2016-10-28T09:11:25-07:00 2015-12-31 990 2015-01-01 112925757 Hospice Care Network HOSP 5168327100 99 Sunnyside Blvd Woodbury NY 11797 Susan Mauro CFO & SVP of Finance 5162246411 2016-10-04 2015 2017-02-10 21:41:12Z Maureen Hinkelman 99 Sunnyside Blvd Woodbury NY 11797 53717611 0 X www.hospicecarenetwork.org X 1988 NY Our mission is to enable persons to live with peace and dignity in a caring environment during the final stages of life by offering care and comfort to both to them and to those whom they share their lives. 19 19 397 186 0 0 1633508 1544201 49322148 51227518 597354 823922 -17595 -28356 51535415 53567285 0 0 0 0 21799773 23508712 0 0 264967 26340987 24960219 48140760 48468931 3394655 5098354 38252117 41908948 5405324 5007833 32846793 36901115 Our mission is to enable persons to live with peace and dignity in a caring environment during the final stages of life by offering care and comfort to both to them and to those whom they share their lives. 0 0 44741857 0 51227518 Hospice Care Network provided a wide range of medical and psychosocial services to terminally ill patients and their families. Services include nursing, social work, pastoral care, home health aide, volunteer, bereavement, medical equipment and pharmacy services. 0 0 0 44741857 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 0 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 41 0 1 397 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 19 19 0 0 0 0 0 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X X Susan Mauro 5612246411 99 Sunnyside Blvd Woodbury NY 11797 Maria Carney Board 2 0 X 0 0 0 Patricia Mulholland Board 2 0 X 0 0 0 Deborah Tascone Kennedy Board 2 0 X 0 0 0 Dorothy Greene Board 2 0 X 0 0 0 Elaine Shellard Board 2 0 X 0 0 0 Gedale Horowitz Board 2 0 X 0 0 0 John Peterkin Board 2 0 X 0 0 0 Jeffrey Gabel Board 2 0 X 0 0 0 Joan Heaney Board 2 0 X 0 0 0 Kenneth Tully Board 2 0 X 0 0 0 Mary Jane Belt Board 2 0 X 0 0 0 Michael Nolan Board 2 0 X 0 0 0 Norma Henriksen Board 2 0 X 0 0 0 Patrick Edwards Chairperson 2 0 X 0 0 0 Richard Ranieri Board 2 0 X 0 0 0 Richard Tretler Treasurer 2 0 X 0 0 0 Rita Marcus Board 2 0 X 0 0 0 Romayne Kovach Berk Board 2 0 X 0 0 0 Marvin Appel Board 2 0 X 0 0 0 Maureen Hinkelman President & CEO 35 0 X 411164 0 77851 Nan Toelstedt Executive Vice President 35 0 X 246070 0 17638 Susan Mauro CFO & Senior VP of Finance 35 0 X 199409 0 32336 Lori Ann Attivissimo Senior Medical Director 35 0 X 349275 0 35837 Eirene Milano Medical Director 35 0 X 187323 0 6212 Darrin London Director of the Hospice Inn 35 0 X 183653 0 6113 Susan Seltzer Registered Nurse Manager 35 0 X 163299 0 5494 Dimitris Platis Medical Director 35 0 X 177018 0 15470 Mary Gravina VP of Counseling and Pediatric Services 35 0 X 156544 0 28093 2073755 0 225044 26 0 1 0 Martin Grossman 560 Woodmere Blvd Woodmere NY 11598 Physician Services 124953 Edward Halbridge 397 Franklin Ave Franklin Square NY 11010 Physician Services 144825 Lawrence Shulman 14 Chiswell Dr Meliville NY 11747 Physician Services 124000 Joseph Bax 121 Eileen Way Syosset NY 11791 Physician Services 112570 4 19320 0 521499 6600 0 996782 0 1544201 Program Service Revenue 900099 51227518 51227518 0 0 51227518 823922 0 0 823922 0 0 0 0 0 0 0 0 0 0 0 0 121970 521499 150326 -28356 0 -28356 0 53567285 51227518 0 795566 X 1205919 1037090 168829 17669197 15195510 2296996 176691 582975 501358 75787 5830 2680507 2305236 348466 26805 1370114 1178298 178115 13701 100564 86485 13073 1006 115048 98942 14956 1150 492406 423469 64013 4924 295864 254443 38462 2959 953273 819815 123925 9533 12952 11138 1684 130 10408 8951 1353 104 314502 270472 40885 3145 49803 49803 Other Expenses-Inpatient Expenses 5970329 5970329 0 0 Other Expenses-Miscellaneous 1274580 1160028 95563 18989 Other Expenses-Contract Labor 4664816 4664816 0 0 Other Expenses-Nursing Home Pass Through 2965929 2965929 0 0 7739745 7739745 48468931 44741857 3462107 264967 7792209 10520860 1006370 963729 434050 323874 6939730 6706385 0 0 0 0 501332 542301 1742328 841108 871475 901220 18847852 20236385 0 0 0 1859099 1714194 38252117 41908948 4884229 4070822 0 298837 751566 0 0 0 0 0 222258 185445 5405324 5007833 X 30930585 34994136 1537979 1528750 378229 378229 32846793 36901115 38252117 41908948 5098354 -1044032 0 0 0 0 X 0 1 X 1 0 X 1368597 1893126 1558760 1633508 1544201 7998192 47175674 47511130 49160999 49322148 51227518 244397469 48544271 49404256 50719759 50955656 52771719 252395661 73457 108670 67073 43830 69346 362376 73457 108670 67073 43830 69346 362376 252033285 126579 662058 391212 597354 823922 2601125 126579 662058 391212 597354 823922 2601125 48670850 50066314 51110971 51553010 53595641 254996786 0.98838 0.99044 0.01020 0.00791 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1916208 1064960 0 0 1074189 0 1906979 2149918 1119366 0 0 1353076 0 1916208 2259457 958714 0 0 1068253 0 2149918 2249036 1029850 0 0 1019429 0 2259457 2340410 786675 0 0 878049 0 2249036 0.058 0.1983 0.7437 0 0 0 21000 21000 0 189000 127575 61425 0 366125 155698 210427 0 380724 126443 254281 0 785479 431392 354087 901220 Insurance Claims Payable Current 38788 Insurance Claims Net of Current Portion 146657 185445 X 52232482 -1044032 0 0 -300000 -1344032 53576514 0 -9229 -9229 53567285 48168931 0 0 0 0 0 48168931 0 300000 300000 48468931 Schedule D, Part V, Line 4 Special Purpose Fund- Caregivers - for support to the patient's caregivers. Special Purpose Fund - Complementary Therapy- Massage therapy through services for patients. Special Purpose Fund - Capital Campaign - Collective funds support including facility projects and enhancements. Special Purpose Fund - Palliative Care - Support expenses related to the patients in palliative care services. Special Purpose Fund - Bereavement - Support expenses to the bereavement services of the families of hospice patients and the people of the communities. Schedule D, Part X, Line 2 The Hospice Care Network has adopted requirements for income taxes codified in Accounting Standards Codifications (ASC) 740, Income Taxes. As of 12/31/15, Hospice Care Network does not believe it has any uncertain tax positions that would require recognition or disclosure. Schedule D, Part XI, Line 2d Provision for bad debt $300,000 Schedule D, Part XI, Line 4b This is a reconciliation difference between the audited financials and the revenue as per the return. This is equal to the change in the 2015 temporarily restricted contributions and the net assets released from restrictions of $-9,229 Schedule D, Part XII, Line 4b This is equal to the provision for bad debt expense of $300,000 Gala 163899 111849 52050 0 0 33232 0 0 33631 Tully Golf Outing 289615 240410 49205 3625 0 42790 0 0 12205 7 189955 169240 20715 0 0 9620 0 0 15223 643469 521499 121970 3625 0 85642 0 0 61059 150326 -28356 0 1 0 0 0 0 0 0 0 Mary Gravina VP of Counseling and Pediatric Services 148444 0 0 0 8100 0 11330 0 16763 0 184637 0 0 0 Susan Seltzer Registered Nurse Manager 149799 0 0 0 13500 0 4894 0 600 0 168793 0 0 0 Dimitris Platis Medical Director 175818 0 0 0 1200 0 5430 0 10040 0 192488 0 0 0 Darrin London Director of the Hospice Inn 159768 0 0 0 23885 0 5513 0 600 0 189766 0 0 0 Eirene Milano Medical Director 169323 0 0 0 18000 0 5612 0 600 0 193535 0 0 0 Susan Mauro CFO & Senior VP of Finance 186659 0 0 0 12750 0 14228 0 18109 0 231746 0 0 0 Nan Toelstedt Executive Vice President 240070 0 0 0 6000 0 17038 0 600 0 263708 0 0 0 Lori Ann Attivissimo Senior Medical Director 325275 0 0 0 24000 0 25797 0 10040 0 385112 0 0 0 Maureen Hinkelman President & CEO 387799 0 0 0 23366 0 61495 0 16356 0 489016 0 0 0 Schedule J, Part I, Line 4 Lori Attivisimo 457b employee contribution $16,200 & employer contribution $1,800. Maureen Hinkleman 457b employer contribution $18,000 Form 990, Part VI, Section A, Line 7a This organization is a member of the Northwell Health. Northwell is the sole corporate member of Hospice Care Network. It has the right to elect or appoint members of the organization's governing body and the right to approve or ratify certain corporate decisions. Form 990, Part VI, Section A, Line 7b This organization is a member of the Northwell Health. Northwell is the sole corporate member of Hospice Care Network. It has the right to elect or appoint members of the organization's governing body and the right to approve or ratify certain corporate decisions. Form 990, Part VI, Section B, Line 11b The organization's executive committee which has governing authority is provided a copy of Form 990 before filing and is asked to comment or question accordingly. Form 990, Part VI, Section B, Line 12c A conflict of interest form is completed by all board trustees, reviewed by the executive committee with any potential conflicts of interest declared and discussed. Form 990, Part VI, Section B, Line 15 The compensation of the CEO is approved by the compensation committee who is empowered by the Board of Trustees. The approval is based on a review of comparable 990's. Other officer and key employee compensation is approved by the CEO based on a review of salary surveys of like positions in a similar industry and/or review of 990's of similar organizations. Form 990, Part VI, Section C, Line 19 Upon written request, governing documents, audited financials are available to the public. Annual reports are completed and mailed to donors who contribute over $500 annually. Annual reports are also posted on the organization's website. Form 990, Part IX, Line 24e Patient related medication: $2,898,758.94 Other patient related expenses: $4,840,986.06 Northwell Health Inc 972 Brush Hollow Rd Westbury NY 11590 113418133 Health System NY 501c3 11 Type 1 Northwell Health Inc 0 Northwell Health Foundation 125 Community Dr Great Neck NY 11021 112965575 Fundraising NY 501c3 7 Northwell 0 North Shore University Hospital 300 Community Dr Manhasset NY 11030 111562701 Heath Care NY 501c3 3 Northwell HC 0 Long Island Jewish Medical Center 270-05 76 Ave New Hyde Park NY 11040 112241326 Health Care NY 501c3 3 Northwell HC 0 Glen Cove Hospital 101 St Andrews Lane Glen Cove NY 11542 111633487 Health Care NY 501c3 3 Northwell HC 0 Franklin Hospital 900 Franklin Ave Valley Stream NY 11580 112296824 Health Care NY 501c3 3 Northwell HC 0 Forest hills Hospital 102-01 6th Rd Forest Hills NY 11375 112163522 Health Care NY 501c3 3 Northwell HC 0 Plainview Hospital 88 Old Country Rd Plainview NY 11803 113241243 Health Care NY 501c3 3 Northwell HC 0 Southside Hospital 301 E Main Street Bay Shore NY 11706 111667761 Health Care NY 501c3 3 Northwell HC 0 Huntington Hospital Association 270 Park Ave Huntington NY 11743 111630914 Health Care NY 501c3 3 Northwell HC 0 Region Care Inc 972 Brush Hollow Rd Westbury NY 11590 113052191 Health Care NY NSHS Enterprises C 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0