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HOSPICE CARE NETWORK: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
HOSPICE CARE NETWORK (EIN 11-2925757)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-13
IRS object ID
201303179349302940
Schema version
2012v2.1
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

FieldValueIRS element (for citing)
Timestamp2013-11-13T13:29:38-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN112925757EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Hospice Care NetworkBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlHOSPNameControl

US Address USAddress

FieldValueIRS element (for citing)
Address Line199 Sunnyside BlvdAddressLine1
CityWoodburyCity
StateNYState
ZIP Code11797ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameSusan MauroName
TitleCFO & Senior VPTitle
Phone5168327100Phone
Date Signed2013-11-15DateSigned
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMaureen HinkelmanNameOfPrincipalOfficerPerson
Gross Receipts50133516GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.hospicecarenetwork.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1988YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionOur 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.ActivityOrMissionDescription
Nbr Voting Members Governing Body26NbrVotingMembersGoverningBody
Nbr Independent Voting Members26NbrIndependentVotingMembers
Total Nbr Employees378TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1368596ContributionsGrantsPriorYear
Contributions Grants Current Year1893126ContributionsGrantsCurrentYear
Program Service Revenue Prior Year47175674ProgramServiceRevenuePriorYear
Program Service Revenue CY47511130ProgramServiceRevenueCY
Investment Income Prior Year126579InvestmentIncomePriorYear
Investment Income Current Year662058InvestmentIncomeCurrentYear
Other Revenue Prior Year13533OtherRevenuePriorYear
Other Revenue Current Year1399OtherRevenueCurrentYear
Total Revenue Prior Year48684382TotalRevenuePriorYear
Total Revenue Current Year50067713TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year20724749SalariesEtcPriorYear
Salaries Etc Current Year22193770SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year253949TotalFundrsngExpCurrentYear
Other Expense Prior Year24441159OtherExpensePriorYear
Other Expenses Current Year24804624OtherExpensesCurrentYear
Total Expenses Prior Year45165908TotalExpensesPriorYear
Total Expenses Current Year46998394TotalExpensesCurrentYear
Revenues Less Expenses Prior Year3518474RevenuesLessExpensesPriorYear
Revenues Less Expenses CY3069319RevenuesLessExpensesCY
Total Assets BOY29471441TotalAssetsBOY
Total Assets EOY32156856TotalAssetsEOY
Total Liabilities BOY6424136TotalLiabilitiesBOY
Total Liabilities EOY6268085TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY23047305NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY25888771NetAssetsOrFundBalancesEOY
Mission DescriptionOur 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.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense43417816Expense
Revenue49192617Revenue
DescriptionHospice 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.Description
Total Program Service Expense43417816TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109646NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees378NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members26NbrVotingGoverningBodyMembers
Number Independent Voting Members26NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonSusan MauroNamePerson
Telephone Number5162246411TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line199 Sunnyside BoulevardAddressLine1
CityWoodburyCity
StateNYState
ZIP Code11797ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (35 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
Beatrix McKane
Board2.00X000
Beverly Banker
Board2.00X000
Carol Wessel
Board2.00X000
Deborah Tascone Kennedy
Board2.00X000
Dorothy Greene
Board2.00X000
Elaine Shellard
Board2.00X000
Gedale Horowitz
Board2.00X000
Gerral Felson
Board2.00X000
Jeffrey Gabel
Board2.00X000
Joan Heaney
Board2.00X000
John Peterkin
Board2.00X000
Kenneth Tully
Vice Chairperson2.00X000
Martin Dawson
Board2.00X000
Mary Jane Belt
Vice Chairperson2.00X000
Michael Nolan
Board2.00X000
Norma Henriksen
Board2.00X000
Patricia Bloomgarden
Board2.00X000
Patricia Mulholland
Secretary2.00X000
Patrick Edwards
Chairperson2.00X000
Richard McSherry
Board2.00X000
Richard Ranieri
Board2.00X000
Richard Tretler
Treasurer2.00X000
Rita Marcus
Board2.00X000
Romayne Kovach Berk
Board2.00X000
Suzanne OConnor
Board2.00X000
Yong Lee
Board2.00X000
Maureen Hinkelman
President & CEO35.00302344064342X
Nan Toelstedt
Executive Vice President35.00210175015216X
Susan Mauro
CFO & Senior VP of Finance35.00172885027571X
Lori Attivissimo
Senior Medical Director35.00249039018259X
Darrin London
Director of the Hospice INN35.00144876012295X
Eirene Milano
Medical Director35.0014524104791X
Grace Marballie
Registered Nurse35.00147299018686X
Joi Marszalek
Medical Director35.0017787205929X
Susan Seltzer
Registered Nurse Manager35.0014545105032X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1695182TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation172121TotalOtherCompensation
Number Individuals GT100 K9NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Federated Campaigns19001FederatedCampaigns
Fundraising Events201190FundraisingEvents
All Other Contributions1672935AllOtherContributions
Total Contributions1893126TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionProgram Service RevenueDescription
Business Code900099BusinessCode
Total Revenue Column47511130TotalRevenueColumn
Related Or Exempt Function Income47511130RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue47511130TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column662058TotalRevenueColumn
Related Or Exempt Function Income662058RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Gross Income Fundraising Events67202GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events201190CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses65803FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column1399TotalRevenueColumn
Exclusion$1,399ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column50067713TotalRevenueColumn
Related Or Exempt Function Income48173188RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,399ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total934612Total
Program Services803766ProgramServices
Management And General130846ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total17129729Total
Program Services14731567ProgramServices
Management And General2226865ManagementAndGeneral
Fundraising171297Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total554438Total
Program Services476817ProgramServices
Management And General72077ManagementAndGeneral
Fundraising5544Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2248328Total
Program Services1933562ProgramServices
Management And General292283ManagementAndGeneral
Fundraising22483Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1326663Total
Program Services1140930ProgramServices
Management And General172466ManagementAndGeneral
Fundraising13267Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total12301Total
Program Services10579ProgramServices
Management And General1599ManagementAndGeneral
Fundraising123Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total100996Total
Program Services86857ProgramServices
Management And General13129ManagementAndGeneral
Fundraising1010Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total19215Total
Program Services16525ProgramServices
Management And General2498ManagementAndGeneral
Fundraising192Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total506955Total
Program Services435981ProgramServices
Management And General65904ManagementAndGeneral
Fundraising5070Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total298878Total
Program Services257035ProgramServices
Management And General38854ManagementAndGeneral
Fundraising2989Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1009312Total
Program Services868008ProgramServices
Management And General131211ManagementAndGeneral
Fundraising10093Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total17724Total
Program Services15243ProgramServices
Management And General2304ManagementAndGeneral
Fundraising177Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total533232Total
Program Services458580ProgramServices
Management And General69320ManagementAndGeneral
Fundraising5332Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total139460Total
Program Services139460ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Inpatient Expense55094005509400
Contracted Labor43213014321301
Miscellaneous Expenses1233802111015710727316372
Nursing Home37222173722217

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total7379831Total
Program Services7379831ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total46998394Total
Program Services43417816ProgramServices
Management And General3326629ManagementAndGeneral
Fundraising253949Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY9691751BOY
EOY4119429EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY8080183BOY
EOY771472EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY653162BOY
EOY640791EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY5110585BOY
EOY6820222EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY437794BOY
EOY421920EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis3575773LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec2392692LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1233943BOY
EOY1183081EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY1823490BOY
EOY15705147EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY2440533BOY
EOY2494794EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY29471441BOY
EOY32156856EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY5349756BOY
EOY5315408EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY439672BOY
EOY274130EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY634708BOY
EOY678547EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY6424136BOY
EOY6268085EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY20798269BOY
EOY23629314EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1870807BOY
EOY1881228EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY378229BOY
EOY378229EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY23047305BOY
EOY25888771EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY29471441BOY
EOY32156856EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses3069319ReconcilationRevenueExpenses
Reconciliation Unrealized Invest-227853ReconciliationUnrealizedInvest
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1740162CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1272452CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years920874CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1368597CurrentTaxYearMinus1Year
Current Tax Year1893126CurrentTaxYear
Total7195211Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years39908485CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years40445665CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years41717553CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year47175674CurrentTaxYearMinus1Year
Current Tax Year47511130CurrentTaxYear
Total216758507Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years41648647CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years41718117CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years42638427CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year48544271CurrentTaxYearMinus1Year
Current Tax Year49404256CurrentTaxYear
Total223953718Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years46877CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years68293CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years108975CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year73457CurrentTaxYearMinus1Year
Current Tax Year108670CurrentTaxYear
Total406272Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years46877CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years68293CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years108975CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year73457CurrentTaxYearMinus1Year
Current Tax Year108670CurrentTaxYear
Total406272Total
FieldValueIRS element (for citing)
Public Support Total509223547446PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years-384680CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years91434CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years154575CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year126579CurrentTaxYearMinus1Year
Current Tax Year662058CurrentTaxYear
Total649966Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years-384680CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years91434CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years154575CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year126579CurrentTaxYearMinus1Year
Current Tax Year662058CurrentTaxYear
Total649966Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years41263967CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years41809551CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years42793002CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year48670850CurrentTaxYearMinus1Year
Current Tax Year50066314CurrentTaxYear
Total224603684Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99530PublicSupportPercentage509
Prior Year Support Percentage0.99650PriorYearSupportPercentage
Investment Income Percentage0.00290InvestmentIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance2249036BeginningOfYearBalance
Contributions1029850Contributions
Other Expenditures1019429OtherExpenditures
End Of Year Balance2259457EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance2340410BeginningOfYearBalance
Contributions786675Contributions
Other Expenditures878049OtherExpenditures
End Of Year Balance2249036EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance1722216BeginningOfYearBalance
Contributions1518518Contributions
Other Expenditures900324OtherExpenditures
End Of Year Balance2340410EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance1896053BeginningOfYearBalance
Contributions725023Contributions
Other Expenditures898860OtherExpenditures
End Of Year Balance1722216EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance2444784BeginningOfYearBalance
Contributions503140Contributions
Other Expenditures1051871OtherExpenditures
End Of Year Balance1896053EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.04900BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.16700PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.78400TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis21000OtherCostOrOtherBasis
Book Value21000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis189000OtherCostOrOtherBasis
Depreciation113400Depreciation
Book Value75600BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1571968OtherCostOrOtherBasis
Depreciation1222718Depreciation
Book Value349250BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis241386OtherCostOrOtherBasis
Depreciation111663Depreciation
Book Value129723BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1552419OtherCostOrOtherBasis
Depreciation944911Depreciation
Book Value607508BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1183081TotalOfBookValueLandBuildings

Other Assets OtherAssets (8 entries)

DescriptionDescriptionBook ValueBookValue
Special Purpose Fund - Caregiv426185
Special Purpose Fund - Family566799
Special Purpose Fund-Comp Med127578
Special Purpose Fund- Cap Cam554719
Special Purpose Fund - Pall C139556
Special Purpose Fund - Video P1410
Insurance Claims Receivable-Cu135950
Insurance Claims Receivable -542597
FieldValueIRS element (for citing)
Total Book Value Other Assets2494794TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
Insurance Claims Liability- Cu$135,950
Insurance Claims Liability-Net$542,597
FieldValueIRS element (for citing)
Total Of Amounts678547TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt49969439TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-227853NetUnrealizedGainsInvestments
Revenue Not Rptd F990-227853RevenueNotRptdF990
Revenue Subtotal50197292RevenueSubtotal
Other Revenues Not Included-129579OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-129579RevenueNotRptdOnFinStmt
Total Revenue Per Form99050067713TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt46858394TotExpensesEtcAuditedFinclStmt
Other Expenses Included-140000OtherExpensesIncluded
Expenses Not Rptd F990-140000ExpensesNotRptdF990
Expenses Subtotal46998394ExpensesSubtotal
Total Expenses Per Form99046998394TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
D8Endowment funds intended uses Part V line 41. Special Purpose Fund - Caregivers - For support to the Patient Caregivers 2. Special Purpose Fund - Complimentary Medicine - Support complimentary medicine services for patients 3. Special Purpose Fund - Capital Campaign - Collective funds support including facility projects and enhancements 4. Special Purpose Fund - Palliative Care - Support patients in Palliative Care Services
D10Other revenues included on Form 990 Part XI line 4bThis is a reconciliation difference between the audited financials statements and the revenue as per the return. This is equal to the change in the 2012 temporarily restricted contributions and the net assets released from restrictions. It also includes the provision for bad debt expense of $140,000.
D11Other expenses not included on Form 990 Part XII line 2dThis is equal to the provision for bad debt expense of $140,000.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1Tully GolfNameOfEvent1
Gross Receipts Event1248150GrossReceiptsEvent1
Charitable Contributions Event1201190CharitableContributionsEvent1
Gross Revenue Event146960GrossRevenueEvent1
Cash Prizes Event13625CashPrizesEvent1
Rent Facility Costs Event143000RentFacilityCostsEvent1
Other Direct Expenses Event116651OtherDirectExpensesEvent1
Name Of Event2Champ ChariNameOfEvent2
Gross Receipts Event28485GrossReceiptsEvent2
Gross Revenue Event28485GrossRevenueEvent2
Total Number Of Other Events6TotalNumberOfOtherEvents
Gross Receipts Other Events11757GrossReceiptsOtherEvents
Gross Revenue Other Events11757GrossRevenueOtherEvents
Other Direct Expenses Other Events2527OtherDirectExpensesOtherEvents
Gross Receipts Total268392GrossReceiptsTotal
Charitable Contributions Total201190CharitableContributionsTotal
Gross Revenue Total Events67202GrossRevenueTotalEvents
Cash Prizes Total Events3625CashPrizesTotalEvents
Rent Facility Costs Total Events43000RentFacilityCostsTotalEvents
Other Direct Expenses Total Events19178OtherDirectExpensesTotalEvents
Direct Expense Summary Events65803DirectExpenseSummaryEvents
Net Income Summary1399NetIncomeSummary

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
Maureen Hinkelman
President & CEO277996243484875015592366686
Nan Toelstedt
Executive Vice President203575660014616600225391
Susan Mauro
CFO & Senior VP of Finance1728851240715164200456
Lori Attivissimo
Senior Medical Director2320391700017659600267298
Joi Marszalek
Medical Director1778725329600183801
Susan Seltzer
Registered Nurse Manager14415113004432600150483
Eirene Milano
Medical Director128741165004191600150032
Darrin London
Director of the Hospice INN1283761650043777918157171
Grace Marballie
Registered Nurse147299461014076165985

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierJ4Identifier
Return ReferenceListed persons compensation information Part I line 4ReturnReference
ExplanationMaureen Hinkelman - 457(b) - $1,848Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
O01Member election for additional members Part VI line 7aThis organization is a member of the North Shore Long Island Jewish Health System (4the System4). The System is the sole corporate member of Hospice Care Network. It has the right to elect or appoint members of the organization9s governing body and the right to approve or ratify certain corporate decisions.
O02Governing body decisions Part VI line 7bThis organization is a member of the North Shore Long Island Jewish Health System (4The System4). The System is the sole corporate member of Hospice Care Network. It has the right to elect or appoint members of the organization9s governing body and has the right to approve or ratify certain corporate decisions.
O03Form 990 governing body review Part VI line 11The organization9s exectuve committee, which has governing authority, is provided a copy of Form 990 before filing and is asked to comment or question accordingly.
O04Conflict of interest policy compliance Part VI line 12cA conflict of interest form is completed by all board trustees, reviewed by the executive committee with any potential conflicts of interest declared and discussed.
O05CEO executive director top management comp Part VI line 15aThe 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.
O06Other officer or key employee compensation Part VI line 15bOther officer and key employee compensation is apprroved by the CEO based on a review of salary surveys of like positions in a similar industry and/or a review of 990s of similar organizations.
O07Governing documents etc available to public Part VI line 19Upon 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 organization9s website.
O08List of other expenses Part IX line 24eLine 24e - All Other Expenses - Patient Related Medication $2,895,386, All other Patient Related Expenses $4,484,445

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (10 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
North Shore Long Island Jewish
972 Brush Hollow RdWestburyNY11590113418133Health SystemNY501c311 Type 1N/Afalse
NSLIJ Foundation
125 Community DriveGreat NeckNY11021112965575FundraisingNE501c37falseNS-LIJHS
North Shore University Hospita
300 Community DriveManhassetNY11030111562701Health CareNY501c33falseNS-LIJHSCI
Long Island Jewish Medical Cen
270-05 76 AveNew Hyde ParkNY11040112241326Health CareNY501c33falseNS-LIJHSCI
Glen Cove Hospital
101 St Andrews LaneGlen CoveNY11542111633487Health CareNY501c33falseNS-LIJHSCI
Franklin Hospital
900 Franklin AveValley StreamNY11580112296824Health CareNY501c33falseNS-LIJHSCI
Forest Hills Hospital
102-01 66th RdForest HillsNY11375112163522Health CareNY501c33falseNS-LIJHSCI
Plainview Hospital
888 Old Country RoadPlainviewNY11803113241243Health CareNY501c33falseNS-LIJHSCI
Southside Hospital
301 E Main StreetBay ShoreNY11706111667761Health CareNY501c33falseNS-LIJHSCI
Huntington Hospital Associatio
270 Park AvenueHuntingtonNY11743111630914Health CareNY501c33falseNS-LIJHSCI

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1Region Care IncBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1972 Brush Hollow RdAddressLine1
CityWestburyCity
StateNYState
ZIP Code11590ZIPCode
FieldValueIRS element (for citing)
EIN113052191EIN
Primary ActivityHealth CarePrimaryActivity
Legal Domicile StateNYLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NSHS EnterprisesBusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityC CorpTypeOfEntity
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg