EAST HILL FAMILY MEDICAL INC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- EAST HILL FAMILY MEDICAL INC (EIN 16-0983042)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-29
- IRS object ID
- 202203339349300710
- Schema version
- 2021v4.2
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-11-29T16:03:23-06:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 161131146 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BONADIO & CO LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 171 SULLYS TRAIL | AddressLine1Txt |
| City | PITTSFORD | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14534 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 160983042 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | EAST HILL FAMILY MEDICAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | EAST | BusinessNameControlTxt |
| Phone | 3152538477 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 144 GENESEE STREET 500 | AddressLine1Txt |
| City | AUBURN | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13021 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CHRIS DANIEL | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 3152538477 | PhoneNum |
| Signature | 2022-11-29 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | CHRIS | PersonFirstNm |
| Person Last | DANIEL | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | KAREN HIGNETT | PreparerPersonNm |
| PTIN | P01366951 | PTIN |
| Phone | 5853811000 | PhoneNum |
| Preparation | 2022-11-29 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | CHRIS DANIEL | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 144 GENESEE STREET 500 | AddressLine1Txt |
| City | AUBURN | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13021 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $8,412,063 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.EASTHILLMEDICAL.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1971 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | THE MISSION IS THE PROMOTION OF EVERY INDIVIDUAL'S RIGHT TO QUALITY HEALTH CARE SERVICES REGARDLESS OF AGE, SEX, RACE, CREED OR SOCIO-ECONOMIC STATUS. INHERENT TO THIS MISSION IS THE DEDICATION TO MAINTAINING HIGH SERVICE STANDARDS, PROFESSIONAL ETHICS AND PROTECTION OF HUMAN RIGHTS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 76 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $6,059,979 | PYContributionsGrantsAmt |
| CY Contributions Grants | $4,121,279 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $2,841,413 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $3,629,498 | CYProgramServiceRevenueAmt |
| PY Investment Income | $688 | PYInvestmentIncomeAmt |
| CY Investment Income | $2,153 | CYInvestmentIncomeAmt |
| PY Other Revenue | $585,336 | PYOtherRevenueAmt |
| CY Other Revenue | $609,478 | CYOtherRevenueAmt |
| PY Total Revenue | $9,487,416 | PYTotalRevenueAmt |
| CY Total Revenue | $8,362,408 | 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 | $3,800,334 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $4,960,289 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,697,982 | PYOtherExpensesAmt |
| CY Other Expenses | $2,233,522 | CYOtherExpensesAmt |
| PY Total Expenses | $5,498,316 | PYTotalExpensesAmt |
| CY Total Expenses | $7,193,811 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $3,989,100 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,168,597 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $9,846,878 | TotalAssetsBOYAmt |
| Total Assets EOY | $9,996,183 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,402,856 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,383,564 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $7,444,022 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $8,612,619 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | EAST HILL'S MISSION IS THE PROMOTION OF EVERY INDIVIDUAL'S RIGHT TO QUALITY HEALTH CARE SERVICES REGARDLESS OF AGE, SEX, RACE, CREED, OR SOCIO-ECONOMIC STATUS. INHERENT IN THIS MISSION IS THE DEDICATION TO MAINTAINING HIGH SERVICE STANDARDS, PROFESSIONAL ETHICS AND PROTECTION OF HUMAN RIGHTS. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $1,730,638 | ExpenseAmt |
| Revenue | $1,208,416 | RevenueAmt |
| Desc | PEDIATRIC SERVICES- PROVIDES AMBULATORY HEALTH CARE SERVICES TO RESIDENTS OF CAYUGA, SENECA, AND WAYNE COUNTIES WHO ARE UNDER 21 YEARS OLD. (6,743 PATIENT VISITS) | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,309,818 | ExpenseAmt |
| Revenue | $713,967 | RevenueAmt |
| Desc | DENTAL SERVICES- PROVIDES DENTAL HEALTH SERVICES PRIMARILY TO LOW INCOME RESIDENTS OF CAYUGA, WAYNE, AND SENECA COUNTIES. (5,606 PATIENT VISITS) | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,198,246 | ExpenseAmt |
| Revenue | $2,003,592 | RevenueAmt |
| Desc | ADULT MEDICINE- OTHER MEDICAL SERVICES, INCLUDING PRIMARY CARE, BEHAVIORAL HEALTH AND STD TREATMENTS. DUCKETT FAMILY MEDICINE - PROVIDES ADULT PRIMARY CARE SERVICES IN AUBURN, NY (12,364 PATIENT VISITS). | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $164,750 | ExpenseAmt |
| Revenue | $313,001 | RevenueAmt |
| Desc | FAMILY PLANNING - PROVIDES FAMILY PLANNING SERVICES TO RESIDENTS OF CAYUGA, SENECA, AND WAYNE COUNTIES. (494 PATIENT VISITS) | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $164,750 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $313,001 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $5,403,452 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | 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 | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | 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 | 0 | 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 | 0 | 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 | 13 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 76 | 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 |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| 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 | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | 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 | Yes (1) | 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 |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHRISTOPHER DANIEL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3152536796 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 144 GENESEE ST STE 500 | AddressLine1Txt |
| City | AUBURN | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13021 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| SUSAN MESSENGER | ||||||||
| CHAIRPERSON | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JOAN RUSINKO | ||||||||
| VICE CHAIRPERSON | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JOHN SULLIVAN JR | ||||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| DAVID BOWERS | ||||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| MARILYN BAADER | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JANET FRANK | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JANICE SANDERS | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| NORMAN CHIRCO | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| EMILY TORTORICI | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| DARRYL CLARK | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| DAVID BOYLE | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MARK VANDERPOOL | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| KEITH CUTTLER | ||||||||
| PRESIDENT/CEO THROUGH 7/21 | 40.00 | Yes (X) | $158,072 | $0 | $4,779 | |||
| APRIL MILES | ||||||||
| CEO/COO | 40.00 | Yes (X) | $139,292 | $0 | $4,179 | |||
| CHRISTOPHER DANIEL | ||||||||
| CFO | 40.00 | Yes (X) | $14,654 | $0 | $1,592 | |||
| ADWOA MANU-BOATENG | ||||||||
| MD | 24.00 | $161,665 | $0 | $4,850 | Yes (X) | |||
| CHRISTIAN GONZALEZ | ||||||||
| DENTIST | 40.00 | $159,430 | $0 | $5,746 | Yes (X) | |||
| ADAM DUCKETT | ||||||||
| CHIEF MEDICAL OFFICER | 40.00 | $420,405 | $0 | $8,700 | Yes (X) | |||
| SUNCZERAE KUSHKITUAH | ||||||||
| DENTIST | 40.00 | $156,588 | $0 | $4,738 | Yes (X) | |||
| DANIEL GABRIEL | ||||||||
| MD | 40.00 | $121,649 | $0 | $4,892 | Yes (X) | |||
| UTE GALLERT | ||||||||
| NP | 40.00 | $105,022 | $0 | $3,151 | Yes (X) | |||
| MICHELLE LANE | ||||||||
| NP | 40.00 | $109,572 | $0 | $3,287 | Yes (X) | |||
| ANGEL STANLEY | ||||||||
| NP | 40.00 | $146,446 | $0 | $4,475 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,692,795 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $50,389 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 10 | 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 |
|---|---|---|---|---|---|
| VIP STRUCTURES | |||||
| 1 WEBSTERS LANDING | SYRACUSE | NY | 13202 | CONSTRUCTION | $283,321 |
| PRONEXUS LLC | |||||
| 115 SULLYS TRAIL SUITE 11 | PITTSFORD | NY | 14534 | PROFESSIONAL FEES/CONSULTING | $225,939 |
| MCKESSON MEDICAL SURGICAL | |||||
| 9954 MAYLAND DRIVE SUITE 4000 | RICHMOND | VA | 23233 | PHARMACEUTICALS/MEDICAL SUPPLIES | $151,245 |
| UPSTATE PAVING LLC | |||||
| 162 YORK STREET | AUBURN | NY | 13021 | CONSTRUCTION | $149,707 |
| ACC TECHNICAL SERVIES | |||||
| 6400 FLY ROAD | EAST SYRACUSE | NY | 13057 | IT SERVICES | $121,341 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $3,887,674 | GovernmentGrantsAmt |
| All Other Contributions | $233,605 | AllOtherContributionsAmt |
| Total Contributions | $4,121,279 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICE REV | 621400 | $3,585,648 | $3,585,648 |
| CONTRACT SERVICE REV | 621400 | $43,850 | $43,850 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $3,629,498 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,153 | TotalRevenueColumnAmt |
| Exclusion | $2,153 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $91,746 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $49,655 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $42,091 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $42,091 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $42,091 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| INCENTIVE INCOME | 900099 | $386,633 | $386,633 |
| 340B PROGRAM INCOME | 900099 | $156,715 | $156,715 |
| MISC. INCOME | 900099 | $24,039 | $24,039 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $567,387 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,362,408 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $4,238,976 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,153 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $732,423 | TotalAmt |
| Program Services | $420,405 | ProgramServicesAmt |
| Management And General | $312,018 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,561,048 | TotalAmt |
| Program Services | $2,912,527 | ProgramServicesAmt |
| Management And General | $648,521 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $169,026 | TotalAmt |
| Program Services | $117,172 | ProgramServicesAmt |
| Management And General | $51,854 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $246,864 | TotalAmt |
| Program Services | $199,879 | ProgramServicesAmt |
| Management And General | $46,985 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $250,928 | TotalAmt |
| Program Services | $190,505 | ProgramServicesAmt |
| Management And General | $60,423 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,180 | TotalAmt |
| Management And General | $32,180 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $82,906 | TotalAmt |
| Program Services | $65,031 | ProgramServicesAmt |
| Management And General | $17,875 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $598,322 | TotalAmt |
| Program Services | $319,612 | ProgramServicesAmt |
| Management And General | $278,710 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,375 | TotalAmt |
| Program Services | $27,914 | ProgramServicesAmt |
| Management And General | $9,461 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $199,336 | TotalAmt |
| Program Services | $150,239 | ProgramServicesAmt |
| Management And General | $49,097 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $365,221 | TotalAmt |
| Program Services | $193,321 | ProgramServicesAmt |
| Management And General | $171,900 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,705 | TotalAmt |
| Program Services | $10,533 | ProgramServicesAmt |
| Management And General | $172 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,180 | TotalAmt |
| Program Services | $18,098 | ProgramServicesAmt |
| Management And General | $23,082 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $207 | TotalAmt |
| Management And General | $207 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $212,975 | TotalAmt |
| Program Services | $173,659 | ProgramServicesAmt |
| Management And General | $39,316 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $50,410 | TotalAmt |
| Program Services | $25,077 | ProgramServicesAmt |
| Management And General | $25,333 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MEDICAL SUPPLIES | Desc |
| Total | $569,391 | TotalAmt |
| Program Services | $552,900 | ProgramServicesAmt |
| Management And General | $16,491 | ManagementAndGeneralAmt |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,314 | TotalAmt |
| Program Services | $26,580 | ProgramServicesAmt |
| Management And General | $6,734 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,193,811 | TotalAmt |
| Program Services | $5,403,452 | ProgramServicesAmt |
| Management And General | $1,790,359 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,041,923 | BOYAmt |
| EOY | $5,811,328 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,104,796 | BOYAmt |
| EOY | $1,654,250 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $199,736 | BOYAmt |
| EOY | $212,585 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $153,576 | BOYAmt |
| EOY | $232,236 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $4,190,161 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $2,104,377 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,346,847 | BOYAmt |
| EOY | $2,085,784 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,846,878 | BOYAmt |
| EOY | $9,996,183 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $500,081 | BOYAmt |
| EOY | $720,274 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,824,890 | BOYAmt |
| EOY | $663,290 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,608 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $68,277 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,402,856 | BOYAmt |
| EOY | $1,383,564 | 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 | $7,444,022 | BOYAmt |
| EOY | $8,612,619 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,444,022 | BOYAmt |
| EOY | $8,612,619 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,846,878 | BOYAmt |
| EOY | $9,996,183 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $1,168,597 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | 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) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| 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 | $2,159,742 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,086,574 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,969,553 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,148,701 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,121,279 | CurrentTaxYearAmt |
| Total | $18,485,849 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,159,742 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,086,574 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,969,553 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,148,701 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,121,279 | CurrentTaxYearAmt |
| Total | $18,485,849 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $18,485,849 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $198 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $8 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $688 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,153 | CurrentTaxYearAmt |
| Total | $3,056 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $133,672 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $436,234 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $380,086 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $659,819 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $567,387 | CurrentTaxYearAmt |
| Total | $2,177,198 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $20,666,103 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $15,701,121 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.89450 | PublicSupportCY170Pct |
| Public Support PY170 | 0.90340 | 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 D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $478,638 | OtherCostOrOtherBasisAmt |
| Book Value | $478,638 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,092,580 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,528,220 | DepreciationAmt |
| Book Value | $564,360 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,071,525 | OtherCostOrOtherBasisAmt |
| Depreciation | $564,771 | DepreciationAmt |
| Book Value | $506,754 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $547,418 | OtherCostOrOtherBasisAmt |
| Depreciation | $11,386 | DepreciationAmt |
| Book Value | $536,032 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $2,085,784 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $8,412,063 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $49,655 | OtherRevenueAmt |
| Revenue Not Reported | $49,655 | RevenueNotReportedAmt |
| Revenue Subtotal | $8,362,408 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $8,362,408 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $7,243,466 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $49,655 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $49,655 | ExpensesNotReportedAmt |
| Expenses Subtotal | $7,193,811 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $7,193,811 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | RENT EXPENSES 49,655. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | RENT EXPENSES 49,655. |
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 (6 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ADAM DUCKETT | ||||||||||||||
| CHIEF MEDICAL OFFICER | $395,405 | $0 | $25,000 | $0 | $0 | $0 | $8,700 | $0 | $0 | $0 | $429,105 | $0 | $0 | $0 |
| ADWOA MANU-BOATENG | ||||||||||||||
| MD | $161,665 | $0 | $0 | $0 | $0 | $0 | $4,850 | $0 | $0 | $0 | $166,515 | $0 | $0 | $0 |
| CHRISTIAN GONZALEZ | ||||||||||||||
| DENTIST | $159,430 | $0 | $0 | $0 | $0 | $0 | $4,921 | $0 | $825 | $0 | $165,176 | $0 | $0 | $0 |
| KEITH CUTTLER | ||||||||||||||
| PRESIDENT/CEO THROUGH 7/21 | $158,072 | $0 | $0 | $0 | $0 | $0 | $4,779 | $0 | $0 | $0 | $162,851 | $0 | $0 | $0 |
| SUNCZERAE KUSHKITUAH | ||||||||||||||
| DENTIST | $156,588 | $0 | $0 | $0 | $0 | $0 | $4,738 | $0 | $0 | $0 | $161,326 | $0 | $0 | $0 |
| ANGEL STANLEY | ||||||||||||||
| NP | $146,446 | $0 | $0 | $0 | $0 | $0 | $4,475 | $0 | $0 | $0 | $150,921 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | ALL MEMBERS ARE PROVIDED WITH A COPY OF THE 990 BEFORE FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | ALL BOARD MEMBERS SIGN A NEW CONFLICT OF INTEREST STATEMENT ANNUALLY. THE BOARD MEMBERS ARE ALSO REQUIRED TO UPDATE CONFLICT OF INTEREST STATEMENTS THROUGHOUT THE YEAR, AS NECESSARY. |
| FORM 990, PART VI, SECTION B, LINE 15 | SALARIES FOR THE CEO, OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION WERE DETERMINED BY A PROCESS INVOLVING SENIOR MANAGEMENT AND APROVAL BY THE BOARD OF DIRECTORS FOR ALL POSITIONS EXCEPT THE CEO. FOR THE CEO, THE BOARD PRESIDENT COLLECTS THE RELATIVE INFORMATION AND PRESENTS TO THE REMAINING MEMBERS OF THE BOARD FOR APPROVAL. IN BOTH PROCESSES, MARKET INFORMATION, INTERNAL STRUCTURE, AND CANDIDATE QUALIFICATIONS ARE CONSIDERED IN DETERMINING THE APPROPRIATE SALARY. |
| FORM 990, PART VI, SECTION C, LINE 19 | THESE DOCUMENTS ARE AVAILABLE UPON REQUEST AT EAST HILL'S ADMINISTRATIVE OFFICE. |
| FORM 990, PART XXI, LINE 2C | EAST HILL FAMILY MEDICAL, INC. HAS NOT CHANGED EITHER ITS OVERSIGHT PROCESS OR SELECTION PROCESS FOR THE AUDIT DURING THE YEAR. |