2014-10-24T16:03:05-05:00 2013-12-31 454051133 FREED MAXICK CPAS PC 800 LIBERTY BUILDING 420 MAIN STREET BUFFALO NY 14202 990 2013-01-01 510202066 HOSPICE BUFFALO INC HOSP 7166861900 225 COMO PARK BLVD CHEEKTOWAGA NY 14227 PATRICIA AHERN CEO 7166861900 2014-10-02 1 MARY MADONIA P00405803 7168472651 2013 2015-11-30 17:44:51Z MAUREEN LEHSTEN 225 COMO PARK BLVD CHEEKTOWAGA NY 14227 37725975 0 X WWW.PALLIATIVECARE.ORG X 1976 NY HOSPICE PROGRAM SERVICES ARE A SPECIAL WAY OF CARING FOR PEOPLE WITH LIFE THREATENING ILLNESS AND THEIR FAMILIES. OUR PURPOSE IS TO HELP PEOPLE MAINTAIN DIGNITY AND CONTROL OVER THEIR OWN LIVES AND CARE. THE PATIENTS' SYMPTOMS ARE MANAGED SO THAT THEY CAN LIVE A FULL LIFE WITH THE SUPPORT OF FAMILY AND FRIENDS. THIS MEANS THAT WE CARE FOR THEIR PHYSICAL, EMOTIONAL AND SPIRITUAL NEEDS. CARING PROFESSIONALS OFFER MEDICAL AND NURSING SERVICES, SOCIAL SERVICES, PASTORAL AND SPIRITUAL CARE, ASSISTANCE WITH LEGAL AND OTHER ISSUES, AND BEREAVEMENT COUNSELING. 15 15 479 597 0 0 24983 13094 43000158 37703232 2207 -13285 4364 5718 43031712 37708759 0 0 0 0 28498006 25545399 0 0 0 16939935 14760416 45437941 40305815 -2406229 -2597056 16518245 13380782 3311903 2770821 13206342 10609961 X HOSPICE PROGRAM SERVICES ARE A SPECIAL WAY OF CARING FOR PEOPLE WITH LIFE-THREATENING ILLNESS AND THEIR FAMILIES. OUR PURPOSE IS TO HELP PEOPLE MAINTAIN DIGNITY AND CONTROL OVER THEIR OWN LIVES AND CARE. THE PATIENTS' SYMPTOMS ARE MANAGED SO THAT THEY CAN LIVE A FULL LIFE WITH THE SUPPORT OF FAMILY AND FRIENDS. THIS MEANS THAT WE CARE FOR THEIR PHYSICAL, EMOTIONAL AND SPIRITUAL NEEDS. CARING PROFESSIONALS OFFER MEDICAL AND NURSING SERVICES, SOCIAL SERVICES, PASTORAL AND SPIRITUAL CARE, ASSISTANCE WITH LEGAL AND OTHER ISSUES, AND BEREAVEMENT COUNSELING. 0 0 38050916 37708950 PROVIDED HOPE, CARE AND DIGNITY TO PATIENTS WITH A LIFE-THREATENING ILLNESS AND THEIR FAMILIES. 38050916 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 1 5 0 479 1 0 0 0 0 0 0 0 0 0 0 X 15 15 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X X MAUREEN LEHSTEN 7166861900 225 COMO PARK BLVD CHEEKTOWAGA NY 14227 JOHN D REINHOLD TRUSTEE 1.00 X 0 0 0 FLINT BESECKER CEO THROUGH 1/31/13 1.00 37.50 X X 0 170924 4557 HURON O HILL II DDS TRUSTEE 1.00 X 0 0 0 JOCK MITCHELL TRUSTEE 1.00 X 0 0 0 R BUFORD SEARS TRUSTEE 1.00 X 0 0 0 TIMOTHY G MCEVOY ESQ SECRETARY 1.00 X X 0 0 0 DONNA MOSTILLER TRUSTEE 1.00 X 0 0 0 MICHAEL W LAIPPLE CHAIR 1.00 X X 0 0 0 G RICHARD BRAEN MD TRUSTEE 1.00 X 0 0 0 W LAWRENCE BUCK VICE CHAIR 1.00 X X 0 0 0 E J BUTLER JR