CHILDRENS REHABILITATION CENTER INC: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- CHILDRENS REHABILITATION CENTER INC (EIN 27-1837787)
- Tax period
- 2017-01-01 to 2017-12-31
- Filed
- 2018-11-13
- IRS object ID
- 201843179349307704
- Schema version
- 2017v2.3
- 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 | 2018-11-13T16:50:54-06:00 | ReturnTs |
| Tax Period End | 2017-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 271728945 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PKF O'CONNOR DAVIES LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 MAMARONECK AVENUE | AddressLine1Txt |
| City | HARRISON | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 105281633 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 271837787 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHILDREN'S REHABILITATION CENTER INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CHIL | BusinessNameControlTxt |
| Phone | 9142946120 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 CORPORATE BLVD SOUTH | AddressLine1Txt |
| City | YONKERS | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10701 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CARLA PERRUCCIO | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 9142946120 | PhoneNum |
| Signature | 2018-11-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | GARRETT M HIGGINS | PreparerPersonNm |
| PTIN | P00543209 | PTIN |
| Phone | 9143818900 | PhoneNum |
| Preparation | 2018-11-07 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 65.51.112.58 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2018-11-13 | IPDt |
| IP Tm | 16:50:53 | IPTm |
| IP Timezone | ES | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 9616F4B14A694591D1E716C270910E6FA5556DA3 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | CARLA PERRUCCIO | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 CORPORATE BLVD SOUTH | AddressLine1Txt |
| City | YONKERS | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10701 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $6,681,019 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Group Exemption | 0928 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.SETONPEDIATRIC.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2010 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | PROVIDES MEDICALLY COMPLEX PEDIATRIC D&TC SERVICES IN A CONTINUUM THAT INCLUDES ELIZABETH SETON PEDIATRIC CENTER, JOHN A. COLEMAN SCHOOL & ST. ELIZABETH SETON CHILDREN'S FOUNDATION. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 104 | TotalEmployeeCnt |
| Total Volunteers | 13 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $61,167 | PYContributionsGrantsAmt |
| CY Contributions Grants | $36,405 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $6,219,200 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $6,627,698 | CYProgramServiceRevenueAmt |
| PY Investment Income | $133 | PYInvestmentIncomeAmt |
| CY Investment Income | $136 | CYInvestmentIncomeAmt |
| PY Other Revenue | $18,495 | PYOtherRevenueAmt |
| CY Other Revenue | $16,780 | CYOtherRevenueAmt |
| PY Total Revenue | $6,298,995 | PYTotalRevenueAmt |
| CY Total Revenue | $6,681,019 | 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 | $4,187,259 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $4,547,412 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,859,228 | PYOtherExpensesAmt |
| CY Other Expenses | $1,807,945 | CYOtherExpensesAmt |
| PY Total Expenses | $6,046,487 | PYTotalExpensesAmt |
| CY Total Expenses | $6,355,357 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $252,508 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $325,662 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $4,141,460 | TotalAssetsBOYAmt |
