STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

ICIRCLE SERVICES OF THE FINGER LAKES INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
ICIRCLE SERVICES OF THE FINGER LAKES INC (EIN 46-2602391)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-11-15
IRS object ID
201703199349302715
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

FieldValueIRS element (for citing)
Return2017-11-15T08:20:12-06:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN161131146PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BONADIO & CO LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1171 SULLYS TRAIL SUITE 201AddressLine1Txt
CityPITTSFORDCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14534ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN462602391EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ICIRCLE SERVICES OF THE FINGERBusinessNameLine1Txt
Business Name Line2LAKES INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlICIRBusinessNameControlTxt
Phone8444247253PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1860 HARD RDAddressLine1Txt
CityWEBSTERCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14580ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonADAM SOUTHCOTTPersonNm
Person TitleCFOPersonTitleTxt
Phone5853471209PhoneNum
Signature2017-11-14SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRICHARD LEICHTPreparerPersonNm
PTINP01378913PTIN
Phone5853811000PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address4.14.157.194IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-11-14IPDt
IP Tm15:32:02IPTm
IP TimezoneESIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdF810F9FE0C4C4DAD171A8C8E72DF89C05E51BF9AAtSubmissionCreationDeviceId
At Submission Filing Device Id2A601B88E5C13A8BD23DB41523EF60CFA6ABA5F0AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSANKAR SEWNAUTHPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1860 HARD RDAddressLine1Txt
CityWEBSTERCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14580ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$46,103,355GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.ICIRCLECNY.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2013FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionTO PROVIDE MEMBERS WITH HIGH-QUALITY HEALTH AND SOCIAL SERVICES THAT ARE CULTURALLY-APPROPRIATE, COMMUNITY-INTEGRATED, AND TAILORED TO THEIR INDIVIDUAL NEEDS, ENSURING A POSITIVE IMPACT ON THEIR PERSONAL HEALTH, LIFESTYLE, AND INDEPENDENCE.ActivityOrMissionDesc
Voting Members Governing Body18VotingMembersGoverningBodyCnt
Voting Members Independent18VotingMembersIndependentCnt
Total Employee85TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$217,578PYContributionsGrantsAmt
CY Contributions Grants$1,753,740CYContributionsGrantsAmt
PY Program Service Revenue$9,033,794PYProgramServiceRevenueAmt
CY Program Service Revenue$44,321,122CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$31,850PYOtherRevenueAmt
CY Other Revenue$28,493CYOtherRevenueAmt
PY Total Revenue$9,283,222PYTotalRevenueAmt
CY Total Revenue$46,103,355CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,188,463PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$2,455,870CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$9,309,015PYOtherExpensesAmt
CY Other Expenses$44,746,186CYOtherExpensesAmt
PY Total Expenses$10,497,478PYTotalExpensesAmt
CY Total Expenses$47,202,056CYTotalExpensesAmt
PY Revenues Less Expenses-$1,214,256PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$1,098,701CYRevenuesLessExpensesAmt
Total Assets BOY$5,803,075TotalAssetsBOYAmt
Total Assets EOY$13,620,074TotalAssetsEOYAmt
Total Liabilities BOY$8,892,452TotalLiabilitiesBOYAmt
Total Liabilities EOY$18,621,583TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$3,089,377NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$5,001,509NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE MEMBERS WITH HIGH-QUALITY HEALTH AND SOCIAL SERVICES THAT ARE CULTURALLY-APPROPRIATE, COMMUNITY-INTEGRATED, AND TAILORED TO THEIR INDIVIDUAL NEEDS, ENSURING A POSITIVE IMPACT ON THEIR PERSONAL HEALTH, LIFESTYLE, AND INDEPENDENCE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$42,212,422ExpenseAmt
Revenue$44,349,615RevenueAmt
DescMANAGED LONG TERM CARE INSURANCE2107 INDIVIDUALS SERVEDDesc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$0ExpenseAmt
Revenue$0RevenueAmt
DescDEVELOPMENTAL DISABILITIES INDIVIDUAL SUPPORT AND CARE COORDINATION ORGANIZATIONDesc
FieldValueIRS element (for citing)
Total Program Service Expenses$42,212,422TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (1)BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document255IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee85EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members18GoverningBodyVotingMembersCnt
Independent Voting Member18IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org DocumentsYes (1)ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ADAM SOUTHCOTTBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5853471209PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1860 HARD RDAddressLine1Txt
CityWEBSTERCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14580ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtHighest Compensated EmployeeHighestCompensatedEmployeeInd
MARK PETERSON
BOARD CHAIR1.00Yes (X)Yes (X)$0$0$0
SANKAR SEWNAUTH
BOARD CHAIR0.00Yes (X)Yes (X)$0$567,579$12,66240.00
JOSEPH GABRIEL
BOARD VICE CHAIR1.00Yes (X)Yes (X)$0$0$0
BILL WOODARD
TREASURER1.00Yes (X)Yes (X)$0$0$0
GREG GRIBBEN
SECRETARY1.00Yes (X)Yes (X)$0$0$0
MARY BOATFIELD
BOARD MEMBER1.00Yes (X)$0$0$0
HILDA ESCHER
BOARD MEMBER1.00Yes (X)$0$0$0
MARIA DIBBLE
BOARD MEMBER1.00Yes (X)$0$0$0
ROBERT RELPH
BOARD MEMBER1.00Yes (X)$0$0$0
RENE' SNYDER
BOARD MEMBER1.00Yes (X)$0$0$0
PATRICIA FRATANGELO
BOARD MEMBER1.00Yes (X)$0$0$0
ERIC GILBERT
BOARD MEMBER1.00Yes (X)$0$0$0
RICH YARMEL
BOARD MEMBER1.00Yes (X)$0$0$0
JEFF SINSEBOX
BOARD MEMBER1.00Yes (X)$0$0$0
SY ZIELINSKI
BOARD MEMBER1.00Yes (X)$0$0$0
LORI VANAUKEN
BOARD MEMBER1.00Yes (X)$0$0$0
JENNIFER CARLSON
BOARD MEMBER1.00Yes (X)$0$0$0
RICH FERRARI
BOARD MEMBER1.00Yes (X)$0$0$0
DENNIS BUCHAN
BOARD MEMBER1.00Yes (X)$0$0$0
HENRY PASZKOW
CEO/CHIEF MEDICAL OFFICER24.00Yes (X)$216,374$0$4,793
MARK CURLETTA
CFO0.00Yes (X)$0$285,447$16,82840.00
SHARON MARBLE
COO0.00$139,770$26,978$11,98140.00Yes (X)
DEBRA LITZENBERGER
VP OF CLINICAL OPERATIONS40.00$103,317$0$6,895Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$459,461TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$880,004TotReportableCompRltdOrgAmt
Total Other Compensation$53,159TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K3IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
ROYAL HEALTH
1 CA PLAZA SUITE 200ISLANDIANY11749TPA AND CARE MANAGEMENT SERVICES$4,343,826
CENTER FOR DISABILITY RIGHTS
497 STATE STREETROCHESTERNY14608PROVIDER OF SERVICES TO ICIRCLE MEMBERS$2,311,421
METROPOLITAN MEDICAL TRANSPORTATION IPA
992 SOUTH SECOND STREET SUITE 1RONKONKOMANY11779PROVIDER OF SERVICES TO ICIRCLE MEMBERS$1,356,219
L WOERNER INC
85 METRO PARTKROCHESTERNY14623PROVIDER OF SERVICES TO ICIRCLE MEMBERS$947,892
NEWARK WAYNE COMMUNITY HOSPITAL
PO BOX 10757ROCHESTERNY14610PROVIDER OF SERVICES TO ICIRCLE MEMBERS$835,346
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K75CntrctRcvdGreaterThan100KCnt
Government Grants$1,753,740GovernmentGrantsAmt
Total Contributions$1,753,740TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICAID PREMIUM REVENUE524126$41,858,721$41,858,721
SPENDDOWN AND NAMI524126$2,462,401$2,462,401
FieldValueIRS element (for citing)
Total Program Service Revenue$44,321,122TotalProgramServiceRevenueAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUS INCOMEDesc
Business900099BusinessCd
Total Revenue Column$28,493TotalRevenueColumnAmt
Related Or Exempt Func Income$28,493RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$28,493OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$46,103,355TotalRevenueColumnAmt
Related Or Exempt Func Income$44,349,615RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$221,167TotalAmt
Management And General$221,167ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,858,881TotalAmt
Program Services$849,481ProgramServicesAmt
Management And General$1,009,400ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$11,230TotalAmt
Program Services$5,953ProgramServicesAmt
Management And General$5,277ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$186,732TotalAmt
Program Services$70,451ProgramServicesAmt
Management And General$116,281ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$177,860TotalAmt
Program Services$81,745ProgramServicesAmt
Management And General$96,115ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$2,167,543TotalAmt
Management And General$2,167,543ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$140,789TotalAmt
Management And General$140,789ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$10,342TotalAmt
Management And General$10,342ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$89,245TotalAmt
Program Services$4,062ProgramServicesAmt
Management And General$85,183ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$160,771TotalAmt
Program Services$279ProgramServicesAmt
Management And General$160,492ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$87,048TotalAmt
Program Services$18,069ProgramServicesAmt
Management And General$68,979ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$37,428TotalAmt
Management And General$37,428ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$154,095TotalAmt
Management And General$154,095ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$21,384TotalAmt
Management And General$21,384ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$17,055TotalAmt
Program Services$1,075ProgramServicesAmt
Management And General$15,980ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL EXPENSES$41,181,307$41,181,307
BAD DEBT EXPENSE$290,000$290,000
EQUIPMENT RENTAL AND MA$39,531$39,531
PARTICIPANT TRANSPORTAT$19,545$19,545

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$330,103TotalAmt
Management And General$330,103ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$47,202,056TotalAmt
Program Services$42,212,422ProgramServicesAmt
Management And General$4,989,634ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$4,416,748BOYAmt
EOY$8,422,295EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$936,543BOYAmt
EOY$3,545,020EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,624BOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$447,675LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$28,309LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$74,760BOYAmt
EOY$419,366EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$373,400BOYAmt
EOY$1,233,393EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$5,803,075BOYAmt
EOY$13,620,074EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$3,586,047BOYAmt
EOY$13,016,641EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,306,405BOYAmt
EOY$5,604,942EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$8,892,452BOYAmt
EOY$18,621,583EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$3,089,377BOYAmt
EOY-$5,001,509EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$3,089,377BOYAmt
EOY-$5,001,509EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,803,075BOYAmt
EOY$13,620,074EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$1,098,701ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$813,431OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$217,578CurrentTaxYearMinus1YearAmt
Current Tax Year$1,753,740CurrentTaxYearAmt
Total$1,971,318TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$9,033,794CurrentTaxYearMinus1YearAmt
Current Tax Year$44,321,122CurrentTaxYearAmt
Total$53,354,916TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$9,251,372CurrentTaxYearMinus1YearAmt
Current Tax Year$46,074,862CurrentTaxYearAmt
Total$55,326,234TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$55,326,234PublicSupportTotal509Amt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$31,850CurrentTaxYearMinus1YearAmt
Current Tax Year$28,493CurrentTaxYearAmt
Total$60,343TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$9,283,222CurrentTaxYearMinus1YearAmt
Current Tax Year$46,103,355CurrentTaxYearAmt
Total$55,386,577TotalAmt
FieldValueIRS element (for citing)
First5 Years509Yes (X)First5Years509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$136,917OtherCostOrOtherBasisAmt
Book Value$136,917BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$310,758OtherCostOrOtherBasisAmt
Depreciation$28,309DepreciationAmt
Book Value$282,449BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$419,366TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescRESTRICTED DEPOSITSDesc
Book Value$1,233,393BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$1,233,393TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
DUE TO RELATED PARTIES$1,551,551
OTHER CURRENT LIABILITIES$62,500
UNSECURED NOTE PAYABLE TO RELATED PARTY$3,990,891
FieldValueIRS element (for citing)
Total Liability$5,604,942TotalLiabilityAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
SANKAR SEWNAUTH
BOARD CHAIR$0$337,070$0$116,523$0$113,986$0$874$0$11,788$0$580,241$0$0
HENRY PASZKOW
CEO/CHIEF MEDICAL OFFICER$193,096$0$23,078$0$200$0$522$0$4,271$0$221,167$0$0$0
MARK CURLETTA
CFO$0$223,872$0$41,499$0$20,076$0$874$0$15,954$0$302,275$0$0
SHARON MARBLE
COO$111,193$26,978$18,531$0$10,046$0$874$0$11,107$0$151,751$26,978$0$0

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonSY ZIELINSKIPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionBOARD MEMBERRelationshipDescriptionTxt
Transaction$9,550TransactionAmt
TransactionPAYMENT FOR CONSULTING SERVICES PERFORMED BY GOLDEN OAKS, LLC, A COMPANY OWNED IN EXCESS OF 35% BY SY ZIELINSKITransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 4DURING 2016, THE BY-LAWS WERE UPDATED SUCH THAT THE CONCEPT OF MEMBER ORGANIZATIONS WAS ELIMINATED AND CDS MONARCH, INC. IS NOW THE SOLE CORPORATE MEMBER OF ICIRCLE.
FORM 990, PART VI, SECTION A, LINE 6THE ORGANIZATION'S MEMBERS INCLUDE INDIVIDUALS ENROLLED IN MEDICAID IN 22 COUNTIES THROUGHOUT THE WESTERN, CENTRAL, AND SOUTHERN TIER REGIONS OF NEW YORK.
FORM 990, PART VI, SECTION B, LINE 11BA COPY OF THE ORGANIZATION'S FINAL FORM 990 WAS PROVIDED IN ELECTRONIC FORM TO EACH VOTING MEMBER OF THE ORGANIZATION'S BOARD OF DIRECTORS PRIOR TO FILING THE FORM.
FORM 990, PART VI, SECTION B, LINE 12CTHE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH ITS WRITTEN CONFLICT OF INTEREST POLICY BY REQUIRING ALL EMPLOYEES, VOLUNTEERS, CONSULTANTS, AND BOARD MEMBERS UPON JOINING THE ORGANIZATION AND ANNUALLY THEREAFTER TO REVIEW, COMPLETE AND SIGN A CONFLICT OF INTEREST DISCLOSURE STATEMENT TO REPORT AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST. REPORTS OF ACTUAL OR POTENTIAL CONFLICTS OF INTEREST ARE REPORTED TO THE DIRECTOR OF QA, THE EXECUTIVE TEAM, OR TO THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS FOR RESOLUTION, AS NEEDED.
FORM 990, PART VI, SECTION B, LINE 15THE ORGANIZATION USES A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSUTANT, COMPENSATION SURVEYS, WRITTEN EMPLOYMENT CONTRACTS, AND APPROVALBY THE BOARD OF DIRECTORS TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S PRESIDENT/CEO
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 9:PRIOR YEAR REVENUE (EXPENSE) ADJUSTMENTS, NET -813,431.
FORM 990, PART XII, LINE 2C:NO CHANGES FROM PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (10 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
CDS MONARCH INC
860 HARD ROADWEBSTERNY14580161089115PROVIDES SERVICES TO DEVELOPMENTALLY DISABLED PERSONS OF ALL AGESNY501(C)(3)LINE 7N/A0
CDS WOLF FOUNDATION INC
860 HARD ROADWEBSTERNY14580204311706SUPPORTS CHARITABLE ACTIVITIESNY501(C)(3)LINE 12A, I0CDS MONARCH INC
JNG INC
860 HARD ROADWEBSTERNY14580201950813PROVIDES HOUSING FOR DISABLED ADULTSNY501(C)(3)LINE 12A, I0CDS MONARCH INC
CDS HOUSING DEVELOPMENT FUND CORPORATION INC
860 HARD ROADWEBSTERNY14580161425111PROVIDES HOUSING FOR DISABLED ADULTSNY501(C)(3)LINE 12A, I0CDS MONARCH INC
CONFAC GROUP HOMES INC
860 HARD ROADWEBSTERNY14580222342953PROVIDES HOUSING FOR DISABLED ADULTSNY501(C)(3)LINE 12A, I0CDS MONARCH INC
MSL HOUSING DEVELOPMENT FUND CORPORATION INC
860 HARD ROADWEBSTERNY14580273407765PROVIDES HOUSING TO PERSONS OF LOW INCOMENY501(C)(3)LINE 12A, I0CDS MONARCH INC
CDS MSL HARD ROAD 1 HOUSING DEVELOPMENT FUND CO INC
860 HARD ROADWEBSTERNY14580465005617PROVIDES HOUSING TO PERSONS OF LOW INCOMENY501(C)(3)LINE 12A, I0CDS MONARCH INC
CDS LIFE TRANSITIONS INC
860 HARD ROADWEBSTERNY14580475672694PROVIDE MANAGEMENT AND OTHER GENERAL SERVICES TO CDS ENTITIESNY501(C)(3)LINE 12B, IIN/A0
WARRIOR SALUTE VETERAN SERVICES INC
860 HARD ROADWEBSTERNY14580810683003PROVIDES VETERAN SERVICESNY501(C)(3)LINE 70CDS LIFE TRANSITIONS INC
LTR HOUSING CORPORATION INC
860 HARD ROADWEBSTERNY14580161605654PROVIDES HOUSING FOR DISABLED ADULTSNY501(C)(3)LINE 12A, I0CDS MONARCH INC

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACd
MONARCH SENIOR LIVING LP
840 HOLT ROADWEBSTERNY14580275336936PROVIDES HOUSING TO PERSONS OF LOW INCOMENYN/A
CDS MONARCH SENIOR LIVING HARD ROAD I LLC
860 HARD ROADWEBSTERNY14580320432300PROVIDES HOUSING TO PERSONS OF LOW INCOMENYN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
MONARCH SENIOR LIVING GP INC
860 HARD ROADWEBSTERNY14580275336675PROVIDES HOUSING TO PERSONS OF LOW INCOMENYN/AC0
CDS MLS MM LLC
860 HARD ROADWEBSTERNY14580464688864PROVIDES HOUSING TO PERSONS OF LOW INCOMENYN/AC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd