RURAL HEALTH NETWORK OF SCNY INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
RURAL HEALTH NETWORK OF SCNY INC (EIN 22-3568461)
Tax period
2021-07-01 to 2022-06-30
Filed
2022-11-14
IRS object ID
202203189349304105
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

FieldValueIRS element (for citing)
Return2022-11-14T07:35:37-08:00ReturnTs
Tax Period End2022-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN160919630PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Johnson Lauder & Savidge LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12 Court Street 2nd FloorAddressLine1Txt
CityBinghamtonCityNm
State AbbreviationNYStateAbbreviationCd
ZIP13901ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN223568461EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE RURAL HEALTH NETWORK OF SCNY INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlRURABusinessNameControlTxt
Phone6076927669PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1455 COURT STREETAddressLine1Txt
CityBINGHAMTONCityNm
State AbbreviationNYStateAbbreviationCd
ZIP13904ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLISANNE BOBBYPersonNm
Person TitlePresidentPersonTitleTxt
Signature2022-11-14SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstLISANNEPersonFirstNm
Person LastBOBBYPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKaylin M ZenzelPreparerPersonNm
PTINP01720657PTIN
Phone6077238216PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
Federated Assurance LevelFAL1FederatedAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

US Address USAddress

FieldValueIRS element (for citing)
Address Line1455 COURT STREETAddressLine1Txt
CityBINGHAMTONCityNm
State AbbreviationNYStateAbbreviationCd
ZIP13904ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$2,339,333GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresshttps://rhnscny.org/WebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1998FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionThe Rural Health Network of SCNY, Inc's mission is to advance the health and well-being of rural people and communities. The Agency accomplishes this through five major programs: (1) Community Health Services - Ensuring access to affordable, quality healthcare and support services by helping individuals access and navigate the health care system, (2) The Food and Health Network - work to increase the consumption of healthy, locally grown food throughout the region, (3) Getthere - Program serves five counties and operates a transportation information and assistance call center that works to help those with transportation needs to find workable, affordable solutions, (4) Rural Health Planning, Education and Technical Assistance - work at the local and regional level to provide assistance with health related needs assessments, planning and project implementation. Also working to reduce health disparities and improve health outcomes across the region. (5) Rural Health Service Corps - ProviActivityOrMissionDesc
Voting Members Governing Body23VotingMembersGoverningBodyCnt
Voting Members Independent23VotingMembersIndependentCnt
Total Employee73TotalEmployeeCnt
Total Volunteers25TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$2,149,273PYContributionsGrantsAmt
CY Contributions Grants$2,130,936CYContributionsGrantsAmt
PY Program Service Revenue$316,902PYProgramServiceRevenueAmt
CY Program Service Revenue$133,093CYProgramServiceRevenueAmt
PY Investment Income$1,621PYInvestmentIncomeAmt
CY Investment Income$7,142CYInvestmentIncomeAmt
PY Other Revenue$265,737PYOtherRevenueAmt
CY Other Revenue$68,162CYOtherRevenueAmt
PY Total Revenue$2,733,533PYTotalRevenueAmt
CY Total Revenue$2,339,333CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,348,720PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,449,924CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$52,064CYTotalFundraisingExpenseAmt
PY Other Expenses$952,579PYOtherExpensesAmt
CY Other Expenses$998,099CYOtherExpensesAmt
PY Total Expenses$2,301,299PYTotalExpensesAmt
CY Total Expenses$2,448,023CYTotalExpensesAmt
PY Revenues Less Expenses$432,234PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$108,690CYRevenuesLessExpensesAmt
Total Assets BOY$2,100,168TotalAssetsBOYAmt
Total Assets EOY$2,345,985TotalAssetsEOYAmt
Total Liabilities BOY$598,036TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,025,960TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,502,132NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,320,025NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionThe Rural Health Network of SCNY, Inc's mission is to advance the health and well-being of rural people and communities. The Agency accomplishes this through five major programs: (1) Community Health Services - Ensuring access to affordable, quality healthcare and support services by helping individuals access and navigate the health care system, (2) The Food and Health Network - work to increase the consumption of healthy, locally grown food throughout the region, (3) Getthere - Program serves five counties and operates a transportation information and assistance call center that works to help those with transportation needs to find workable, affordable solutions, (4) Rural Health Planning, Education and Technical Assistance - work at the local and regional level to provide assistance with health related needs assessments, planning and project implementation. Also working to reduce health disparities and improve health outcomes across the region. (5) Rural Health Service Corps - ProviMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$800,800ExpenseAmt
Revenue$51,631RevenueAmt
DescGetthere - Program serves five counties and operates a transportation information and assistance call center that works to help those with transportation needs to find workable, affordable solutions.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$471,664ExpenseAmt
DescCommunity Health Education (including Planning and Technical Assistance) - work at the local and regional level to provide assistance with health related needs assessments, planning and project implementation. Also working to reduce health disparities and improve health outcomes across the region.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$374,391ExpenseAmt
Revenue$500RevenueAmt
DescThe Food and Health Network - work to increase the consumption of healthy, locally grown food throughout the region.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$378,538TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$91,333TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$2,025,393TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
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 LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
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 RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemYes (true)BusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document15IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee73EmployeeCnt
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
Form8282 Filed0Form8282FiledCnt
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 Members23GoverningBodyVotingMembersCnt
Independent Voting Member23IndependentVotingMemberCnt
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 OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonMARK BORDEAUPersonNm
Phone6076927669PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1455 COURT STREETAddressLine1Txt
CityBINGHAMTONCityNm
State AbbreviationNYStateAbbreviationCd
ZIP13904ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
Mark Bordeau
Executive Dir.40.000.00Yes (X)$39,077$0$0
Katherine Young
Secretary0.750.00Yes (X)$0$0$0Yes (X)
Natalie Brubaker
Director0.750.00$0$0$0Yes (X)
Kelly Ames
Director0.750.00$0$0$0Yes (X)
Lynne Esquivel
Director0.750.00$0$0$0Yes (X)
LENORE BORIS
Director0.750.00$0$0$0Yes (X)
Adam Hughes
Director0.750.00$0$0$0Yes (X)
Shelly Bartow
Treasurer0.750.00Yes (X)$0$0$0Yes (X)
LISANNE BOBBY
President0.750.00Yes (X)$0$0$0Yes (X)
Cathleen McLachlan
Director0.750.00$0$0$0Yes (X)
TAMIE REED
Director0.750.00$0$0$0Yes (X)
Melissa Klinko
Director0.750.00$0$0$0Yes (X)
Brendan O'Bryan
Director0.750.00$0$0$0Yes (X)
Josephine Anderson Robles
Director0.750.00$0$0$0Yes (X)
Tamara Phams
Director0.750.00$0$0$0Yes (X)
SANDRA SANZO
Director0.750.00$0$0$0Yes (X)
BETH SARONEY PARO
Director0.750.00$0$0$0Yes (X)
David Reynolds
Director0.750.00$0$0$0Yes (X)
Deborah Blakeney
Director0.750.00$0$0$0Yes (X)
Rick Boland
Vice President0.750.00Yes (X)$0$0$0Yes (X)
Paula Brown
Director0.750.00$0$0$0Yes (X)
James Skiff
Director0.750.00$0$0$0Yes (X)
Christine Shaver
Director0.750.00$0$0$0Yes (X)
Meghan Staring
Director0.750.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$39,077TotalReportableCompFromOrgAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Government Grants$1,266,546GovernmentGrantsAmt
All Other Contributions$864,390AllOtherContributionsAmt
Total Contributions$2,130,936TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
LOCAL MATCH - HOST AGENCY$101,711$101,711
Fee for Service - CCN$31,382$31,382
FieldValueIRS element (for citing)
Total Program Service Revenue$133,093TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,142TotalRevenueColumnAmt
Exclusion$7,142ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
In-Kinds Services/Space$58,213$58,213
Miscellaneous Income$9,949$9,949
FieldValueIRS element (for citing)
Other Revenue Total$68,162OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,339,333TotalRevenueColumnAmt
Related Or Exempt Func Income$201,255RelatedOrExemptFuncIncomeAmt
Exclusion$7,142ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$81,783TotalAmt
Management And General$77,694ManagementAndGeneralAmt
Fundraising$4,089FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$1,116,417TotalAmt
Program Services$923,417ProgramServicesAmt
Management And General$156,539ManagementAndGeneralAmt
Fundraising$36,461FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$251,724TotalAmt
Program Services$181,990ProgramServicesAmt
Management And General$60,024ManagementAndGeneralAmt
Fundraising$9,710FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$3,075TotalAmt
Program Services$2,964ProgramServicesAmt
Management And General$101ManagementAndGeneralAmt
Fundraising$10FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$42,010TotalAmt
Program Services$40,497ProgramServicesAmt
Management And General$1,377ManagementAndGeneralAmt
Fundraising$136FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$1,669TotalAmt
Management And General$1,669ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$46,715TotalAmt
Program Services$46,167ProgramServicesAmt
Management And General$539ManagementAndGeneralAmt
Fundraising$9FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$17,637TotalAmt
Program Services$15,949ProgramServicesAmt
Management And General$1,483ManagementAndGeneralAmt
Fundraising$205FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,400TotalAmt
Program Services$1,410ProgramServicesAmt
Management And General$981ManagementAndGeneralAmt
Fundraising$9FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$15,609TotalAmt
Program Services$14,914ProgramServicesAmt
Management And General$695ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$31,801TotalAmt
Management And General$31,801ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$29,810TotalAmt
Program Services$29,652ProgramServicesAmt
Fundraising$158FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
PROGRAM CONSULTING$529,303$500,700$28,058$545
TRAINING & SEMINARS$163,008$160,747$2,199$62
Utilities$50,476$29,631$20,662$183
DUES & SUBSCRIPTIONS$39,826$36,849$2,788$189

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$24,760TotalAmt
Program Services$40,506ProgramServicesAmt
Management And General-$16,044ManagementAndGeneralAmt
Fundraising$298FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$2,448,023TotalAmt
Program Services$2,025,393ProgramServicesAmt
Management And General$370,566ManagementAndGeneralAmt
Fundraising$52,064FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$726,214BOYAmt
EOY$327,248EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$102,774BOYAmt
EOY$17,423EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$717,216BOYAmt
EOY$548,751EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$29,022BOYAmt
EOY$29,949EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$681,598LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$176,932LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$517,967BOYAmt
EOY$504,666EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
EOY$913,421EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$6,975BOYAmt
EOY$4,527EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,100,168BOYAmt
EOY$2,345,985EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$25,297BOYAmt
EOY$115,924EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$488,462BOYAmt
EOY$843,389EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$84,277BOYAmt
EOY$66,647EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$598,036BOYAmt
EOY$1,025,960EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,444,047BOYAmt
EOY$1,255,699EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$58,085BOYAmt
EOY$64,326EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,502,132BOYAmt
EOY$1,320,025EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,100,168BOYAmt
EOY$2,345,985EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$108,690ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$73,417NetUnrlzdGainsLossesInvstAmt
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)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,408,118CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,621,042CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,757,254CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,755,273CurrentTaxYearMinus1YearAmt
Current Tax Year$2,130,936CurrentTaxYearAmt
Total$8,672,623TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,408,118CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,621,042CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,757,254CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,755,273CurrentTaxYearMinus1YearAmt
Current Tax Year$2,130,936CurrentTaxYearAmt
Total$8,672,623TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$0SubstantialContributorsTotAmt
Public Support Total170$8,672,623PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$57CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$179CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,576CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,621CurrentTaxYearMinus1YearAmt
Current Tax Year$7,142CurrentTaxYearAmt
Total$11,575TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,583CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$50,836CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$53,425CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$265,737CurrentTaxYearMinus1YearAmt
Current Tax Year$68,162CurrentTaxYearAmt
Total$439,743TotalAmt
FieldValueIRS element (for citing)
Total Support$9,123,941TotalSupportAmt
Gross Receipts Rltd Activities$2,104,987GrossReceiptsRltdActivitiesAmt
Public Support CY1700.95050PublicSupportCY170Pct
Public Support PY1700.95390PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$40,000OtherCostOrOtherBasisAmt
Book Value$40,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$428,594OtherCostOrOtherBasisAmt
Depreciation$19,593DepreciationAmt
Book Value$409,001BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$72,221OtherCostOrOtherBasisAmt
Depreciation$50,598DepreciationAmt
Book Value$21,623BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$140,783OtherCostOrOtherBasisAmt
Depreciation$106,741DepreciationAmt
Book Value$34,042BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$504,666TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
ACCRUED COMPENSATED ABSENCES$39,552
ACCRUED PAYROLL$24,648
PAYROLL LIABILITIES$2,447
FieldValueIRS element (for citing)
Total Liability$66,647TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$2,264,247TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$73,417NetUnrealizedGainsInvstAmt
Revenue Not Reported-$73,417RevenueNotReportedAmt
Revenue Subtotal$2,337,664RevenueSubtotalAmt
Investment Expenses Not Incld$1,669InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$1,669RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$2,339,333TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$2,446,354TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$2,446,354ExpensesSubtotalAmt
Investment Expenses Not Incld2$1,669InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt$1,669ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$2,448,023TotalExpensesPerForm990Amt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonJohn SaloPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionFormer Exec DireRelationshipDescriptionTxt
Transaction$21,494TransactionAmt
TransactionConsultant in FY2022TransactionDesc
Sharing Of RevenuesfalseSharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, Line 4d: Other Program Services DescriptionOTHER PROGRAM SERVICES 4: Community Health Services - Ensuring access to affordable, quality healthcare and support services by helping individuals access and navigate the health care system, OTHER PROGRAM SERVICES 5: Rural Health Service Corps - Provide individuals with opportunities to serve their community for up to one year. Focuses on placements and initiatives that support community and individual health. OTHER PROGRAM SERVICES 6: Management and General OTHER PROGRAM SERVICES 7: In-Kind Services included in program expenses
Form 990, Part VI, Line 11b: Form 990 Review ProcessA draft copy of the Form 990 is presented to the Board for their review and approval. Upon acceptance the President/Treasurer are authorized to sign the applicable Federal and state filings.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsThe Agency mandates that all Board of Directors and key employees complete a disclosure statement regarding Conflict of Interest annually and more frequently, if warranted.
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesThe President/Executive Committee are responsible to review the performance of the Executive Director. Increases are also subject to control of the approved annual operating budget.
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableThe Agency makes all applicable documents available through the following: inspection at local office, providing copies upon request and posting on Guidestar and NYS Charities websites.

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