| Total Assets EOY | $4,347,075 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,661,429 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,498,697 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $2,480,031 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $2,848,378 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO PROVIDE A NOT-FOR-PROFIT OUTPATIENT, PEDIATRIC DIAGNOSTIC AND TREATMENT CENTER FOR MEDICALLY FRAGILE CHILDREN WHO RESIDE IN WESTCHESTER, PUTNAM, ROCKLAND, DUTCHESS AND ORANGE COUNTIES AND THE BRONX. A COMPREHENSIVE ARRAY OF SERVICES ARE AVAILABLE FOR CHILDREN WITH MULTIPLE ORTHOPEDIC, COMPLEX DEVELOPMENTAL DISABILITIES, NEUROLOGICAL AND PROFOUND GENETIC DISORDERS AGES BIRTH THROUGH 21 YEARS. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $5,274,071 | ExpenseAmt |
| Revenue | $6,542,080 | RevenueAmt |
| Desc | THE CLINIC SERVICED 2,199 MEDICALLY FRAGILE CHILDREN, WITH VARIOUS DISABILITIES, BY PERFORMING 7,477 MEDICAL SPECIALTY VISITS AND 42,521 THERAPY/OTHER VISITS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $133,536 | ExpenseAmt |
| Revenue | $85,618 | RevenueAmt |
| Desc | CHILDREN'S REHABILITATION CENTER OPERATED A CARE AT HOME PROGRAM WHICH PROVIDES CASE MANAGEMENT SERVICES TO MEDICALLY FRAGILE CHILDREN THROUGHOUT WESTCHESTER COUNTY. A TOTAL OF 42 CHILDREN WERE SERVICED BY PERFORMING 3,786 CARE AT HOME CONTACTS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $5,407,607 | 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 |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 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 With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| 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 | 28 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 104 | 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 |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | 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 | 0 | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CARLA PERRUCCIO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9142946128 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 CORPORATE BLVD SOUTH | AddressLine1Txt |
| City | YONKERS | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10701 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| SR CAROL A BARNES SC | |||||||||
| CHAIRPERSON | 1.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| CARLA HERMAN | |||||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| ROBERT HEATLEY | |||||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| SR SHEILA BROSNAN SC | |||||||||
| TRUSTEE (UNTIL 02/2017) | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| SR MARY KAY FINNERAN SC | |||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| EDWARD MANN | |||||||||
| TRUSTEE (UNTIL 10/2017) | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| SR KAREN HELFENSTEIN | |||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| MICHAEL VAN DE LOO | |||||||||
| TRUSTEE (UNTIL 05/2017) | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| LISA ALTERI | |||||||||
| TRUSTEE (UNTIL 05/2017) | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| WALLACE JENKINS MD | |||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| MARC F ROSA | |||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| JAMES SINKOFF | |||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| MICHAEL WELLING | |||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| PATRICIA TURSI | |||||||||
| CEO | 3.25 | 34.25 | Yes (X) | $0 | $492,497 | $50,811 | |||
| CARLA PERRUCCIO | |||||||||
| CFO | 1.50 | 36.00 | Yes (X) | $0 | $225,047 | $24,333 | |||
| MARIA ANTONIETTA PICI | |||||||||
| MEDICAL DIRECTOR | 37.50 | $281,653 | $0 | $43,619 | Yes (X) | ||||
| IRA R JACOB | |||||||||
| CONTROLLER | 17.50 | 20.00 | $115,745 | $0 | $32,333 | Yes (X) | |||
| ANDREA S HAUSCH | |||||||||
| REHABILITATION DIRECTOR | 37.50 | $147,606 | $0 | $36,963 | Yes (X) | ||||
| LOUISE A VELJACIC | |||||||||
| ASSOC DIRECTOR OF REHAB PT | 37.50 | $108,333 | $0 | $34,771 | Yes (X) | ||||
| GINA L FARRELL | |||||||||
| ASSOC DIRECTOR OF REHAB ST | 37.50 | $108,007 | $0 | $34,785 | Yes (X) | ||||
| JANET POOLE | |||||||||
| SPEECH SR. CLINICAL REHAB THERAPIST | 37.50 | $100,774 | $0 | $17,471 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $862,118 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $717,544 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $275,086 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 6 | 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 |
|---|---|---|---|---|---|
| CHILDREN'S & WOMEN'S PHYSICIANS OF WESTC | |||||
| NY MEDICAL COLLEGE MUNGER PAVILLIO | VALHALLA | NY | 10595 | PHYSICIAN SERVICES | $176,600 |
| AUDREY SOFAIR MD | |||||
| 34 NORTH LAKE ROAD | ARMONK | NY | 10504 | PHYSICIAN SERVICES | $128,500 |
| MONTEFIORE MEDICAL CENTER | |||||
| 111 EAST 210 STREET | BRONX | NY | 10467 | PHYSICIAN SERVICES | $109,000 |
| INTERFYSIO LLC | |||||
| 61 BROADWAY SUITE 2824 | NEW YORK | NY | 10006 | REHAB SERVICES | $101,664 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $36,405 | AllOtherContributionsAmt |
| Total Contributions | $36,405 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET PATIENT SERVICE RE | Desc |
| Business | 621400 | BusinessCd |
| Total Revenue Column | $6,627,698 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $6,627,698 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $6,627,698 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $136 | TotalRevenueColumnAmt |
| Exclusion | $136 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| MEDICAL RECORDS | 900099 | $11,801 | $11,801 |
| RECOVERY OF BAD DEBT | 900099 | $3,749 | $3,749 |
| VENDING MACHINE | 900099 | $1,230 | $1,230 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $16,780 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,681,019 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $6,627,698 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $16,916 | 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 | $325,272 | TotalAmt |
| Program Services | $291,997 | ProgramServicesAmt |
| Management And General | $33,275 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,136,784 | TotalAmt |
| Program Services | $2,815,961 | ProgramServicesAmt |
| Management And General | $320,823 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $141,705 | TotalAmt |
| Program Services | $127,209 | ProgramServicesAmt |
| Management And General | $14,496 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $645,512 | TotalAmt |
| Program Services | $579,476 | ProgramServicesAmt |
| Management And General | $66,036 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $298,139 | TotalAmt |
| Program Services | $267,639 | ProgramServicesAmt |
| Management And General | $30,500 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,500 | TotalAmt |
| Management And General | $38,500 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $738,497 | TotalAmt |
| Program Services | $717,566 | ProgramServicesAmt |
| Management And General | $20,931 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $100,832 | TotalAmt |
| Program Services | $43,854 | ProgramServicesAmt |
| Management And General | $56,978 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $260,220 | TotalAmt |
| Program Services | $217,180 | ProgramServicesAmt |
| Management And General | $43,040 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $216 | TotalAmt |
| Program Services | $216 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $203,345 | TotalAmt |
| Program Services | $118,402 | ProgramServicesAmt |
| Management And General | $84,943 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $47,876 | TotalAmt |
| Program Services | $47,876 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PURCHASED SERVICES | $212,100 | $6,146 | $205,954 |
| REPAIRS AND MAINTENANCE | $176,611 | $147,355 | $29,256 |
| MISCELLANEOUS | $29,748 | $26,730 | $3,018 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,355,357 | TotalAmt |
| Program Services | $5,407,607 | ProgramServicesAmt |
| Management And General | $947,750 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,523,611 | BOYAmt |
| EOY | $1,954,184 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $911,370 | BOYAmt |
| EOY | $815,186 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,100 | BOYAmt |
| EOY | $250 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $455,879 | BOYAmt |
| EOY | $447,201 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,813 | BOYAmt |
| EOY | $42,220 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,245,176 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $569,137 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $854,030 | BOYAmt |
| EOY | $676,039 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $366,657 | BOYAmt |
| EOY | $411,995 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,141,460 | BOYAmt |
| EOY | $4,347,075 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $686,818 | BOYAmt |
| EOY | $670,364 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $974,611 | BOYAmt |
| EOY | $828,333 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,661,429 | BOYAmt |
| EOY | $1,498,697 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,032,286 | BOYAmt |
| EOY | $2,344,619 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $82,696 | BOYAmt |
| EOY | $96,025 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $365,049 | BOYAmt |
| EOY | $407,734 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,480,031 | BOYAmt |
| EOY | $2,848,378 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,141,460 | BOYAmt |
| EOY | $4,347,075 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $325,662 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $42,685 | 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 | 0 | FederalGrantAuditRequiredInd |
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 | $45,475 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $523,866 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $43,488 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $61,167 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $36,405 | CurrentTaxYearAmt |
| Total | $710,401 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,164,781 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,207,324 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,720,617 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,219,200 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,627,698 | CurrentTaxYearAmt |
| Total | $28,939,620 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,210,256 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,731,190 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,764,105 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,280,367 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,664,103 | CurrentTaxYearAmt |
| Total | $29,650,021 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,385 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,150 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,500 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,320 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,100 | CurrentTaxYearAmt |
| Total | $16,455 | 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) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,385 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,150 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,500 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,320 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,100 | CurrentTaxYearAmt |
| Total | $16,455 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $29,633,566 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $69 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $178 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $133 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $136 | CurrentTaxYearAmt |
| Total | $517 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $69 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $178 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $133 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $136 | CurrentTaxYearAmt |
| Total | $517 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $33,846 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $103,820 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,043 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $18,495 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $16,780 | CurrentTaxYearAmt |
| Total | $181,984 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,244,103 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,835,079 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,773,326 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,298,995 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,681,019 | CurrentTaxYearAmt |
| Total | $29,832,522 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99330 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99320 | PublicSupportPY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | MEDICAL RECORDS - 2013 AMOUNT: $ 3,314. 2014 AMOUNT: $ 16,740. 2015 AMOUNT: $ 3,482. 2016 AMOUNT: $ 6,104. 2017 AMOUNT: $ 11,801. VENDING MACHINE COMMISSIONS - 2013 AMOUNT: $ 1,410. 2014 AMOUNT: $ 1,351. 2015 AMOUNT: $ 1,278. 2016 AMOUNT: $ 1,249. 2017 AMOUNT: $ 1,230. RECOVERY OF BAD DEBT - 2013 AMOUNT: $ 29,122. 2014 AMOUNT: $ 85,729. 2015 AMOUNT: $ 4,283. 2016 AMOUNT: $ 11,142. 2017 AMOUNT: $ 3,749. | ExplanationTxt |
Schedule B IRS990ScheduleB
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $710,361 | OtherCostOrOtherBasisAmt |
| Depreciation | $346,276 | DepreciationAmt |
| Book Value | $364,085 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $534,815 | OtherCostOrOtherBasisAmt |
| Depreciation | $222,861 | DepreciationAmt |
| Book Value | $311,954 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $676,039 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| BENEFICIAL INTEREST IN TRUSTS | $407,733 |
| DUE FROM FOUNDATION | $4,262 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $411,995 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO THIRD-PARTY PAYORS | $815,003 |
| DUE TO AFFILIATES | $13,330 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $828,333 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $6,677,270 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $6,677,270 | RevenueSubtotalAmt |
| Other Revenues Not Included | $3,749 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $3,749 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $6,681,019 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $6,351,608 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $6,351,608 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $3,749 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $3,749 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $6,355,357 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | THE CLINIC RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY WHEN THE TAX POSITIONS ARE MORE LIKELY THAN NOT TO BE SUSTAINED. MANAGEMENT HAS DETERMINED THAT THE CLINIC HAD NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION OR DISCLOSURE. THE CLINIC IS NO LONGER SUBJECT TO EXAMINATION BY APPLICABLE TAXING JURISDICTIONS FOR PERIODS PRIOR TO 2014. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | RECOVERY OF BAD DEBT REPORTED ON PART VIII, LINE 11A 3,749. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | RECOVERY OF BAD DEBT REPORTED ON PART VIII, LINE 11A 3,749. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 (4 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PATRICIA TURSI | ||||||||||||||
| CEO | $0 | $492,359 | $0 | $0 | $0 | $138 | $0 | $32,850 | $0 | $17,961 | $0 | $543,308 | $0 | $0 |
| CARLA PERRUCCIO | ||||||||||||||
| CFO | $0 | $224,909 | $0 | $0 | $0 | $138 | $0 | $12,375 | $0 | $11,958 | $0 | $249,380 | $0 | $0 |
| MARIA ANTONIETTA PICI | ||||||||||||||
| MEDICAL DIRECTOR | $280,417 | $0 | $0 | $0 | $1,236 | $0 | $14,850 | $0 | $28,769 | $0 | $325,272 | $0 | $0 | $0 |
| ANDREA S HAUSCH | ||||||||||||||
| REHABILITATION DIRECTOR | $147,210 | $0 | $0 | $0 | $396 | $0 | $8,104 | $0 | $28,859 | $0 | $184,569 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 3 | FormAndLineReferenceDesc |
