675 SUNSET DRIVE | lockport | NY | 14094 | 261101852 | To provide fundraising activities for all other incs. | NY | 501c3 | 170(b)(1)(a)(iv) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 1 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (6 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| PALLIATIVE HOME CARE OF NIAGARA INC | |
| I | 24000 |
| niagara hospice alliance inc | |
| I | 4800 |
| PaLLIATIVE HOME CARE OF NIAGARA INC | |
| L | 1358380 |
| palLIATIVE HOME CARE OF NIAGARA INC | |
| L | 686888 |
| niagara hospice alliance inc | |
| C | 118500 |
| hospice and palliative care group | |
| L | 960724 |
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