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WESTCHESTER INSTITUTE FOR HUMAN DEVELOPMENT: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
WESTCHESTER INSTITUTE FOR HUMAN DEVELOPMENT (EIN 20-0738248)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-10-01
IRS object ID
201302749349300500
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-10-01T07:48:22-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1MAIER MARKEY & JUSTIC LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1222 BLOOMINGDALE ROADSTE 400AddressLine1
CityWHITE PLAINSCity
StateNYState
ZIP Code10605ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN200738248EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1WESTCHESTER INSTITUTE FOR HUMAN DEVELOPMENTBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% MARIANNE VENTRICEInCareOfName
Name ControlWESTNameControl
Phone9144938208Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1322 CEDARWOOD HALLAddressLine1
Address Line2SuiteAddressLine2
CityVALHALLACity
StateNYState
ZIP Code10595ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMARIANNE VENTRICEName
TitleCHIEF FINANCIAL OFFICERTitle
Phone9144938208Phone
Date Signed2013-09-25DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBERNADETTE SCHOPFERName
Phone9146449200Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonANSLEY BACON PH DNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1322 CEDARWOOD HALLAddressLine1
CityVALHALLACity
StateNYState
ZIP Code10595ZIPCode
FieldValueIRS element (for citing)
Gross Receipts16682693GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWIHD.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2004YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionWIHD ADVANCES POLICIES & PRACTICES THAT FOSTER THE HEALTHY DEVELOPMENT & ENSURE THE SAFETY OF ALL CHILDREN, STRENGTHEN FAMILIES & COMMUNITIES &PROMOTE HEALTH &WELL-BEING AMONG PEOPLE OF ALL AGES WITH DISABILITIESActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees262TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year1732927ContributionsGrantsPriorYear
Contributions Grants Current Year1486152ContributionsGrantsCurrentYear
Program Service Revenue Prior Year14196380ProgramServiceRevenuePriorYear
Program Service Revenue CY14724702ProgramServiceRevenueCY
Investment Income Prior Year40334InvestmentIncomePriorYear
Investment Income Current Year29469InvestmentIncomeCurrentYear
Other Revenue Prior Year45827OtherRevenuePriorYear
Other Revenue Current Year329870OtherRevenueCurrentYear
Total Revenue Prior Year16015468TotalRevenuePriorYear
Total Revenue Current Year16570193TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year11469873SalariesEtcPriorYear
Salaries Etc Current Year11431665SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year233431TotalFundrsngExpCurrentYear
Other Expense Prior Year4927980OtherExpensePriorYear
Other Expenses Current Year4638410OtherExpensesCurrentYear
Total Expenses Prior Year16397853TotalExpensesPriorYear
Total Expenses Current Year16070075TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-382385RevenuesLessExpensesPriorYear
Revenues Less Expenses CY500118RevenuesLessExpensesCY
Total Assets BOY6951816TotalAssetsBOY
Total Assets EOY7463106TotalAssetsEOY
Total Liabilities BOY2433753TotalLiabilitiesBOY
Total Liabilities EOY2408310TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY4518063NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY5054796NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionWESTCHESTER INSTITUTE FOR HUMAN DEVELOPMENT ("WIHD") ADVANCES POLICIES AND PRACTICES THAT FOSTER THE HEALTHY DEVELOPMENT AND ENSURE THE SAFETY OF ALL CHILDREN, STRENGTHEN FAMILIES AND COMMUNITIES, AND PROMOTE HEALTH AND WELL-BEING AMONG PEOPLE OF ALL AGES WITH DISABILITIES AND SPECIAL HEALTH CARE NEEDS.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense6448843Expense
Revenue6116855Revenue
DescriptionWIHD is licensed under Article 28 of the New York Public Health Law to operate a Diagnostic and Treatment Center providing comprehensive health care and related services for adults with developmental and other long-term disabilities. These services include primary and specialty health care (including adult neurology, cardiology, ENT, podiatry, gynecology, endocrinology, pulmonology, ophthalmology, genetic metabolic), as well as behavioral health, dental, rehabilitation and speech/ language, audiology, nutrition and social work services.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense7185762Expense
Revenue8607847Revenue
DescriptionWIHD operates several innovative community service programs through contracts with the Westchester County Department of social Services. These include a Children's Advocacy Center providing forensic pediatric, counseling and victim support services for children who have been physically and/ or sexually abused; an in-home assessment and prevention program for families whose children are at risk of placement in foster care, including families where one or both parents has a developmental disability; a comprehensive family assessment program to ensure that foster families have the appropriate resources and training needed to support the children placed in their care, health and educational care coordination for children in foster care and after care services for up to two years to reunited birth and adoptive families. Other community programs include a lower Hudson Valley Special Education Parent Center, an Early Childhood Direction Center, service coordination for families participating in the early intervention system, a Regional Autism Center, an Applied Behavioral Analysis program and an adaptive equipment and evaluation program. These are designed to provide information, referral and training services to families and professionals to ensure that families of children with special needs receive appropriate early intervention, preschool and school-age services as well as access to necessary assistive technologies designed to support developmental and educational goals.Description
FieldValueIRS element (for citing)
Total Program Service Expense13634605TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109634NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees262NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
Own WebsiteXOwnWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonMARIANNE VENTRICENamePerson
Telephone Number9144938208TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1CEDARWOOD HALL ROOM 322AddressLine1
CityVALHALLACity
StateNYState
ZIP Code10595ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (18 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
WALTER FOWLER
BOARD MEMBER2.0X000
WILLIAM FRISHMAN MD
SECRETARY2.0X000X
PAMELA THORNTON
BOARD MEMEBER2.0X000
FERN JUSTER MD
BOARD MEMBER2.0X000
DAVID M C STERN
TREASURER2.0X000X
STEVEN YELLEN
VICE-CHAIR2.0X000X
WILLIAM BAVE
BOARD MEMBER2.0X000
SUSAN KOEHN HABERMANN
CHAIR4.0X000X
TRACI F GARDNER MD
BOARD MEMBER2.0X000
ANSLEY BACON PHD
PRESIDENT/CEO25.0174909045020X
BALDEV SINGH MD
MEDICAL DIRECTOR35.0174210040179X
MARIANNE VENTRICE
CHIEF FINANCIAL OFFICER35.091656042021X
DAVID O HARA PHD
CHIEF OPERATING OFFICER35.0176761022379X
LORETTA LEAR
Nurse Practitioner35.0114942039022X
JENNIFER CANTER
ATTENDING PHYSICIAN35.0153385041542X
KIM GEMBECKI
Nurse Practitioner35.0111907037751X
PATRICIA SEAGRIFF CURTIN
DENTIST35.0134617012017X
HOUSHANG SHAHIM
PSYCHIATRIST32.0152810012522X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1285197TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation292453TotalOtherCompensation
Number Individuals GT100 K16NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
WESTCHESTER COUNTY HEALTHCARE CORP
95 GRASSLANDS RDVALHALLANY10595MEDICAL SERVICE174392
L ANTRON INC
2 FIELD PLACECORTLAND MANORNY10567NETWORK SERVICES292524
M GROUP CONSULTING LLC
222 BLOOMINGDALE ROAD SUITE 400WHITE PLAINSNY10605ACCOUNTING SERVICES238310
NEW YORK MEDICAL COLLEGE
PAYROLL SERVICE290959
CURE MD INC
55 BROAD ST 9TH FLOORNEW YORKNY10004BILLING FEE&SOFTWARE236591
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
Government Grants1401041GovernmentGrants
All Other Contributions85111AllOtherContributions
Total Contributions1486152TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
SERVICE REVENUE62410061168556116855
CONTRACTED SERVICE62410086078478607847
FieldValueIRS element (for citing)
Total Program Service Revenue14724702TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column33763TotalRevenueColumn
Exclusion$33,763ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real28116Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real28116Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column28116TotalRevenueColumn
Exclusion$28,116ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities108206Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities112500Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-4294Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-4294TotalRevenueColumn
Exclusion-$4,294ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOTHER INCOMEDescription
Business Code900099BusinessCode
Total Revenue Column301754TotalRevenueColumn
Related Or Exempt Function Income301754RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue301754TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column16570193TotalRevenueColumn
Related Or Exempt Function Income15026456RelatedOrExemptFunctionIncome
Exclusion$57,585ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total770248Total
Program Services330815ProgramServices
Management And General439433ManagementAndGeneral
Fundraising0Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total8574523Total
Program Services7963562ProgramServices
Management And General539764ManagementAndGeneral
Fundraising71197Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total381259Total
Program Services345313ProgramServices
Management And General31470ManagementAndGeneral
Fundraising4476Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1021999Total
Program Services925292ProgramServices
Management And General81096ManagementAndGeneral
Fundraising15611Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total683636Total
Program Services614052ProgramServices
Management And General64169ManagementAndGeneral
Fundraising5415Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total20305Total
Program Services0ProgramServices
Management And General20305ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total263600Total
Program Services0ProgramServices
Management And General263600ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total30171Total
Program Services8647ProgramServices
Management And General20086ManagementAndGeneral
Fundraising1438Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total130949Total
Program Services89291ProgramServices
Management And General25317ManagementAndGeneral
Fundraising16341Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total292524Total
Program Services266909ProgramServices
Management And General25459ManagementAndGeneral
Fundraising156Fundraising

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1643012Total
Program Services1528672ProgramServices
Management And General99116ManagementAndGeneral
Fundraising15224Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total113201Total
Program Services100145ProgramServices
Management And General4174ManagementAndGeneral
Fundraising8882Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total76Total
Program Services0ProgramServices
Management And General76ManagementAndGeneral
Fundraising0Fundraising

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total277646Total
Program Services110774ProgramServices
Management And General163307ManagementAndGeneral
Fundraising3565Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total227320Total
Program Services213103ProgramServices
Management And General14217ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
CONTRACT SERVICES382437346804146634167
ADMIN SERVICE FEE253611221200299492462
MEDICAL BILLING SERVICES23753602375360
HEARING AIDS17919217919200

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total586830Total
Program Services390834ProgramServices
Management And General141499ManagementAndGeneral
Fundraising54497Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total16070075Total
Program Services13634605ProgramServices
Management And General2202039ManagementAndGeneral
Fundraising233431Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1456187BOY
EOY1947995EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY1054169BOY
EOY935985EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2225656BOY
EOY2365279EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY77157EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY105708BOY
EOY100515EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis2999889LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec2270044LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY873041BOY
EOY729845EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY1235455BOY
EOY1301530EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1600BOY
EOY4800EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY6951816BOY
EOY7463106EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY198404BOY
EOY208706EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY276084BOY
EOY271970EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY1047179BOY
EOY1063379EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY912086BOY
EOY864255EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2433753BOY
EOY2408310EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY4384623BOY
EOY4991747EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY133440BOY
EOY63049EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4518063BOY
EOY5054796EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6951816BOY
EOY7463106EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses500118ReconcilationRevenueExpenses
Reconciliation Unrealized Invest36615ReconciliationUnrealizedInvest
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1726753CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1434191CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1830627CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1732927CurrentTaxYearMinus1Year
Current Tax Year1486152CurrentTaxYear
Total8210650Total

Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170

FieldValueIRS element (for citing)
Total0Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

FieldValueIRS element (for citing)
Total0Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1726753CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1434191CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1830627CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1732927CurrentTaxYearMinus1Year
Current Tax Year1486152CurrentTaxYear
Total8210650Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total0AmountsSubstContributorsTotal
Public Support Total1708210650PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years41043CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years29442CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years28988CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year68450CurrentTaxYearMinus1Year
Current Tax Year61879CurrentTaxYear
Total229802Total

Net UBI NetUBI

FieldValueIRS element (for citing)
Total0Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year20413CurrentTaxYearMinus1Year
Current Tax Year301754CurrentTaxYear
Total322167Total
FieldValueIRS element (for citing)
Total Support8762619TotalSupport
Gross Receipts From Admissions Etc72453428GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.93701PublicSupportPertcentage170
Public Support Pertcent Prior Year0.97741PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying

Total Direct Lobbying TotalDirectLobbying

FieldValueIRS element (for citing)
Filing Organizations Totals5000FilingOrganizationsTotals

Total Lobbying Expenditures TotalLobbyingExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals5000FilingOrganizationsTotals

Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals16065075FilingOrganizationsTotals

Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals16070075FilingOrganizationsTotals

Lobbying Nontaxable LobbyingNontaxableAmount

FieldValueIRS element (for citing)
Filing Organizations Totals953504FilingOrganizationsTotals

Grassroots Nontaxable GrassrootsNontaxableAmount

FieldValueIRS element (for citing)
Filing Organizations Totals238376FilingOrganizationsTotals
FieldValueIRS element (for citing)
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx

Lobbying Nontaxable Amount2 LobbyingNontaxableAmount2

FieldValueIRS element (for citing)
Current Year Minus1969893CurrentYearMinus1
Current Year953504CurrentYear
Total1923397Total
FieldValueIRS element (for citing)
Lobbying Ceiling$2,885,096LobbyingCeilingAmount

Total Lobbying Expenditures2 TotalLobbyingExpenditures2

FieldValueIRS element (for citing)
Current Year Minus152700CurrentYearMinus1
Current Year5000CurrentYear
Total57700Total

Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2

FieldValueIRS element (for citing)
Current Year Minus1242473CurrentYearMinus1
Current Year238376CurrentYear
Total480849Total
FieldValueIRS element (for citing)
Grassroots Ceiling$721,274GrassrootsCeilingAmount

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years
Current Year Minus4 YearsCurrentYearMinus4Years
LandLand
BuildingsBuildings

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Investment Cost Or Other Basis304845InvestmentCostOrOtherBasis
Depreciation104093Depreciation
Book Value200752BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis2480551InvestmentCostOrOtherBasis
Depreciation1951458Depreciation
Book Value529093BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis214493InvestmentCostOrOtherBasis
Depreciation214493Depreciation
Book Value0BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings729845TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
GOVERNMENT GRANT ADVANCES$225,290
PAYROLL & COMPENSATED ABSENCES$638,965
FieldValueIRS element (for citing)
Total Of Amounts864255TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt16606808TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments36615NetUnrealizedGainsInvestments
Revenue Not Rptd F99036615RevenueNotRptdF990
Revenue Subtotal16570193RevenueSubtotal
Total Revenue Per Form99016570193TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt16070075TotExpensesEtcAuditedFinclStmt
Expenses Subtotal16070075ExpensesSubtotal
Total Expenses Per Form99016070075TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierFIN 48 FOOTNOTEIdentifier
Return ReferenceFIN 48 FOOTNOTEReturnReference
ExplanationGENERALLY ACCEPTED ACCOUNTING PRINCIPLES PROVIDE GUIDANCE FOR HOW UNCERTAIN TAX POSITIONS SHOULD BE RECOGNIZED, MEASURED, PRESENTED AND DISCLOSED IN THE FINANCIAL STATEMENTS AND REQUIRE THE EVALUATION OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN TO DETERMINE WHETHER THE TAX POSITIONS ARE "MORE-LIKELY-THAN-NOT" OF BEING SUSTAINED UPON EXAMINATION BY THE APPLICABLE TAXING AUTHORITY. MANAGEMENT IS NOT AWARE OF ANY VIOLATION OF ITS TAX STATUS AS AN ORGANIZATION EXEMPT FROM INCOME TAXES, OR OF ANY EXPOSURE TO UNRELATED BUSINESS INCOME TAXES.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (6 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
ANSLEY BACON PHD
PRESIDENT/CEO17490900000222270227930219929000
BALDEV SINGH MD
MEDICAL DIRECTOR17421000000214530187260214389000
DAVID O HARA PHD
CHIEF OPERATING OFFICER1767610000021009013700199140000
LORETTA LEAR
Nurse Practitioner1149420000088730301490153964000
JENNIFER CANTER
ATTENDING PHYSICIAN15338500000134090281330194927000
HOUSHANG SHAHIM
PSYCHIATRIST152810000001236701550165332000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
REVIEW OF FORM 990PART VI, SECTION B, LINE 11BForm 990 is reviewed by management with the Finance Committee. After review at the committee level, the Form 990 is made available to all members of the governing board and the Finance Committee recommends approval of the Form 990 by the full governing board. The Form 990 is filed after receiving the approval of the full governing board.
POLICY TO MONITOR & ENFORCE WRITTEN CONFLICT OF INTEREST POLICYPART VI, SECTION B, #12CWRITTEN DISCLOSURE SIGNED BY BOARD MEMBERS AND DISCUSSIONS AT BOARD MEETINGS.
POLICY TO DETERMINE COMPENSATIONPART VI, SECTION B, #15A, BINDEPENDENT CONSULTANT HIRED BY THE BOARD TO PROVIDE COMPARABLE DATA AND ANALYSIS. FOLLOWING A PRESENTATION BY THE CONSULTANT TO THE BOARD, THE BOARD MET, DISCUSSED AND DECIDED ON A COMPENSATION PLAN FOR THE CEO.
INFORMATION AVAILABLE TO PUBLICPART VI, SECTION C, #19Financial statements are available to the public upon request. Information about the board members and board activities are disclosed on the web site. Governing documents and conflict of interest policies are not available to the public.
FAMILY RELATIONSHIPPART VI, SECTION A, #2ANSLEY BACON & DAVID O'HARA FAMILY RELATIONSHIP