| Explanation | THE COMPENSATION PAID TO THE CEO WAS DETERMINED BY A RELATED ENTITY, ELIZABETH SETON PEDIATRIC CENTER, USING THE FOLLOWING PROCESS: EXECUTIVE COMPENSATION, INCLUDING SALARY, BONUSES, AND BENEFITS, FOR THE OFFICERS AND OTHER KEY EMPLOYEES WILL BE REVIEWED AND RECOMMENDED BY A SUB-COMMITTEE OF THE BOARD OF DIRECTORS. NO MEMBER OF THE SUB-COMMITTEE WILL PARTICIPATE IN OR ECONOMICALLY BENEFIT FROM THE PROPOSED COMPENSATION ARRANGEMENT OR BE A FAMILY MEMBER OF THE EMPLOYEE, OR BE IN AN EMPLOYMENT RELATIONSHIP WITH RESPECT TO THE PARTICULAR EMPLOYEE UNDER WHICH THE MEMBER IS SUBJECT TO DIRECTION OR CONTROL BY THE EMPLOYEE, OR HAVE A MATERIAL FINANCIAL INTEREST THAT WILL BE AFFECTED BY THE PROPOSED COMPENSATION PACKAGE, OR RECEIVE ECONOMIC BENEFITS THAT ARE SUBJECT TO APPROVAL BY THE EMPLOYEE. RECOMMENDATIONS WILL THEN BE FURNISHED TO THE HUMAN RESOURCE DIRECTOR FOR REVIEW AND PROCESSING. PRIOR TO MAKING ITS DECISION, THE SUB-COMMITTEE WILL OBTAIN RELEVANT INFORMATION SUFFICIENT FOR DETERMINING THAT THE COMPENSATION ARRANGEMENT IN ITS ENTIRETY IS REASONABLE, SUCH AS THE COMPENSATION PACKAGE OF SIMILARLY SITUATED TAX-EXEMPT OR TAXABLE ORGANIZATION PACKAGE OF SIMILAR POSITIONS, THE AVAILABILITY OF SIMILAR SERVICES IN THE GEOGRAPHIC AREA, CURRENT COMPENSATION SURVEYS COMPILED BY INDEPENDENT FIRMS, OR ACTUAL WRITTEN OFFERS FROM SIMILAR INSTITUTIONS FOR THE SERVICES OF THE EMPLOYEE. THE SUBCOMMITTEE WILL ACCURATELY RECORD MINUTES AND DOCUMENT THE DETERMINATION OF ANY KEY EMPLOYEE COMPENSATION PACKAGE BEFORE THE LATTER OF THE NEXT SUB-COMMITTEE OR 60 DAYS AFTER THE FINAL ACTION IS TAKEN. THE DOCUMENTATION WILL INCLUDE THE TERMS OF THE COMPENSATION PACKAGE AND THE DATE IT WAS APPROVED, THE NAME OF THE SUB-COMMITTEE MEMBERS WHO WERE PRESENT DURING THE DISCUSSION AND THOSE WHO VOTED IN THE ARRANGEMENT WITH THE COMPENSATION RATE, THE COMPARABLE DATA OBTAINED, AND RELIED UPON BY THE SUB-COMMITTEE, AND HOW THE DATA WAS OBTAINED, ANY ACTIONS TAKEN WITH RESPECT TO CONSIDERATION OF THE TRANSACTION BY ANYONE WHO IS AN USUAL MEMBER OF THE SUB-COMMITTEE BUT WHO HAD A CONFLICT OF INTEREST AND REMOVED HIMSELF FROM THE ACTIONS OF THE SUB-COMMITTEE, AND IF APPLICABLE, THE REASON WHY THE SUB-COMMITTEE DETERMINED A REASONABLE COMPENSATION RATE TO BE HIGHER OR LOWER THAN THE COMPENSATION PACKAGE OF COMPARABLE PUBLIC CHARITIES. NO COMPENSATION OF ANY KIND SHALL BE PAID TO ELIZABETH SETON'S BOARD OF DIRECTORS. AN INDEPENDENT THIRD PARTY CONSULTANT WAS ENGAGED TO PERFORM THE EXECUTIVE COMP REVIEW, PRESENT FINDINGS TO THE COMP COMMITTEE OF THE BOARD AND ASSIST WITH WAIVER APPLICATIONS UNDER EXECUTIVE ORDER 38. THE INDEPENDENT EXECUITVE COMPENSATION REVIEW IS PERFORMED PERIODICALLY. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE SOLE MEMBER OF THE CLINIC IS SISTERS OF CHARITY MINISTRY NETWORK, INC. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE SOLE MEMBER, SISTERS OF CHARITY MINISTRY NETWORK, INC. RESERVES THE RIGHT TO ELECT BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION A, LINE 7B | IN ADDITION TO ITS OTHER POWERS AND RESPONSIBILITIES ESTABLISHED BY LAW, BY THE CERTIFICATE OF INCORPORATION OF THE CLINIC AND BY THESE BYLAWS, THE MEMBER SHALL HAVE THE FOLLOWING RESERVED POWERS: (A)ANY CHANGE IN THE GENERAL CHARACTER OF THE CLINIC; (B)ELECTION OF THE BOARD OF DIRECTORS; (C)REMOVAL OF ANY DIRECTOR WITH OR WITHOUT CAUSE; (D)AMENDMENT OF THE CERTIFICATE OF INCORPORATION OF THE CLINIC, OR AMENDMENT OR REPEAL OF THESE BYLAWS; (E)ADOPTION, AMENDMENT OR REPEAL OF ANY PLAN OF DISSOLUTION, MERGER OR CONSOLIDATION; (F)APPROVAL OF THE PURCHASE, SALE, MORTGAGE OR LEASE OF THE CLINIC'S REAL PROPERTY; AND (G)APPROVAL OF A SALE OF ALL OR SUBSTANTIALLY ALL OF THE CLINIC'S ASSETS. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE BOARD OF DIRECTORS HAVE ASSIGNED THE RESPONSIBILITY TO REVIEW AND APPROVE THE FORM 990 TO THE AUDIT COMMITTEE. THE AUDIT COMMITTEE IS COMPRISED OF FOUR INDEPENDENT DIRECTORS, ONE OF WHICH IS DEEMED TO BE THE FINANCIAL EXPERT AND OTHERS WHO ARE KNOWLEDGEABLE IN FINANCIAL AND COMPLIANCE MATTERS. THE AUDIT COMMITTEE RECEIVES AN ELECTRONIC DRAFT OF THE FORM 990 PRIOR TO A SCHEDULED AGENDA ITEM. THE AUDIT COMMITTEE MEMBERS' QUESTIONS RELATING TO THE FORM 990 CONTENTS ARE DISCUSSED WITH FINANCIAL MANAGEMENT AND ANY AUDIT COMMITTEE MEMBER QUESTIONS MUST BE RESOLVED PRIOR TO THE AUDIT COMMITTEE APPROVAL FOR THE FORM 990 TO BE FILED. AN ELECTRONIC COPY OF THE APPROVED FINAL FORM 990 IS PROVIDED TO THE GOVERNING BODY PRIOR TO IT BEING SUBMITTED TO THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE CHILDREN'S REHABILITATION CENTER (THE "CLINIC") REQUIRES THAT ITS DIRECTORS, OFFICERS AND EMPLOYEES MAKE DECISIONS SOLELY ON THE BASIS OF A DESIRE TO PROMOTE THE BEST INTEREST OF THE ORGANIZATION. SIMILARLY, THE CLINIC'S DIRECTORS, OFFICERS AND EMPLOYEES ARE PROHIBITED FROM USING THEIR RESPECTIVE POSITIONS WITH THE ORGANIZATION OR INFORMATION OBTAINED RELATING TO THE ORGANIZATION IN ORDER TO ACHIEVE A DIRECT OR INDIRECT PERSONAL BENEFIT, FINANCIAL OR OTHERWISE. A POTENTIAL CONFLICT OF INTEREST WILL BE DEEMED TO OCCUR WHEN AN INDIVIDUAL'S PERSONAL OR PRIVATE INTEREST MIGHT LEAD AN INDEPENDENT OBSERVER TO REASONABLY QUESTION WHETHER THE INDIVIDUAL'S ACTIONS OR DECISIONS ON BEHALF OF THE ORGANIZATION ARE INFLUENCED BY PERSONAL CONSIDERATIONS, FINANCIAL OR OTHERWISE. AN ACTUAL CONFLICT OF INTEREST WILL BE DEEMED TO OCCUR WHERE IT REASONABLY APPEARS THAT DECISIONS MADE ON BEHALF OF THE ORGANIZATION BY A DIRECTOR, OFFICER, OR EMPLOYEE WERE INFLUENCED BY THE DIRECTOR, OFFICER OR EMPLOYEE'S DIRECT OR INDIRECT PERSONAL OR FINANCIAL INTEREST IN AN ENTITY THAT TRANSACTS BUSINESS WITH OR COMPETES AGAINST THE CENTER, OR RECEIPTS OF GIFTS, ENTERTAINMENT OR FAVORS FROM ANY INDIVIDUAL OR ENTITY THAT DOES BUSINESS WITH OR COMPETES AGAINST THE CLINIC. THE CLINIC REQUIRES THAT PROPOSED COMPENSATION ARRANGEMENTS FOR ALL DIRECTORS, OFFICERS, AND KEY EMPLOYEES AND ALL PROPOSED INITIAL OR RENEWAL CONTRACT AND TRANSACTIONS THAT MAY IMPLICATE THE PERSONAL OR FINANCIAL INTEREST OF ANY OF ITS DIRECTORS, OFFICERS, EMPLOYEES OR THEIR IMMEDIATE FAMILIES BE REVIEWED AND DULY AUTHORIZED BY THE BOARD OF DIRECTORS. ALL COMPENSATION ARRANGEMENTS WILL BE IN COMPLIANCE WITH THE CLINIC'S POLICIES AND MISSION AND APPLICABLE LAWS, INCLUDING BUT NOT LIMITED TO THE TAX AND OTHER REQUIREMENTS RELEVANT TO TAX-EXEMPT ORGANIZATIONS. ANY TIME A TRANSACTION, CONTRACT, OR COMPENSATION ARRANGEMENT THAT MAY GIVE RISE TO A CONFLICT OF INTEREST IS SCHEDULED TO COME BEFORE THE BOARD OF DIRECTORS, EACH TRUSTEE, OFFICER OR EMPLOYEE WHO MAY HAVE A CONFLICT OF INTEREST MUST MAKE KNOWN THE INTEREST THAT GIVES RISE TO THE CONFLICT, WHETHER BY WRITTEN STATEMENT OR OTHERWISE, AND DISCLOSE ALL MATERIAL FACTS ABOUT THE CONFLICT. AFTER DISCLOSURE OF THE INTEREST AND ALL MATERIAL FACTS ABOUT THE CONFLICT, AND AFTER ANY DISCUSSION, THE TRUSTEE, OFFICER, OR EMPLOYEE MUST LEAVE THE MEETING WHILE THE REMAINING DIRECTORS DISCUSS THE INFORMATION AND MAKE A DETERMINATION IF A CONFLICT OF INTEREST EXISTS. THE MINUTES OF THE MEETING WILL REFLECT THAT A DISCLOSURE WAS MADE AND THE DIRECTOR, OFFICER OR EMPLOYEES WERE ABSENT DURING THE DISCUSSION AND ANY VOTING TRANSACTION, CONTRACT OR COMPENSATION ARRANGEMENT. THE CHAIRPERSON OF THE BOARD WILL APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE AND REPORT TO THE BOARD OF DIRECTORS ALTERNATIVES TO THE PROPOSED TRANSACTION, CONTRACT, OR COMPENSATION ARRANGEMENT. BASED ON THE INFORMATION FURNISHED BY THE DISINTERESTED PERSON OR COMMITTEE, THE BOARD OF DIRECTORS WILL MAKE A DETERMINATION OF WHETHER THE CLINIC CAN OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR MORE REASONABLE ARRANGEMENTS FROM AN ENTITY OR PERSON THAT WOULD GIVE RISE TO A CONFLICT OF INTEREST. IF THE BOARD HAS A REASONABLE CAUSE TO BELIEVE THAT A DIRECTOR, OFFICER, OR EMPLOYEE HAS FAILED TO DISCLOSE A CONFLICT OF INTEREST, IT WILL INFORM THE INDIVIDUAL OF THE BASIS FOR THE BELIEF AND AFFORD THE INDIVIDUAL AN OPPORTUNITY TO EXPLAIN THE FAILURE TO DISCLOSE. THE BOARD MAY TAKE WHATEVER FOLLOW-UP ACTIONS IT DEEMS NECESSARY AND AT ITS OPTION, MAY VOID A TRANSACTION, CONTRACT OR ARRANGEMENT WHERE A CONFLICT OF INTEREST EXIST THAT HAS NOT BEEN DISCLOSED. ANY TRUSTEE, OFFICER OR EMPLOYEE WHO FINDS OR SUSPECTS A VIOLATION OF THIS POLICY MUST IMMEDIATELY REPORT THE CONDUCT TO A SUPERVISOR OR THE COMPLIANCE OFFICER. ANY EMPLOYEE OR AGENT MAY REPORT CONDUCT THAT MAY BE IN VIOLATION OF THIS POLICY THROUGH THE CLINIC'S CONFIDENTIAL REPORTING SYSTEM. |
| FORM 990, PART VI, SECTION B, LINE 15B | EXECUTIVE COMPENSATION FOR KEY EMPLOYEES INCLUDING SALARY AND BENEFITS FOR THE PRESIDENT AND OTHER KEY EMPLOYEES WILL BE REVIEWED AND RECOMMENDED BY A SUB-COMMITTEE OF THE BOARD OF TRUSTEES. NO MEMBER OF THE SUB-COMMITTEE WILL PARTICIPATE IN OR ECONOMICALLY BENEFIT FROM THE PROPOSED COMPENSATION ARRANGEMENT, BE A FAMILY MEMBER OF THE EMPLOYEE OR BE IN AN EMPLOYMENT RELATIONSHIP WITH RESPECT TO THE PARTICULAR EMPLOYEE UNDER WHICH THE MEMBER IS SUBJECT TO DIRECTION OR CONTROL THE EMPLOYEE OR HAVE A MATERIAL FINANCIAL INTEREST THAT WILL BE AFFECTED BY THE PROPOSED COMPENSATION PACKAGE OR RECEIVE ECONOMIC BENEFITS THAT ARE SUBJECT TO APPROVAL BY THE EMPLOYEE. RECOMMENDATIONS WILL THEN BE FURNISHED TO THE VP OF TALENT MANAGEMENT FOR REVIEW AND PROCESSING. PRIOR TO MAKING ITS DECISION, THE SUB-COMMITTEE WILL OBTAIN RELEVANT INFORMATION SUFFICIENT FOR DETERMINING THAT THE COMPENSATION ARRANGEMENT IN ITS ENTIRETY IS REASONABLE SUCH AS THE COMPENSATION PACKAGE OF SIMILARLY SITUATED TAX-EXEMPT OR TAXABLE ORGANIZATIONS FOR SIMILAR POSITIONS, THE AVAILABILITY OF SIMILAR SERVICES IN THE GEOGRAPHIC AREA, CURRENT COMPENSATION SURVEYS COMPILED BY INDEPENDENT FIRMS OR ACTUAL WRITTEN OFFICERS FROM SIMILAR INSTITUTIONS FOR THE SERVICES OF THE EMPLOYEE. THE SUB-COMMITTEE WILL ACCURATELY RECORD MINUTES AND COMMENTS ON THE DETERMINATION OF THE KEY EMPLOYEE COMPENSATION PACKAGE BEFORE THE LATTER OF THE NEXT SUB-COMMITTEE MEETING OR 60 DAYS AFTER THE FINAL ACTION IS TAKEN. THE DOCUMENTATION WILL INCLUDE THE TERMS OF THE COMPENSATION PACKAGE AND THE DATE IT WAS APPROVED, THE NAMES OF THE SUB-COMMITTEE MEMBERS WHO WERE PRESENT DURING THE DISCUSSION AND THOSE WHO VOTED IN AGREEMENT WITH THE COMPENSATION RATE, THE COMPARABLE DATA OBTAINED AND RELIED UPON BY THE SUB-COMMITTEE AND HOW THE DATA WAS OBTAINED, ANY ACTION TAKEN WITH RESPECT TO CONSIDERATION OF THE TRANSACTION BY ANY ONE WHO IS AN USUAL MEMBER OF THE SUB-COMMITTEE BUT HAD A CONFLICT OF INTEREST AND REMOVED HIMSELF FROM THE ACTIONS OF THE SUB-COMMITTEE, AND IF APPLICABLE, THE REASONS WHY THE SUB-COMMITTEE DETERMINED A REASONABLE COMPENSATION RATE TO BE HIGHER OR LOWER THAN THE COMPENSATION PACKAGES OF COMPARABLE PUBLIC CHARITIES. NO COMPENSATION OF ANY KIND SHALL BE PAID TO THE CLINIC'S BOARD OF TRUSTEES. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE CLINIC'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FORM 990 AND AUDITED FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE AFOREMENTIONED DOCUMENT MAY BE VIEWED AT THE CLINIC OR COPIES OF THE DOCUMENTS WILL BE PROVIDED UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | PHYSICIANS: PROGRAM SERVICE EXPENSES 717,055. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 717,055. CONSULTING: PROGRAM SERVICE EXPENSES 511. MANAGEMENT AND GENERAL EXPENSES 342. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 853. PAYROLL SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 20,589. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 20,589. |
| FORM 990, PART XI, LINE 9: | CHANGE IN VALUE OF PERPETUAL TRUST 42,685. |
| FORM 990, PART XII LINE 2C: | THE ORGANIZATION HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF ITS INDEPENDENT AUDITOR. THE POLICY FOR SELECTION AND OVERSIGHT OF THE INDEPENDENT AUDITORS HAS NOT CHANGED SINCE LAST YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| JOHN A COLEMAN SCHOOL | |||||||||||
| 300 CORPORATE BLVD SOUTH | YONKERS | NY | 10701 | 201946996 | EDUCATIONAL SERVICES FOR CHILDREN WITH DISABILITIES | NY | 501(C)(3) | LINE 2 | THE SISTERS OF CHARITY MINISTRY NETWORK INC | 0 | |
| ELIZABETH SETON PEDIATRIC CENTER | |||||||||||
| 300 CORPORATE BLVD SOUTH | YONKERS | NY | 10701 | 133398657 | SUB-ACUTE LONG TERM CARE SERVICES | NY | 501(C)(3) | LINE 10 | THE SISTERS OF CHARITY MINISTRY NETWORK INC | 0 | |
| ST ELIZABETH SETON CHILDREN'S FOUNDATION | |||||||||||
| 300 CORPORATE BLVD SOUTH | NEW YORK | NY | 10701 | 800879753 | SUPPORTS RELATED ENTITIES | NY | 501(C)(3) | LINE 12B, II | THE SISTERS OF CHARITY MINISTRY NETWORK INC | 0 | |
| SISTERS OF CHARITY MINISTRY NETWORK INC | |||||||||||
| 6301 RIVERDALE AVENUE | BRONX | NY | 10471 | 475555465 | MEMBERSHIP ORGANIZATION | NY | 501(C)(3) | LINE 12C, III-FI | 0 | N/A | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | 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 | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |