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HOSPICE CARE NETWORK: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
HOSPICE CARE NETWORK (EIN 11-2925757)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-12-18
IRS object ID
201203539349300005
Schema version
2011v1.2
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)
Timestamp2012-12-18T10:06:39-05:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

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 Signed2012-11-12DateSigned
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMaureen HinkelmanNameOfPrincipalOfficerPerson
Gross Receipts48742030GrossReceipts
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 livesActivityOrMissionDescription
Nbr Voting Members Governing Body26NbrVotingMembersGoverningBody
Nbr Independent Voting Members25NbrIndependentVotingMembers
Total Nbr Employees394TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year711473ContributionsGrantsPriorYear
Contributions Grants Current Year1368596ContributionsGrantsCurrentYear
Program Service Revenue Prior Year41717533ProgramServiceRevenuePriorYear
Program Service Revenue CY47175674ProgramServiceRevenueCY
Investment Income Prior Year154575InvestmentIncomePriorYear
Investment Income Current Year126579InvestmentIncomeCurrentYear
Other Revenue Prior Year927905OtherRevenuePriorYear
Other Revenue Current Year13533OtherRevenueCurrentYear
Total Revenue Prior Year43511486TotalRevenuePriorYear
Total Revenue Current Year48684382TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year18867867SalariesEtcPriorYear
Salaries Etc Current Year20724749SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year242079TotalFundrsngExpCurrentYear
Other Expense Prior Year21508274OtherExpensePriorYear
Other Expenses Current Year24441159OtherExpensesCurrentYear
Total Expenses Prior Year40376141TotalExpensesPriorYear
Total Expenses Current Year45165908TotalExpensesCurrentYear
Revenues Less Expenses Prior Year3135345RevenuesLessExpensesPriorYear
Revenues Less Expenses CY3518474RevenuesLessExpensesCY
Total Assets BOY25389128TotalAssetsBOY
Total Assets EOY29471441TotalAssetsEOY
Total Liabilities BOY5743967TotalLiabilitiesBOY
Total Liabilities EOY6424136TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY19645161NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY23047305NetAssetsOrFundBalancesEOY
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 livesMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense41584473Expense
Revenue48180302Revenue
DescriptionHospice provided a wide range of medical and psychosocial services to terminally ill patients & their families Services include nursing social work pastoral care home health aide volunteer bereavement medical equipment and pharmacy servicesDescription
Total Program Service Expense41584473TotalProgramServiceExpense
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 With109637NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees394NumberOfEmployees
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 Members25NumberIndependentVotingMembers
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
Deirdre Frank
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 & CEO35.00303833056096X
Nan Toelstedt
Executive Vice President35.00209293014950X
Susan Mauro
CFO & Senior VP of Finance35.00160804025507X
Lori Attivissimo
Senior Medical Director35.00219798021846X
Darrin London
Director of the Hospice INN35.00132715010098X
Eirene Milano
Medical Director35.0014469804945X
Elise Ross
Vice President of Human Resources35.00115175021773X
Marie Zanotelli
Vice President of Operations35.00119788015227X
Susan Seltzer
Registered Nurse Manager35.0013826104828X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1544365TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation175270TotalOtherCompensation
Number Individuals GT100 K9NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Federated Campaigns18318FederatedCampaigns
Fundraising Events189660FundraisingEvents
All Other Contributions1160618AllOtherContributions
Total Contributions1368596TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionProgram Service RevenueDescription
Business Code900099BusinessCode
Total Revenue Column47175674TotalRevenueColumn
Related Or Exempt Function Income47175674RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue47175674TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column126579TotalRevenueColumn
Related Or Exempt Function Income126579RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Gross Income Fundraising Events71181GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events189660CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses57648FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column13533TotalRevenueColumn
Exclusion$13,533ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column48684382TotalRevenueColumn
Related Or Exempt Function Income47302253RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$13,533ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total839900Total
Program Services562815ProgramServices
Management And General277085ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total16099560Total
Program Services13845621ProgramServices
Management And General2092943ManagementAndGeneral
Fundraising160996Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total487097Total
Program Services418903ProgramServices
Management And General63323ManagementAndGeneral
Fundraising4871Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2022070Total
Program Services1738980ProgramServices
Management And General262869ManagementAndGeneral
Fundraising20221Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1276122Total
Program Services1097465ProgramServices
Management And General165896ManagementAndGeneral
Fundraising12761Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total128039Total
Program Services110114ProgramServices
Management And General16645ManagementAndGeneral
Fundraising1280Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total17379Total
Program Services14946ProgramServices
Management And General2259ManagementAndGeneral
Fundraising174Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total529712Total
Program Services455553ProgramServices
Management And General68862ManagementAndGeneral
Fundraising5297Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total265943Total
Program Services228711ProgramServices
Management And General34573ManagementAndGeneral
Fundraising2659Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1011428Total
Program Services869828ProgramServices
Management And General131486ManagementAndGeneral
Fundraising10114Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total12521Total
Program Services10768ProgramServices
Management And General1628ManagementAndGeneral
Fundraising125Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total417403Total
Program Services358967ProgramServices
Management And General54262ManagementAndGeneral
Fundraising4174Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total165653Total
Program Services165653ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Inpatient Expense54945615494561
Contracted Labor42463944246394
Miscellaneous Expenses118439799746516752519407
Nursing Home Expense52944405294440

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total5673289Total
Program Services5673289ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total45165908Total
Program Services41584473ProgramServices
Management And General3339356ManagementAndGeneral
Fundraising242079Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY6149476BOY
EOY9691751EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY6076975BOY
EOY8080183EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY740889BOY
EOY653162EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY4896414BOY
EOY5110585EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY413727BOY
EOY437794EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis3093162LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1859219LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1514842BOY
EOY1233943EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY3712153BOY
EOY1823490EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1884652BOY
EOY2440533EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY25389128BOY
EOY29471441EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY5197885BOY
EOY5349756EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY546082BOY
EOY439672EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
EOY634708EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY5743967BOY
EOY6424136EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY17304751BOY
EOY20798269EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1962181BOY
EOY1870807EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY378229BOY
EOY378229EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY19645161BOY
EOY23047305EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY25389128BOY
EOY29471441EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses3518474ReconcilationRevenueExpenses
Reconcilation Other Changes-116330ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewtrueAccountantCompileOrReview
FS AuditedtrueFSAudited
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 Years1853582CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1740162CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1272452CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year920874CurrentTaxYearMinus1Year
Current Tax Year1368597CurrentTaxYear
Total7155667Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years34707679CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years39908485CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years40445665CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year41717553CurrentTaxYearMinus1Year
Current Tax Year47175674CurrentTaxYear
Total203955056Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years36561261CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years41648647CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years41718117CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year42638427CurrentTaxYearMinus1Year
Current Tax Year48544271CurrentTaxYear
Total211110723Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years39322CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years46877CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years68293CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year108975CurrentTaxYearMinus1Year
Current Tax Year73457CurrentTaxYear
Total336924Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years39322CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years46877CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years68293CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year108975CurrentTaxYearMinus1Year
Current Tax Year73457CurrentTaxYear
Total336924Total
FieldValueIRS element (for citing)
Public Support Total509210773799PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years413918CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years-384680CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years91434CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year154575CurrentTaxYearMinus1Year
Current Tax Year126579CurrentTaxYear
Total401826Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years413918CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years-384680CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years91434CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year154575CurrentTaxYearMinus1Year
Current Tax Year126579CurrentTaxYear
Total401826Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years36975179CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years41263967CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years41809551CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year42793002CurrentTaxYearMinus1Year
Current Tax Year48670850CurrentTaxYear
Total211512549Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99650PublicSupportPercentage509
Prior Year Support Percentage0.99550PriorYearSupportPercentage
Investment Income Percentage0.00190InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00280PriorYrInvestIncomePercentage
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 Balance2340410BeginningOfYearBalance
Contributions786675Contributions
Other Expenditures878049OtherExpenditures
End Of Year Balance2249036EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance1722216BeginningOfYearBalance
Contributions1518518Contributions
Other Expenditures900324OtherExpenditures
End Of Year Balance2340410EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.04900BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.16800PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.78300TermEndowmentEOYBalance
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
Depreciation108675Depreciation
Book Value80325BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1442288OtherCostOrOtherBasis
Depreciation1025537Depreciation
Book Value416751BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis143744OtherCostOrOtherBasis
Depreciation78346Depreciation
Book Value65398BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1297130OtherCostOrOtherBasis
Depreciation646661Depreciation
Book Value650469BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1233943TotalOfBookValueLandBuildings

Other Assets OtherAssets (8 entries)

DescriptionDescriptionBook ValueBookValue
Special Purpose Fund - Caregiv464515
Special Purpose Fund - Family654818
Special Purpose Fund-Comp Medi69924
Special Purpose Fund- Cap Camp558019
Special Purpose Fund - Pall Ca54449
Special Purpose Fund - Video P4100
Insurance Claims Receivable-Cu122283
Insurance Claims Receivable -512425
FieldValueIRS element (for citing)
Total Book Value Other Assets2440533TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
Insurance Claims Liability- Cu$122,283
Insurance Claims Liability-Net$512,425
FieldValueIRS element (for citing)
Total Of Amounts634708TotalOfAmounts
Total Revenue48684382TotalRevenue
Total Expenses45165908TotalExpenses
Excess Or Deficit For Year3518474ExcessOrDeficitForYear
Net Unrealized GL On Investments-116329NetUnrealizedGLOnInvestments
Total Adjustments-116329TotalAdjustments
Excess Or Deficit Per FS3402145ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt48659427TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-116329NetUnrealizedGainsInvestments
Revenue Not Rptd F990-116329RevenueNotRptdF990
Revenue Subtotal48775756RevenueSubtotal
Other Revenues Not Included-91374OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-91374RevenueNotRptdOnFinStmt
Total Revenue Per Form99048684382TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt45165908TotExpensesEtcAuditedFinclStmt
Expenses Subtotal45165908ExpensesSubtotal
Total Expenses Per Form99045165908TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierExplanationExplanation
Endowment 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
02 Other revenues included on Form 990 Part XII line 4bThis is a reconciliation difference between the audited financials statements and the revenue as per the return This is equal to change in the 2011 temporilarily restricted contributions and the net assets released from restrictions

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1Tully GolfNameOfEvent1
Gross Receipts Event1231975GrossReceiptsEvent1
Charitable Contributions Event1189660CharitableContributionsEvent1
Gross Revenue Event142315GrossRevenueEvent1
Cash Prizes Event13625CashPrizesEvent1
Rent Facility Costs Event140480RentFacilityCostsEvent1
Other Direct Expenses Event111101OtherDirectExpensesEvent1
Name Of Event2Champ ChariNameOfEvent2
Gross Receipts Event27848GrossReceiptsEvent2
Gross Revenue Event27848GrossRevenueEvent2
Total Number Of Other Events6TotalNumberOfOtherEvents
Gross Receipts Other Events21018GrossReceiptsOtherEvents
Gross Revenue Other Events21018GrossRevenueOtherEvents
Other Direct Expenses Other Events2442OtherDirectExpensesOtherEvents
Gross Receipts Total260841GrossReceiptsTotal
Charitable Contributions Total189660CharitableContributionsTotal
Gross Revenue Total Events71181GrossRevenueTotalEvents
Cash Prizes Total Events3625CashPrizesTotalEvents
Rent Facility Costs Total Events40480RentFacilityCostsTotalEvents
Other Direct Expenses Total Events13543OtherDirectExpensesTotalEvents
Direct Expense Summary Events57648DirectExpenseSummaryEvents
Net Income Summary13533NetIncomeSummary

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 (4 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Maureen Hinkelman
275205000286280423720137240359929000
Nan Toelstedt
200593000870001435006000224243000
Susan Mauro
16080400000116340138730186311000
Lori Attivissimo
20329800016500015586062600241644000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Identifier01 Listed persons compensation information Part I line 4Identifier
ExplanationMaureen Hinkelman - 457b - 6628Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierExplanationExplanation
01. Member election for additional members (Part VI, 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 organizations governing body and the right to approve or ratify certain corporate decisions
02. Governing body decisions (Part VI, 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 organizations governing body and has the right to approve or ratify certain corporate decisions
03. Form 990 governing body review (Part VI, line 11)The organizations exectuve committee which has governing authority is provided a copy of Form 990 before filing and is asked to comment or question accordingly
04. Conflict of interest policy compliance (Part VI, 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
05. CEO, executive director, top management comp (Part VI, line 15a)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
06. Other 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 andor a review of 990s of similar organizations
07. Governing documents, etc, available to public (Part VI, 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 organizations website
08. Explanation of other changes in net assets or fund balances (Part XI, line 5)The amount reported in Other changes in net assets of fund balances is comprised of three variables The first is the unrealized loss on investments carried at market value in the amount of 116329
09. Statement of functional expenses (Part IX)Line 24e - All Other Expenses - Patient Related Medication 2486219 All other Patient Related Expenses 3187070

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (10 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
North Shore Long Island Jewish
972 Brush Hollow RdWestburyNY11590113418133Health SystemNY501c311 Type 1NAfalse
NSLIJ Foundation
125 Community DriveGreat NeckNY11021112965575FundraisingNE501c37NS-LIJHSfalse
North Shore University Hospita
300 Community DriveManhassetNY11030111562701Health CareNY501c33NS-LIJHSCIfalse
Long Island Jewish Medical Cen
270-05 76 AveNew Hyde ParkNY11040112241326Health CareNY501c33NS-LIJHSCIfalse
Glen Cove Hospital
101 St Andrews LaneGlen CoveNY11542111633487Health CareNY501c33NS-LIJHSCIfalse
Franklin Hospital
900 Franklin AveValley StreamNY11580112296824Health CareNY501c33NS-LIJHSCIfalse
Forest Hills Hospital
102-01 66th RdForest HillsNY11375112163522Health CareNY501c33NS-LIJHSCIfalse
Plainview Hospital
888 Old Country RoadPlainviewNY11803113241243Health CareNY501c33NS-LIJHSCIfalse
Southside Hospital
301 E Main StreetBay ShoreNY11706111667761Health CareNY501c33NS-LIJHSCIfalse
Huntington Hospital Associatio
270 Park AvenueHuntingtonNY11743111630914Health CareNY501c33NS-LIJHSCIfalse

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
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 OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg