2011-08-10T11:16:56-07:00 2010-12-31 990 2010-01-01 141795732 Empire Home Infusion Services Inc EMPI 5182746200 10 Blacksmith Drive Malta NY 12020 Richard Petterson 2011-08-10 2010 2016-02-24 21:20:13Z 8044434 false false X WWW.NEHEALTH.COM X 1996 NY Empire Home Infusion Services, Inc. provides infusion therapy service, respiratory therapy services and home medical services and equipment to its patients. 22 18 0 0 0 7664115 8015185 -2975 -5842 31547 35091 7692687 8044434 0 0 2631982 2930213 0 0 4855713 4903415 7487695 7833628 204992 210806 1775063 2859742 393484 1267357 1381579 1592385 To provide a high-quality, accessible continuum of healthcare, supportive housing and community services. false false 6990299 8015185 Provide infusion therapy services, respiratory therapy services and home medical services and equipment to its patients. Infusion therapy is a group of medical therapies involving prolonged and repeated administrations of medications, usually intravenously but sometimes subcutaneously or epidurally. Respiratory therapy includes a full range of home respiratory therapy services and equipment (such as respiratory therapist visits, oxygen concentrators and tanks, sleep apnea, nebulizers). Home medical equipment includes hospital beds, wheelchairs, walkers, canes, crutches, commodes and air mattresses. 6990299 true false false false false false false false false false true false false false true true false true false false false false false false false false false false false true false false false false false false false false false false false false false false false false true false false false false true 6 0 true 0 false false false false false false false false false false false false 0 false false false false false false false false false false false X 22 18 true true true false true true true true true false false false true true true true true true true true false false NY X Lynette G Turo 5182746200 433 River St Suite 3000 Troy NY 121802260 William J Foley PhD 2.00 X 0 0 0 Thomas Nowak 2.00 X X 0 0 0 Theresa Faul 40.00 X 0 107571 5004 Stephen Berkley 40.00 X 0 106629 7020 Russell Oster 2.00 X 0 0 0 Ronald L Guzior 4.00 X 0 0 0 Robert W Johnson III Esq 4.00 X X 0 0 0 Robert J Bylancik CHE 2.00 X 0 50000 0 Robert Fortune 2.00 X 0 0 0 Robert C Davenport MD 0.00 X 0 107272 7300 Richard Petterson 0.00 X 0 209844 26700 Michelle Mazzacco 4.00 X 0 149181 7977 Mark Cartwright 2.00 X 0 0 0 Lisa Thorn MD 2.00 X 0 25000 0 Kelly Ringler 40.00 X 0 108231 10111 John Lang 2.00 X 0 0 0 Jo-Ann Costantino 0.50 X 0 342928 18369 Jane Altes PhD 2.00 X 0 0 0 James V Puleo MD 2.00 X 0 25000 0 James Slavin MD 2.00 X 0 0 0 James K Reed MD 0.00 X 0 508073 28508 James HPuleo MD 2.00 X 0 0 0 James E Prout Esq 2.00 X 0 0 0 Harry L Robinson Esq 2.00 X 0 0 0 Harold Gordon Esq 4.00 X X 0 0 0 Diana Boschi 40.00 X 0 115975 14634 Craig Duncan 0.00 X 0 402637 0 Chester Opalka 2.00 X 0 0 0 Anthony P Tartaglia MD 2.00 X X 0 0 0 Ann DiSarro 4.00 X 0 0 0 Alan Goldberg 2.00 X 0 0 0 2258341 125623 0 true true false Mediware PO box 414228 Kansas City MO 641414228 Medical Supplies 276045 Healthcare Management Solutions Inc 750 Chestnut Ridge Road Chestnut Ridge NY 10977 AR Billing Service 278405 Eddy Visiting Nurse Association 433 River Street Suite 3000 Troy NY 12180 Nursing/IV 164407 Cardinal Dist-Syracuse Lock Box 5303 Collection Center Dri Chicago IL 60693 Medical Supplies 773392 Airsep Corporation 290 Creekside Drive Buffalo NY 14228 Medical Supplies 172131 14 0 Home Infusion & DME 8015185 8015185 8015185 -5842 -5842 0 0 0 0 0 0 0 Misc Rev 35091 35091 35091 8044434 8044434 0 0 0 0 0 0 2397328 2191330 205998 55269 50520 4749 303720 277622 26098 173896 158953 14943 99418 99418 0 0 0 0 0 0 17812 17812 49135 49135 32384 32384 0 167713 167713 53164 38962 14202 0 7666 7666 0 0 487416 396561 90855 46243 46243 Phone 78406 78406 Medical Supplies 2337800 2337800 Equipment rental and maint. 203683 203683 Contract Services 1000806 1000806 Bad Debt 212223 212223 109546 43433 66113 7833628 6990299 843329 0 126692 253272 0 0 917240 978819 0 0 0 131531 137132 33962 45091 2683970 1238542 1143103 1445428 0 0 0 0 -577465 0 1775063 2859742 317115 375127 76369 892230 393484 1267357 X 1381579 1592385 1381579 1592385 1775063 2859742 210806 X false true true X false false X 0 6070489 6989552 7507592 7664115 8015185 36246933 0 0 0 6070489 6989552 7507592 7664115 8015185 36246933 0 0 36246933 10480 12373 2418 -2975 -5842 16454 0 10480 12373 2418 -2975 -5842 16454 0 7843 14894 46304 31547 35091 135679 6088812 7016819 7556314 7692687 8044434 36399066 0.99580 0.99600 0.00050 0.00090 X Part III, Line 12--Misc Rev IV 9,353.00Misc Rev DME 25,738.00 Total 35,091.00 46495 38193 8302 2509140 1161029 1348111 128335 39320 89015 1445428 Due to Affiliates 911575 Current Liabilities -19345 892230 Part X Part X : FIN48 Footnote Northeast Health is classified for tax purposes as an organization under 501 (c) (3) of the Internal Revenue Code (the Code), and as such it is generally exempt from income taxes under the provisions of Section 501(a) of the Code. X X X X X false true false false false false false true false false Robert C Davenport MD 96364 934 9974 4278 3022 114572 Richard Petterson 206200 3230 414 8723 17977 236544 Michelle Mazzacco 144336 4845 5788 2189 157158 Jo-Ann Costantino 312858 7765 22305 11672 6697 361297 James K Reed MD 460797 14190 33086 14827 13681 536581 Craig Duncan 402637 402637 Sch J, Part I, Line 7 Part I, Line 7: Non-Fixed payments not listed above Part VII, Section A, Line 1a Hours of Officers, Directors, Key Employees and Highest Compensated Employees:The following officers, directors, key employees and highest compensated employees devote the indicated average number of weekly hours to related organizations:Rich Petterson 40.0 hours per weekJames Reed 40 hours per weekJo-Ann Costantino 39.5 hours per weekMichelle Mazzacco 36 hours per week. Form 990, Part VI, Line 19 Form 990, Part VI, Line 19: Other Organization Documents Publicly Available In 2010, Northeast Health and its affiliates did not make the above-named documents available to the public, although certificates of incorporation were available from the NYS Secretary of State. Form 990, Part VI, Line 15b Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees The executive compensation policy described in the note for Line 15a also applies to other officers and key employees of the organization. Form 990, Part VI, Line 12c Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts Northeast Health, the health system to which Empire Home Infusion Service belongs, has two system-wide conflict of interest policies, one applicable to the board of directors of each system affiliate and one applicable to administrative staff and select employees and medical staff. Together, the two policies require annual disclosure of conflicts of interest by all directors, officers and key employees, and prescribe responses to such conflicts applying customary conflicts of interest principles. Employee disclosure forms are reviewed annually by the system compliance officer for a determination of any conflict's impact on the integrity of the disclosing individual's acts and decisions. Violation of the policy subjects an employee to potential disciplinary action. Board of directors conflict of interest disclosure forms are reviewed and summarized by the system compliance officer, and the summary is reviewed by the board corporate compliance and audit committe and any necessary action taken by such committee. Customary procedures are followed, including nonparticipation by affected individuals in the deliberation and vote on any matters that potentially conflict with the individual's outside interest. Appropriate corrective action is taken by the Board in the event of a director's failure to disclose a conflict of interest or other violation of the policy. Form 990, Part VI, Line 11 Form 990, Part VI, Line 11: Form 990 Review Process First, Form 990 was presented to the Board Audit/Compliance Committee for review at a special meeting, to which all other Board members were invited to attend. The 990 was then made available on the Board website for all Board members to review. Form 990, Part VI, Line 7a Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body Northeast Health elects the members of the organization's governing body Form 990, Part VI, Line 6 Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder Home Aide Service of Eastern New York Form 990, Part VI, Line 4 Form 990, Part VI, Line 4: Description of Significant Changes to Organizational Documents The organization amended its bylaws to extend the date until which the number of directors is set at no less than 17 nor more than 27, to January 2012, and to provide that directors whose final term expires in January 2011 may be re-elected and serve for an additional year, until January 2012. Form 990, Part VI, Line 3 Form 990, Part VI, Line 3: Description of Delegated Duties to Management Company The organization delegated control over certain duties of key employees to a related exempt organization. Form 990, Part VI, Line 2 Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et Directors Robert Johnson and James Prout have a business relationship. Directors James H. Puleo, M.D. and James V. Puleo, M.D. have a family relationship. 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