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HOSPICE CARE NETWORK: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
HOSPICE CARE NETWORK (EIN 11-2925757)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-11
IRS object ID
201143159349301709
Schema version
2010v3.4
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)
Timestamp2011-11-11T09:35:33-05:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

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
TitleCFOTitle
Phone5168327100Phone
Date Signed2011-11-15DateSigned
Authorize Third PartyfalseAuthorizeThirdParty
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMaureen HinkelmanNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line199 Sunnyside BlvdAddressLine1
CityWoodburyCity
StateNYState
ZIP Code11797ZIPCode
FieldValueIRS element (for citing)
Gross Receipts43607662GrossReceipts
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 Body25NbrVotingMembersGoverningBody
Nbr Independent Voting Members24NbrIndependentVotingMembers
Total Nbr Employees363TotalNbrEmployees
Total Nbr Volunteers160TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1034291ContributionsGrantsPriorYear
Contributions Grants Current Year711473ContributionsGrantsCurrentYear
Program Service Revenue Prior Year40445665ProgramServiceRevenuePriorYear
Program Service Revenue CY41717553ProgramServiceRevenueCY
Investment Income Prior Year91434InvestmentIncomePriorYear
Investment Income Current Year154575InvestmentIncomeCurrentYear
Other Revenue Prior Year902793OtherRevenuePriorYear
Other Revenue Current Year927905OtherRevenueCurrentYear
Total Revenue Prior Year42474183TotalRevenuePriorYear
Total Revenue Current Year43511506TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year19078696SalariesEtcPriorYear
Salaries Etc Current Year18867867SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year245472TotalFundrsngExpCurrentYear
Other Expense Prior Year21700679OtherExpensePriorYear
Other Expenses Current Year21508274OtherExpensesCurrentYear
Total Expenses Prior Year40779375TotalExpensesPriorYear
Total Expenses Current Year40376141TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1694808RevenuesLessExpensesPriorYear
Revenues Less Expenses CY3135365RevenuesLessExpensesCY
Total Assets BOY21989683TotalAssetsBOY
Total Assets EOY25389128TotalAssetsEOY
Total Liabilities BOY6312544TotalLiabilitiesBOY
Total Liabilities EOY5743967TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY15677139NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY19645161NetAssetsOrFundBalancesEOY
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
Expense37055071Expense
Revenue42436057Revenue
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 Expense37055071TotalProgramServiceExpense
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 LiabilitiesfalseReportOtherLiabilities
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 EntitytrueRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109653NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees363NumberOfEmployees
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
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members25NbrVotingGoverningBodyMembers
Number Independent Voting Members24NumberIndependentVotingMembers
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 Number5168327100TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (32 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
Beatrix McKane
Board2.00X000
Carol Wessel
Board2.00X000
Deirdre Frank
Board2.00X000
Dorothy Green
Board2.00X000
Elaine Shellard
Treasurer2.00X000
Gerral Felson
Board2.00X000
Jack Coulehan
Board2.00X000
Jeffrey Gabel
Board2.00X000
Joan Heaney
Board2.00X000
John W Peterkin
Board2.00X000
Kenneth Tully
Vice Chairperson2.00X000
Martin Dawson
Board2.00X000
Mary Jane Belt
Board2.00X000
Michael Nolan
Board2.00X000
Norma Henriksen
Board2.00X000
Patricia Bloomgarden
Chairperson of the Board2.00X000
Patricia Mulholland
Secretary2.00X000
Patrick R Edwards
Vice Chairperson2.00X000
Richard McSherry
Board2.00X000
Richard Ranieri
Board2.00X000
Rita Marcus
Board2.00X000
Romayne Kovach
Board2.00X000
Suzanne OConnor
Board2.00X000
Maureen Hinkelman
President & CEO35.00261637043529X
Nan Toelstedt
EVP of PC35.0020433306750X
Susan Mauro
CFO35.00146747016749X
Lori Attivissimo
Medical Director35.0018700706210X
Darrin London
Director35.00137915010560X
Eirene Milano
Medical Director35.0015294405193X
Faye Ann Bulaon-Siek
Medical Director35.001409510600X
Marie Zanotelli
VP of Operations35.00115447010516X
Susan Seltzer
Registered Nurse Manager35.0012475904345X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1471740TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation104452TotalOtherCompensation
Number Individuals GT100 K9NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Federated Campaigns18100FederatedCampaigns
Fundraising Events223643FundraisingEvents
All Other Contributions469730AllOtherContributions
Total Contributions711473TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionProgram Service RevDescription
Business Code900099BusinessCode
Total Revenue Column41717553TotalRevenueColumn
Related Or Exempt Function Income41717553RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue41717553TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column154575TotalRevenueColumn
Related Or Exempt Function Income154575RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Gross Income Fundraising Events123737GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events223643CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses96156FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column27581TotalRevenueColumn
Exclusion$27,581ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Capital Asset Release900099181820181820
Program Support Revenue900099718504718504
FieldValueIRS element (for citing)
Total Other Revenue900324TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column43511506TotalRevenueColumn
Related Or Exempt Function Income42772452RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$27,581ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total766797Total
Program Services562815ProgramServices
Management And General203982ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total14900647Total
Program Services12814557ProgramServices
Management And General1937084ManagementAndGeneral
Fundraising149006Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total414808Total
Program Services356735ProgramServices
Management And General53925ManagementAndGeneral
Fundraising4148Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1611400Total
Program Services1385804ProgramServices
Management And General209482ManagementAndGeneral
Fundraising16114Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1174215Total
Program Services1009825ProgramServices
Management And General152648ManagementAndGeneral
Fundraising11742Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total86448Total
Program Services74346ProgramServices
Management And General11238ManagementAndGeneral
Fundraising864Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total27903Total
Program Services23997ProgramServices
Management And General3627ManagementAndGeneral
Fundraising279Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total519313Total
Program Services446609ProgramServices
Management And General67511ManagementAndGeneral
Fundraising5193Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total272597Total
Program Services234433ProgramServices
Management And General35438ManagementAndGeneral
Fundraising2726Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1040741Total
Program Services895038ProgramServices
Management And General135296ManagementAndGeneral
Fundraising10407Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total12365Total
Program Services10634ProgramServices
Management And General1607ManagementAndGeneral
Fundraising124Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total639164Total
Program Services549681ProgramServices
Management And General83091ManagementAndGeneral
Fundraising6392Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total240865Total
Program Services240865ProgramServices

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Program Related Expenses1428900514289005
Other Expenses84794062879418066938477
Contracted Labor35319333531933

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total40376141Total
Program Services37055071ProgramServices
Management And General3075598ManagementAndGeneral
Fundraising245472Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY5236596BOY
EOY6149476EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2744633BOY
EOY6076975EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY26223BOY
EOY740889EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY4672329BOY
EOY4896414EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY465327BOY
EOY413727EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis3444211LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1929369LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY1675779BOY
EOY1514842EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY6084158BOY
EOY3712153EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1084638BOY
EOY1884652EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY21989683BOY
EOY25389128EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY5706949BOY
EOY5197885EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY605595BOY
EOY546082EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY6312544BOY
EOY5743967EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY13954923BOY
EOY17304751EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1343987BOY
EOY1962181EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY378229BOY
EOY378229EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY15677139BOY
EOY19645161EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY21989683BOY
EOY25389128EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses3135365ReconcilationRevenueExpenses
Reconcilation Other Changes832657ReconcilationOtherChanges
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 Years1714193CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1853582CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1740162CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1272452CurrentTaxYearMinus1Year
Current Tax Year920874CurrentTaxYear
Total7501263Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years30989880CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years34707679CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years39908485CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year40445665CurrentTaxYearMinus1Year
Current Tax Year41717553CurrentTaxYear
Total187769262Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years32704073CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years36561261CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years41648647CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year41718117CurrentTaxYearMinus1Year
Current Tax Year42638427CurrentTaxYear
Total195270525Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years65178CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years39322CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years46877CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year68293CurrentTaxYearMinus1Year
Current Tax Year108975CurrentTaxYear
Total328645Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years65178CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years39322CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years46877CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year68293CurrentTaxYearMinus1Year
Current Tax Year108975CurrentTaxYear
Total328645Total
FieldValueIRS element (for citing)
Public Support Total509194941880PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years280878CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years413918CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years-384680CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year91434CurrentTaxYearMinus1Year
Current Tax Year154575CurrentTaxYear
Total556125Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years280878CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years413918CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years-384680CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year91434CurrentTaxYearMinus1Year
Current Tax Year154575CurrentTaxYear
Total556125Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years32984951CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years36975179CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years41263967CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year41809551CurrentTaxYearMinus1Year
Current Tax Year42793002CurrentTaxYear
Total195826650Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99550PublicSupportPercentage509
Prior Year Support Percentage0.99540PriorYearSupportPercentage
Investment Income Percentage0.00280InvestmentIncomePercentage
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 Balance1722216BeginningOfYearBalance
Contributions1518518Contributions
Other Expenditures900324OtherExpenditures
End Of Year Balance2340410EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance1896053BeginningOfYearBalance
Contributions725023Contributions
Other Expenditures898860OtherExpenditures
End Of Year Balance1722216EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.04720BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.16160PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.79120TermEndowmentEOYBalance
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
Depreciation104937Depreciation
Book Value84063BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1434269OtherCostOrOtherBasis
Depreciation860737Depreciation
Book Value573532BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis129157OtherCostOrOtherBasis
Depreciation66270Depreciation
Book Value62887BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1670785OtherCostOrOtherBasis
Depreciation897425Depreciation
Book Value773360BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1514842TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescriptionBook ValueBookValue
Special Purpose Fund - Caregiv524565
Special Purpose Fund-Family Be734413
Special Purpose Fund-Comp Medi68564
Special Purpose Fund- Cap Camp557110
FieldValueIRS element (for citing)
Total Book Value Other Assets1884652TotalBookValueOtherAssets
Total Revenue43511506TotalRevenue
Total Expenses40376141TotalExpenses
Excess Or Deficit For Year3135365ExcessOrDeficitForYear
Net Unrealized GL On Investments214463NetUnrealizedGLOnInvestments
Total Adjustments214463TotalAdjustments
Excess Or Deficit Per FS3349828ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt43725969TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments214463NetUnrealizedGainsInvestments
Revenue Not Rptd F990214463RevenueNotRptdF990
Revenue Subtotal43511506RevenueSubtotal
Total Revenue Per Form99043511506TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt40376141TotExpensesEtcAuditedFinclStmt
Expenses Subtotal40376141ExpensesSubtotal
Total Expenses Per Form99040376141TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierEndowment funds intended uses Part V line 4Identifier
Explanation1 Special Purpose Fund - Caregivers - For support to the Patient Caregivers 2 Special Purpose Fund - Cultural Diversity - Support cultural diversity growth 3 Special Purpose Fund - Complimentary Medicine - Support complimentary medicine services for patients 4 Special Purpose Fund - Capital Campaign - Collective funds support including facility projects and enhancementsExplanation

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1Tully GolfNameOfEvent1
Gross Receipts Event1264263GrossReceiptsEvent1
Charitable Contributions Event1223643CharitableContributionsEvent1
Gross Revenue Event140620GrossRevenueEvent1
Cash Prizes Event13625CashPrizesEvent1
Rent Facility Costs Event139640RentFacilityCostsEvent1
Other Direct Expenses Event111781OtherDirectExpensesEvent1
Name Of Event2Tree of LifeNameOfEvent2
Gross Receipts Event236386GrossReceiptsEvent2
Gross Revenue Event236386GrossRevenueEvent2
Other Direct Expenses Event216120OtherDirectExpensesEvent2
Total Number Of Other Events3TotalNumberOfOtherEvents
Gross Receipts Other Events46731GrossReceiptsOtherEvents
Gross Revenue Other Events46731GrossRevenueOtherEvents
Other Direct Expenses Other Events24990OtherDirectExpensesOtherEvents
Gross Receipts Total347380GrossReceiptsTotal
Charitable Contributions Total223643CharitableContributionsTotal
Gross Revenue Total Events123737GrossRevenueTotalEvents
Cash Prizes Total Events3625CashPrizesTotalEvents
Rent Facility Costs Total Events39640RentFacilityCostsTotalEvents
Other Direct Expenses Total Events52891OtherDirectExpensesTotalEvents
Direct Expense Summary Events96156DirectExpenseSummaryEvents
Net Income Summary27581NetIncomeSummary

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Written Employment ContractXWrittenEmploymentContract
Board Or Committee ApprovalXBoardOrCommitteeApproval
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 (5 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
251310000103270295000140290305166000
Susan Mauro
1467470000045710121780163496000
Nan Toelstedt
19823300061000615006000211083000
Eirene Milano
136444000165000459306000158137000
Lori Attivissimo
170507000165000561006000193217000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 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 has 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 executive 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 approved 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 two variables The first is the unrealized gain on investments carried at market value in the amount of 214463 The second is the change in our temporarily restricted fund balance in the amount of 618194

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 Type1NAfalse
NSLIJ Foundation
125 Community DriveGreat NeckNY11021112965575FundraisingNY501c311 Type1NS-LIJHStrue
North Shore University Hospita
300 Community DrManhassetNY11030111562701Health CareNY501c33NS-LIJHStrue
Long Island Jewish Medical Cen
270-05 76 AveNew Hyde ParkNY11040112241326Health CareNY501c33NS-LIJHStrue
Glen Cove Hospital
101 St Andrews LaneGlen CoveNY11542111633487Health CareNY501c33NS-LIJHStrue
Franklin Hospital
900 Franklin AveValley StreamNY11580112296824Health CareNY501c33NS-LIJHStrue
Forest Hills Hospital
102-01 66th RdForest HillsNY11375112163522Health CareNY501c33NS-LIJHStrue
Plainview Hospital
888 Old Country RoadPlainviewNY11803113241243Health CareNY501c33NS-LIJHStrue
Southside Hospital
301 E Main StreetBay ShoreNY11706111667761Health CareNY501c33NS-LIJHStrue
Huntington Hospital Associatio
270 Park AvenueHuntingtonNY11743111630914Health CareNY501c33NS-LIJHStrue
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

Transactions Related Orgs Table TransactionsRelatedOrgsTable (10 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
North Shore LIJ Foundation
c9500Financial Records
North Shore Long Island Jewish Health Sy
l91000Financial Records
Southside Hospital
o27500Financial Records
RegionCare
o899747Financial Records
Glen Cove Hospital
o67500Financial Records
Franklin Hospital
o1350120Financial Records
Forest Hills Hospital
o1310Financial Records
Plainview Hospital
o33125Financial Records
Huntington Hospital Association
o12332Financial Records
North Shore University Hospital
o645000Financial Records