NEIGHBORHOOD HEALTH CENTER OF WNY INC: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- NEIGHBORHOOD HEALTH CENTER OF WNY INC (EIN 16-1294447)
- Tax period
- 2019-01-01 to 2019-12-31
- Filed
- 2020-08-27
- IRS object ID
- 202042409349301129
- Schema version
- 2019v5.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-08-27T13:09:53-05:00 | ReturnTs |
| Tax Period End | 2019-12-31 | 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 | 100 CORPORATE PARKWAY SUITE 200 | AddressLine1Txt |
| City | AMHERST | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14226 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 161294447 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NEIGHBORHOOD HEALTH CENTER OF WNY INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | NEIG | BusinessNameControlTxt |
| Phone | 7168752904 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 155 LAWN AVE | AddressLine1Txt |
| City | BUFFALO | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14207 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOANNE E HAEFNER | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 7168745652 | PhoneNum |
| Signature | 2020-08-24 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JUSTIN N REID | PreparerPersonNm |
| PTIN | P01321869 | PTIN |
| Phone | 7162506600 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 4.15.88.234 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-08-24 | IPDt |
| IP Tm | 10:16:03 | IPTm |
| IP Timezone | ED | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | E777636245EF9BE0EA5482B82960A8F958BAB577 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2020-11-06 18:47:13Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NEIGHBORHOOD HEALTH CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JOANNE E HAEFNER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 155 LAWN AVE | AddressLine1Txt |
| City | BUFFALO | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14207 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $28,016,681 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.NWBCHCC.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1987 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE ADULT, PEDIATRIC, WOMEN'S HEALTH, BEHAVIORAL HEALTH, DENTAL, NUTRITIONAL, PODIATRY, AND ENABLING SERVICES IN TWO BUFFALO OFFICES, ONE BLASDELL OFFICE, AND ONE HAMBURG OFFICE BY OPERATING AS AN ARTICLE 28 DIAGNOSTIC AND TREATMENT CENTER UNDER NEW YORK STATE PUBLIC HEALTH LAW. TO PROVIDE THESE AMBULATORY HEALTH CARE, WELLNESS, AND RELATED SERVICES TO ANYONE, REGARDLESS OF ABILITY TO PAY, RESIDING IN UNDER-SERVED AND OTHER DESIGNATED COMMUNITIES IN THE BUFFALO NIAGARA REGION. | ActivityOrMissionDesc |
| Voting Members Governing Body | 25 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 25 | VotingMembersIndependentCnt |
| Total Employee | 407 | TotalEmployeeCnt |
| Total Volunteers | 25 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $4,708,086 | PYContributionsGrantsAmt |
| CY Contributions Grants | $4,613,507 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $21,360,765 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $23,243,245 | CYProgramServiceRevenueAmt |
| PY Investment Income | $26,079 | PYInvestmentIncomeAmt |
| CY Investment Income | $9,254 | CYInvestmentIncomeAmt |
| PY Other Revenue | $106,124 | PYOtherRevenueAmt |
| CY Other Revenue | $111,678 | CYOtherRevenueAmt |
| PY Total Revenue | $26,201,054 | PYTotalRevenueAmt |
| CY Total Revenue | $27,977,684 | 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 | $16,987,493 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $19,033,142 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $10,765 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $9,062,977 | PYOtherExpensesAmt |
| CY Other Expenses | $9,835,358 | CYOtherExpensesAmt |
| PY Total Expenses | $26,050,470 | PYTotalExpensesAmt |
| CY Total Expenses | $28,868,500 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $150,584 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$890,816 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $15,017,184 | TotalAssetsBOYAmt |
| Total Assets EOY | $12,983,967 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $7,971,176 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $7,308,765 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $7,046,008 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $5,675,202 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO PROVIDE HEALTH CARE SERVICES BY OPERATING DIAGNOSTIC AND TREATMENT FACILITIES PURSUANT TO ARTICLE 28 OF THE PUBLIC HEALTH LAW OF NEW YORK STATE. THE CENTER OPERATES TWO CLINICS IN BUFFALO, NEW YORK, ONE CLINIC IN BLASDELL, NEW YORK, AND ONE CLINIC IN HAMBURG, NEW YORK WHICH PROVIDE A BROAD RANGE OF MEDICAL, DENTAL, BEHAVIORAL HEALTH, NUTRITIONAL, AND OTHER SERVICES TO A LARGE MEDICALLY UNDERSERVED POPULATION, REGARDLESS OF THEIR ABILITY TO PAY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $24,145,526 | ExpenseAmt |
| Revenue | $23,284,669 | RevenueAmt |
| Desc | IN 2019 NEIGHBORHOOD HEALTH CENTER OF WNY, INC. IS THE LARGEST FEDERALLY QUALIFIED HEALTH CENTER IN ERIE COUNTY, NY SERVING NEARLY 26,000 INDIVIDUALS IN THE AREA. THE CENTER IMPROVES COMMUNITY HEALTH BY PROVIDING ACCESS TO QUALITY CARE AT AN AFFORDABLE PRICE, THROUGH HEALTH EDUCATION AND THE PROMOTION OF HEALTHY LIFESTYLES IN ORDER TO ACHIEVE HEALTH EQUITY. SCHEDULED OUTREACH IN THE COMMUNITY PROVIDES INDIVIDUALS AWARENESS OF THE SERVICES AVAILABLE AND SUPPORT WITH OBTAINING INSURANCE COVERAGE OR SLIDING FEE SCALE ARRANGEMENTS. THE CENTER HONORS RELATIONSHIPS WITH THOSE WE SERVE, THE STAFF, PROVIDERS, BOARD MEMBERS, VOLUNTEERS, OUR MANY COMMUNITY PARTNERS AND FRIENDS AS THEY ARE THE VEHICLE BY WHICH THE MISSION IS MAINTAINED. DURING THE YEAR THE CENTER SERVICED 105,285 VISITS. | Desc |
| Total Program Service Expenses | $24,145,526 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | 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 | Yes (1) | 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 | 14 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 407 | 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 | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| 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 | 25 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 25 | 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 | 0 | 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 | EDWARD S GOLEBIEWSKI | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7168752904 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 155 LAWN AVENUE | AddressLine1Txt |
| City | BUFFALO | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14207 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| MICHAEL LASKOWSKI | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MARY PAT FLEMING | |||||||
| SECRETARY | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| MARISOL BECERRA | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| KEITH LUKASIK | |||||||
| VICE CHAIR | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| KATHY BANKS | |||||||
| TREASURER | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| KAREN PEFFER | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| KAREN MLODOZENIEC | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| RYAN LIDDELL | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| ERIC BRADY | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| SANDRA TALLEY | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| DON INGALLS | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| DIANA PROSKE | |||||||
| CHAIR | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| CORY MOSGELLER | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| COLLEEN LEWIS | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| CHRISTA CUTRONA | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| CARRIE MARCOTTE | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| BRANDI COLLINS | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JOANNE HAEFNER | |||||||
| CEO | 40.00 | Yes (X) | $215,536 | $0 | $9,143 | Yes (X) | |
| EDWARD GOLEBIEWSKI | |||||||
| CFO | 40.00 | Yes (X) | $99,500 | $0 | $14,794 | Yes (X) | |
| MICHELE H FRECH | |||||||
| DO | 40.00 | $332,362 | $0 | $18,404 | Yes (X) | ||
| ELLIS GOMEZ | |||||||
| MD | 40.00 | $232,931 | $0 | $17,463 | Yes (X) | ||
| JAMES BURRUANO | |||||||
| CMA | 40.00 | $222,476 | $0 | $4,450 | Yes (X) | ||
| KYLA MARTE | |||||||
| MD | 40.00 | $207,926 | $0 | $4,159 | Yes (X) | ||
| CHRISTOPHER BIONDOLILLO | |||||||
| CMO | 40.00 | $206,746 | $0 | $16,939 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,517,477 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $85,352 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 36 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (4 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| KALEIDA HEALTH | |||||
| 100 HIGH STREET | BUFFALO | NY | 14203 | RENT | $376,629 |
| KAREN KARP & PARTNERS | |||||
| PO BOX 515 | SOUTHOLD | NY | 11971 | HR SERVICES | $138,771 |
| NORTHWEST BUFFALO COMMUNITY CENTER | |||||
| 155 LAWN AVE | BUFFALO | NY | 14207 | RENT | $132,405 |
| ACCESSIUM GROUP INC | |||||
| 305 SPINDRIFT DRIVE SUITE 2 | WILLIAMSVILLE | NY | 14221 | IT SERVICES | $129,624 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $309 | FederatedCampaignsAmt |
| Government Grants | $4,217,274 | GovernmentGrantsAmt |
| All Other Contributions | $395,924 | AllOtherContributionsAmt |
| Total Contributions | $4,613,507 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET PATIENT SERVICE REVENUE | Desc |
| Business | 621400 | BusinessCd |
| Total Revenue Column | $23,243,245 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $23,243,245 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $23,243,245 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,254 | TotalRevenueColumnAmt |
| Exclusion | $9,254 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $109,251 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $38,997 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $70,254 | TotalRevenueColumnAmt |
| Exclusion | $70,254 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $41,424 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $41,424 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $41,424 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $27,977,684 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $23,284,669 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $79,508 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $315,036 | TotalAmt |
| Program Services | $10,777 | ProgramServicesAmt |
| Management And General | $294,259 | ManagementAndGeneralAmt |
| Fundraising | $10,000 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,946,522 | TotalAmt |
| Program Services | $14,167,871 | ProgramServicesAmt |
| Management And General | $1,778,651 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $174,283 | TotalAmt |
| Program Services | $151,915 | ProgramServicesAmt |
| Management And General | $22,368 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,182,388 | TotalAmt |
| Program Services | $864,624 | ProgramServicesAmt |
| Management And General | $317,764 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,414,913 | TotalAmt |
| Program Services | $1,122,104 | ProgramServicesAmt |
| Management And General | $292,044 | ManagementAndGeneralAmt |
| Fundraising | $765 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,097 | TotalAmt |
| Management And General | $18,097 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,500 | TotalAmt |
| Management And General | $42,500 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $635,061 | TotalAmt |
| Program Services | $270,090 | ProgramServicesAmt |
| Management And General | $364,971 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,547 | TotalAmt |
| Program Services | $31,992 | ProgramServicesAmt |
| Management And General | $3,555 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $363,929 | TotalAmt |
| Program Services | $363,929 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $637,983 | TotalAmt |
| Program Services | $574,185 | ProgramServicesAmt |
| Management And General | $63,798 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $53,667 | TotalAmt |
| Program Services | $11,297 | ProgramServicesAmt |
| Management And General | $42,370 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $54,442 | TotalAmt |
| Program Services | $36,843 | ProgramServicesAmt |
| Management And General | $17,599 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $280,987 | TotalAmt |
| Program Services | $252,888 | ProgramServicesAmt |
| Management And General | $28,099 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $921,968 | TotalAmt |
| Program Services | $829,771 | ProgramServicesAmt |
| Management And General | $92,197 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $59,026 | TotalAmt |
| Program Services | $53,123 | ProgramServicesAmt |
| Management And General | $5,903 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $3,395,701 | $3,395,701 | |
| SUPPLIES | $1,560,358 | $1,198,888 | $361,470 |
| PROVISION FOR DOUBTFUL | $342,761 | $342,761 | |
| PATIENT SUPPORT | $231,643 | $50,887 | $180,756 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,201,688 | TotalAmt |
| Program Services | $758,641 | ProgramServicesAmt |
| Management And General | $443,047 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,868,500 | TotalAmt |
| Program Services | $24,145,526 | ProgramServicesAmt |
| Management And General | $4,712,209 | ManagementAndGeneralAmt |
| Fundraising | $10,765 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $648,156 | BOYAmt |
| EOY | $345,239 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,915,259 | BOYAmt |
| EOY | $307,198 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $92,536 | BOYAmt |
| EOY | $63,100 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,036,958 | BOYAmt |
| EOY | $3,298,571 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $345,957 | BOYAmt |
| EOY | $333,640 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $134,466 | BOYAmt |
| EOY | $148,655 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $13,964,336 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $5,487,971 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,832,653 | BOYAmt |
| EOY | $8,476,365 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,199 | BOYAmt |
| EOY | $11,199 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,017,184 | BOYAmt |
| EOY | $12,983,967 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,347,042 | BOYAmt |
| EOY | $1,972,140 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,624,134 | BOYAmt |
| EOY | $5,336,625 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,971,176 | BOYAmt |
| EOY | $7,308,765 | 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 | $7,046,008 | BOYAmt |
| EOY | $5,675,202 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,046,008 | BOYAmt |
| EOY | $5,675,202 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,017,184 | BOYAmt |
| EOY | $12,983,967 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$890,816 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$479,990 | 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 | $2,753,978 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,074,797 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,262,385 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,242,059 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,684,720 | CurrentTaxYearAmt |
| Total | $19,017,939 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,753,978 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,074,797 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,262,385 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,242,059 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,684,720 | CurrentTaxYearAmt |
| Total | $19,017,939 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $19,017,939 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $917 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $516 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $10,709 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $26,079 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,254 | CurrentTaxYearAmt |
| Total | $47,475 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $14,032 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,024 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $10,128 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $29,757 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $41,424 | CurrentTaxYearAmt |
| Total | $97,365 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $19,162,779 | TotalSupportAmt |
| Public Support CY170 | 0.99240 | PublicSupportCY170Pct |
| Public Support PY170 | 0.99380 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $218,000 | OtherCostOrOtherBasisAmt |
| Book Value | $218,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,112,697 | OtherCostOrOtherBasisAmt |
| Depreciation | $156,736 | DepreciationAmt |
| Book Value | $5,955,961 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,632,466 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,581,600 | DepreciationAmt |
| Book Value | $1,050,866 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,985,185 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,749,635 | DepreciationAmt |
| Book Value | $1,235,550 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $15,988 | OtherCostOrOtherBasisAmt |
| Book Value | $15,988 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $8,476,365 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $28,016,681 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $28,016,681 | RevenueSubtotalAmt |
| Other Revenues Not Included | -$38,997 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$38,997 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $27,977,684 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $28,907,497 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $28,907,497 | ExpensesSubtotalAmt |
| Other Expenses Not Included | -$38,997 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | -$38,997 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $28,868,500 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | SPECIAL EVENT EXPENSE -38,997. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | SPECIAL EVENTS EXPENSE -38,997. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | GROWING HEALTH | Event1Nm |
| Gross Receipts Event1 | $109,251 | GrossReceiptsEvent1Amt |
| Gross Revenue Event1 | $109,251 | GrossRevenueEvent1Amt |
| Rent Facility Costs Event1 | $4,258 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $15,134 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $720 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $18,885 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $109,251 | GrossReceiptsTotalAmt |
| Gross Revenue Total Events | $109,251 | GrossRevenueTotalEventsAmt |
| Rent Fclty Costs Total Events | $4,258 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $15,134 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $720 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $18,885 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $38,997 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $70,254 | NetIncomeSummaryAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JOANNE HAEFNER | ||||||||||||||
| CEO | $215,536 | $0 | $0 | $0 | $0 | $0 | $4,311 | $0 | $4,832 | $0 | $224,679 | $0 | $0 | $0 |
| MICHELE H FRECH | ||||||||||||||
| DO | $332,362 | $0 | $0 | $0 | $0 | $0 | $5,600 | $0 | $12,804 | $0 | $350,766 | $0 | $0 | $0 |
| ELLIS GOMEZ | ||||||||||||||
| MD | $232,931 | $0 | $0 | $0 | $0 | $0 | $4,659 | $0 | $12,804 | $0 | $250,394 | $0 | $0 | $0 |
| JAMES BURRUANO | ||||||||||||||
| CMA | $222,476 | $0 | $0 | $0 | $0 | $0 | $4,450 | $0 | $0 | $0 | $226,926 | $0 | $0 | $0 |
| KYLA MARTE | ||||||||||||||
| MD | $207,926 | $0 | $0 | $0 | $0 | $0 | $4,159 | $0 | $0 | $0 | $212,085 | $0 | $0 | $0 |
| CHRISTOPHER BIONDOLILLO | ||||||||||||||
| CMO | $206,746 | $0 | $0 | $0 | $0 | $0 | $4,135 | $0 | $12,804 | $0 | $223,685 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE RETURN IS DISTRIBUTED TO ALL MEMBERS OF THE BOARD OF DIRECTORS PRIOR TO FILING. THE RETURN IS REVIEWED AND ANY QUESTIONS/CHANGES ARE BROUGHT TO THE ATTENTION OF MANAGEMENT. APPROPRIATE CHANGES, IF NECESSARY, ARE MADE PRIOR TO FILING THE RETURN. |
| FORM 990, PART VI, SECTION B, LINE 12C | ON ENTRY TO THE BOARD OF DIRECTORS AND ANNUALLY THEREAFTER, EACH DIRECTOR, PRINCIPAL OFFICER, AND MEMBER OF A COMMITTEE WITH BOARD-DELEGATED POWERS ANNUALLY REVIEWS THE BYLAWS INCLUDING THE CONFLICT OF INTEREST STATEMENT; AND THEN EACH MEMBER IS REQUIRED TO SIGN AND SUBMIT A CONFLICT OF INTEREST STATEMENT ANNUALLY; UNDERSTANDS THAT THE ORGANIZATION 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; AND DISCLOSES ANY POTENTIAL CONFLICTS OF INTEREST IN WRITING. ON AN ANNUAL BASIS, ALL TRANSACTIONS DISCUSSED AND IDENTIFIED AS CONFLICTS OF INTEREST WILL BE EVALUATED BY THE DISINTERESTED PERSONS AS TO WHETHER THE TRANSACTION MEETS THE REQUIREMENTS OF A FAIR AND REASONABLE TRANSACTION IN ACCORDANCE WITH THE NYS ATTORNEY GENERAL GUIDANCE. |
| FORM 990, PART VI, SECTION B, LINE 15A | THE BOARD OF DIRECTORS REVIEWS THE EXECUTIVE DIRECTOR'S PERFORMANCE ANNUALLY. SALARY INCREASES ARE BASED ON THE RESULTS OF THAT REVIEW, ORGANIZATIONAL PERFORMANCE, AND COMPARATIVE ANALYSIS OF EXECUTIVE DIRECTOR COMPENSATION. THE ORGANIZATION PARTICIPATES IN AN ANNUAL COMPENSATION SURVEY FROM THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS AND OBTAINS COMPENSATION DATA FOR DIRECTORS, MANAGERS, AND PROVIDERS THAT IS CATEGORIZED BY NATIONAL, REGIONAL, STATE, AND REVENUE VOLUME. THIS INFORMATION IS USED IN DETERMINING SALARY AND COMPENSATION RANGES FOR DIRECTORS. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE CENTER MAINTAINS ELECTRONIC COPIES AND DISTRIBUTES THEM UPON REQUEST. ADDITIONALLY, THE FORM 990 IS A PUBLIC DOCUMENT. |
| FORM 990, PART XI, LINE 9: | CHANGE IN ACCOUNTING PRINCIPLE -479,990. |
| FORM 990 PART XII, LINE 2C | NO CHANGES TO THIS PROCESS HAVE TAKEN PLACE DURING THE FISCAL YEAR ENDED DECEMBER 31, 2019. |