FURP.ORG / PUBLIC DATA EXPLORER

OPEN DOOR FAMILY MEDICAL CENTER INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
OPEN DOOR FAMILY MEDICAL CENTER INC (EIN 13-2813103)
Tax period
2022-01-01 to 2022-12-31
Filed
2023-08-18
IRS object ID
202302309349300530
Schema version
2022v5.0
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)
Return2023-08-18T14:34:55-05:00ReturnTs
Tax Period End2022-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN221478099PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1COHNREZNICK LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line114 SYLVAN WAYAddressLine1Txt
CityPARSIPPANYCityNm
State AbbreviationNJStateAbbreviationCd
ZIP070543801ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN132813103EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1OPEN DOOR FAMILY MEDICAL CENTER INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlOPENBusinessNameControlTxt
Phone9145021470PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1165 MAIN STREETAddressLine1Txt
CityOSSININGCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10562ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLINDSAY C FARRELLPersonNm
Person TitlePRESIDENT & CEOPersonTitleTxt
Phone9145021470PhoneNum
Signature2023-06-08SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstLINDSAYPersonFirstNm
Person LastFARRELLPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info CurrYes (1)IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLORI ROTHE YOKOBOSKY CPAPreparerPersonNm
PTINP01273422PTIN
Phone9732283500PhoneNum
Preparation2023-08-10PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerLINDSAY C FARRELLPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1165 MAIN STREETAddressLine1Txt
CityOSSININGCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10562ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$84,702,392GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.OPENDOORMEDICAL.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1975FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionOPEN DOOR FAMILY MEDICAL CENTER PROVIDES QUALITY PRIMARY HEALTH CARE AND HUMAN SERVICES AT AFFORDABLE PRICES TO THE COMMUNITY, PARTICULARLY LOW-INCOME, UNDER-SERVED RESIDENTS AND THOSE LACKING ACCESS TO HEALTH CARE.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee674TotalEmployeeCnt
Total Volunteers264TotalVolunteersCnt
Total Gross UBI$235,941TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$17,117,991PYContributionsGrantsAmt
CY Contributions Grants$24,635,758CYContributionsGrantsAmt
PY Program Service Revenue$42,392,599PYProgramServiceRevenueAmt
CY Program Service Revenue$43,775,749CYProgramServiceRevenueAmt
PY Investment Income$2,603,044PYInvestmentIncomeAmt
CY Investment Income$3,690,556CYInvestmentIncomeAmt
PY Other Revenue$3,347,759PYOtherRevenueAmt
CY Other Revenue$3,595,626CYOtherRevenueAmt
PY Total Revenue$65,461,393PYTotalRevenueAmt
CY Total Revenue$75,697,689CYTotalRevenueAmt
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$45,439,629PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$48,271,524CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$561CYTotalFundraisingExpenseAmt
PY Other Expenses$18,546,531PYOtherExpensesAmt
CY Other Expenses$18,933,623CYOtherExpensesAmt
PY Total Expenses$63,986,160PYTotalExpensesAmt
CY Total Expenses$67,205,147CYTotalExpensesAmt
PY Revenues Less Expenses$1,475,233PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$8,492,542CYRevenuesLessExpensesAmt
Total Assets BOY$156,558,947TotalAssetsBOYAmt
Total Assets EOY$147,437,973TotalAssetsEOYAmt
Total Liabilities BOY$11,093,315TotalLiabilitiesBOYAmt
Total Liabilities EOY$11,461,290TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$145,465,632NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$135,976,683NetAssetsOrFundBalancesEOYAmt
MissionTHE MISSION OF THE OPEN DOOR FAMILY MEDICAL CENTER, INC. IS TO PROVIDE QUALITY PRIMARY HEALTH CARE AND HUMAN SERVICES AT AFFORDABLE PRICES TO THE COMMUNITY, PARTICULARLY LOW-INCOME, UNDER-SERVED RESIDENTS AND THOSE LACKING ACCESS TO HEALTH CARE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$41,042,513ExpenseAmt
Revenue$33,119,724RevenueAmt
DescOPEN DOOR FAMILY MEDICAL CENTER IS A FEDERALLY QUALIFIED HEALTH CENTER WHICH SERVED APPROXIMATELY 72,016 MEDICAL PATIENTS THAT GENDERATED 213,935 VISITS IN 2022.ADDITIONAL FUNDING FOR THIS PROGRAM IS PROVIDED THROUGH FEDERAL GRANTS, AS SHOWN ON FORM 990, PART VIII, LINE 1E.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$12,179,116ExpenseAmt
Revenue$9,828,077RevenueAmt
DescOPEN DOOR FAMILY MEDICAL CENTER IS A FEDERALLY QUALIFIED HEALTH CENTER WHICH SERVED APPROXIMATELY 20,528 DENTAL PATIENTS THAT GENDERATED 54,987 VISITS IN 2022.ADDITIONAL FUNDING FOR THIS PROGRAM IS PROVIDED THROUGH FEDERAL GRANTS, AS SHOWN ON FORM 990, PART VIII, LINE 1E.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$5,135,420ExpenseAmt
Revenue$4,144,086RevenueAmt
DescOPEN DOOR FAMILY MEDICAL CENTER IS A FEDERALLY QUALIFIED HEALTH CENTER WHICH SERVED APPROXIMATELY 7,171 MENTAL HEALTH PATIENTS THAT GENDERATED 34,497 VISITS IN 2022.ADDITIONAL FUNDING FOR THIS PROGRAM IS PROVIDED THROUGH FEDERAL GRANTS, AS SHOWN ON FORM 990, PART VIII, LINE 1E.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$58,357,049TotalProgramServiceExpensesAmt
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
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
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 With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document49IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee674EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
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
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
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 BodyYes (1)Form990ProvidedToGvrnBodyInd
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 Line1MARIA MAZZOTTABusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone9145021470PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1165 MAIN STREETAddressLine1Txt
CityOSSININGCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10562ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
ANDRES VALDESPINO
VICE-CHAIRMAN1.00Yes (X)Yes (X)$0$0$0
ANTONIO MEJIAS
BOARD MEMBER (THRU 07/27/2022)1.00Yes (X)$0$0$0
BARBARA ILARDI
BOARD MEMBER1.00Yes (X)$0$0$0
BLAKELEY LOWRY
BOARD MEMBER (THRU 12/14/2022)1.00Yes (X)$0$0$0
CHARLES CHEHEBAR
BOARD MEMBER1.00Yes (X)$0$0$0
DANIEL ROSS
CHAIRMAN1.00Yes (X)Yes (X)$0$0$0
DAYSI BRIONES
SECRETARY1.00Yes (X)Yes (X)$0$0$0
DORIAN LINDSAY
BOARD MEMBER1.00Yes (X)$0$0$0
HOWARD S SCHRADER
BOARD MEMBER1.00Yes (X)$0$0$0
LORNA NUNEZ
BOARD MEMBER1.00Yes (X)$0$0$0
MARGOTH PILLA
TREASURER1.00Yes (X)Yes (X)$0$0$0
MARIE PENNACCHIO
BOARD MEMBER1.00Yes (X)$0$0$0
MICHELLE HORVATH
BOARD MEMBER1.00Yes (X)$0$0$0
RUTH SAPATANGA
BOARD MEMBER1.00Yes (X)$0$0$0
SAMANTHA VILLAZAN
BOARD MEMBER1.00Yes (X)$0$0$0
TYLER BEEBE
BOARD MEMBER1.00Yes (X)$0$0$0
LINDSAY C FARRELL
PRESIDENT & CEO35.50Yes (X)$417,935$21,997$28,4832.00
MARIA MAZZOTTA
CHIEF FINANCE OFFICER35.50Yes (X)$280,407$14,758$11,0622.00
DAREN WU
CHIEF MEDICAL OFFICER37.50$417,518$0$10,675Yes (X)
NAIDA HENRIQUEZ
CHIEF DENTAL OFFICER37.50$218,719$0$21,062Yes (X)
BRUCE M SHAFFER
PODIATRIST37.50$234,998$0$38,589Yes (X)
JACOB ALBERT SAMANDER
CLINICAL PSYCHIATRIST37.50$302,314$0$28,439Yes (X)
KAREN MURRAY
OB/GYN PHYSICIAN37.50$360,488$0$37,119Yes (X)
SAMANTHA RAI
MEDICAL SITE DIRECTOR/ASSOCIATE PROGRAM DIRECTOR37.50$241,663$0$47,567Yes (X)
SHARON P JOSEPH-GISS
DIRECTOR OF PEDIATRICS/ASS37.50$300,917$0$36,711Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,774,959TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$36,755TotReportableCompRltdOrgAmt
Total Other Compensation$259,707TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K104IndivRcvdGreaterThan100KCnt
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
HITCH
2 CHURCH STREETOSSININGNY10562MANAGEMENT SERVICES$770,562
MEDCOR GROUP
1801 W OLYMPIC BLVDPASADENACA91199MEDICAL BILLING$739,999
ECLINICAL WORKS
2 TECHNOLOGY DRIVEWESTBOROMA01581ECW SUPPORT$573,366
COMPREHENSIVE EYE SERVICES
PO BOX 187ARMONKNY10504EYE CLINIC$484,845
PAULWEISSRIFKIND WHARTON AND GARRISON
1285 AVENUE OF THE AMERICASNEWYORKNY10019LEGAL SERVICES$375,105
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K14CntrctRcvdGreaterThan100KCnt
Related Organizations$1,263,684RelatedOrganizationsAmt
Government Grants$20,177,914GovernmentGrantsAmt
All Other Contributions$3,194,160AllOtherContributionsAmt
Total Contributions$24,635,758TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICAID MANAGED CARE PLAN621400$12,377,783$12,377,783
NYS MANAGED CARE WRAPAROUND621400$11,628,639$11,628,639
MEDICAID621400$5,850,295$5,850,295
NEW YORK STATE SAFETY NET FUNDS621400$4,538,278$4,538,278
OTHER THIRD-PARTY PAYORS621400$2,484,011$2,484,011

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,896,743TotalRevenueColumnAmt
Related Or Exempt Func Income$6,896,743RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$43,775,749TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,047,060TotalRevenueColumnAmt
Exclusion$3,047,060ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$279,488RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$279,488RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$279,488TotalRevenueColumnAmt
Unrelated Business Revenue$235,941UnrelatedBusinessRevenueAmt
Exclusion$43,547ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$9,648,199SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$9,004,703SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$643,496SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$643,496TotalRevenueColumnAmt
Exclusion$643,496ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMANAGEMENT SERVICESDesc
Business900099BusinessCd
Total Revenue Column$2,890,323TotalRevenueColumnAmt
Related Or Exempt Func Income$2,890,323RelatedOrExemptFuncIncomeAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$425,815TotalRevenueColumnAmt
Related Or Exempt Func Income$425,815RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$3,316,138OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$75,697,689TotalRevenueColumnAmt
Related Or Exempt Func Income$47,091,887RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$235,941UnrelatedBusinessRevenueAmt
Exclusion$3,734,103ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,386,056TotalAmt
Program Services$1,260,326ProgramServicesAmt
Management And General$125,730ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$39,446,274TotalAmt
Program Services$35,781,021ProgramServicesAmt
Management And General$3,665,253ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$948,947TotalAmt
Program Services$917,159ProgramServicesAmt
Management And General$31,788ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$3,326,296TotalAmt
Program Services$3,214,872ProgramServicesAmt
Management And General$111,424ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$3,163,951TotalAmt
Program Services$3,057,983ProgramServicesAmt
Management And General$105,968ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$100,943TotalAmt
Management And General$100,943ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$139,635TotalAmt
Management And General$139,635ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$286,722TotalAmt
Management And General$286,722ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$6,305,959TotalAmt
Program Services$4,715,902ProgramServicesAmt
Management And General$1,590,057ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,216,860TotalAmt
Program Services$1,853,378ProgramServicesAmt
Management And General$363,482ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$459,471TotalAmt
Management And General$459,471ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,389,003TotalAmt
Program Services$1,022,839ProgramServicesAmt
Management And General$366,164ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$84,463TotalAmt
Program Services$53,734ProgramServicesAmt
Management And General$30,729ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$37,003TotalAmt
Program Services$23,541ProgramServicesAmt
Management And General$13,462ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$108,872TotalAmt
Program Services$82,862ProgramServicesAmt
Management And General$26,010ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,936,383TotalAmt
Program Services$2,234,878ProgramServicesAmt
Management And General$701,505ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$294,753TotalAmt
Program Services$224,336ProgramServicesAmt
Management And General$70,417ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
PHARMACEUTICALS$1,696,386$1,696,386
REPAIRS & MAINTENANCE$758,394$577,213$181,181
EQUIPMENT RENTAL$706,312$537,573$168,739
DUES AND SUBSCRIPTION$382,851$354,903$27,948

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,029,613TotalAmt
Program Services$748,143ProgramServicesAmt
Management And General$280,909ManagementAndGeneralAmt
Fundraising$561FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$67,205,147TotalAmt
Program Services$58,357,049ProgramServicesAmt
Management And General$8,847,537ManagementAndGeneralAmt
Fundraising$561FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$8,614,322BOYAmt
EOY$11,142,188EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$354,951BOYAmt
EOY$127,339EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,421,822BOYAmt
EOY$3,877,577EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$4,479,789BOYAmt
EOY$6,066,407EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$811,431BOYAmt
EOY$839,690EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$61,090,475LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$32,964,053LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$30,012,941BOYAmt
EOY$28,126,422EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$109,436,881BOYAmt
EOY$95,865,898EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$426,810BOYAmt
EOY$1,392,452EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$156,558,947BOYAmt
EOY$147,437,973EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$7,163,979BOYAmt
EOY$8,005,242EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$51,754BOYAmt
EOY$88,976EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$3,399,000BOYAmt
EOY$2,935,500EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$478,582BOYAmt
EOY$431,572EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$11,093,315BOYAmt
EOY$11,461,290EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$145,413,465BOYAmt
EOY$135,063,872EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$52,167BOYAmt
EOY$912,811EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$145,465,632BOYAmt
EOY$135,976,683EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$156,558,947BOYAmt
EOY$147,437,973EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$8,492,542ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$17,981,491NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
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)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$16,139,421CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$12,879,694CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$23,483,218CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$17,117,991CurrentTaxYearMinus1YearAmt
Current Tax Year$24,635,758CurrentTaxYearAmt
Total$94,256,082TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$16,139,421CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$12,879,694CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$23,483,218CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$17,117,991CurrentTaxYearMinus1YearAmt
Current Tax Year$24,635,758CurrentTaxYearAmt
Total$94,256,082TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$94,256,082PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,662,687CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,889,424CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,905,605CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,016,359CurrentTaxYearMinus1YearAmt
Current Tax Year$3,090,607CurrentTaxYearAmt
Total$10,564,682TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,276,621CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$2,550,031CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,623,142CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,084,557CurrentTaxYearMinus1YearAmt
Current Tax Year$3,316,138CurrentTaxYearAmt
Total$14,850,489TotalAmt
FieldValueIRS element (for citing)
Total Support$119,671,253TotalSupportAmt
Gross Receipts Rltd Activities$207,630,923GrossReceiptsRltdActivitiesAmt
Public Support CY1700.78760PublicSupportCY170Pct
Public Support PY1700.78550PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME:FormAndLineReferenceDesc
ExplanationMISCELLANEOUS REVENUE - 2018 AMOUNT: $ 156,137. 2019 AMOUNT: $ 126,698. 2020 AMOUNT: $ 174,902. 2021 AMOUNT: $ 174,791. 2022 AMOUNT: $ 425,815. MANAGEMENT SERVICES - 2018 AMOUNT: $ 2,564,584. 2019 AMOUNT: $ 2,338,333. 2020 AMOUNT: $ 2,448,240. 2021 AMOUNT: $ 2,620,520. 2022 AMOUNT: $ 2,890,323. MEDICAID MEANINGFUL USE INCENTIVE - 2018 AMOUNT: $ 555,900. 2019 AMOUNT: $ 85,000. 2021 AMOUNT: $ 289,246.ExplanationTxt

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

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Contributions$1,000,000ContributionsAmt
Investment Earnings Or Losses-$142,004InvestmentEarningsOrLossesAmt
End Year Balance$857,996EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,315,016OtherCostOrOtherBasisAmt
Book Value$4,315,016BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$19,022,075OtherCostOrOtherBasisAmt
Depreciation$4,687,201DepreciationAmt
Book Value$14,334,874BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$19,091,069OtherCostOrOtherBasisAmt
Depreciation$13,564,271DepreciationAmt
Book Value$5,526,798BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$12,916,490OtherCostOrOtherBasisAmt
Depreciation$10,730,553DepreciationAmt
Book Value$2,185,937BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,745,825OtherCostOrOtherBasisAmt
Depreciation$3,982,028DepreciationAmt
Book Value$1,763,797BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$28,126,422TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
DUE TO RELATED PARTY$347,662
CAPITAL LEASE OBLIGATION$83,910
FieldValueIRS element (for citing)
Total Liability$431,572TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$56,068,217TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$17,981,491NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts$143,700DonatedServicesAndUseFcltsAmt
Other Revenue$1,056,156OtherRevenueAmt
Revenue Not Reported-$16,781,635RevenueNotReportedAmt
Revenue Subtotal$72,849,852RevenueSubtotalAmt
Investment Expenses Not Incld$286,722InvestmentExpensesNotIncldAmt
Other Revenues Not Included$2,561,115OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$2,847,837RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$75,697,689TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$67,155,882TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$143,700DonatedServicesUseFcltsAmt
Other Expenses Included$93,757OtherExpensesIncludedAmt
Expenses Not Reported$237,457ExpensesNotReportedAmt
Expenses Subtotal$66,918,425ExpensesSubtotalAmt
Investment Expenses Not Incld2$286,722InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt$286,722ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$67,205,147TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:THE ORGANIZATION HAS ADOPTED INVESTMENT AND SPENDING POLICIES FOR ENDOWMENT ASSETS THAT ATTEMPT TO PROVIDE A PREDICTABLE STEAM OF FUNDING TO PROGRAMS SUPPORTED BY ITS ENDOWMENT WHILE SEEKING TO MAINTAIN THE PURCHASING POWER OF THE ENDOWMENT ASSETS. UNDER THIS POLICY, AS APPROVED BY THE BOARD OF DIRECTORS, THE ENDOWMENT ASSETS ARE INVESTED IN A MANNER THAT IS INTENDED TO PROVIDE, IN PRIORITY ORDER: 1) SAFETY OF PRINCIPAL, 2) LIQUIDITY FOR OPERATING NEEDS, 3) DIVERSIFICATION OF RISK, AND 4) MAXIMIZATION OF YIELD. STRATEGIES EMPLOYED FOR ACHIEVING OBJECTIVES TO SATISFY ITS LONG-TERM RATE-OF-RETURN OBJECTIVES, THE ORGANIZATION RELIES ON A TOTAL RETURN STRATEGY DESIGNED TO PROVIDE A REASONABLE LEVEL OF ANNUAL DISTRIBUTIONS TO GENERAL OPERATING FUNDS AND TO PROVIDE FOR THE LONG-TERM PRESERVATION OF ITS ENDOWMENT FUNDS. THE INVESTMENT STRATEGY OF THE ORGANIZATION IS BASED ON A DISCIPLINED, CONSISTENT AND DIVERSIFIED APPROACH UTILIZING MULTIPLE ASSET CLASSES UNDER THE FOLLOWING ASSET CATEGORIES: RETURN-SEEKING ASSETS, RISK-MITIGATING ASSETS AND DIVERSIFYING ASSETS. THE INTENT IS TO ACCOMMODATE AND CONSIDER DIVERSE STRATEGIES DEEMED REASONABLE AND PRUDENT. INVESTED ASSETS ARE MANAGED IN A SOCIALLY RESPONSIBLE MANNER WITH THE GOAL OF PROTECTING PRINCIPAL WHILE GENERATING INCOME APPROPRIATE TO CONSERVATIVE INVESTMENT STRATEGY WITH STRICT FISCAL PRINCIPLES.
PART X, LINE 2:MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE ORGANIZATION AND HAS CONCLUDED THAT, AS OF DECEMBER 31, 2022, THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE ORGANIZATION HAS NO UNRECOGNIZED TAX BENEFITS AT DECEMBER 31, 2022 AND 2021. THE ORGANIZATION'S FEDERAL AND STATE INFORMATION RETURNS PRIOR TO CALENDAR YEAR 2019 ARE CLOSED, AND MANAGEMENT CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS.
PART XI, LINE 2D - OTHER ADJUSTMENTS:INTERCOMPANY ELIMINATIONS -2,334,405. REVENUE OF RELATED ENTITIES 3,390,561.
PART XI, LINE 4B - OTHER ADJUSTMENTS:MANAGEMENT SERVICES 2,561,115.
PART XII, LINE 2D - OTHER ADJUSTMENTS:EXPENSES OF RELATED ENTITIES 4,989,277. INTERCOMPANY ELIMINATIONS -2,334,405. MANAGEMENT SERVICES -2,561,115.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
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 PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 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
LINDSAY C FARRELL
PRESIDENT & CEO$370,644$19,508$40,879$2,152$6,412$337$10,141$534$16,917$891$444,993$23,422$0$0
DAREN WU
CHIEF MEDICAL OFFICER$369,648$0$46,385$0$1,485$0$10,675$0$0$0$428,193$0$0$0
KAREN MURRAY
OB/GYN PHYSICIAN$317,565$0$41,200$0$1,723$0$10,675$0$26,444$0$397,607$0$0$0
SHARON P JOSEPH-GISS
DIRECTOR OF PEDIATRICS/ASS$277,102$0$20,970$0$2,845$0$10,675$0$26,036$0$337,628$0$0$0
JACOB ALBERT SAMANDER
CLINICAL PSYCHIATRIST$289,314$0$10,150$0$2,850$0$10,675$0$17,764$0$330,753$0$0$0
MARIA MAZZOTTA
CHIEF FINANCE OFFICER$255,542$13,449$23,465$1,235$1,400$74$9,114$480$1,394$74$290,915$15,312$0$0
SAMANTHA RAI
MEDICAL SITE DIRECTOR/ASSOCIATE PROG$228,191$0$12,180$0$1,292$0$8,941$0$38,626$0$289,230$0$0$0
BRUCE M SHAFFER
PODIATRIST$231,305$0$0$0$3,693$0$8,671$0$29,918$0$273,587$0$0$0
NAIDA HENRIQUEZ
CHIEF DENTAL OFFICER$198,030$0$17,450$0$3,239$0$5,144$0$15,918$0$239,781$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 4BLINDSAY C. FARRELL, PRESIDENT & CEO PARTICIPATE IN A SUPPLEMENTAL 457(F) NON-QUALIFIED RETIREMENT PLAN.
PART I, LINE 7INCLUDED IN PART II COLUMN B(II) ARE AMOUNTS REPRESENTING BONUS PAYMENTS. THESE AMOUNTS WERE APPROVED BY THE BOARD AND INCLUDED IN THE INDIVIDUALS' 2022 W-2S.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BOPEN DOOR FAMILY MEDICAL CENTER ENGAGES THE SERVICES OF AN OUTSIDE ACCOUNTING FIRM TO PREPARE THE ANNUAL FORM 990 IN CONJUNCTION WITH ITS ANNUAL AUDITED FINANCIAL STATEMENTS. THE PRESIDENT/CEO AND CFO REVIEW THE FORM 990 AND SCHEDULES FOR ACCURACY. IN 2022, THE FORM 990, FOR THE YEAR ENDED DECEMBER 31, 2022, WAS PRESENTED TO THE FINANCE COMMITTEE AND BOARD MEMBERS FOR REVIEW PRIOR TO ITS SUBMISSION.
FORM 990, PART VI, SECTION B, LINE 12CON AN ANNUAL BASIS, ALL THE BOARD MEMBERS, OFFICERS AND KEY EMPLOYEES SIGN A CONFLICT OF INTEREST DISCLOSURE STATEMENT. ALL DISCLOSURE STATEMENTS ARE UPDATED AND REVIEWED ANNUALLY FOR EXISTING OR POTENTIAL CONFLICTS BY THE PRESIDENT/CEO. IF A CONFLICT IS FOUND, THE AFFECTED INDIVIDUAL IS REQUIRED TO RECUSE HIMSELF/HERSELF FROM ANY DECISION MAKING AND VOTING RELATING TO THE CONFLICT.
FORM 990, PART VI, SECTION B, LINE 15THE EXECUTIVE COMMITTEE OF THE BOARD CONDUCTS PARITY STUDIES TO EVALUATE EXECUTIVE COMPENSATION. THE ENTIRE BOARD GOES INTO EXECUTIVE SESSION TO EVALUATE THE CEO AND DETERMINE COMPENSATION. THE CEO CONDUCTS PARITY STUDIES TO EVALUATE OFFICERS AND KEY EMPLOYEES' SALARIES FOR THE EXECUTIVE COMMITTEE. THESE SALARIES, AND THE SALARIES OF THE ENTIRE ORGANIZATION, ARE PRESENTED TO THE BOARD FOR APPROVAL DURING THE BUDGET APPROVAL PROCESS TOWARD YEAR-END. THERE IS CONTEMPORANEOUS SUBSTANTIATION OF THE COMPENSATION DELIBERATION AND DECISION IN THE BOARD MINUTES.
FORM 990, PART VI, SECTION C, LINE 19OPEN DOOR DOES MAKE ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC BY POSTING ON THE ORGANIZATION'S WEBSITE; PROVIDING COPIES UPON REQUEST FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN SECTION 6104(D); AND INSPECTION AT AN OFFICE OF THE ORGANIZATION. THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC UPON REQUEST, AT THE ORGANIZATION'S LOCATION.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1OPEN DOOR FOUNDATION INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1165 MAIN STREETAddressLine1Txt
CityOSSININGCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10562ZIPCd
FieldValueIRS element (for citing)
EIN133598184EIN
Primary ActivitiesFUNDRAISING/DEVELOPMENTPrimaryActivitiesTxt
Legal Domicile StateNYLegalDomicileStateCd
Exempt Code Section501(C)(3)ExemptCodeSectionTxt
Public Charity StatusLINE 7PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1OPEN DOOR FAMILY MEDICAL CENTER INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled OrganizationYes (1)ControlledOrganizationInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationInd
OPEN DOOR LEASING CORP
165 MAIN STREETOSSININGNY10562201726717LEASING SPACENYOPEN DOOR FAMILY MEDICAL CENTER INCC$780,457$258,0211.00000Yes (1)
EUGENE P HESLIN MD PC DBA BRIDGE STREET FAMILY MEDICINE
12 WEST BRIDGE STSAUGERTIESNY12466141794395MEDICAL PRACTICENYOPEN DOOR FAMILY MEDICAL CENTER INCC$1,968,519$334,6771.00000Yes (1)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
OPEN DOOR LEASING CORP
K$744,073FMV
OPEN DOOR FOUNDATION INC
C$1,263,684FMV