ALBANY MED HEALTH SYSTEM: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- ALBANY MED HEALTH SYSTEM (EIN 14-1340125)
- Tax period
- 2022-01-01 to 2022-12-31
- Filed
- 2023-11-14
- IRS object ID
- 202333189349305908
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-11-14T10:50:55-06:00 | ReturnTs |
| Tax Period End | 2022-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 010523282 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Berry Dunn McNeil & Parker LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2211 Congress St | AddressLine1Txt |
| City | Portland | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04102 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 141340125 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Visiting Nurse Association of Albany | BusinessNameLine1Txt |
| Business Name Line2 | Inc | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | VISI | BusinessNameControlTxt |
| Phone | 5184892681 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 35 Colvin Avenue | AddressLine1Txt |
| City | Albany | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 12206 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Samantha DiCicco | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 5184892681 | PhoneNum |
| Signature | 2023-11-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | Samantha | PersonFirstNm |
| Person Last | DiCicco | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Melissa Magoon CPA | PreparerPersonNm |
| PTIN | P01712842 | PTIN |
| Phone | 2077752387 | PhoneNum |
| Preparation | 2023-11-13 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Samantha DiCicco | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 35 Colvin Avenue | AddressLine1Txt |
| City | Albany | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 12206 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $10,831,601 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.vnaalbany.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1880 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | The organization is a voluntary, non-profit home health care agency that provides nursing, therapy, and home health aide services to patients in their residences. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 136 | TotalEmployeeCnt |
| Total Volunteers | 10 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,992,055 | PYContributionsGrantsAmt |
| CY Contributions Grants | $237,690 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $10,195,340 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $10,573,511 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,526 | PYInvestmentIncomeAmt |
| CY Investment Income | $20,400 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $12,188,921 | PYTotalRevenueAmt |
| CY Total Revenue | $10,831,601 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $8,299,903 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $8,342,848 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,652,847 | PYOtherExpensesAmt |
| CY Other Expenses | $1,745,112 | CYOtherExpensesAmt |
| PY Total Expenses | $9,952,750 | PYTotalExpensesAmt |
| CY Total Expenses | $10,087,960 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $2,236,171 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $743,641 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $3,753,890 | TotalAssetsBOYAmt |
| Total Assets EOY | $4,163,560 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,225,964 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $899,177 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $2,527,926 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $3,264,383 | NetAssetsOrFundBalancesEOYAmt |
| Mission | The mission of the Visiting Nurse Association of Albany, Inc. is to provide high quality and cost effective home health care services to the community we serve. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $8,786,033 | ExpenseAmt |
| Revenue | $10,573,511 | RevenueAmt |
| Desc | Nursing, therapy and home health aide services. | Desc |
| Total Program Service Expenses | $8,786,033 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 5 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 136 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (1) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | Yes (1) | LocalChaptersInd |
| Policies Reference Chapters | Yes (1) | PoliciesReferenceChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Paul Rice | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5184892681 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 35 Colvin Avenue | AddressLine1Txt |
| City | Albany | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 12206 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| Anthony Durante | |||||||||
| President | 1.00 | 10.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Joan Hart | |||||||||
| Vice President | 1.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Theodore DeConno | |||||||||
| Treasurer | 1.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Amy Lee | |||||||||
| Secretary | 1.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Terry Griesmer | |||||||||
| Board Member | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Frederick J Hinrichsen | |||||||||
| Board Member | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Janine Mangione | |||||||||
| Board Member | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Nancy Michela | |||||||||
| Board Member | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Greg Scott | |||||||||
| Board Member | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| John Smack | |||||||||
| Past Board Member | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Susan Larman | |||||||||
| Past CEO | 15.00 | 22.50 | Yes (X) | $229,284 | $0 | $36,438 | |||
| Paul B Rice | |||||||||
| CFO | 15.00 | 22.50 | Yes (X) | $180,518 | $0 | $18,192 | |||
| Samantha DiCicco | |||||||||
| CEO | 15.00 | 22.50 | Yes (X) | $138,067 | $0 | $25,288 | |||
| Iyabode Alfred | |||||||||
| VP/Chief Operating Officer | 22.50 | 15.00 | $173,895 | $0 | $4,978 | Yes (X) | |||
| Jacqueline N Kretser | |||||||||
| VP of Care Transitions | 18.75 | 18.75 | $165,155 | $0 | $15,651 | Yes (X) | |||
| Amy Ludwin | |||||||||
| Registered Nurse | 53.00 | 0.00 | $151,320 | $0 | $0 | Yes (X) | |||
| Jeffrey Ruetz | |||||||||
| Registered Nurse | 49.00 | 0.00 | $146,137 | $0 | $17,195 | Yes (X) | |||
| Mark Robinson | |||||||||
| Physical Therapist | 37.50 | 0.00 | $147,099 | $0 | $15,006 | Yes (X) | |||
| Renuka Ramkobair | |||||||||
| Registered Nurse | 39.00 | 0.00 | $121,379 | $0 | $10,014 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,452,854 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $142,762 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 12 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BerryDunn | BusinessNameLine1Txt |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1000 Elm Street Street Floor 4 | AddressLine1Txt |
| City | Manchester | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 03101 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | Auditing/Coding Services | ServicesDesc |
| Compensation | $233,347 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $236,680 | GovernmentGrantsAmt |
| All Other Contributions | $1,010 | AllOtherContributionsAmt |
| Total Contributions | $237,690 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Home Health Revenue | Desc |
| Business | 621610 | BusinessCd |
| Total Revenue Column | $10,573,511 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $10,573,511 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $10,573,511 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $20,400 | TotalRevenueColumnAmt |
| Exclusion | $20,400 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $10,831,601 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $10,573,511 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $20,400 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $806,660 | TotalAmt |
| Program Services | $178,873 | ProgramServicesAmt |
| Management And General | $627,787 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,301,202 | TotalAmt |
| Program Services | $6,146,774 | ProgramServicesAmt |
| Management And General | $154,428 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $108,162 | TotalAmt |
| Program Services | $108,162 | ProgramServicesAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $564,987 | TotalAmt |
| Program Services | $558,953 | ProgramServicesAmt |
| Management And General | $6,034 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $561,837 | TotalAmt |
| Program Services | $505,653 | ProgramServicesAmt |
| Management And General | $56,184 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,556 | TotalAmt |
| Management And General | $55,556 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,950 | TotalAmt |
| Management And General | $38,950 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $235,809 | TotalAmt |
| Management And General | $235,809 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $88,947 | TotalAmt |
| Program Services | $80,052 | ProgramServicesAmt |
| Management And General | $8,895 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $204,964 | TotalAmt |
| Program Services | $184,468 | ProgramServicesAmt |
| Management And General | $20,496 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $119,241 | TotalAmt |
| Program Services | $107,317 | ProgramServicesAmt |
| Management And General | $11,924 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $72,982 | TotalAmt |
| Program Services | $65,684 | ProgramServicesAmt |
| Management And General | $7,298 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $434,797 | TotalAmt |
| Program Services | $391,317 | ProgramServicesAmt |
| Management And General | $43,480 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,353 | TotalAmt |
| Program Services | $14,718 | ProgramServicesAmt |
| Management And General | $1,635 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $99,339 | TotalAmt |
| Program Services | $89,405 | ProgramServicesAmt |
| Management And General | $9,934 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $51,033 | TotalAmt |
| Program Services | $45,930 | ProgramServicesAmt |
| Management And General | $5,103 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Program Supplies | $142,994 | $142,994 | |
| Equipment Rental/Repair | $111,131 | $100,018 | $11,113 |
| Other Expenses | $73,016 | $65,715 | $7,301 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,087,960 | TotalAmt |
| Program Services | $8,786,033 | ProgramServicesAmt |
| Management And General | $1,301,927 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part X | Yes (X) | InfoInScheduleOPartXInd |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,267,326 | BOYAmt |
| EOY | $3,236,511 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,099 | BOYAmt |
| EOY | $9,004 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $934,656 | BOYAmt |
| EOY | $274,261 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $49,220 | BOYAmt |
| EOY | $124,178 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,784,581 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,432,966 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $435,953 | BOYAmt |
| EOY | $351,615 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $57,636 | BOYAmt |
| EOY | $167,991 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,753,890 | BOYAmt |
| EOY | $4,163,560 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $583,886 | BOYAmt |
| EOY | $563,063 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $642,078 | BOYAmt |
| EOY | $336,114 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,225,964 | BOYAmt |
| EOY | $899,177 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,476,565 | BOYAmt |
| EOY | $3,220,206 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $51,361 | BOYAmt |
| EOY | $44,177 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,527,926 | BOYAmt |
| EOY | $3,264,383 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,753,890 | BOYAmt |
| EOY | $4,163,560 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $743,641 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$7,184 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $74,152 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,680,788 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus1 Year | $1,992,055 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $237,690 | CurrentTaxYearAmt |
| Total | $4,984,685 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $10,319,279 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $10,183,201 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $10,585,352 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $10,195,340 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $10,573,511 | CurrentTaxYearAmt |
| Total | $51,856,683 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $10,393,431 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $12,863,989 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $10,585,352 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $12,187,395 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $10,811,201 | CurrentTaxYearAmt |
| Total | $56,841,368 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $56,841,368 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $24 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $401 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,526 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $20,400 | CurrentTaxYearAmt |
| Total | $22,353 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $24 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $401 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,526 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $20,400 | CurrentTaxYearAmt |
| Total | $22,353 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $10,393,455 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $12,863,991 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $10,585,753 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $12,188,921 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $10,831,601 | CurrentTaxYearAmt |
| Total | $56,863,721 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99960 | PublicSupportCY509Pct |
| Public Support PY509 | 1.00000 | PublicSupportPY509Pct |
| Investment Income CY | 0.00040 | InvestmentIncomeCYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $10,377 | BeginningYearBalanceAmt |
| End Year Balance | $10,377 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $10,377 | BeginningYearBalanceAmt |
| End Year Balance | $10,377 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $10,377 | BeginningYearBalanceAmt |
| End Year Balance | $10,377 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $10,377 | BeginningYearBalanceAmt |
| End Year Balance | $10,377 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $10,377 | BeginningYearBalanceAmt |
| End Year Balance | $10,377 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $40,000 | OtherCostOrOtherBasisAmt |
| Book Value | $40,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $961,122 | OtherCostOrOtherBasisAmt |
| Depreciation | $703,979 | DepreciationAmt |
| Book Value | $257,143 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $782,369 | OtherCostOrOtherBasisAmt |
| Depreciation | $727,897 | DepreciationAmt |
| Book Value | $54,472 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,090 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,090 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $351,615 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Due to Third-Party Payers | Desc |
| Amt | $336,114 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $336,114 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $10,824,417 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | -$7,184 | OtherRevenueAmt |
| Revenue Not Reported | -$7,184 | RevenueNotReportedAmt |
| Revenue Subtotal | $10,831,601 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $10,831,601 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $10,087,960 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $10,087,960 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $10,087,960 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Line 4: | Income used for general operations released in accordance with state laws. |
| Part X, Line 2: | The entities included in these consolidated financial statements, excluding the Corporation, qualify as public charities under Section 501(c)(3) of the Internal Revenue Code (IRC). As public charities, the entities are exempt from state and federal income taxes on income earned in accordance with their tax exempt purposes. Unrelated business income is subject to state and federal income tax. Management has evaluated the entities' tax positions and concluded that the entities have no unrelated business income or uncertain tax positions that require adjustment to the consolidated financial statements. |
| Part XI, Line 2d - Other Adjustments: | Change in Investment in Trust -7,184. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Susan Larman | ||||||||||||||
| Past CEO | $205,092 | $0 | $24,192 | $0 | $0 | $0 | $18,352 | $0 | $18,086 | $0 | $265,722 | $0 | $0 | $0 |
| Paul B Rice | ||||||||||||||
| CFO | $180,518 | $0 | $0 | $0 | $0 | $0 | $5,494 | $0 | $12,698 | $0 | $198,710 | $0 | $0 | $0 |
| Jacqueline N Kretser | ||||||||||||||
| VP of Care Transitions | $165,155 | $0 | $0 | $0 | $0 | $0 | $4,984 | $0 | $10,667 | $0 | $180,806 | $0 | $0 | $0 |
| Iyabode Alfred | ||||||||||||||
| VP/Chief Operating Officer | $173,895 | $0 | $0 | $0 | $0 | $0 | $4,978 | $0 | $0 | $0 | $178,873 | $0 | $0 | $0 |
| Samantha DiCicco | ||||||||||||||
| CEO | $138,067 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $25,288 | $0 | $163,355 | $0 | $0 | $0 |
| Jeffrey Ruetz | ||||||||||||||
| Registered Nurse | $143,162 | $0 | $2,975 | $0 | $0 | $0 | $5,909 | $0 | $11,286 | $0 | $163,332 | $0 | $0 | $0 |
| Mark Robinson | ||||||||||||||
| Physical Therapist | $145,349 | $0 | $1,750 | $0 | $0 | $0 | $5,528 | $0 | $9,478 | $0 | $162,105 | $0 | $0 | $0 |
| Amy Ludwin | ||||||||||||||
| Registered Nurse | $151,320 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $151,320 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 7 | FormAndLineReferenceDesc |
| Explanation | Susan Larman, CEO, received a bonus based on agreed upon goals with agreed upon points for achievement. New York State provided funding to the Agency for the Healthcare Worker Bonus Program. Bonuses were paid to eligible employees in amounts as prescribed by New York State. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 4 | The Organization amended their bylaws during the year and made the following significant changes: 1. The number of voting members was updated from "at a minimum, nine and no more than twenty-one Directors" to "a minimum of five and no more than fifteen directors" 2. Please refer to the narratives on Schedule O which reference Form 990, Part VI, Lines 6, 7a, and 7b for additional details on changes related to the Organization's members, the power to appoint members of the governing body, and other governance decisions reserved to members. |
| Form 990, Part VI, Section A, line 6 | The sole Member of the Organization shall be Albany Visiting Nurse Home Care Services Group, Inc. ("Group or "Member"). The member of Group is Albany Med Health System ("AMHS"). |
| Form 990, Part VI, Section A, line 7a | Albany Med Health System, the member of Albany Visiting Nurse Home Care Services Group, Inc. who is the sole member of the Organization, has the power to appoint and remove Directors serving on the Board of Directors of the Organization. |
| Form 990, Part VI, Section A, line 7b | Albany Med Health System, the member of Albany Visiting Nurse Home Care Services Group, Inc. who is the sole member of the Organization, has the power to take any necessary actions related to the following: 1. Approval of the Organization's annual and long-term capital and operating budgets and strategic plans, each of which shall first be approved by the Board; 2. Development and approval of contingency plans should actual results from operations of the Organization be significantly unfavorable to the budgeted plan (development of any contingency plans by AMHS is with the participation of the Organization's Chief Executive Officer ("CEO") and representation from the Board); 3. Approval of any amendment, repeal or replacement of the Organization's Certificate of Incorporation or Bylaws, which shall first be approved by the Board; 4. Approval of any voluntary dissolution, merger, consolidation, sale or transfer of substantially all of the assets (defined as ten percent (10%) or more) of the Organization, or the creation of a subsidiary or affiliate corporation of or other legal entity controlled by the Organization, provided that such transactions shall also be subject to the prior approval of the Board; 5. Appointment of the CEO of the Organization, after consultation with the Board (the current CEO of the Organization, Samantha DiCicco, shall be deemed approved by AMHS); 6. Removal of the Organization's CEO, after consultation with the Board; 7. Approval of unbudgeted capital expenditures or substitution of budgeted capital expenditures by the Organization, in either case in excess of One Hundred Thousand Dollars ($100,000), individually; 8. Approval of incurrence of debt (directly or by guaranty) not specifically budgeted in the Organization's annual and long-term capital and operating budgets, where the total principal amount is in excess of One Hundred Thousand Dollars ($100,000) in the aggregate for all such debt or which is secured by a mortgage or security interest in any of the Organization's assets or property, provided that any mortgage of any of the Organization's real estate or pledge or encumbrance of the Organization's personal property shall be subject to the prior approval of the Board; 9. Approval of any modifications to the terms, conditions and outstanding balance of any of the Organization's existing debt (other than routine payments of debt service as required); 10. Approval of the entry into, renewal of, or termination of contracts for the Organization to provide covered healthcare services to beneficiaries of health insurance, managed care contracts or payor contracts; 11. Approval of any application by the Organization to the New York Department of Health for any certificate of need or other matter affecting its licensure; 12. Except for incidental transactions for property not constituting a material component of the Organization or its business, approval of any sale or transfer of any of the Organization's assets to an affiliated entity or third-party entity, if such assets have a value in excess of Fifty Thousand Dollars ($50,000), other than as a component part of an approved budget, provided that such transactions shall be subject to the prior approval of the Board; 13. Approval of the Organization's insurance coverage (including, without limitation, insurers, specifications and limits); 14. The right to require the Organization to participate in any AMHS System-wide compliance program that may be implemented by AMHS from time to time; and 15. Approval of litigation settlements in excess of insurance coverage, or settlements or other dispositions of state or federal governmental administrative proceedings to which the Organization is a party. |
| Form 990, Part VI, Section B, line 11b | The Form 990 is made available to all board members for review. |
| Form 990, Part VI, Section B, line 12c | The Board reviews conflicts disclosed and ensures a board member does not participate in a board decision related to the conflict. |
| Form 990, Part VI, Section B, line 15 | The Executive Committee reviews the CEO performance for the year based on established goals, reviews compensation benchmark data provided by an outside consultant and recommends adjustments to the full board who authorizes compensation. The CEO reviews the performance for the year of key employees of the organization based on established goals and authorizes compensation adjustment in accordance with the budget which is approved by the board. |
| Form 990, Part VI, Section C, line 19 | Upon Request. |
| Form 990, Part X, Line 10: Land, Buildings, and Equipment | Section 1.263(a)-3(n) Election: Visiting Nurse Association of Albany, Inc. 35 Colvin Avenue Albany, NY 12206 EIN: 14-1340125 Visiting Nurse Association of Albany, Inc. is electing to capitalize repair and maintenance costs under Regulation Section 1.263(a)-3(n). |
| Form 990, Part XI, line 9: | Change in Investment in Trust -7,184. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (19 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Albany Medical Center Hospital | |||||||||||
| 43 New Scotland Ave | Albany | NY | 12208 | 141338307 | Hospital Services | NY | 501(c)(3) | Line 3 | N/A | 0 | |
| Albany Medical College | |||||||||||
| 47 New Scotland Ave | Albany | NY | 12208 | 141338310 | Medical Degree Programs | NY | 501(c)(3) | Line 2 | N/A | 0 | |
| Albany Medical Center Foundation | |||||||||||
| 47 New Scotland Ave | Albany | NY | 12208 | 146023119 | Fundraising | NY | 501(c)(3) | Line 7 | N/A | 0 | |
| Albany Medical Center Kidskeller | |||||||||||
| 47 New Scotland Ave | Albany | NY | 12208 | 222635792 | Education Day Program | NY | 501(c)(3) | Line 2 | 0 | Albany Med Health System | |
| Center for Donation and Transplant | |||||||||||
| 218 Great Oaks Blvd | Albany | NY | 12203 | 141820447 | Organ and Tissue Bank | NY | 501(c)(3) | Line 12a, I | 0 | Albany Medical College | |
| Better Health for Northeast New York | |||||||||||
| 43 New Scotland Ave | Albany | NY | 12208 | 811861104 | Delivery System Reform Incentive Payment | NY | 501(c)(6) | 0 | Albany Medical Center Hospital | ||
| Columbia Memorial Hospital | |||||||||||
| 71 Prospect Ave | Hudson | NY | 12534 | 141338373 | Hospital Services | NY | 501(c)(3) | Line 3 | N/A | 0 | |
| Kaaterskill Commons Inc | |||||||||||
| 163 Jefferson Heights | Catskill | NY | 12414 | 205700964 | Low-Income Housing | NY | 501(c)(3) | Line 7 | 0 | Columbia Memorial Hospital | |
| Columbia Memorial Health Foundation | |||||||||||
| 71 Prospect Ave | Hudson | NY | 12534 | 141761112 | Fundraising | NY | 501(c)(3) | Line 10 | 0 | Columbia Memorial Hospital | |
| The Second Show Inc | |||||||||||
| 519 Warren Street | Hudson | NY | 12534 | 141796715 | Thrift Shop | NY | 501(c)(3) | Line 7 | 0 | Columbia Memorial Hospital | |
| Saratoga Hospital | |||||||||||
| 211 Church Street | Saratoga Springs | NY | 12866 | 141338547 | Hospital Services | NY | 501(c)(3) | Line 3 | N/A | 0 | |
| Saratoga Regional Medical PC | |||||||||||
| 211 Church Street | Saratoga Springs | NY | 12866 | 472468259 | Healthcare Services | NY | 501(c)(3) | Line 3 | 0 | Saratoga Hospital | |
| Saratoga Care Inc | |||||||||||
| 211 Church Street | Saratoga Springs | NY | 12866 | 141775218 | Promoting Health | NY | 501(c)(3) | Line 12b, II | 0 | Saratoga Hospital | |
| Healthcare Partners of Saratoga Ltd | |||||||||||
| 211 Church Street | Saratoga Springs | NY | 12866 | 453303309 | Emergent Care | NY | 501(c)(3) | Line 3 | N/A | 0 | |
| Glens Falls Hospital | |||||||||||
| 100 Park Street | Glens Falls | NY | 12801 | 141338413 | Hospital Services | NY | 501(c)(3) | Line 3 | N/A | 0 | |
| Glens Falls Medical PLLC | |||||||||||
| 100 Park Street | Glens Falls | NY | 12801 | 823943636 | Physicians | NY | 501(c)(3) | Line 10 | 0 | Glens Falls Hospital | |
| Albany Med Health System | |||||||||||
| 47 New Scotland Ave | Albany | NY | 12208 | 141641730 | Corporate Services | NY | 501(c)(3) | Line 12b, II | N/A | 0 | |
| Visiting Nurses Foundation Inc | |||||||||||
| 35 Colvin Avenue | Albany | NY | 12206 | 141653755 | Fundraising | NY | 501(c)(3) | Line 12c, III-FI | 0 | Albany Visiting Nurse Home Care Services Group Inc | |
| Albany Visiting Nurse Home Care Services Group Inc | |||||||||||
| 35 Colvin Avenue | Albany | NY | 12203 | 222778949 | Planning and coordinating the delivery of home health care services | NY | 501(c)(3) | Line 12b, II | N/A | 0 | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| Madison Avenue Services Corp | |||||||||
| 47 New Scotland Ave MC 116 | Albany | NY | 12208 | 141665610 | Services-Other(Inactive) | NY | N/A | C | 0 |
| Visiting Nurse Association of Albany Home Care Corporation | |||||||||
| 28 Colvin Ave | Albany | NY | 12206 | 141697717 | Licensed HHA | NY | N/A | C | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Comments