SCHENECTADY FAMILY HEALTH SERVICES INC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- SCHENECTADY FAMILY HEALTH SERVICES INC (EIN 14-1636222)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-11-15
- IRS object ID
- 201723199349310547
- Schema version
- 2016v3.0
- 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 | 2017-11-15T13:29:22-07:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 141636222 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SCHENECTADY FAMILY HEALTH SEVICES INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SCHE | BusinessNameControlTxt |
| Phone | 5183701441 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1044 State Street | AddressLine1Txt |
| City | Schenectady | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 12307 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | George Wilhelm | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 5183701441 | PhoneNum |
| Signature | 2017-10-16 | SignatureDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 165.225.38.69 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOMETOWN HEALTH CENTERS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Joe Gambino | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1044 State Street | AddressLine1Txt |
| City | Schenectady | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 12307 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $13,974,347 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.HOMETOWNHEALTHCENTERS.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1982 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | Hometown Health Centers is a top rated medical, dental and behavioral healthcare provider recognized for its high-quality care by the national committee for quality assurance. Hometown offers patient-centered culturally sensitive, and linguistically appropriate care and services to a large medically underserved population in a friendly, welcoming environment. Hometown Health Centers emphasizes the importance of primary care and preventive services which has been proven to reduce health disparities for low-income individuals, racial and ethnic minorities and other vulnerable populations. The Health Center is governed by a board of directors comprised mostly of patient consumers, which ensures the care delivered is specifically focused on the needs of the community it serves. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 165 | TotalEmployeeCnt |
| Total Volunteers | 12 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $3,391,668 | PYContributionsGrantsAmt |
| CY Contributions Grants | $4,813,070 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $8,022,843 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $9,123,714 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$512 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $32,636 | PYOtherRevenueAmt |
| CY Other Revenue | $21,334 | CYOtherRevenueAmt |
| PY Total Revenue | $11,446,635 | PYTotalRevenueAmt |
| CY Total Revenue | $13,958,118 | 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 | $7,564,802 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $9,254,181 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $3,191,216 | PYOtherExpensesAmt |
| CY Other Expenses | $4,144,505 | CYOtherExpensesAmt |
| PY Total Expenses | $10,756,018 | PYTotalExpensesAmt |
| CY Total Expenses | $13,398,686 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $690,617 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $559,432 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $9,228,555 | TotalAssetsBOYAmt |
| Total Assets EOY | $10,926,429 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,003,341 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $2,684,853 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $7,225,214 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $8,241,576 | NetAssetsOrFundBalancesEOYAmt |
| Mission | Hometown Health Centers helps people live healthier lives by improving health outcomes and health equity through quality primary care and preventive services. Anyone seeking care, regardless of income, will be helped and treated with respect by people who are mindful of cultural uniqueness and dedicated to continuous improvement. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $9,969,176 | ExpenseAmt |
| Revenue | $9,146,354 | RevenueAmt |
