MENTAL HEALTH SERVICES ERIE COUNTY SOUTH EAST CORP V SPECTRUM HUMAN: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- MENTAL HEALTH SERVICES ERIE COUNTY SOUTH EAST CORP V SPECTRUM HUMAN (EIN 16-1019944)
- Tax period
- 2023-01-01 to 2023-12-31
- Filed
- 2024-11-15
- IRS object ID
- 202423209349305637
- Schema version
- 2023v5.1
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-11-15T09:22:38-06:00 | ReturnTs |
| Tax Period End | 2023-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 160929175 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DOPKINS & COMPANY LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 INTERNATIONAL DR | AddressLine1Txt |
| City | BUFFALO | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 142215794 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 161019944 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MENTAL HEALTH SERVICES OF ERIE COUNTY | BusinessNameLine1Txt |
| Business Name Line2 | SE CORP V | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MENT | BusinessNameControlTxt |
| Phone | 7166622040 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 227 THORN AVENUE PO BOX 631 | AddressLine1Txt |
| City | ORCHARD PARK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 141270631 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | NICHOLAS M JEROME | PersonNm |
| Person Title | CHIEF FINCIAL OFFICER | PersonTitleTxt |
| Phone | 7166622040 | PhoneNum |
| Signature | 2024-11-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MICHAEL ORLOWSKI | PreparerPersonNm |
| PTIN | P00956557 | PTIN |
| Phone | 7166348800 | PhoneNum |
| Preparation | 2024-11-14 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2024-10-15 13:58:12Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SPECTRUM HEALTH AND HUMAN SERVICES | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | NICHOLAS JEROME | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 227 THORN AVENUE PO BOX 631 | AddressLine1Txt |
| City | ORCHARD PARK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 141270631 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $35,174,367 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.SHSWNY.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1973 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | SPECTRUM HUMAN SERVICES RESPECTFULLY PARTNERS WITH ADULTS, CHILDREN, AND FAMILIES AS THEY RECOVER FROM BEHAVIORAL, EMOTIONAL, MENTAL HEATH AND/OR SUBSTANCE RELATED DISORDERS BY OFFERING INDIVIDUALIZED AND MEANINGFUL OPPORTUNITIES OF HOPE, EMPOWERMENT AND SUPPORT TO ACHIEVE SELF-DEFINED IMPROVMENTS IN THEIR QUALITY OF LIFE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 434 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $10,743,636 | PYContributionsGrantsAmt |
| CY Contributions Grants | $11,154,328 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $23,345,870 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $22,985,315 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$173,761 | PYInvestmentIncomeAmt |
| CY Investment Income | $2,809 | CYInvestmentIncomeAmt |
| PY Other Revenue | $3,511,590 | PYOtherRevenueAmt |
| CY Other Revenue | $1,031,915 | CYOtherRevenueAmt |
| PY Total Revenue | $37,427,335 | PYTotalRevenueAmt |
| CY Total Revenue | $35,174,367 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $23,478,058 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $22,285,444 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $8,796,328 | PYOtherExpensesAmt |
| CY Other Expenses | $9,628,662 | CYOtherExpensesAmt |
| PY Total Expenses | $32,274,386 | PYTotalExpensesAmt |
| CY Total Expenses | $31,914,106 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $5,152,949 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $3,260,261 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $17,909,770 | TotalAssetsBOYAmt |
| Total Assets EOY | $18,568,280 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $10,209,506 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $7,219,413 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $7,700,264 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $11,348,867 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | SPECTRUM HUMAN SERVICES RESPECTFULLY PARTNERS WITH ADULTS, CHILDREN, AND FAMILIES AS THEY RECOVER FROM BEHAVIORAL, EMOTIONAL, MENTAL HEATH AND/OR SUBSTANCE RELATED DISORDERS BY OFFERING INDIVIDUALIZED AND MEANINGFUL OPPORTUNITIES OF HOPE, EMPOWERMENT AND SUPPORT TO ACHIEVE SELF-DEFINED IMPROVMENTS IN THEIR QUALITY OF LIFE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $16,019,830 | ExpenseAmt |
| Revenue | $16,586,687 | RevenueAmt |
| Desc | CERTIFIED COMMUNITY BEHAVIORAL HEALTH CENTER (CCBHC)IN JULY OF 2017 SPECTRUM WAS DESIGNATED AS ONE OF THREE LOCAL PROVIDERS TO INITIATE A NEW OUTPATIENT CLINIC MODEL REFERRED TO AS A CCBHC. THIS ALLOWS SPECTRUM TO PROVIDE A RANGE OF NEW SERVICES WITHIN OUTPATIENT FACILITIES. CCBHC SERVICE COMPONENTS INCLUDE INDIVIDUAL COUNSELING, PSYCHIATRIC EVALUATION AND MEDICATION MANAGEMENT, PEER SUPPORT SERVICES, PSYCHIATRIC REHABILITATION, HEALTH SCREENINGS, CASE MANAGEMENT, CRISIS INTERVENTION, COMMUNITY-BASED OUTREACH, AND OFF-SITE SERVICES. WE ALSO PROVIDE 24/7 ON-CALL AND CRISIS INTERVENTION SERVICES TO ALL CCBHC CLIENTS. SERVICES ARE DESIGNED TO PROVIDE A HOLISTIC AND COMPREHENSIVE SET OF SERVICE COMPONENTS TO ADDRESS CLIENT NEEDS WITH THE APPROPRIATE LEVEL OF SERVICE EXPERTISE WITHOUT NEEDING TO REFER TO ADDITIONAL PROVIDERS. OUR SERVICES ALSO INCLUDE A RANGE OF OPTIONS FOR AMBULATORY DETOX SERVICES AND OTHER SUBSTANCE ABUSE TREATMENTS. WE OPERATE THIS PROGRAMMING IN 4 PRIMARY LOCATIONS IN ERIE COUNTY AS WELL AS 3 PRIMARY CARE SATELLITE OFFICES AND ONE LOCATION IN WYOMING COUNTY. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $3,308,265 | ExpenseAmt |
| Revenue | $3,401,431 | RevenueAmt |
| Desc | ASSERTIVE COMMUNITY TREATMENT TEAMS (ACT)ACT IS A NYS OMH LICENSED PROGRAM PROVIDING INTENSIVE COMMUNITY-BASED SERVICES TO CLIENTS IN THE FIELD WHO ARE SUCCESSFUL WITH TRADITIONAL OUTPATIENT SERVICES. SERVICES ARE PROVIDED BY A TEAM OF PSYCHIATRISTS, NURSES, CO-OCCURRING DISORDER SPECIALISTS, LICENSED CLINICAL THERAPISTS, PEERS AND CASE MANAGERS. THE PROGRAM PROVIDES INTENSIVE COMMUNITY OUTREACH AND SERVICES IN THE CLIENT'S HOME OR OTHER LOCATION. AT LEAST FOUR TO SIX VISITS ARE MADE MONTHLY TO ADDRESS CASE MANAGEMENT, COMMUNITY INTEGRATION AND BEHAVIORAL HEALTH STABILITY. THE GOAL IS TO INSURE INTEGRATION IN THE COMMUNITY WHILE PROVIDING BEHAVIORAL HEALTH TREATMENT AND PHYSICAL HEALTH MONITORING TO AVOID COSTLY EMERGENCY ROOM OR INPATIENT HOSPITALIZATIONS. SPECTRUM OPERATES 3 FULLY STAFFED ACT PROGRAMS. THEY ARE CURRENTLY OPERATING IN NIAGARA, ERIE AND CATTARAUGUS COUNTY. ALL PROGRAMS WORK CLOSELY WITH THE COUNTY OPERATED SPOA PROGRAMS TO IDENTIFY PROGRAM RECIPIENTS AND INSURE RAPID ACCESS AND ENROLLMENT INTO PROGRAMS. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $4,457,059 | ExpenseAmt |
| Revenue | $28,527 | RevenueAmt |
| Desc | HOUSING STABILITY AND CASE MANAGEMENTSPECTRUM OPERATES 227 SCATTERED SITE SUPPORTIVE HOUSING BEDS IN ERIE AND WYOMING COUNTY. THESE PROGRAMS ARE FUNDED WITH A COMBINATION OF HOUSING AND URBAN DEVELOPMENT GRANTS, NYS OFFICE OF MENTAL HEALTH FUNDING AND NYS OFFICE OF ALCOHOL AND SUBSTANCE ABUSE HOUSING. THE PROGRAM PROVIDES RENTAL ASSISTANCE AND COMMUNITY-BASED CASE MANAGEMENT SERVICES FOR ADULTS AND FAMILIES AFFECTED BY ANY ONE OR MORE CHRONIC BEHAVIORAL OR PHYSICAL HEALTH CONDITIONS. THE GOAL OF THE PROGRAM IS TO ASSIST INDIVIDUALS WITH CHRONIC DISABILITIES MAINTAIN THEMSELVES IN THE COMMUNITY, AVOID COSTLY HOSPITALIZATIONS, AND, TO THE EXTENT POSSIBLE, ESTABLISH THE HIGHEST LEVEL OF INDEPENDENT LIVING GIVEN THEIR DISABILITY. WE HAVE A STAFF OF ALMOST 20 CASE MANAGERS, PEERS AND RESOURCES SPECIALIST THAT COLLABORATE ON SERVICES PLANS TO INSURE EACH INDIVIDUAL HAS MAXIMUM LINKAGE TO MAINSTREAM RESOURCES. WE ALSO WORK WITH OUR VOCATIONAL SPECIALIST TO DEVELOP VOCATION, EDUCATION AND OTHER EMPLOYMENT GOALS AS DESIRED BY THE RECIPIENTS. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $4,521,394 | ExpenseAmt |
| Revenue | $3,177,168 | RevenueAmt |
| Desc | OTHER SERVICES:SUBCONTRACTED SERVICESHUD HOUSING SERVICESCHILDREN'S INTENSIVE SERVICESOTHER MISCELLANEOUS SERVICES | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $4,521,394 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $3,177,168 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $28,306,548 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | Yes (1) | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 194 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 434 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | 0 | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NICHOLAS JEROME | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7166622040 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 227 THORN AVENUE PO BOX 631 | AddressLine1Txt |
| City | ORCHARD PARK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 141270631 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| ALEXANDRA WEHR | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| BELINDA ROSKWITALSKI | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| DAVID S WHITTEMORE ESQ | ||||||||
| VICE CHAIRPERSON | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| JENNIFER BALL CPA | ||||||||
| TREASURER | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| MICHAEL T SAGNIBENE | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MICHELLE CORDERO | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| RICHMOND HUBBARD | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | 0.50 | ||
| ROBERT B RUH | ||||||||
| SECRETARY | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| ROBERT O'LEARY | ||||||||
| CHAIRPERSON | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | 0.50 | |
| CYNTHIA VOELKER | ||||||||
| CHIEF EXECUTIVE OFFICER | 35.00 | $243,588 | $0 | $30,729 | Yes (X) | 5.00 | ||
| NICHOLAS M JEROME | ||||||||
| CHIEF FINANCIAL OFFICER | 35.00 | $148,934 | $0 | $32,526 | Yes (X) | 5.00 | ||
| MARIO ALONZO | ||||||||
| CHIEF INFORMATION OFFICER | 37.50 | $134,788 | $0 | $31,462 | Yes (X) | |||
| DAVID PFALZER | ||||||||
| NURSE PRACTITIONER | 37.50 | $181,727 | $0 | $27,877 | Yes (X) | |||
| NILOFAR SARVAIYA | ||||||||
| MEDICAL DIRECTOR | 37.50 | $223,741 | $0 | $10,745 | Yes (X) | |||
| ROSANA CARTER | ||||||||
| NURSE PRACTITIONER | 37.50 | $177,332 | $0 | $28,686 | Yes (X) | |||
| HANNAH F FORYSINSKI | ||||||||
| NURSE PRACTITIONER | 37.50 | $174,799 | $0 | $27,570 | Yes (X) | |||
| DAIJHA FULGHAM | ||||||||
| NURSE PRACTITIONER | 37.50 | $188,830 | $0 | $16,712 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,473,739 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $206,307 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 8 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| DOPKINS & COMPANY LLP | |||||
| 200 INTERNATIONAL DR | BUFFALO | NY | 14004 | AUDITING AND CONSULTING SERVICES | $326,907 |
| WARSAW DEVELOPMENT LLC | |||||
| 2071 CRITTENDEN ROAD | ALDEN | NY | 14004 | SITE RENT | $313,596 |
| COCO ENTERPRISES | |||||
| 8158 HILLSIDE STREET | ANGOLA | NY | 14006 | JANITORIAL SERVICES | $262,933 |
| JAMESTOWN PSYCHIATRIC | |||||
| 305 E FAIRMOUNT AVE | LAKEWOOD | NY | 14750 | PSYCHIATRIC SERVICES | $205,750 |
| BARCLAY DAMON LLP | |||||
| PO BOX 1265 | ALBANY | NY | 12201 | LEGAL SERVICES | $103,727 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $31,573 | FederatedCampaignsAmt |
| Government Grants | $11,035,354 | GovernmentGrantsAmt |
| All Other Contributions | $87,401 | AllOtherContributionsAmt |
| Total Contributions | $11,154,328 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT SERVICE REVENUE | Desc |
| Business | 624100 | BusinessCd |
| Total Revenue Column | $22,985,315 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $22,985,315 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $22,985,315 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,809 | TotalRevenueColumnAmt |
| Exclusion | $2,809 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| INSURANCE PROCEEDS | 624100 | $823,417 | $823,417 | |
| OTHER INCOME | 624100 | $106,261 | $106,261 | |
| INCOME FROM LLC RELATED TO EXEMPT | 624100 | $102,237 | $102,237 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,031,915 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $35,174,367 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $23,193,813 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $826,226 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,260,403 | TotalAmt |
| Program Services | $3,260,403 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,249,834 | TotalAmt |
| Program Services | $12,501,694 | ProgramServicesAmt |
| Management And General | $1,748,140 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $541,012 | TotalAmt |
| Program Services | $541,012 | ProgramServicesAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,542,607 | TotalAmt |
| Program Services | $2,045,683 | ProgramServicesAmt |
| Management And General | $496,924 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,691,588 | TotalAmt |
| Program Services | $1,691,588 | ProgramServicesAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $188,282 | TotalAmt |
| Program Services | $22,181 | ProgramServicesAmt |
| Management And General | $166,101 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,436,754 | TotalAmt |
| Program Services | $1,314,763 | ProgramServicesAmt |
| Management And General | $121,991 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $212,898 | TotalAmt |
| Program Services | $164,793 | ProgramServicesAmt |
| Management And General | $48,105 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,389,405 | TotalAmt |
| Program Services | $3,199,249 | ProgramServicesAmt |
| Management And General | $190,156 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $98,841 | TotalAmt |
| Program Services | $98,841 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $438,020 | TotalAmt |
| Program Services | $436,934 | ProgramServicesAmt |
| Management And General | $1,086 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $187,488 | TotalAmt |
| Program Services | $146,574 | ProgramServicesAmt |
| Management And General | $40,914 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| REPAIRS AND MAINTENANCE | $711,227 | $608,647 | $102,580 |
| PROVISION FOR CREDIT LO | $634,412 | $634,412 | |
| TRAVEL & TRAINING | $465,156 | $452,587 | $12,569 |
| PROFESSIONAL SERVICES | $464,181 | $151,622 | $312,559 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,401,998 | TotalAmt |
| Program Services | $1,035,565 | ProgramServicesAmt |
| Management And General | $366,433 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,914,106 | TotalAmt |
| Program Services | $28,306,548 | ProgramServicesAmt |
| Management And General | $3,607,558 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $700 | BOYAmt |
| EOY | $585 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,180 | BOYAmt |
| EOY | $2,663,138 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,999,961 | BOYAmt |
| EOY | $5,314,553 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $177,447 | BOYAmt |
| EOY | $338,929 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $4,549,709 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $2,536,575 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,323,306 | BOYAmt |
| EOY | $2,013,134 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $147,823 | BOYAmt |
| EOY | $250,060 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,257,353 | BOYAmt |
| EOY | $7,987,881 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,909,770 | BOYAmt |
| EOY | $18,568,280 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,207,574 | BOYAmt |
| EOY | $1,822,818 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,784,096 | BOYAmt |
| EOY | $791,083 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,217,836 | BOYAmt |
| EOY | $4,605,512 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,209,506 | BOYAmt |
| EOY | $7,219,413 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,700,264 | BOYAmt |
| EOY | $11,348,867 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,700,264 | BOYAmt |
| EOY | $11,348,867 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,909,770 | BOYAmt |
| EOY | $18,568,280 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $3,260,261 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $388,342 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $8,398,114 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $10,320,439 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,651,360 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $10,743,636 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $11,154,328 | CurrentTaxYearAmt |
| Total | $50,267,877 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $8,398,114 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $10,320,439 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,651,360 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $10,743,636 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $11,154,328 | CurrentTaxYearAmt |
| Total | $50,267,877 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $50,267,877 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,024 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,025 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,302 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,390 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,809 | CurrentTaxYearAmt |
| Total | $12,550 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $50,280,427 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $119,183,976 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.99980 | PublicSupportCY170Pct |
| Public Support PY170 | 0.99980 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $28,000 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $28,000 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | ORGANIZATION PAID BOLTON-ST JOHNS LLC ( A LOBBYING FIRM) FOR LOBBYING SERVICES IN 2023. | ExplanationTxt |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,187,428 | OtherCostOrOtherBasisAmt |
| Depreciation | $808,603 | DepreciationAmt |
| Book Value | $1,378,825 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,081,426 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,727,972 | DepreciationAmt |
| Book Value | $353,454 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $280,855 | OtherCostOrOtherBasisAmt |
| Book Value | $280,855 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $2,013,134 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| BENEFICIAL INTEREST IN THE FOUNDATION | $4,242,737 |
| RIGHT-OF-USE-ASSETS-OPERATING LEASES | $3,745,144 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $7,987,881 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| REFUNDABLE ADVANCES | $592,056 |
| LEASE LIABILITIES | $4,013,456 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $4,605,512 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $35,562,709 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $388,342 | OtherRevenueAmt |
| Revenue Not Reported | $388,342 | RevenueNotReportedAmt |
| Revenue Subtotal | $35,174,367 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $35,174,367 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $31,914,106 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $31,914,106 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $31,914,106 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | THE ORGANIZATION IS EXEMPT FROM TAXATION UNDER SECTION 501 (C)(3) OF THE INTERNAL REVENUE CODE. THE TAX RETURNS FOR THE TAX YEARS 2019 THROUGH 2022 REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE FOR U.S. FEDERAL TAX PURPOSES AND ALSO BY NEW YORK STATE FOR STATE TAX PURPOSES. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | CHANGE IN BENEFICIAL INTEREST IN SPECTRUM FOUNDATION 388,342. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CYNTHIA VOELKER | ||||||||||||||
| CHIEF EXECUTIVE OFFICER | $240,302 | $0 | $1,000 | $0 | $2,286 | $0 | $11,250 | $0 | $19,479 | $0 | $274,317 | $0 | $0 | $0 |
| NILOFAR SARVAIYA | ||||||||||||||
| MEDICAL DIRECTOR | $222,585 | $0 | $1,000 | $0 | $156 | $0 | $10,099 | $0 | $646 | $0 | $234,486 | $0 | $0 | $0 |
| DAVID PFALZER | ||||||||||||||
| NURSE PRACTITIONER | $178,957 | $0 | $2,500 | $0 | $270 | $0 | $8,398 | $0 | $19,479 | $0 | $209,604 | $0 | $0 | $0 |
| ROSANA CARTER | ||||||||||||||
| NURSE PRACTITIONER | $174,670 | $0 | $2,500 | $0 | $162 | $0 | $8,218 | $0 | $20,468 | $0 | $206,018 | $0 | $0 | $0 |
| DAIJHA FULGHAM | ||||||||||||||
| NURSE PRACTITIONER | $186,222 | $0 | $2,500 | $0 | $108 | $0 | $7,331 | $0 | $9,381 | $0 | $205,542 | $0 | $0 | $0 |
| HANNAH F FORYSINSKI | ||||||||||||||
| NURSE PRACTITIONER | $172,137 | $0 | $2,500 | $0 | $162 | $0 | $8,091 | $0 | $19,479 | $0 | $202,369 | $0 | $0 | $0 |
| NICHOLAS M JEROME | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $147,754 | $0 | $1,000 | $0 | $180 | $0 | $7,436 | $0 | $25,090 | $0 | $181,460 | $0 | $0 | $0 |
| MARIO ALONZO | ||||||||||||||
| CHIEF INFORMATION OFFICER | $133,030 | $0 | $1,000 | $0 | $758 | $0 | $6,579 | $0 | $24,883 | $0 | $166,250 | $0 | $0 | $0 |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PARKVIEW HEALTH SERVICES | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | OWNED BY ROBERT O'LEARY, MEMBER OF BOARD OF DIRECTORS | RelationshipDescriptionTxt |
| Transaction | $2,246 | TransactionAmt |
| Transaction | MEDICAL SUPPLIES | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 8B | SPECTRUM ONLY HAS A BOARD OF DIRECTORS AND FINANCE COMMITTEE. ALL DECISIONS MUST BE APPROVED THROUGH THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS PRESENTED IN DRAFT FORM TO ORGANIZATIONS CFO FOR REVIEW. THE RETURN IS THEN PROVIDED TO THE BOARD MEMBERS PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. |
| FORM 990, PART VI, SECTION B, LINE 12C | IN ACCORDANCE WITH SPECTRUM'S CONFLICT OF INTEREST POLICY, EACH "OFFICER" INCLUDES ANY NON-DIRECTOR SERVING ON ANY COMMITTEE OF THE BOARD OF DIRECTORS AND DIRECTORS SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS THAT SUCH PERSON: A. HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY, B. HAS READ AND UNDERSTANDS THE POLICY, C. HAS AGREED TO COMPLY WITH THE POLICY, AND D. UNDERSTANDS THE CORPORATION IS A CHARITABLE ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION, IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES, E. IS NOT AWARE THAT HE OR SHE HAS ANY FINANCIAL INTEREST OR, IF HE OR SHE IS AWARE OF ANY FINANCIAL INTEREST, A DESCRIPTION OF ALL MATERIAL FACT CONCERNING IT. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE BOARD SUBCOMMITTEE HAS THE RESPONSIBILITY TO DETERMINE THE COMPENSATION OF KEY EMPLOYEES. THE PURPOSE OF THE COMMITTEE IS TO APPROVE ANNUAL PERFORMANCE STANDARDS AND TO DETERMINE APPROPRIATE PERFORMANCE MEASURES AND ESTABLISH CRITERIA FOR ANY INCENTIVE BASED COMPENSATION. IT ALSO ANNUALLY REVIEWS AND APPROVES ANY CHANGES TO THE TOTAL COMPENSATION OF KEY EMPLOYEES. THE COMMITTEE DETERMINES IF THE COMPENSATION IS REASONABLE. TO ACCOMPLISH THIS, THE COMMITTEE WILL OBTAIN COMPARABLE COMPENSATION DATA FOR EXECUTIVES OF OTHER NON PROFIT ORGANIZATIONS OF SIMILAR SIZE IN THE WESTERN NEW YORK AREA. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC ON ITS OWN WEBSITE. COPIES CAN BE PROVIDED UPON REQUEST BY PHONE, IN WRITING, OR VIA E-MAIL. A COPY OF THE 990 CAN BE FOUND THROUGH THE WEBSITE WWW.GUIDESTAR.ORG. |
| FORM 990, PART XI, LINE 9: | CHANGE IN BENEFICIAL INTEREST IN FOUNDATION 388,342. |
| FORM 990; PART XI; LINE 2C | THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SPECTRUM HUMAN SERVICES FOUNDATION INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 227 THORN AVENUE-PO BOX 631 | AddressLine1Txt |
| City | ORCHARD PARK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14127 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 222832638 | EIN |
| Primary Activities | SUPPORT THE MISSION OF SPECTRUM HUMAN SERVICES | PrimaryActivitiesTxt |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | LINE 12C, III-FI | PublicCharityStatusTxt |
| Controlled Organization | 0 | ControlledOrganizationInd |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VALUE NETWORK IPA LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 227 THORN AVENUE | AddressLine1Txt |
| City | ORCHARD PARK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14127 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 822034565 | EIN |
| Primary Activities | CONTRACT NEGOTIATIONS AND QUALITY /COMPLIANCE | PrimaryActivitiesTxt |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Predominant Income Type | RELATED | PredominantIncomeTypeTxt |
| Share Of Total Income | $102,236 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $250,059 | ShareOfEOYAssetsAmt |
| Disproportionate Allocations | 0 | DisproportionateAllocationsInd |
| General Or Managing Partner | 0 | GeneralOrManagingPartnerInd |
| Ownership | 0.25000 | OwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SPECTRUM HUMAN SERVICES FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | L | TransactionTypeTxt |
| Involved | $171,307 | InvolvedAmt |
| Method Of Amount Determination | CONTRACT VALUE | MethodOfAmountDeterminationTxt |