2014-11-13T15:17:53-07:00 2013-12-31 990 2013-01-01 112925757 Hospice Care Network HOSP 5168327100 99 Sunnyside Blvd Woodbury NY 11797 Susan Mauro CFO & SVP of Finance 5162246411 2014-11-04 2013 2015-11-30 17:44:51Z Maureen Hinkleman 99 Sunnyside Blvd Woodbury NY 11797 51170371 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. 21 21 354 172 0 0 1893126 1558760 47511130 49160999 662058 391212 1399 3518 50067713 51114489 0 0 0 0 22193770 22170532 0 0 262493 24804624 26127807 46998394 48298339 3069319 2816150 32156856 35061836 6268085 5848157 25888771 29213679 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 44703736 0 49160999 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 44703736 1 1 0 0 0 0 0 0 0 1 1 0 0 1 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 25 0 1 354 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 21 21 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 Beatrix McKane Board 2 0 X 0 0 0 Beverly Banker Board 2 0 X 0 0 0 Carol Wessel 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 Patricia Bloomgarden 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 Suzanne O'Connor Board 2 0 X 0 0 0 Young Lee Board 2 0 X 0 0 0 Maureen Hinkelman President & CEO 35 0 X 391976 0 64419 Nan Toelstedt Esecutive Vice President 35 0 X 204757 0 219598 Susan Mauro CFO & Senior VP of Finance 35 0 X 184457 0 27553 Lori Attivissimo Senior Medical Director 35 0 X 260730 0 27895 Grace Marballie Registered Nurse 35 0 X 173938 0 19300 Darrin London Director of the Hospice Inn 35 0 X 148350 0 7205 Marie Zanoteli VP of Operations 35 0 X 125642 0 17693 Susan Seltzer Registered Nurse Manager 35 0 X 148769 0 5220 Joi Marszalek Medical Director 35 0 X 166049 0 5649 Patricia Mulhollland Board 2 0 X 0 0 0 1804668 0 394532 21 0 1 0 Martin Grossman 560 Woodmere Blvd Woodmere NY 11598 Physician Services 335188 Edward Halbridge 397 Franklin Ave Franklin Square NY 11010 Physician Services 141259 Lawrence Shulman 14 Chiswell Dr Meliville NY 11747 Physician Services 125160 3 27212 0 185525 0 0 1346023 0 1558760 Program Service Revenue 900099 49160999 49160999 0 0 0 0 0 0 49160999 391212 0 0 391212 0 0 0 0 0 0 0 0 0 0 0 0 59400 185525 55882 3518 0 3518 0 51114489 49160999 0 394730 X 1041920 896051 145869 0 16607141 14282142 2158928 166071 557705 479626 72502 5577 2561576 2202955 333005 25616 1402190 1205883 182285 14022 52500 45150 6825 525 18194 15647 2365 182 517509 445058 67276 5175 295914 254486 38469 2959 1019020 876357 132473 10190 16179 13914 2103 162 517923 445414 67330 5179 115408 115408 Inpatient Expenses 6788993 6788993 0 0 Contract labor 4860460 4860460 0 0 Nursing Home Pass Through 3440921 3440921 0 0 Miscellaneous 1386861 1237346 122680 26835 7097925 7097925 0 0 48298339 44703736 3332110 262493 4119429 7785007 771472 951797 640791 540399 6820222 5445213 0 0 0 0 0 0 0 0 421920 435108 2914658 2125227 1183081 789431 15705147 16685753 0 0 0 0 0 0 2494794 2429128 32156856 35061836 5315408 5115167 0 0 274130 75551 0 0 0 0 0 0 0 0 0 0 678547 657439 6268085 5848157 X 23629314 27063761 1881228 1771689 378229 378229 25888771 29213679 32156856 35061836 2816150 508758 0 0 0 0 X 0 1 X 1 0 X 1272452 920874 1368597 1893126 1558760 7013809 40445665 41717553 47175674 47511130 49160999 226011021 41718117 42638427 48544271 49404256 50719759 233024830 68293 108975 73457 108670 67073 426468 68293 108975 73457 108670 67073 426468 232598362 91434 154575 126579 662058 391212 1425858 91434 154575 126579 662058 391212 1425858 41809551 42793002 48670850 50066314 51110971 234450688 0.99210 0.9953 0.00608 0.0029 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2259457 958714 0 0 1068253 0 2149918 2249036 1029850 0 0 1019429 0 2259457 2340410 786675 0 0 878049 0 2249036 1722216 1518518 0 0 900324 0 2340410 1896053 725023 0 0 898860 0 1722216 0.0513 0.176 0.7727 0 0 0 21000 21000 0 189000 118125 70875 0 1370720 1173270 197450 0 219740 86583 133157 0 1114198 747249 366949 789431 Special Purpose Fund - Marks Center for Caregivers 448833 Special Purpose Fund Bereavement 493030 Special Purpose Fund Palliative Care 122593 Special Purpose Fund Video Production 1410 Special Purpose Fund Complementary Therapy 85315 Special Purpose Fund Capital Campaign 620508 Insurance Claims Receivable Current 127874 Insurance Claims Receviable LT 529565 2429128 Insurance Claims Liability current portion 127874 Ins Claims Liability net of current portion 529565 657439 X 51502786 508758 0 0 -230000 278758 51224028 0 -109539 -109539 51114489 48068339 0 0 0 0 0 48068339 0 230000 230000 48298339 Schedule D, Part V, Line 4 Special Purpose Fund - Caregivers - For support to the patient caregivers Special Purpose Fund - Complimentary Medicine - Support Complimentary 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 related to bereavement services of the families of hospice patients and the people of our communiities Schedule D, Part X, Line 2 The Hospice Care Network has adopted requirements for income taxes codified in Accounting Standards Codification (ASC) 740, Income Taxes. As of 12/31/13, Hospice Care Network does not believe it has any uncertain tax positions that would require either recognition or disclosure. Schedule D, Part XI, Line 2d Provision for bad debt expense of $230,000. Schedule D, Part XI, Line 4b This is a reconciliation difference between the audited financial statements and the revenue as per the return. This is equal to the change in the 2013 temporarily restricted contributions and the net assets released from restrictions of -$109,539. Schedule D, Part XII, Line 4b This is equal to the provision for bad debt expense of $230,000 Tully Golf Outing 229600 185525 44075 3625 0 41180 0 0 8947 Other 15325 0 15325 0 0 0 0 0 2130 0 244925 185525 59400 3625 0 41180 0 0 11077 55882 3518 X X X X 0 1 0 0 0 0 0 0 0 Maureen Hinkelman President & CEO 369476 0 0 0 22500 0 48750 0 15669 0 456395 0 0 0 Grace Marballie Registered Nurse 156535 0 0 0 17403 0 4806 0 14494 0 193238 0 0 0 Darrin London Director of the Hospice Inn 131850 0 0 0 16500 0 4464 0 2741 0 155555 0 0 0 Marie Zanoteli VP of Operations 109262 0 0 0 16380 0 8943 0 8750 0 143335 0 0 0 Susan Seltzer Registered Nurse Manager 147469 0 0 0 1300 0 4620 0 600 0 153989 0 0 0 Joi Marszalek Medical Director 166049 0 0 0 0 0 5049 0 600 0 171698 0 0 0 Susan Mauro CFO & Senior VP of Finance 165729 0 0 0 18728 0 11926 0 15627 0 212010 0 0 0 Lori Attivissimo Senior Medical Director 243230 0 0 0 17500 0 19146 0 8750 0 288626 0 0 0 Nan Toelstedt Esecutive Vice President 195357 0 0 0 9400 0 14241 0 600 0 219598 0 0 0 Schedule J, Part I, Line 4 Maureen Hinkelman - 457b $15,152 Lori Attivisimo - 457b $9,807.50 Form 990, Part VI, Section A, Line 7a This organization is a member of the North Shore Long Island Jewish Health System ("the System"). The System 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 North Shore Long Island Jewish Health System ("the System"). The System 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 990s. 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 990s 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: $2,729,158 All other Patient related expenses: $4,193,889 Early Retirement Program Costs: $174,878 North Shore Long Island Jewish 972 Brush Hollow Rd Westbury NY 11590 113418133 Health System NY 501c3 11 Type 1 N/A 0 NSLIJ Foundation 125 Community Dr Great Neck NY 11021 112965575 Fundraising NY 501c3 7 NS-LIJHS 0 North Shore University Hospital 300 Community Dr Manhasset NY 11030 111562701 Heath Care NY 501c3 3 NSLIJHCI 0 Long Island Jewish Medical Center 270-05 76 Ave New Hyde Park NY 11040 112241326 Health Care NY 501c3 3 NSLIJHCI 0 Glen Cove Hospital 101 St Andrews Lane Glen Cove NY 11542 111633487 Health Care NY 501c3 3 NSLIJHCI 0 Franklin Hospital 900 Franklin Ave Valley Stream NY 11580 112296824 Health Care NY 501c3 3 NSLIJHCI 0 Forest hills Hospital 102-01 6th Rd Forest Hills NY 11375 112163522 Health Care NY 501c3 3 NSLIJHCI 0 Plainview Hospital 88 Old Country Rd Plainview NY 11803 113241243 Health Care NY 501c3 3 NSLIJHCI 0 Southside Hospital 301 E Main Street Bay Shore NY 11706 111667761 Health Care NY 501c3 3 NSLIJHCI 0 Huntington Hospital Association 270 Park Ave Huntington NY 11743 111630914 Health Care NY 501c3 3 NSLIJHCI 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