FAMILY PLANNING OF SOUTH CENTRAL NEW YORK INC: Form 990, tax year 2021
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- Organization
- FAMILY PLANNING OF SOUTH CENTRAL NEW YORK INC (EIN 16-1005972)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-07-12
- IRS object ID
- 202241939349300304
- Schema version
- 2021v4.0
- 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 | 2022-07-12T06:10:25-07:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 150625503 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Mostert Manzanero & Scott LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4 Associate Dr | AddressLine1Txt |
| City | Oneonta | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13820 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 161005972 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FAMILY PLANNING OF SOUTH CENTRAL NEW | BusinessNameLine1Txt |
| Business Name Line2 | YORK INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | FAMI | BusinessNameControlTxt |
| Phone | 6074322252 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 37 DIETZ STREET | AddressLine1Txt |
| City | ONEONTA | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13820 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DEBRA MARCUS ESQ | PersonNm |
| Person Title | Chief Executive | PersonTitleTxt |
| Signature | 2022-07-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | DEBRA MARCUS | PersonFirstNm |
| Person Last | ESQ | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ANTHONY T MANZANERO | PreparerPersonNm |
| PTIN | P00286147 | PTIN |
| Phone | 6074328700 | PhoneNum |
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 |
| Federated Assurance Level | FAL1 | FederatedAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 37 DIETZ STREET | AddressLine1Txt |
| City | ONEONTA | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13820 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $4,678,880 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.fpscny.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1988 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | Our mission is to advocate and provide information, education and health care services pertaining to human sexuality and reproductive health in a private and confidential manner, respectful of all beliefs, supporting freedom of choice and responsibility. | ActivityOrMissionDesc |
| Voting Members Governing Body | 19 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 17 | VotingMembersIndependentCnt |
| Total Employee | 51 | TotalEmployeeCnt |
| Total Volunteers | 19 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $2,196,607 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,311,926 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $1,857,043 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $2,054,170 | CYProgramServiceRevenueAmt |
| PY Investment Income | $35,482 | PYInvestmentIncomeAmt |
| CY Investment Income | $31,274 | CYInvestmentIncomeAmt |
| PY Other Revenue | $8,554 | PYOtherRevenueAmt |
| CY Other Revenue | $37,387 | CYOtherRevenueAmt |
| PY Total Revenue | $4,097,686 | PYTotalRevenueAmt |
| CY Total Revenue | $4,434,757 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $2,588,162 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $2,726,290 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $62,562 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,245,132 | PYOtherExpensesAmt |
| CY Other Expenses | $1,214,067 | CYOtherExpensesAmt |
| PY Total Expenses | $3,833,294 | PYTotalExpensesAmt |
| CY Total Expenses | $3,940,357 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $264,392 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $494,400 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $4,539,991 | TotalAssetsBOYAmt |
| Total Assets EOY | $4,715,720 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $630,487 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $219,529 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $3,909,504 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $4,496,191 | NetAssetsOrFundBalancesEOYAmt |
| Mission | Our mission is to advocate and provide information, education and health care services pertaining to human sexuality and reproductive health in a private and confidential manner, respectful of all beliefs, supporting freedom of choice and responsibility. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $3,230,427 | ExpenseAmt |
| Revenue | $2,054,170 | RevenueAmt |
| Desc | TO PROVIDE FAMILY PLANNING, COUNSELING, MEDICAL EXAMINATIONS LAB TESTS, SALES OF FAMILY PLANNING SUPPLIES AND EDUCATIONAL PROGRAMS TO THE PUBLIC | Desc |
| Total Program Service Expenses | $3,230,427 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (true) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | false | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 6 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 51 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Form8282 Filed | 0 | Form8282FiledCnt |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| DAF Excess Business Holdings | false | DAFExcessBusinessHoldingsInd |
| Taxable Distributions | false | TaxableDistributionsInd |
| Distribution To Donor | false | DistributionToDonorInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 19 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 17 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | THOMAS ARTALE | PersonNm |
| Phone | 6074322252 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 37 DIETZ STREET | AddressLine1Txt |
| City | ONEONTA | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13820 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|
| DEBRA MARCUS ESQ | |||||||
| Chief Executive | 37.50 | 0.00 | Yes (X) | $120,590 | $0 | $0 | |
| THOMAS ARTALE | |||||||
| CFO | 37.50 | 0.00 | Yes (X) | $54,415 | $0 | $0 | |
| BARBARA DECKER | |||||||
| CFO | 37.50 | 0.00 | Yes (X) | $20,530 | $0 | $0 | |
| KELLIE BEAN | |||||||
| Secretary | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| SHELLY BARTOW | |||||||
| Director | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |
| EMMA GOLDEN | |||||||
| Director | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |
| REV ARTHUR SUGGS | |||||||
| 2ND VICE CHAIR | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| KARRI GREEN | |||||||
| Director | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |
| PATRICIA HOWARD | |||||||
| Director | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |
| ERICA LAWSON ESQ | |||||||
| Director | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |
| MICHELLE REYNOLDS | |||||||
| Director | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |
| REBECCA LEIDY RN | |||||||
| Director | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |
| KENDALL DREXLER | |||||||
| Director | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |
| EDGAR PARSONS | |||||||
| Co-Chair | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| GREGORY RITTENHOUSE | |||||||
| Treasurer | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| ELIZABETH JACOB-CARTER | |||||||
| Director | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |
| CHRISTINE RACKLEY | |||||||
| Director | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |
| SUSAN SKLENARIK | |||||||
| 1ST VICE CHAIR | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| MICHAEL STEIN | |||||||
| CO-CHAIR | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| TIMOTHY PARSONS | |||||||
| Director | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |
| KAREN CYCON | |||||||
| Director | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |
| SOPHIA RISCINITI | |||||||
| Director | 2.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $195,535 | TotalReportableCompFromOrgAmt |
| Indiv Rcvd Greater Than100 K | 1 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $1,913,090 | GovernmentGrantsAmt |
| All Other Contributions | $398,836 | AllOtherContributionsAmt |
| Total Contributions | $2,311,926 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT FEES FOR SERVICES | Desc |
| Total Revenue Column | $2,054,170 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,054,170 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $2,054,170 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $26,388 | TotalRevenueColumnAmt |
| Exclusion | $26,388 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $47,681 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $42,795 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $4,886 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,886 | TotalRevenueColumnAmt |
| Exclusion | $4,886 | ExclusionAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $201,328 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $201,328 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISC INCOME | Desc |
| Total Revenue Column | $37,387 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $37,387 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $37,387 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,434,757 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,091,557 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $31,274 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $195,536 | TotalAmt |
| Program Services | $97,768 | ProgramServicesAmt |
| Management And General | $97,768 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,069,028 | TotalAmt |
| Program Services | $1,741,033 | ProgramServicesAmt |
| Management And General | $279,877 | ManagementAndGeneralAmt |
| Fundraising | $48,118 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,190 | TotalAmt |
| Program Services | $29,386 | ProgramServicesAmt |
| Management And General | $6,035 | ManagementAndGeneralAmt |
| Fundraising | $769 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $262,773 | TotalAmt |
| Program Services | $213,369 | ProgramServicesAmt |
| Management And General | $43,821 | ManagementAndGeneralAmt |
| Fundraising | $5,583 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $162,763 | TotalAmt |
| Program Services | $132,162 | ProgramServicesAmt |
| Management And General | $27,143 | ManagementAndGeneralAmt |
| Fundraising | $3,458 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,950 | TotalAmt |
| Management And General | $13,950 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,529 | TotalAmt |
| Management And General | $20,529 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $59,370 | TotalAmt |
| Program Services | $47,775 | ProgramServicesAmt |
| Management And General | $10,832 | ManagementAndGeneralAmt |
| Fundraising | $763 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $80,140 | TotalAmt |
| Program Services | $52,780 | ProgramServicesAmt |
| Management And General | $27,360 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,539 | TotalAmt |
| Program Services | $12,012 | ProgramServicesAmt |
| Management And General | $5,527 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $72,636 | TotalAmt |
| Program Services | $57,143 | ProgramServicesAmt |
| Management And General | $14,915 | ManagementAndGeneralAmt |
| Fundraising | $578 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $61,676 | TotalAmt |
| Program Services | $47,551 | ProgramServicesAmt |
| Management And General | $14,125 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PRESCRIPTION SUPPLIES | $209,394 | $209,394 | |
| LAB DIAGNOSTIC SERVICES | $177,888 | $177,888 | |
| CONSULTANT SERVICES | $135,463 | $122,186 | $13,277 |
| CLINIC & MEDICAL SUPPLIES | $93,141 | $93,141 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $272,341 | TotalAmt |
| Program Services | $196,839 | ProgramServicesAmt |
| Management And General | $72,209 | ManagementAndGeneralAmt |
| Fundraising | $3,293 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,940,357 | TotalAmt |
| Program Services | $3,230,427 | ProgramServicesAmt |
| Management And General | $647,368 | ManagementAndGeneralAmt |
| Fundraising | $62,562 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,179,329 | BOYAmt |
| EOY | $1,450,803 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,845 | BOYAmt |
| EOY | $0 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $501,927 | BOYAmt |
| EOY | $367,174 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $209,521 | BOYAmt |
| EOY | $192,964 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $46,331 | BOYAmt |
| EOY | $52,863 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $64,560 | BOYAmt |
| EOY | $78,707 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $3,450,896 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $2,033,264 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,490,268 | BOYAmt |
| EOY | $1,417,632 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,042,210 | BOYAmt |
| EOY | $1,155,577 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,539,991 | BOYAmt |
| EOY | $4,715,720 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $189,015 | BOYAmt |
| EOY | $219,529 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $441,472 | BOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $630,487 | BOYAmt |
| EOY | $219,529 | 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 | $3,794,925 | BOYAmt |
| EOY | $4,381,612 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $114,579 | BOYAmt |
| EOY | $114,579 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,909,504 | BOYAmt |
| EOY | $4,496,191 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,539,991 | BOYAmt |
| EOY | $4,715,720 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $494,400 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $92,287 | NetUnrlzdGainsLossesInvstAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,654,188 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,650,042 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,682,635 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,196,607 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,311,926 | CurrentTaxYearAmt |
| Total | $9,495,398 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,654,188 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,650,042 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,682,635 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,196,607 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,311,926 | CurrentTaxYearAmt |
| Total | $9,495,398 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $0 | SubstantialContributorsTotAmt |
| Public Support Total170 | $9,495,398 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $17,447 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $20,200 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $22,354 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $18,182 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $26,388 | CurrentTaxYearAmt |
| Total | $104,571 | TotalAmt |
Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $56,123 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $93,148 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $146,441 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $8,554 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $37,387 | CurrentTaxYearAmt |
| Total | $341,653 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $9,941,622 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $8,888,397 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.95510 | PublicSupportCY170Pct |
| Public Support PY170 | 0.95310 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
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 | $1,042,210 | BeginningYearBalanceAmt |
| Contributions | $3,870 | ContributionsAmt |
| Investment Earnings Or Losses | $123,447 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $13,950 | OtherExpendituresAmt |
| End Year Balance | $1,155,577 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $926,310 | BeginningYearBalanceAmt |
| Contributions | $15,370 | ContributionsAmt |
| Investment Earnings Or Losses | $112,097 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $11,567 | OtherExpendituresAmt |
| End Year Balance | $1,042,210 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $766,092 | BeginningYearBalanceAmt |
| Contributions | $20,356 | ContributionsAmt |
| Investment Earnings Or Losses | $149,717 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $9,855 | OtherExpendituresAmt |
| End Year Balance | $926,310 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $797,952 | BeginningYearBalanceAmt |
| Contributions | $19,559 | ContributionsAmt |
| Investment Earnings Or Losses | -$42,213 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $9,204 | OtherExpendituresAmt |
| End Year Balance | $766,094 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $838,814 | BeginningYearBalanceAmt |
| Contributions | $9,119 | ContributionsAmt |
| Investment Earnings Or Losses | $109,218 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $159,199 | OtherExpendituresAmt |
| End Year Balance | $797,952 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Endowments Held Unrelated Org | Yes (true) | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | false | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $182,217 | OtherCostOrOtherBasisAmt |
| Book Value | $182,217 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,201,760 | OtherCostOrOtherBasisAmt |
| Depreciation | $992,152 | DepreciationAmt |
| Book Value | $1,209,608 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $83,722 | OtherCostOrOtherBasisAmt |
| Depreciation | $70,423 | DepreciationAmt |
| Book Value | $13,299 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $983,197 | OtherCostOrOtherBasisAmt |
| Depreciation | $970,689 | DepreciationAmt |
| Book Value | $12,508 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,417,632 | TotalBookValueLandBuildingsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $4,527,044 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $92,287 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | $92,287 | RevenueNotReportedAmt |
| Revenue Subtotal | $4,434,757 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $4,434,757 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $3,940,357 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $3,940,357 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $3,940,357 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Line 4: Intended uses of the endowment fund. | Income generated from these funds can be used to support the Organization's general activities. |
| Part X : FIN48 Footnote | The Organization is generally exempt from federal and state income taxes under Section 501(c)(3) of the Internal Revenue Code. The Organization reviews the components of revenues, gains, and other support and analyzes whether the position that the Organization takes with regard to a particular item of income would meet the definition of an uncertain tax position under GAAP.The Organization files income tax returns in the U.S. federal jurisdiction and New York State jurisdiction. The tax years that remain subject to examination by taxing authorities are generally the previous three years. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Line 11b: Form 990 Review Process | Upon the completion of the preparation of the annual 990 tax return by the Auditing firm appointed by the Board of Directors, the return shall be distributed to a member or members of the Board's Budget and Finance Committee for review.The Director of Finance will be available to respond to any questions raised by the Committee member(s). If necessary or desired by the Committee member(s), the question can also be directed to the Auditing firm for further explanation or clarification. When the Committee member(s) has approved the 990 tax return, it will be filed. |
| Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts | The conflict of interest policy is discussed at initial orientation for staff and board, and then reassessed twice a year as part of the documentation required for state grants. We ask for multiple proposals/bids where possible if and when a board member has a potential or actual interest or gain. In addition, if any board member is involved in any decision making, he or she is asked to recuse themselves. |
| Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management | The salary and benefits of the Chief Executive Officer shall be determined by the Personnel Committee of the Board of Directors by considering other non profit health and human service agencies of a similar budget size and employee count based upon information available in local and national salary surveys. In addition, market availability and work experience shall be taken into consideration. |
| Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees | Senior management positions bound by this policy include the Chief Executive Officer, Director of Clinic Operations, Director of Development, Director of Education, Director of Finance, Director of IT, Director of Human Resources, and Director of Public Communications and Medical Director.Salary ranges for these positions are determined by comparing to the same or similar positions in other non profit health and human service agencies of a similar budget size and employee count based upon information available in local and national salary surveys.In addition, market availability and work experience shall be taken into consideration. For all these positions other than the Chief Executive Officer, such determination shall be made by the Chief Executive Officer, and can be reviewed by the Personnel Committee of the Board of Directors.Employee benefits shall be available to these positions based on the same eligibility requirements as other staff within the agency. |
| Form 990, Part VI, Line 19: Other Organization Documents Publicly Available | Photo copies of governing documents and financial information including annual 990 and 990-T tax returns, excluding those confidential information otherwise protected by law, are available for public inspection upon request.Such public request shall be made in writing and date stamped. Upon receipt of the request, a charge of $0.50/page shall be assessed on the total number of pages of documents to be provided and be communicated to the requesting party by mail within 30 working days. NO information shall be provided without the correct fee received. Upon such receipt, information shall be mailed within a period of no more than 30 working days. |
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