TRUSTEE 1.00 X 0 0 0 PAUL DUGGAN TRUSTEE 1.00 X 0 0 0 JOHN L D'ANGELO TRUSTEE 1.00 X 0 0 0 ROBERT DRAGO TRUSTEE 1.00 X 0 0 0 VICKI FEINE TRUSTEE 1.00 X 0 0 0 TRACEY O'CONNOR MD TRUSTEE 1.00 X 0 0 0 MAUREEN M LEHSTEN CFO 1.00 37.50 X 0 260902 31058 JOHN C TANGEMAN MD ASSOCIATE MEDICAL DIRECTOR 31.80 5.70 X 189965 33523 34093 CHRISTOPHER KERR MD INTERIM CEO RELATED ENTITY 0.00 37.50 X 0 443369 37682 LOU IZZO VICE PRESIDENT 1/1-2/28 1.00 37.50 X 0 185091 9189 KELLEY CLEM VICE PRESIDENT 33.50 4.00 X 136538 15172 25573 JOSEPH BACH VICE PRESIDENT 1.00 37.50 X 0 163283 28136 PATRICK FLYNN PRESIDENT OF HOSPICE FOUNDATION 1.00 37.50 X 0 219695 33506 MEGAN FARRELL PHYSICIAN 37.50 0.00 X 244352 0 35607 DEBRA LUCKIEWICZ PHYSICIAN 37.50 0.00 X 191502 0 32689 DOMENIC LIPOME PHYSICIAN 37.50 0.00 X 200518 0 18883 ELIZABETH MAHER PHYSICIAN 37.50 0.00 X 186782 0 18266 BETHANY CALKINS PHYSICIAN 37.50 0.00 X 175635 0 28389 1325292 1491959 337628 18 0 1 0 ST JOHN BAPTIST FRUIT BELT COMMUNITY DE 184 GOODELL STREET BUFFALO NY 14204 RENTAL 144417 1 13094 13094 HOME CARE REVENUE 621610 37703232 37703232 37703232 1431 1431 2500 17216 -14716 -14716 -14716 MISCELLANEOUS 621610 5718 5718 5718 37708759 37708950 0 -13285 378499 378499 19236427 18845281 391146 1750315 1711577 38738 2653943 2611875 42068 1526215 1492408 33807 41279 40910 369 45613 45613 10700 10700 77046 77046 1270888 136410 1134478 610969 610901 68 45094 44819 275 112689 62276 50413 377929 364906 13023 NURSING HOME CONTRACTED 4420276 4420276 PERSCRIPTION DRUGS 2272183 2272183 CARING HEARTS - CONTRAC 1985224 1985224 INPATIENT PER DIEM EXPE 1362759 1362759 2127767 1654299 473468 40305815 38050916 2254899 0 1192816 475758 3603353 3529764 20260 22443 1641175 803665 962958 837510 10738858 8515307 16518245 13380782 3303903 2762821 8000 8000 3311903 2770821 X 13206342 10609961 13206342 10609961 16518245 13380782 -2597056 675 0 X X 0 1 X 1 0 X 29724 6931 16688 24983 13094 91420 42126651 44775127 42663819 43004522 37708950 210279069 26952 7731 14008 4364 5718 58773 42183327 44789789 42694515 43033869 37727762 210429262 0 0 0 210429262 2469 105 1280 2207 1431 7492 2469 105 1280 2207 1431 7492 42185796 44789894 42695795 43036076 37729193 210436754 1.00000 0.99950 0.00000 0.00020 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1641175 803665 837510 837510 CASH SURRENDER VAULE OF OFFICERS LIFE INSURANCE 9068 DUE FROM RELATED PARTIES 8506239 8515307 OTHER LIABILITIES 8000 8000 X PART X, LINE 2: THE ORGANIZATION IS A NOT-FOR-PROFIT ENTITY AS DESCRIBED IN SECTION 509(A)(1) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE CODE, AND ACCORDINGLY, NO PROVISIONS FOR FEDERAL TAXES IS INCLUDED IN THE FINANCIAL STATEMENTS. US GAAP PROVIDES GUIDANCE ON THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT FOR INCOME TAX POSITIONS THAT THE ORGANIZATION HAS TAKEN OR EXPECTS TO TAKE IN THE ORGANIZATION'S INCOME TAX RETURNS. THE ORGANIZATION TAKES MANY TAX POSITIONS RELATIVE TO TAX LAWS, INCLUDING THOSE TAKEN IN DETERMINING WHETHER TAX IS DUE, A REFUND IS OWED, A TAX RETURN NEEDS TO BE FILED, OR THE CHARACTERIZATION OF INCOME AS TAXABLE (FOR EXAMPLE, UNRELATED BUSINESS INCOME) OR NONTAXABLE. THE ORGANIZATION HAS NOT RECORDED ANY LIABILITIES RELATING TO UNCERTAIN TAX POSITIONS. THE ORGANIZATION FILES ITS RETURN OF AN ORGANIZATION EXEMPT FROM INCOME TAX IN THE U.S. FEDERAL JURISDICTION AND ITS ANNUAL FILING OF CHARITABLE ORGANIZATION IN NEW YORK STATE. THE TAX YEARS FROM 2010 FORWARD GENERALLY REMAIN OPEN TO EXAMINATION IN TAXING JURISDICTIONS IN WHICH THE ORGANIZATION IS SUBJECT TO FILING REQUIREMENT OF THOSE JURISDICTIONS. X X X X 1 0 0 0 0 0 0 0 0 FLINT BESECKER CEO THROUGH 1/31/13 0 30636 0 0 0 140288 0 0 0 4557 0 175481 0 0 MAUREEN M LEHSTEN CFO 0 220587 0 40000 0 315 0 0 0 31058 0 291960 0 0 JOHN C TANGEMAN MD ASSOCIATE MEDICAL DIRECTOR 189197 33388 0 0 768 135 0 0 28979 5114 218944 38637 0 0 CHRISTOPHER KERR MD INTERIM CEO RELATED ENTITY 0 392403 0 50000 0 966 0 0 0 37682 0 481051 0 0 LOU IZZO VICE PRESIDENT 1/1-2/28 0 27317 0 65000 0 92774 0 0 0 9189 0 194280 0 0 KELLEY CLEM VICE PRESIDENT 136277 15142 0 0 261 30 0 0 23017 2556 159555 17728 0 0 JOSEPH BACH VICE PRESIDENT 0 145507 0 17500 0 276 0 0 0 28136 0 191419 0 0 PATRICK FLYNN PRESIDENT OF HOSPICE FOUNDATION 0 180442 0 35000 0 4253 0 0 0 33506 0 253201 0 0 MEGAN FARRELL PHYSICIAN 243800 0 0 0 552 0 0 0 35607 0 279959 0 0 0 DEBRA LUCKIEWICZ PHYSICIAN 190728 0 0 0 774 0 0 0 32689 0 224191 0 0 0 DOMENIC LIPOME PHYSICIAN 200338 0 0 0 180 0 0 0 18883 0 219401 0 0 0 ELIZABETH MAHER PHYSICIAN 186008 0 0 0 774 0 0 0 18266 0 205048 0 0 0 BETHANY CALKINS PHYSICIAN 175510 0 0 0 125 0 0 0 28389 0 204024 0 0 0 PART I, LINE 4A $140,288 OF SEVERANCE WAS PAID DURING 2013 TO THE CEO, WHO IS LISTED ON THE FORM 990, PART VII, SECTION A, LINE 1(A). $92,774 OF SEVERANCE WAS PAID DURING 2013 TO THE VICE PRESIDENT, LOU IZZO, WHO IS LISTED ON THE FORM 990, PART VII, SECTION A, LINE 1(A). SUPPORTIVE MEDICAL PARTNERS PLLC THE PARTNERS OF THE PRACTICE ARE ALSO PHYSICIANS EMPLOYED BY HOSPICE. 2400000 SUPPORTIVE MEDICAL PARTNERS, PLLC, ("THE PRACTICE") A PROFESSIONAL SERVICES LIMITED LIABILITY COMPANY WITH ITS PRINCIPAL OFFICE LOCATED AT 150 BENNETT ROAD, CHEEKTOWAGA, NEW YORK 14227, IS A GROUP MEDICAL PRACTICE SPECIALIZING IN THE DELIVERY OF PALLIATIVE CARE TO SERIOUSLY AND TERMINALLY ILL PATIENTS. THE PARTNERS OF THE PRACTICE ARE ALSO FULL-TIME PHYSICIANS EMPLOYED BY HOSPICE BUFFALO, INC. THE PRACTICE INCURS CONTRACTUAL ADMINISTRATIVE EXPENSES THAT ARE DUE TO THE CENTER FOR HOSPICE AND PALLIATIVE CARE, INC. (CHPC) UNDER A MANAGEMENT AGREEMENT AND ALSO RENTS OFFICES FROM CHPC. THE CHARGES FLOW THROUGH INTERCOMPANY ACCOUNTS BETWEEN HOSPICE BUFFALO, INC. AND THE CENTER FOR HOSPICE AND PALLIATIVE CARE, INC. 0 FORM 990, PART VI, SECTION A, LINE 6 THE CENTER FOR HOSPICE AND PALLIATIVE CARE, INC. IS THE SOLE CORPORATE MEMBER OF HOSPICE BUFFALO, INC. FORM 990, PART VI, SECTION A, LINE 7A THE ORGANIZATION HAS A STOCKHOLDER AND MEMBERS WHO MAY ELECT ONE OR MORE MEMBERS OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11 THE IRS FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTANT. THE COMPLETED FORM IS PRESENTED TO THE AUDIT COMMITTEE AND BOARD OF DIRECTORS AND, AFTER A REVIEW HAS TAKEN PLACE, SUCH IS RECOMMENDED FOR SUBMISSION TO THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS A COMPREHENSIVE CORPORATE COMPLIANCE PLAN AND SET OF POLICIES. THE BOARD AND ALL EMPLOYEES ARE REQUIRED TO COMPLETE AN ANNUAL INSERVICE REGARDING CORPORATE COMPLIANCE. THE INSERVICE SPECIFICALLY REVIEWS THE POLICIES REGARDING CONFLICTS OF INTEREST, HOW TO DETERMINE IF A CONFLICT OF INTEREST HAS OCCURRED, AND ALL MANNERS IN WHICH COMPLIANCE VIOLATIONS CAN BE REPORTED WITHIN THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS,COMPENSATION COMMITTEE AND CEO HAVE THE RESPONSIBILITY AND OVERSIGHT OF ALL ELEMENTS OF EXECUTIVE COMPENSATION.AN ANNUAL REVIEW & APPROVAL IS COMPLETED BY THE COMMITTEE. IN THE REVIEW PROCESS ANNUAL COMPENSATION AND KEY GOALS ARE REVIEWED. THE COMMITTEE ALSO COMPARES COMPENSATION OF KEY EMPLOYEES TO SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS BY AN INDEPENDENT PARTY. DURING THE YEAR, AN EXECUTIVE COMPENSATION STUDY WAS PERFORMED BY AN INDEPENDENT PARTY, THE RESULTS OF WHICH WERE PRESENTED TO THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 18 AVAILABILITY OF THE ORGANIZATION'S IRS FORM 990 IS DISCLOSED ON THE WEBSITE AND REQUESTS ARE RECEIVED VIA THE WEBSITE, PHONE OR MAIL. FORM 990, PART VI, SECTION C, LINE 19 ALL GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICIES AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. AVAILABILITY IS DISCLOSED ON THE WEBSITE, AND REQUESTS ARE RECEIVED VIA THE PHONE NUMBER ON THE WEBSITE OR BY MAIL. THE ORGANIZATION'S IRS FORM 990 IS ALSO AVAILABLE AT GUIDESTAR.ORG. FORM 990, PART XII, LINE 2C THERE HAVE BEEN NO CHANGES FROM THE PRIOR YEAR TO THE PROCESS THAT THE ORGANIZATION HAS IN PLACE FOR THE OVERSIGHT OF THE AUDIT OR THE SELECTION OF AN INDEPENDENT ACCOUNTANT. FORM 990, PART VII, SECTION A, LINE 1 IN 2013, APPROXIMATELY $2.4 MILLION IN PROFESSIONAL MEDICAL SALARIES AND BENEFITS PAID BY THE ORGANIZATION WERE CHARGED AND REPORTED TO THE CENTER FOR HOSPICE AND PALLIATIVE CARE, INC. (CHPC), A RELATED ORGANIZATION. CHPC THEN CHARGES SUPPORTIVE MEDICAL PARTNERS FOR THESE WAGES VIA THE MANAGEMENT FEE. CARING HEARTS HOME CARE INC 225 COMO PARK BLVD CHEEKTOWAGA NY 14227 161577861 LICENSED HOME HEALTH CARE SERVICE AGENCY THAT PROVIDES A PLAN OF CARE NY 501(C)(3) LINE 9 CENTER FOR HOSPICE AND PALLIATIVE CARE INC 0 PALLIATIVE CARE INSTITUTE INC 225 COMO PARK BLVD CHEEKTOWAGA NY 14227 161593163 INTERCONNECT COMMUNITY AND UNIVERSITY EFFORTS ACROSS DISCIPLINES NY 501(C)(3) LINE 9 CENTER FOR HOSPICE AND PALLIATIVE CARE INC 0 HOME CARE BUFFALO INC 225 COMO PARK BLVD CHEEKTOWAGA NY 14227 161481488 PROVIDE HIGH QUALITY COMPREHENSIVE CARE TO MEDICALLY COMPROMISED PATIENTS NY 501(C)(3) LINE 9 CENTER FOR HOSPICE AND PALLIATIVE CARE INC 0 HOSPICE FOUNDATION INC 225 COMO PARK BLVD CHEEKTOWAGA NY 14227 223137812 ACCEPTS, ADMINISTERS AND INVESTS ALL CHARITABLE FUNDS NY 501(C)(3) LINE 7 CENTER FOR HOSPICE AND PALLIATIVE CARE INC 0 KRESGE RESIDENCE INC 225 COMO PARK BLVD CHEEKTOWAGA NY 14227 161467560 PROVIDE SKILLED NURSING SERVICES NY 501(C)(3) LINE 9 CENTER FOR HOSPICE AND PALLIATIVE CARE INC 0 LIFE TRANSITIONS CENTER INC 225 COMO PARK BLVD CHEEKTOWAGA NY 14227 222203585 HELP PEOPLE COPE WITH DEATH RELATED ISSUES NY 501(C)(3) LINE 9 CENTER FOR HOSPICE AND PALLIATIVE CARE INC 0 SAUNDERS PROPERTIES OF WNY INC 225 COMO PARK BLVD CHEEKTOWAGA NY 14227 205359753 HOLD PROPERTIES FOR ITS PARENT COMPANY NY 501(C)(2) LINE 9 CENTER FOR HOSPICE AND PALLIATIVE CARE INC 0 THE CENTER FOR HOSPICE AND PALLIATIVE CARE 225 COMO PARK BLVD CHEEKTOWAGA NY 14227 223141532 PROVIDE SERVICES THAT ENHANCE COMFORT & QUALITY OF LIFE NY 501(C)(3) LINE 9 CENTER FOR HOSPICE AND PALLIATIVE CARE INC 0 GILDA'S CLUB INC 225 COMO PARK BLVD CHEEKTOWAGA NY 14227 161575630 PROVIDE A MEETING PLACE FOR PEOPLE WITH CANCER AND THEIR FAMILIES NY 501(C)(3) LINE 9 CENTER FOR HOSPICE AND PALLIATIVE CARE INC 0 0 0 1 0 0 0 0 0 0 0 1 0 1 1 1 1 0 1 1