| Desc | HOMETOWN HEALTH CENTERS PROVIDES ACCESS TO COMPASSIONATE, INDIVIDUALIZED HEALTH CARE AND WELLNESS RELATED EDUCATION FOR EVERYONE, REGARDLESS OF FINANCIAL, CULTURAL, OR SOCIAL BARRIERS. APPROXIMATELY 19,500 PATIENTS WERE CARED FOR IN HOMETOWN'S SERVICE AREA, INCLUDING SCHENECTADY AND MONTGOMERY COUNTIES. THE CENTER RECEIVED $3.5 MILLION IN SECTION 330 FEDERAL GRANT FUNDING IN 2016 TO SUPPORT SERVICES DELIVERED TO A LARGE MEDICALLY UNDERSERVED POPULATION. THE HEALTH CENTER PROVIDES A WIDE RANGE OF MEDICAL, DENTAL AND BEHAVIORAL HEALTH SEVICES. CLINICAL SERVICES ARE DELIVERED IN A PATIENT-CENTERED MEDICAL HOME MODEL OF CARE. THIS MODEL IS A WAY OF ORGANIZING PRIMARY CARE THAT EMPHASIZES COORDINATION AND COMMUNICATION. THE HEALTH CENTER PROVIDED SERVICES TO ROUGHLY 19,500 UNIQUE PATIENTS, WITH APPROXIMATELY 41,500 MEDICAL PATIENT VISITS, 22,000 DENTAL PATIENT VISITS, AND 2,000 BEHAVIORAL HEALTH PATIENT VISITS. | Desc |
| Total Other Prog Srvc Expense | $0 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $0 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $0 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $9,969,176 | 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 | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 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 | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 13 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 165 | 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 | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (1) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | GEORGE WILHELM | PersonNm |
| Phone | 5183701441 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1044 State Street | AddressLine1Txt |
| City | Schenectady | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 12307 | 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 |
|---|---|---|---|---|---|---|---|---|---|
| WILLIAM FAUBION | |||||||||
| CHAIR | 1 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| EVAN J BROOKSBY | |||||||||
| VICE CHAIR | 1 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| PEDRO AVILES | |||||||||
| SECRETARY | 1 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| CATHERINE LEWIS | |||||||||
| TREASURER | 1 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| RICHARD CORREA | |||||||||
| BOARD MEMBER | 1 | 0 | Yes (X) | $0 | $0 | $0 | |||
| CLIFFORD DAVIS | |||||||||
| BOARD MEMBER | 1 | 0 | Yes (X) | $0 | $0 | $0 | |||
| NESBON DULA JR | |||||||||
| BOARD MEMBER | 1 | 0 | Yes (X) | $0 | $0 | $0 | |||
| ANN FINN | |||||||||
| BOARD MEMBER | 1 | 0 | Yes (X) | $0 | $0 | $0 | |||
| CRAIG HOFFMAN | |||||||||
| BOARD MEMBER (FROM JAN 2016) | 1 | 0 | Yes (X) | $0 | $0 | $0 | |||
| DONALD LIEBERS DDS | |||||||||
| BOARD MEMBER | 1 | 0 | Yes (X) | $0 | $0 | $0 | |||
| CAROLINE WELCH | |||||||||
| BOARD MEMBER | 1 | 0 | Yes (X) | $0 | $0 | $0 | |||
| NATHANIEL WYLIE | |||||||||
| BOARD MEMBER | 1 | 0 | Yes (X) | $0 | $0 | $0 | |||
| JOE GAMBINO | |||||||||
| CEO | 40 | 0 | Yes (X) | $188,133 | $0 | $15,020 | |||
| GEORGE WILHELM | |||||||||
| CFO | 40 | 0 | Yes (X) | $117,981 | $0 | $2,000 | |||
| DAVID SKORY | |||||||||
| MEDICAL DIRECTOR/OBGYN (TO MAY 2016) | 40 | 0 | $171,189 | $0 | $2,897 | Yes (X) | |||
| JUSTIN HURLBURT | |||||||||
| DENTAL DIRECTOR/DENTIST | 40 | 0 | $214,440 | $0 | $15,020 | Yes (X) | |||
| JOSEPH CARROZZA | |||||||||
| PHYSICIAN | 40 | 0 | $184,287 | $0 | $5,984 | Yes (X) | |||
| NITIN PATEL | |||||||||
| PHYSICIAN | 40 | 0 | $182,065 | $0 | $9,037 | Yes (X) | |||
| CRISTINE ESPINOSA | |||||||||
| PHYSICIAN | 40 | 0 | $180,817 | $0 | $6,425 | Yes (X) | |||
| JAYASREE TATAGARI | |||||||||
| PHYSICIAN | 40 | 0 | $179,902 | $0 | $2,080 | Yes (X) | |||
| SINAN ABDULLAH | |||||||||
| DENTIST | 40 | 0 | $159,264 | $0 | $11,288 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,578,078 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $69,751 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 19 | 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 |
|---|---|---|---|---|---|
| STAFF CARE INC | |||||
| PO BOX 281923 | ATLANTA | GA | 30384 | CONTRACTED OBGYN SERVICES | $186,989 |
| NORTHEAST PARENT & CHILD SOCIETY | |||||
| 530 FRANKLIN STREET | SCHENECTADY | NY | 12305 | CONTRACTED BEHAVIORAL HEALTH SERVICES | $125,174 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $0 | FederatedCampaignsAmt |
| Membership Dues | $0 | MembershipDuesAmt |
| Fundraising | $0 | FundraisingAmt |
| Related Organizations | $0 | RelatedOrganizationsAmt |
| Government Grants | $4,780,109 | GovernmentGrantsAmt |
| All Other Contributions | $32,961 | AllOtherContributionsAmt |
| Noncash Contributions | $0 | NoncashContributionsAmt |
| Total Contributions | $4,813,070 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| MEDICAID | 621990 | $4,969,437 | $4,969,437 | $0 | $0 |
| OTHER THIRD PARTY | 621990 | $1,487,541 | $1,487,541 | $0 | $0 |
| MEDICARE | 621990 | $704,538 | $704,538 | $0 | $0 |
| SELF-PAY | 621990 | $437,394 | $437,394 | $0 | $0 |
| NYS UNCOMPENSATED | 621990 | $274,514 | $274,514 | $0 | $0 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,250,290 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,250,290 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $9,123,714 | TotalProgramServiceRevenueAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $14,923 | RealAmt |
| Personal | $0 | PersonalAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $16,229 | RealAmt |
| Personal | $0 | PersonalAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$1,306 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$1,306 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$1,306 | ExclusionAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $0 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER INCOME | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $22,640 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $22,640 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $22,640 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $13,958,118 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $9,146,354 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$1,306 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $726,680 | TotalAmt |
| Program Services | $403,546 | ProgramServicesAmt |
| Management And General | $323,134 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,218,614 | TotalAmt |
| Program Services | $5,756,088 | ProgramServicesAmt |
| Management And General | $1,462,526 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $147,070 | TotalAmt |
| Program Services | $99,310 | ProgramServicesAmt |
| Management And General | $47,760 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $502,517 | TotalAmt |
| Program Services | $266,665 | ProgramServicesAmt |
| Management And General | $235,852 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $659,300 | TotalAmt |
| Program Services | $505,158 | ProgramServicesAmt |
| Management And General | $154,142 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,712 | TotalAmt |
| Management And General | $18,712 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $59,640 | TotalAmt |
| Management And General | $59,640 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,109,564 | TotalAmt |
| Program Services | $741,356 | ProgramServicesAmt |
| Management And General | $368,208 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $65,404 | TotalAmt |
| Program Services | $305 | ProgramServicesAmt |
| Management And General | $65,099 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $776,378 | TotalAmt |
| Program Services | $656,939 | ProgramServicesAmt |
| Management And General | $119,439 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $178,115 | TotalAmt |
| Program Services | $126,876 | ProgramServicesAmt |
| Management And General | $51,239 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,192 | TotalAmt |
| Program Services | $21,068 | ProgramServicesAmt |
| Management And General | $18,124 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $59,367 | TotalAmt |
| Program Services | $24,398 | ProgramServicesAmt |
| Management And General | $34,969 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $493,212 | TotalAmt |
| Program Services | $326,434 | ProgramServicesAmt |
| Management And General | $166,778 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $56,423 | TotalAmt |
| Management And General | $56,423 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| PROVISION FOR BAD DEBTS | $403,978 | $403,978 | $0 | $0 |
| PHARMACY, LAB AND RADIOLOGY | $377,772 | $377,772 | $0 | $0 |
| LICENSES AND FEES | $113,406 | $30,708 | $82,698 | $0 |
| MISC. NET OF RECOVERIES OF EXP | $153,869 | $88,147 | $65,722 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $239,473 | TotalAmt |
| Program Services | $140,428 | ProgramServicesAmt |
| Management And General | $99,045 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,398,686 | TotalAmt |
| Program Services | $9,969,176 | ProgramServicesAmt |
| Management And General | $3,429,510 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,724,224 | BOYAmt |
| EOY | $3,223,434 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $584,161 | BOYAmt |
| EOY | $599,402 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $592,330 | BOYAmt |
| EOY | $1,614,748 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,527 | BOYAmt |
| EOY | $183,685 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $9,311,333 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $4,006,173 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,285,313 | BOYAmt |
| EOY | $5,305,160 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,228,555 | BOYAmt |
| EOY | $10,926,429 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $837,664 | BOYAmt |
| EOY | $663,838 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $1,025,775 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,165,677 | BOYAmt |
| EOY | $995,240 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,003,341 | BOYAmt |
| EOY | $2,684,853 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,126,305 | BOYAmt |
| EOY | $8,211,125 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $98,909 | BOYAmt |
| EOY | $30,451 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,225,214 | BOYAmt |
| EOY | $8,241,576 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,228,555 | BOYAmt |
| EOY | $10,926,429 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $559,432 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $0 | NetUnrlzdGainsLossesInvstAmt |
| Donated Services And Use Fclts | $0 | DonatedServicesAndUseFcltsAmt |
| Investment Expense | $0 | InvestmentExpenseAmt |
| Prior Period Adjustments | $456,930 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $0 | 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) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,642,403 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,773,585 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,524,437 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,391,668 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,807,770 | CurrentTaxYearAmt |
| Total | $14,139,863 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $7,095,699 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $8,099,783 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,962,263 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $8,022,843 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,123,714 | CurrentTaxYearAmt |
| Total | $40,304,302 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $11,325 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,300 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,300 | CurrentTaxYearAmt |
| Total | $23,925 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $8,738,102 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,873,368 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $10,498,025 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $11,421,811 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $13,936,784 | CurrentTaxYearAmt |
| Total | $54,468,090 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $54,468,090 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $56,435 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $54,578 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $14,473 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $16,612 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $14,923 | CurrentTaxYearAmt |
| Total | $157,021 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $56,435 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $54,578 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $14,473 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $16,612 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $14,923 | CurrentTaxYearAmt |
| Total | $157,021 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,496 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $12,830 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $25,140 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $8,724 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $22,638 | CurrentTaxYearAmt |
| Total | $78,828 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $8,804,033 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,940,776 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $10,537,638 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $11,447,147 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $13,974,345 | CurrentTaxYearAmt |
| Total | $54,703,939 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99569 | PublicSupportCY509Pct |
| Public Support PY509 | 0.9948 | PublicSupportPY509Pct |
| Investment Income CY | 0.00287 | InvestmentIncomeCYPct |
| Investment Income PY | 0.004 | InvestmentIncomePYPct |
| 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 | FormAndLineReferenceDesc |
| Explanation | Includes: Medical Records Payments, Other contract revenue (for asthma coalition and Alliance for Better Health Care). | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $883,119 | OtherCostOrOtherBasisAmt |
| Book Value | $883,119 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $4,428,818 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,025,836 | DepreciationAmt |
| Book Value | $2,402,982 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $1,353,431 | OtherCostOrOtherBasisAmt |
| Depreciation | $96,110 | DepreciationAmt |
| Book Value | $1,257,321 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $2,645,965 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,884,227 | DepreciationAmt |
| Book Value | $761,738 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $0 | OtherCostOrOtherBasisAmt |
| Depreciation | $0 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $5,305,160 | TotalBookValueLandBuildingsAmt |
| Total Liability | $0 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule D, Part X, Line 2 | FormAndLineReferenceDesc |
| Explanation | THE CENTER IS GENERALLY EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. IT IS HOWEVER REQUIRED TO FILE AN INFORMATIONAL RETURN (FEDERAL FORM 990). SINCE THE CENTER IS EXEMPT FROM FEDERAL AND STATE INCOME TAX LIABILITY, NO PROVISION IS MADE FOR CURRENT OR DEFERRED INCOME TAX EXPENSE. MANAGEMENT OF THE CENTER BELIEVES IT HAS ADEQUATE SUPPORT FOR ALL MATERIAL TAX POSITIONS AND THAT IT IS MORE LIKELY THAN NOT, BASED ON THE TECHNICAL MERITS, THAT THE POSITIONS WILL BE SUSTAINED UPON EXAMINATION. ALL TAX EXEMPT ENTITIES ARE SUBJECT TO REVIEW AND AUDIT BY FEDERAL, STATE AND OTHER APPLICABLE AGENCIES. SUCH AGENCIES MAY REVIEW THE TAXABILITY OF UNRELATED BUSINESS INCOME, OR THE QUALIFICATION OF THE TAX-EXEMPT ENTITY UNDER THE INTERNAL REVENUE CODE AND APPLICABLE STATE STATUTES. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JOE GAMBINO | ||||||||||||||
| CEO | $178,133 | $0 | $10,000 | $0 | $0 | $0 | $2,000 | $0 | $13,020 | $0 | $203,153 | $0 | $0 | $0 |
| JUSTIN HURLBURT | ||||||||||||||
| DENTAL DIRECTOR/DENTIST | $206,440 | $0 | $8,000 | $0 | $0 | $0 | $2,000 | $0 | $13,020 | $0 | $229,460 | $0 | $0 | $0 |
| JOSEPH CARROZZA | ||||||||||||||
| PHYSICIAN | $179,487 | $0 | $4,800 | $0 | $0 | $0 | $2,000 | $0 | $3,984 | $0 | $190,271 | $0 | $0 | $0 |
| NITIN PATEL | ||||||||||||||
| PHYSICIAN | $171,748 | $0 | $10,317 | $0 | $0 | $0 | $2,000 | $0 | $7,037 | $0 | $191,102 | $0 | $0 | $0 |
| CRISTINE ESPINOSA | ||||||||||||||
| PHYSICIAN | $170,767 | $0 | $10,050 | $0 | $0 | $0 | $2,000 | $0 | $4,425 | $0 | $187,242 | $0 | $0 | $0 |
| JAYASREE TATAGARI | ||||||||||||||
| PHYSICIAN | $175,102 | $0 | $4,800 | $0 | $0 | $0 | $2,000 | $0 | $80 | $0 | $181,982 | $0 | $0 | $0 |
| SINAN ABDULLAH | ||||||||||||||
| DENTIST | $158,764 | $0 | $500 | $0 | $0 | $0 | $2,000 | $0 | $9,288 | $0 | $170,552 | $0 | $0 | $0 |
| DAVID SKORY | ||||||||||||||
| MEDICAL DIRECTOR/OBGYN (TO MAY 2016) | $164,189 | $0 | $7,000 | $0 | $0 | $0 | $0 | $0 | $2,897 | $0 | $174,086 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, Line 4 | During 2016, certain changes were made to the organization's by-laws as follows. ARTICLE III, BOARD OF DIRECTORS Section 1-General Management, was amended to require that members of the Board of Directors shall meet the requirement of being independent as defined under the New York Non-Profit Revitalization Act. Section 2-Responsibilities, changes were made to reflect that the Board of Directors shall be responsible for monitoring patient satisfaction and overseeing a process to resolve complaints. It addition, the section was amended to provide that the Board shall be advised of law suits and substantive, documented complaints made against the organization or senior management. Section 3- Membership and Tenure was amended to reflect that members of the Board of Directors would stand for regular elections with each term comprising two years. In addition, a clarification was added that a majority of the Board of Directors shall be persons who are residents of the service area of the Health Center, and that Board members will have expertise including business, government, community affairs and banking and finance. Term limits were specified for the Board of Directors as four consecutive two years terms, while providing criteria and a process to extend the term only in certain circumstances. Section 4-Regular and Annual Meetings was amended to reflect that the first meeting of the calendar year shall constitute the Annual Meeting at which time elections shall be held for Officers and Directors. Section 6-Executive Sessions was added to reflect that any member of the Board may make a motion during a meeting for an executive session in order to discuss matters of a sensitive nature. Section 10-Nomination and Election of Directors was amended to reflect that the Governance Committee shall identify candidates to develop a slate consistent with Board composition requirements, and that patient-consumers also may make recommendations to the Governance Committee or a Board Director. Section 16-Powers was added to specify that no individual Director or group of Directors has the authority to bind the Board or speak on its behalf without express authorization from the Board setting forth the limited purpose and duration. ARTICLE IV OFFICERS Section 1-Officers, Election, Term was amended to reflect that nominations for offices may be made by any Director at a Board meeting, governance committee, and by patient-consumers. If two or more persons are nominated, then a secret ballot shall be conducted. Office term limits of three consecutive two year terms were specified, while providing criteria and a process to extend the term only in certain circumstances. ARTICLE V COMMITTEES Section 1-Appointments was modified to reflect that members would be appointed for one year terms, and that all committees shall have a charter, reviewed annually, outlining their purpose and how the work of each body shall complement the Mission and Values of the organization. Section 4- Audit and Finance Committee was expanded to include certain other responsibilities including overseeing cyber security ensuring the vigilant protection of patient information. In addition, it was clarified that the committee would monitor the process to solicit competitive bids for goods and services. In addition, the responsibilities were expanded to clarify that the committee would oversee the accounting and financial reporting process, including the retention of a qualified independent auditor and determine the scope of work and to discuss with the auditor all results, management letter, material risks and weaknesses in internal controls and any restrictions on his or her activities upon completion of the annual audit. Section 5-Governance Committee included a clarification that the committee shall work with the CEO and Board Chair to develop and implement a process for recruitment of new Board members, and in recommending Board nominees, shall vet candidates to ensure no conflicts of interest exist, evaluate Board skill needs, and inform nominees about the duties and responsibilities of Board members and the special needs of Federally Qualified Health Centers. Section 7-Ethics and Compliance Committee was modified to reflect that the committee shall oversee the organizations compliance program which shall include policies for whistle-blowing, conflicts of interest, and code of conduct and shall receive reports on fines, lawsuits, patient complaints, and risk management reports. Section 9-Committee Chairs was amended to reflect that appointments are subject to Board Approval. ARTICLE VI Section 4-Conflict of Interest was expanded to reflect that no nominee to the Board of Directors shall be voted onto the Board until he or she has returned a Conflict of Interest Survey to the Secretary in coordination with the Ethics and Compliance Officer. |
| Form 990, Part VI, Section B, Line 11b | THE FORM IS REVIEWED BY SENIOR MANAGEMENT AND FORWARDED TO THE FINANCE COMMITTEE FOR REVIEW. UPON COMPLETION OF THEIR REVIEW, IT IS SENT TO THE FULL BOARD TO REVIEW PRIOR TO FILING. |
| Form 990, Part VI, Section B, Line 12c | CONFLICT OF INTEREST POLICY PROCEDURE: ANNUALLY, ALL BOARD MEMBERS, SENIOR MANAGEMENT, STAFF AND CONTRACTORS MUST REVIEW AND SIGN THE CONFLICT OF INTEREST POLICY STATEMENT. |
| Form 990, Part VI, Section B, Line 15 | OFFICERS' COMPENSATION PROCEDURES: COMPENSATION FOR THE CHIEF EXECUTIVE OFFICER IS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS. COMPENSATION FOR OTHER OFFICERS AND KEY EMPLOYEES IS DETERMINED BY THE CHIEF EXECUTIVE OFFICER IN CONSULTATION WITH THE CHAIR OF THE BOARD. IN DETERMINING COMPENSATION RATES, THE BOARD AND THE CHIEF EXECUTIVE OFFICER USE COMPARABLE SALARY SURVEY DATA TO DETERMINE APPROPRIATE COMPENSATION RATES. |
| Form 990, Part VI, Section C, Line 19 | PUBLIC ACCESS TO CERTAIN ORGANIZATIONAL DOCUMENTS: A COPY OF THE FORM 990 IS MADE AVAILABLE FOR PUBLIC INSPECTION BY CONTACTING THE CFO OF THE ORGANIZATION. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CARVER HEALTH FOUNDATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1044 STATE STREET | AddressLine1Txt |
| City | SCHENECTADY | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 12307 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 141678885 | EIN |
| Primary Activities | SUPPORT SCHENECTADY FAMILY HEALTH SERVICES, INC | PrimaryActivitiesTxt |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Exempt Code Section | 501(C)3 | ExemptCodeSectionTxt |
| Public Charity Status | LINE 12A | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SCHENECTADY FAMILY HEALTH SERVICES INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (1) | 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 | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |