THRIVE WELLNESS AND RECOVERY INC: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- THRIVE WELLNESS AND RECOVERY INC (EIN 16-1012469)
- Tax period
- 2019-01-01 to 2019-12-31
- Filed
- 2020-11-10
- IRS object ID
- 202043159349300329
- 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 | 2020-11-10T08:02:22-06:00 | 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 | 432 NORTH FRANKLIN STREET | AddressLine1Txt |
| City | SYRACUSE | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13204 | 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 | 161012469 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CREDO COMMUNITY CENTER FOR THE TREATMENT | BusinessNameLine1Txt |
| Business Name Line2 | OF ADDICTIONS INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CRED | BusinessNameControlTxt |
| Phone | 3157881530 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 595 WEST MAIN STREET | AddressLine1Txt |
| City | WATERTOWN | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13601 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOHN WILSON | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 3157881530 | PhoneNum |
| Signature | 2020-11-04 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | TIMOTHY HAMMOND | PreparerPersonNm |
| PTIN | P01224809 | PTIN |
| Phone | 3154227109 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 4.15.92.138 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-11-04 | IPDt |
| IP Tm | 12:03:33 | IPTm |
| IP Timezone | ES | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 9F467815D341D6EB7988AF87907AC8BABA064E4A | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JOHN WILSON | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 595 WEST MAIN STREET | AddressLine1Txt |
| City | WATERTOWN | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13601 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $8,287,379 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | HTTP://CREDOCC.COM/ | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1975 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | TRANSFORMING LIVES THROUGH QUALITY TREATMENT. UNDER OUR UMBRELLA OF CHEMICAL DEPENDENCY SERVICES CREDO COMMUNITY CENTER OFFERS SPECIALIZED TRACKS SERVICING ADOLESCENTS, WOMEN, PREGNANT WOMEN AND WOMEN WITH CHILDREN. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 15 | VotingMembersIndependentCnt |
| Total Employee | 185 | TotalEmployeeCnt |
| Total Volunteers | 25 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,423,002 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,563,020 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $6,199,189 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $5,718,403 | CYProgramServiceRevenueAmt |
| PY Investment Income | $43 | PYInvestmentIncomeAmt |
| CY Investment Income | $45 | CYInvestmentIncomeAmt |
| PY Other Revenue | $20,711 | PYOtherRevenueAmt |
| CY Other Revenue | $5,911 | CYOtherRevenueAmt |
| PY Total Revenue | $8,642,945 | PYTotalRevenueAmt |
| CY Total Revenue | $8,287,379 | 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 | $5,568,133 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $6,444,158 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,690,228 | PYOtherExpensesAmt |
| CY Other Expenses | $2,688,631 | CYOtherExpensesAmt |
| PY Total Expenses | $8,258,361 | PYTotalExpensesAmt |
| CY Total Expenses | $9,132,789 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $384,584 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$845,410 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $8,561,482 | TotalAssetsBOYAmt |
| Total Assets EOY | $7,865,515 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $3,591,439 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $3,388,061 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $4,970,043 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $4,477,454 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TRANSFORMING LIVES THROUGH QUALITY TREATMENT. UNDER OUR UMBRELLA OF CHEMICAL DEPENDENCY SERVICES CREDO COMMUNITY CENTER OFFERS SPECIALIZED TRACKS SERVICING ADOLESCENTS, WOMEN, PREGNANT WOMEN AND WOMEN WITH CHILDREN. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $1,543,648 | ExpenseAmt |
| Revenue | $1,612,141 | RevenueAmt |
| Desc | RESIDENTIAL REHABILITATION SERVICE FOR YOUTH - PROVIDES OVER 40 HOURS OF TREATMENT PROGRAMMING PER WEEK TO MALE CLIENTS AGES 16 TO 20 YEARS OLD PROGRAM ALSO PROVES INDIVIDUAL AND GROUP COUNSELING, LIFE SKILLS AND HEALTH ALTERNATIVE ACTIVITIES - 39 CLIENTS SERVED PROVIDING 4,782 UNITS OF SERVICE. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,864,716 | ExpenseAmt |
| Revenue | $1,854,859 | RevenueAmt |
| Desc | OUTPATIENT CHEMICAL DEPENDENCY CLINIC - PROVIDES ALCOHOL AND SUBSTANCE ABUSE TREATMENT IN THE FORM OF INDIVIDUAL AND GROUP COUNSELING CASE MANAGERS ARE AVAILABLE TO ASSIST IN SEEKING ADDITIONAL SERVICES AND REFERRALS - 584 CLIENTS SERVED PROVIDING 20,755 UNITS OF SERVICE. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,410,048 | ExpenseAmt |
| Revenue | $1,453,473 | RevenueAmt |
| Desc | OPIOID TREATMENT PROGRAM - UNDER THE SUPERVISION AND GUIDANCE OF A PHYSICIAN, NURSES AND COUNSELORS, WE ARE ABLE TO OFFER MEDICATION ASSISTED TREATMENT (MAT), TO INDIVIDUALS TO HELP THEM OVERCOME THEIR OPIATE/HEROIN ADDICTION. AT THIS TIME, WE ARE ABLE TO OFFER METHADONE, SUBOXONE AND VIVITROL TO HELP WITH WITHDRAWALS AND CRAVINGS TO OPIATES/HEROIN - 138 CLIENTS SERVED PROVIDING 18,784 UNITS OF SERVICE. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (7 entries)
| ExpenseExpenseAmt | RevenueRevenueAmt | DescDesc |
|---|---|---|
| $393,082 | $197,169 | MEN'S COMMUNITY RESIDENCE - PROVIDES A SAFE ENVIRONMENT FOR RECOVERING ALCOHOL AND SUBSTANCE ABUSERS, ENCOURAGES DRUG FREE ACTIVITIES AND TEACHES LIFE SKILLS. |
| $327,388 | $161,649 | COMMUNITY RESIDENCE (AFTER CARE) PROGRAM - PROVIDES A SAFE ENVIRONMENT FOR RECOVERING ALCOHOL AND SUBSTANCE ABUSERS, ENCOURAGES HIGHER EDUCATION, WORK READINESS, VOLUNTEERISM, DRUG FREE ACTIVITIES AND TEACHES LIFE SKILLS. |
| $47,097 | VOCATIONAL/EDUCATIONAL SERVICES PROGRAM - PROVIDES ASSESSMENT OF ABILITIES, ENCOURAGES HIGHER EDUCATION, DEVELOPMENT OF JOB SKILLS, AND WHEN APPROPRIATE, EMPLOYMENT. | |
| $64,342 | SUPPORTIVE HOUSING - PROVIDES AT SAFE ENVIRONMENT FOR THOSE SEEKING TO FURTHER ASSIMILATE AFTER COMPLETION OF PROGRAMS. | |
| $658,396 | $190,154 | WOMEN'S INTENSIVE RESIDENTIAL SUBSTANCE ABUSE TREATMENT PROGRAM - PROVIDES OVER 40 HOURS OF TREATMENT PROGRAMMING PER WEEK, INDIVIDUAL AND GROUP COUNSELING, LIFE SKILLS AND HEALTHY ALTERNATIVE ACTIVITIES THE PROGRAM ALSO INCORPORATES PARENTING CLASSES AND SERVICES FOR WOMEN WITH CHILDREN - 26 CLIENTS WERE SERVED PROVIDING 5,085 UNITS OF SERVICE. |
| $60,496 | $135,025 | MENTAL HEALTH CLINIC |
| $493,263 | $119,844 | OTHER |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $2,044,064 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $803,841 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $7,862,476 | 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 | Yes (1) | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | 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 | 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 | 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 | 9 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 185 | 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 | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 15 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JORDAN JONES | PersonNm |
| Phone | 3157881530 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 595 WEST MAIN STREET | AddressLine1Txt |
| City | WATERTOWN | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13601 | 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 |
|---|---|---|---|---|---|---|---|
| CYNTHIA ACKERMAN | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| EDWARD BROWN | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| TERESA GAFFNEY | |||||||
| PRESIDENT | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| DAVID GEURTSEN | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JOEY MARIE HORTON | |||||||
| TREASURER | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| JENNIFER JONES | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| CHERYL MAYFORTH | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JOHN NUBER | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| AMY O'DONNELL | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| PETER OUDERKIRK | |||||||
| VICE PRESIDENT | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| SAM PURRINGTON | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| VICTOR RODRIGUEZ II | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JILL LAUREANO-SURBER | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| COREY ZEIGLER | |||||||
| SECRETARY | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| BONNIE EPPOLITO | |||||||
| DIRECTOR (THRU 4/19) | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| HEATHER BLAIR | |||||||
| DIRECTOR (THRU 4/19) | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JEANETTE HARDY | |||||||
| DIRECTOR (THRU 2/19) / HR DIRECTOR (AFTER 3/19) | 40.00 | Yes (X) | $61,085 | $0 | $5,727 | ||
| DAVE COREY | |||||||
| DIRECTOR (THRU 8/19) | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MARTY MORRISON | |||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JAMES SCORDO | |||||||
| EXECUTIVE DIRECTOR (THRU 6/19) | 40.00 | $88,853 | $0 | $7,066 | Yes (X) | ||
| JOHN WILSON | |||||||
| EXECUTIVE DIRECTOR (AFTER 6/19) | 40.00 | $101,366 | $0 | $7,622 | Yes (X) | ||
| MICHAEL LANE | |||||||
| ACTING BUSINESS MANAGER | 40.00 | $0 | $0 | $0 | Yes (X) | ||
| DANIEL PISANIELLO | |||||||
| MEDICAL DIRECTOR | 40.00 | $209,202 | $0 | $6,276 | Yes (X) | ||
| KIM RICHARDS | |||||||
| NURSE PRACTITIONER | 40.00 | $133,085 | $0 | $12,883 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $593,591 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $39,574 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 3 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| PRONEXUS LLC | |||||
| 115 SULLYS TRAIL SUITE 11 | PITTSFORD | NY | 14534 | CONTRACTED INTERIM BUSINESS MANAGER | $247,213 |
| NETSMART TECHNOLOGIES INC | |||||
| 11100 NALL AVE | OVERLAND PARK | KS | 66211 | BILLING SERVICE PROVIDED AND OUTSOURCED | $244,493 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $28,769 | FederatedCampaignsAmt |
| Government Grants | $2,467,001 | GovernmentGrantsAmt |
| All Other Contributions | $67,250 | AllOtherContributionsAmt |
| Total Contributions | $2,563,020 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEDICAID | 624100 | $5,126,331 | $5,126,331 |
| FEES FOR SERVICES | 624100 | $473,371 | $473,371 |
| INCENTIVE PAYMENTS | 624100 | $118,701 | $118,701 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $5,718,403 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $45 | TotalRevenueColumnAmt |
| Exclusion | $45 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $5,911 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $5,911 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $5,911 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,287,379 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $5,724,314 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $45 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $271,719 | TotalAmt |
| Management And General | $271,719 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,274,226 | TotalAmt |
| Program Services | $4,701,729 | ProgramServicesAmt |
| Management And General | $572,497 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $209,890 | TotalAmt |
| Program Services | $191,905 | ProgramServicesAmt |
| Management And General | $17,985 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $280,787 | TotalAmt |
| Program Services | $255,955 | ProgramServicesAmt |
| Management And General | $24,832 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $407,536 | TotalAmt |
| Program Services | $345,663 | ProgramServicesAmt |
| Management And General | $61,873 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,319 | TotalAmt |
| Program Services | $16,450 | ProgramServicesAmt |
| Management And General | $26,869 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $943,340 | TotalAmt |
| Program Services | $849,078 | ProgramServicesAmt |
| Management And General | $94,262 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,262 | TotalAmt |
| Program Services | $2,631 | ProgramServicesAmt |
| Management And General | $17,631 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $561,381 | TotalAmt |
| Program Services | $483,291 | ProgramServicesAmt |
| Management And General | $78,090 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $344,528 | TotalAmt |
| Program Services | $302,034 | ProgramServicesAmt |
| Management And General | $42,494 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,727 | TotalAmt |
| Program Services | $29,646 | ProgramServicesAmt |
| Management And General | $8,081 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,787 | TotalAmt |
| Program Services | $42,719 | ProgramServicesAmt |
| Management And General | $10,068 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,589 | TotalAmt |
| Management And General | $5,589 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $336,699 | TotalAmt |
| Program Services | $333,932 | ProgramServicesAmt |
| Management And General | $2,767 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $93,552 | TotalAmt |
| Program Services | $84,018 | ProgramServicesAmt |
| Management And General | $9,534 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| FOOD | $171,932 | $171,932 | |
| OTHER | $48,544 | $22,522 | $26,022 |
| CLIENT NEEDS | $28,971 | $28,971 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,132,789 | TotalAmt |
| Program Services | $7,862,476 | ProgramServicesAmt |
| Management And General | $1,270,313 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $158,100 | BOYAmt |
| EOY | $310,477 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $71,189 | BOYAmt |
| EOY | $5,045 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $941,761 | BOYAmt |
| EOY | $693,773 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $774,613 | BOYAmt |
| EOY | $372,022 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $111,820 | BOYAmt |
| EOY | $69,077 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $9,574,574 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $4,224,020 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,578,259 | BOYAmt |
| EOY | $5,350,554 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $925,740 | BOYAmt |
| EOY | $1,064,567 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,561,482 | BOYAmt |
| EOY | $7,865,515 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $558,425 | BOYAmt |
| EOY | $692,478 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,361 | BOYAmt |
| EOY | $10,361 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,120 | BOYAmt |
| EOY | $16,683 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,732,533 | BOYAmt |
| EOY | $2,388,539 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $280,000 | BOYAmt |
| EOY | $280,000 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,591,439 | BOYAmt |
| EOY | $3,388,061 | 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 | $4,817,485 | BOYAmt |
| EOY | $4,342,917 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $152,558 | BOYAmt |
| EOY | $134,537 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,970,043 | BOYAmt |
| EOY | $4,477,454 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,561,482 | BOYAmt |
| EOY | $7,865,515 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$845,410 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $352,821 | OtherChangesInNetAssetsAmt |
| 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) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,008,902 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,623,432 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,101,808 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,423,002 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,563,020 | CurrentTaxYearAmt |
| Total | $11,720,164 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,861,947 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,415,145 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,298,407 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,219,900 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,724,314 | CurrentTaxYearAmt |
| Total | $23,519,713 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,870,849 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,038,577 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,400,215 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $8,642,902 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $8,287,334 | CurrentTaxYearAmt |
| Total | $35,239,877 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $35,239,877 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $89 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $34 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $202 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $43 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $45 | CurrentTaxYearAmt |
| Total | $413 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $89 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $34 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $202 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $43 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $45 | CurrentTaxYearAmt |
| Total | $413 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,870,938 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,038,611 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,400,417 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $8,642,945 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $8,287,379 | CurrentTaxYearAmt |
| Total | $35,240,290 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 1.00000 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99970 | PublicSupportPY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | 0 | AgentTrusteeEtcInd |
| Incl Escrow Custodial Acct Liab | Yes (1) | InclEscrowCustodialAcctLiabInd |
| Explanation Provided | Yes (X) | ExplanationProvidedInd |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $116,860 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $11,254 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $752 | AdministrativeExpensesAmt |
| End Year Balance | $127,362 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $122,155 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$4,413 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $882 | AdministrativeExpensesAmt |
| End Year Balance | $116,860 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $114,697 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $8,236 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $778 | AdministrativeExpensesAmt |
| End Year Balance | $122,155 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $110,059 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $5,335 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $697 | AdministrativeExpensesAmt |
| End Year Balance | $114,697 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $111,833 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$955 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $819 | AdministrativeExpensesAmt |
| End Year Balance | $110,059 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 0.55440 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.44560 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $21,924 | OtherCostOrOtherBasisAmt |
| Book Value | $21,924 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,538,256 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,525,949 | DepreciationAmt |
| Book Value | $5,012,307 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $46,695 | OtherCostOrOtherBasisAmt |
| Depreciation | $34,598 | DepreciationAmt |
| Book Value | $12,097 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $967,699 | OtherCostOrOtherBasisAmt |
| Depreciation | $663,473 | DepreciationAmt |
| Book Value | $304,226 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $5,350,554 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INTEREST IN NET ASSETS OF CREDO COMMUNITY CENTER FOUNDATION, INC. | Desc |
| Book Value | $1,064,567 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $1,064,567 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE TO CREDO COMMUNITY CENTER FOUNDATION, INC. | Desc |
| Amt | $280,000 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $280,000 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $8,287,379 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $8,287,379 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $8,287,379 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $9,132,789 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $9,132,789 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $9,132,789 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART IV, LINE 2B: | CREDO HOLDS FUNDS ON BEHALF OF PROGRAM PARTICIPANTS. |
| PART V, LINE 4: | PERMANENTLY RESTRICTED NET ASSETS REPRESENT CREDO'S INTEREST IN THE NET ASSETS OF CREDO COMMUNITY CENTER FOUNDATION, INC. DONORS REQUIRE THAT THE PRINCIPAL AMOUNT BE MAINTAINED IN PERPETUITY. INCOME EARNED IS UNRESTRICTED AS TO USE. |
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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DANIEL PISANIELLO | PersonNm |
| Title | MEDICAL DIRECTOR | TitleTxt |
| Base Compensation Filing Org | $209,202 | BaseCompensationFilingOrgAmt |
| Compensation Based On Rltd Orgs | $0 | CompensationBasedOnRltdOrgsAmt |
| Bonus Filing Organization | $0 | BonusFilingOrganizationAmount |
| Bonus Related Organizations | $0 | BonusRelatedOrganizationsAmt |
| Other Compensation Filing Org | $0 | OtherCompensationFilingOrgAmt |
| Other Compensation Rltd Orgs | $0 | OtherCompensationRltdOrgsAmt |
| Deferred Compensation Flng Org | $6,276 | DeferredCompensationFlngOrgAmt |
| Deferred Comp Rltd Orgs | $0 | DeferredCompRltdOrgsAmt |
| Nontaxable Benefits Filing Org | $0 | NontaxableBenefitsFilingOrgAmt |
| Nontaxable Benefits Rltd Orgs | $0 | NontaxableBenefitsRltdOrgsAmt |
| Total Compensation Filing Org | $215,478 | TotalCompensationFilingOrgAmt |
| Total Compensation Rltd Orgs | $0 | TotalCompensationRltdOrgsAmt |
| Comp Report Prior990 Filing Org | $0 | CompReportPrior990FilingOrgAmt |
| Comp Report Prior990 Rltd Orgs | $0 | CompReportPrior990RltdOrgsAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | DURING THE YEAR MICHEAL LANE WAS CONTRACTED THROUGH A MANAGEMENT COMPANY (PRONEXUS, LLC) TO OPERATE AS THE BUSINESS MANAGER. IN PERFORMING THIS ROLE, MICHEAL LANE OVERSAW THE FINANCIAL OPERATIONS INCLUDING BUT NOT LIMITED TO: SUPERVISING PERSONNEL, PLANNING AND EXECUTING BUDGETS AND FINANCIAL OPERATIONS. CREDO IS NOT AWARE OF THE COMPENSATION RECEIVED BY MICHEAL LANE FROM PRONEXUS, LLC. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS SENT TO ALL MEMBERS OF THE BOARD OF DIRECTORS, WHO ARE GIVEN A PERIOD OF TIME TO REVIEW PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | EACH YEAR BOARD MEMBERS ARE REQURIED TO SIGN A CONFLICT OF INTEREST STATEMENT. STATEMENTS ARE REVIEWED ANNUALLY BY THE PRESIDENT AND EXECUTIVE DIRECTOR. |
| FORM 990, PART VI, SECTION B, LINE 15A | THE EXECUTIVE DIRECTOR'S SALARY IS REVIEWED BY THE EXECUTIVE COMMITTEE ON AN ANNUAL BASIS. THE COMMITTEE UTILIZES AN ANNUAL REVIEW PROCESS TO DETERMINE COMPENSATION AND BENEFITS PACKAGE. |
| FORM 990, PART VI, SECTION C, LINE 19 | A HIGH LEVEL FINANCIAL PICTURE IS PROVIDED IN THE AGENCY ANNUAL REPORT, WHICH IS AVAILABLE TO THE PUBLIC. OTHER FINANCIAL DATA IS AVAILABLE UPON REQUEST AT THE ADMINISTRATIVE OFFICES DURING NORMAL BUSINESS HOURS. A REPRESENTATIVE FROM THE ORGANIZATION WILL BE PRESENT AT ALL TIMES DURING THE REVIEW. UPON REQUEST, COPIES OF THE FORMS WILL BE PROVIDED. |
| FORM 990, PART IX, LINE 11G | MEDICAL CONSULTANTS: PROGRAM SERVICE EXPENSES 849,078. MANAGEMENT AND GENERAL EXPENSES 94,262. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 943,340. |
| FORM 990, PART XI, LINE 9: | AMORTIZATION OF MORTGAGES PAYABLE 213,994. CHANGE IN INTEREST IN NET ASSETS OF CREDO COMMUNITY CENTER FOUNDATION, INC. 138,827. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CREDO COMMUNITY CENTER FOUNDATION INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 595 WEST MAIN STREET | AddressLine1Txt |
| City | WATERTOWN | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13601 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 222511699 | EIN |
| Primary Activities | TO RAISE FUNDS FOR THE BENEFIT OF CREDO COMMUNITY CENTER | PrimaryActivitiesTxt |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | LINE 7 | PublicCharityStatusTxt |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Controlled Organization | 0 | ControlledOrganizationInd |
| 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 | Yes (1) | 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 | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |