VETERANS HEALTH RESEARCH INSTITUTE OF CENTRAL NEW YORK INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
VETERANS HEALTH RESEARCH INSTITUTE OF CENTRAL NEW YORK INC (EIN 16-1365231)
Tax period
2020-10-01 to 2021-09-30
Filed
2022-04-12
IRS object ID
202231029349300448
Schema version
2020v4.0
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)
Return2022-04-12T15:57:19-05:00ReturnTs
Tax Period End2021-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN461041593PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1GUNNCHAMBERLAIN PLBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line14350 PABLO PROFESSIONAL CT STE 200AddressLine1Txt
CityJACKSONVILLECityNm
State AbbreviationFLStateAbbreviationCd
ZIP322243224ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN161365231EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1VETERANS HEALTH RESEARCH INSTITUTEBusinessNameLine1Txt
Business Name Line2OF CENTRAL NEW YORK INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlVETEBusinessNameControlTxt
Phone3154254400PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1800 IRVING AVENUEAddressLine1Txt
CitySYRACUSECityNm
State AbbreviationNYStateAbbreviationCd
ZIP13210ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonGEORGE W CHAPMANPersonNm
Person TitleTREASURER/SECRETARYPersonTitleTxt
Phone3154726123PhoneNum
Signature2022-03-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstGEORGEPersonFirstNm
Person LastCHAPMANPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKENNETH R KREY CPAPreparerPersonNm
PTINP00309880PTIN
Phone9042962024PhoneNum
Preparation2022-04-12PreparationDt
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerLORI GOULDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1800 IRVING AVENUEAddressLine1Txt
CitySYRACUSECityNm
State AbbreviationNYStateAbbreviationCd
ZIP13210ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,749,781GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.VETERANSHEALTHRESEARCH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1989FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionTHE PRIMARY MISSION OF THE VETERANS HEALTH RESEARCH INSTITUTE OF CENTRAL NEW YORK INC., AN IRC SECTION 501(C)(3) CORPORATION ESTABLISHED IN ACCORDANCE WITH USC TITLE 38, SUB CHAPTER IV - RESEARCH AND EDUCATION CORPORATION, SECTION 7361-7368 IS TO ADVANCE THE RESEARCH MISSION OF THE SYRACUSE VA MEDICAL CENTER AND THE FINGER LAKES HEALTH CARE SYSTEM. THE OVERARCHING GOAL OF ALL RESEARCH ACTIVITY IS TO IMPROVE MEDICAL CARE FOR ALL VETERANS.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent5VotingMembersIndependentCnt
Total Employee32TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$549,792PYContributionsGrantsAmt
CY Contributions Grants$154,059CYContributionsGrantsAmt
PY Program Service Revenue$628,848PYProgramServiceRevenueAmt
CY Program Service Revenue$1,591,551CYProgramServiceRevenueAmt
PY Investment Income$7,753PYInvestmentIncomeAmt
CY Investment Income$4,171CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$1,186,393PYTotalRevenueAmt
CY Total Revenue$1,749,781CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,086,598PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,162,140CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$204,042PYOtherExpensesAmt
CY Other Expenses$329,332CYOtherExpensesAmt
PY Total Expenses$1,290,640PYTotalExpensesAmt
CY Total Expenses$1,491,472CYTotalExpensesAmt
PY Revenues Less Expenses-$104,247PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$258,309CYRevenuesLessExpensesAmt
Total Assets BOY$869,351TotalAssetsBOYAmt
Total Assets EOY$983,260TotalAssetsEOYAmt
Total Liabilities BOY$221,342TotalLiabilitiesBOYAmt
Total Liabilities EOY$80,067TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$648,009NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$903,193NetAssetsOrFundBalancesEOYAmt
MissionTHE CORPORATION EXISTS TO ADVANCE THE RESEARCH MISSION OF THE SYRACUSE VA MEDICAL CENTER AND THE FINGER LAKES HEALTH CARE SYSTEM. THE OVERARCHING GOAL OF ALL RESEARCH ACTIVITY IS TO IMPROVE MEDICAL CARE FOR ALL VETERANS.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$1,214,241ExpenseAmt
Revenue$1,591,551RevenueAmt
DescTHE ORGANIZATION IS ENGAGED IN MEDICAL RESEARCH TO DISCOVER, DEVELOP OR VERIFY KNOWLEDGE RELATED TO CAUSES, DIAGNOSIS, TREATMENT OR PREVENTION OF PHYSICAL OR MENTAL DISEASES AND IMPAIRMENTS FOR VETERANS. DURING THE YEAR, THE ORGANIZATION HAD APPROXIMATELY 30 STUDIES AND 116 PATIENTS ENROLLED.Desc
Total Program Service Expenses$1,214,241TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document4IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee32EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member5IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Own WebsiteYes (X)OwnWebsiteInd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonLORI GOULDPersonNm
Phone3154254400PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1800 IRVING AVENUEAddressLine1Txt
CitySYRACUSECityNm
State AbbreviationNYStateAbbreviationCd
ZIP13210ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
SYED ASIF ALI
VICE PRESIDE2.0040.00Yes (X)Yes (X)$0$287,041$0
FRANK P PEARSON
MEMBER2.0040.00Yes (X)$0$192,000$0
PAUL DOUGHERTY
MEMBER1.0040.00Yes (X)$0$148,723$19,142
BRUCE TUCKER
MEMBER2.0040.00Yes (X)$0$167,200$0
RICHARD J SERVATIUS
PRESIDENT10.0040.00Yes (X)Yes (X)$0$118,603$0
LORI GOULD
EXECUTIVE DI40.00Yes (X)$100,287$0$0
NICHOLAS ARMSTRONG
MEMBER2.00Yes (X)$0$0$0
GEORGE W CHAPMAN
TREASURER/SE5.00Yes (X)Yes (X)$0$0$0
JAMES HENDERSON
MEMBER2.0020.00Yes (X)$0$0$0
ROBIN PAUL MALLOY
MEMBER2.00Yes (X)$0$0$0
KRISTOPHER PAOLINO
MEMBER2.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$100,287TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$913,567TotReportableCompRltdOrgAmt
Total Other Compensation$19,142TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Government Grants$153,600GovernmentGrantsAmt
All Other Contributions$459AllOtherContributionsAmt
Total Contributions$154,059TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
RESEARCH GRANTS - NON-FEDERAL541700$1,175,609$1,175,609
RESEARCH GRANTS - FEDERAL541700$415,942$415,942
FieldValueIRS element (for citing)
Total Program Service Revenue$1,591,551TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,171TotalRevenueColumnAmt
Related Or Exempt Func Income$4,171RelatedOrExemptFuncIncomeAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,749,781TotalRevenueColumnAmt
Related Or Exempt Func Income$1,595,722RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$100,287TotalAmt
Program Services$82,516ProgramServicesAmt
Management And General$17,771ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$872,660TotalAmt
Program Services$718,019ProgramServicesAmt
Management And General$154,641ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$19,455TotalAmt
Program Services$15,365ProgramServicesAmt
Management And General$4,090ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$77,825TotalAmt
Program Services$61,465ProgramServicesAmt
Management And General$16,360ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$91,913TotalAmt
Program Services$76,275ProgramServicesAmt
Management And General$15,638ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$27,952TotalAmt
Program Services$22,305ProgramServicesAmt
Management And General$5,647ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$163,745TotalAmt
Program Services$130,662ProgramServicesAmt
Management And General$33,083ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$16,772TotalAmt
Program Services$14,685ProgramServicesAmt
Management And General$2,087ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$40,944TotalAmt
Program Services$32,672ProgramServicesAmt
Management And General$8,272ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$2,348TotalAmt
Program Services$2,240ProgramServicesAmt
Management And General$108ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$3,001TotalAmt
Management And General$3,001ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$9,099TotalAmt
Management And General$9,099ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
LAB SUPPLIES AND EQUIPMEN$45,455$45,455
DUES, PRINTING, AND PUBLI$14,035$7,285$6,750
PATIENT REIMBURSEMENT$4,730$4,730
MAINTENANCE AND REPAIRS$1,251$567$684

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,491,472TotalAmt
Program Services$1,214,241ProgramServicesAmt
Management And General$277,231ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$468,434BOYAmt
EOY$552,126EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$303,276BOYAmt
EOY$302,432EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$90,460BOYAmt
EOY$125,930EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$4,180BOYAmt
EOY$2,772EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$113,845LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$113,845LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$3,001BOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$869,351BOYAmt
EOY$983,260EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$67,742BOYAmt
EOY$80,067EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$153,600BOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$221,342BOYAmt
EOY$80,067EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$648,009BOYAmt
EOY$881,212EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
EOY$21,981EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$648,009BOYAmt
EOY$903,193EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$869,351BOYAmt
EOY$983,260EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$258,309ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$3,125NetUnrlzdGainsLossesInvstAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Medical Research OrganizationYes (X)MedicalResearchOrganizationInd

Hospital Name And Address HospitalNameAndAddressGrp

Supported Organization Name SupportedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1SYRACUSE VA MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
CitySYRACUSECityNm
State AbbreviationNYStateAbbreviationCd

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$113,845OtherCostOrOtherBasisAmt
Depreciation$113,845DepreciationAmt
FieldValueIRS element (for citing)
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$1,746,656TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$3,125NetUnrealizedGainsInvstAmt
Revenue Not Reported-$3,125RevenueNotReportedAmt
Revenue Subtotal$1,749,781RevenueSubtotalAmt
Total Revenue Per Form990$1,749,781TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,491,472TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$1,491,472ExpensesSubtotalAmt
Total Expenses Per Form990$1,491,472TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE D, PAGE 3, PART XFormAndLineReferenceDesc
ExplanationTHE ORGANIZATION QUALIFIES AS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501 (C)(3) OF THE INTERNAL REVENUE CODE. THE ORGANIZATION PERIODICALLY ASSESSES WHETHER IT HAS INCURRED INCOME TAX EXPENSE OR RELATED INTEREST OR PENALTIES IN ACCORDANCE WITH ACCOUNTING FOR UNCERTAIN TAX POSITIONS. NO SUCH AMOUNTS WERE RECOGNIZED FOR THE YEARS ENDING SEPTEMBER 30, 2021 AND 2020, RESPECTIVELY. THE ORGANIZATION FOLLOWS THE INCOME TAX STANDARD FOR UNCERTAIN TAX POSITIONS. THE ORGANIZATION HAS EVALUATED THEIR TAX POSITIONS AND DETERMINED THEY HAVE NO UNCERTAIN TAX POSITIONS AS OF SEPTEMBER 30, 2021 AND 2020. SHOULD THE ORGANIZATION'S TAX-EXEMPT STATUS BE CHALLENGED IN THE FUTURE, ALL TAX YEARS AFTER 2018 ARE OPEN FOR EXAMINATION BY THE INTERNAL REVENUE SERVICE.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 entries)

TitleTitleTxtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt
SYED ASIF ALI
VICE PRESIDENT$287,041$287,041
FRANK P PEARSON
MEMBER$192,000$192,000
PAUL DOUGHERTY
MEMBER$148,723$167,865$19,142
BRUCE TUCKER
MEMBER$167,200$167,200

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PAGE 6, PART VI, LINE 11BALL BOARD MEMBERS ARE PROVIDED A COPY OF THE FORM 990 DRAFT PRIOR TO SUBMISSION.
FORM 990, PAGE 6, PART VI, LINE 12CTHE CONFLICT OF INTEREST POLICY IS REVIEWED ANNUALLY WITH EACH EMPLOYEE AND BOARD MEMBER WHO HAVE TO RE-AFFIRM THAT THERE ARE NO CONFLICTS OF INTEREST.
FORM 990, PAGE 6, PART VI, LINE 15AFOR SOME YEARS, THE SALARY OF THE EXECUTIVE DIRECTOR IS DETERMINED USING AN OUTSIDE CONSULTING FIRM AND SALARY DATA. FOR THE YEARS THE OUTSIDE FIRM IS NOT ENGAGED, THE BOARD EVALUATES AND APPROVES THE EXECUTIVE DIRECTOR'S SALARY.
FORM 990, PAGE 6, PART VI, LINE 19COPIES OF THE TAX RETURN ARE KEPT AT THE CORPORATION'S OFFICE. RETURNS ARE ALSO AVAILABLE ON GUIDESTAR AND NYS CHARITIES BUREAU VIA THE INTERNET.
FORM 990, PART IX, LINE 11GOTHER PROFESSIONAL SERVICES 130,662 33,083 0

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndEINEINExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxt
SYRACUSE VA MEDICAL CENTER
800 IRVING AVESYRACUSENY13210MEDICALNYN/Afalse
FINGER LAKES HEALTH CARE SYSTEM
196 NORTH STREETGENEVANY14456MEDICALNYN/Afalse160743032501C33
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
SYRACUSE VA MEDICAL CENTER
Q$446,631CASH
SYRACUSE VA MEDICAL CENTER
P$9,688CASH
FINGER LAKES HEALTH CARE SYSTEM
P$138,098CASH

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