ICIRCLE SERVICES OF THE FINGER LAKES INC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- ICIRCLE SERVICES OF THE FINGER LAKES INC (EIN 46-2602391)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-10
- IRS object ID
- 202233149349302523
- Schema version
- 2021v4.2
- 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 | 2022-11-10T09:49:35-06:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 161226221 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FUST CHARLES CHAMBERS LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5784 WIDEWATERS PARKWAY | AddressLine1Txt |
| City | SYRACUSE | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13214 | 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 | 462602391 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ICIRCLE SERVICES OF THE FINGER | BusinessNameLine1Txt |
| Business Name Line2 | LAKES INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | ICIR | BusinessNameControlTxt |
| Phone | 8444247253 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 860 HARD RD | AddressLine1Txt |
| City | WEBSTER | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14580 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SANKAR SEWNAUTH | PersonNm |
| Person Title | PRESIDENT/CEO | PersonTitleTxt |
| Phone | 8444247253 | PhoneNum |
| Signature | 2022-11-02 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | SANKAR | PersonFirstNm |
| Person Last | SEWNAUTH | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | THOMAS J GIUFRE | PreparerPersonNm |
| PTIN | P00841958 | PTIN |
| Phone | 3154463600 | PhoneNum |
| Preparation | 2022-11-02 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | SANKAR SEWNAUTH | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 860 HARD RD | AddressLine1Txt |
| City | WEBSTER | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14580 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $159,304,874 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.ICIRCLECNY.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2013 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE MEMBERS WITH HIGH-QUALITY HEALTH AND SOCIAL SERVICES THAT ARE CULTURALLY-APPROPRIATE, COMMUNITY-INTEGRATED, AND TAILORED TO THEIR INDIVIDUAL NEEDS, ENSURING A POSITIVE IMPACT ON THEIR PERSONAL HEALTH, LIFESTYLE, AND INDEPENDENCE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 209 | TotalEmployeeCnt |
| Total Volunteers | 13 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,100,759 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,595,000 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $204,396,471 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $156,555,887 | CYProgramServiceRevenueAmt |
| PY Investment Income | $38,625 | PYInvestmentIncomeAmt |
| CY Investment Income | $50,177 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $90,000 | CYOtherRevenueAmt |
| PY Total Revenue | $205,535,855 | PYTotalRevenueAmt |
| CY Total Revenue | $159,291,064 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $21,070 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $7,500 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $16,209,478 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $14,196,222 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $186,778,213 | PYOtherExpensesAmt |
| CY Other Expenses | $112,533,230 | CYOtherExpensesAmt |
| PY Total Expenses | $203,008,761 | PYTotalExpensesAmt |
| CY Total Expenses | $126,736,952 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $2,527,094 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $32,554,112 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $21,004,329 | TotalAssetsBOYAmt |
| Total Assets EOY | $40,072,798 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $49,658,116 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $36,172,473 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$28,653,787 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $3,900,325 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO PROVIDE MEMBERS WITH HIGH-QUALITY HEALTH AND SOCIAL SERVICES THAT ARE CULTURALLY-APPROPRIATE, COMMUNITY-INTEGRATED, AND TAILORED TO THEIR INDIVIDUAL NEEDS, ENSURING A POSITIVE IMPACT ON THEIR PERSONAL HEALTH, LIFESTYLE, AND INDEPENDENCE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $124,609,706 | ExpenseAmt |
| Grant | $7,500 | GrantAmt |
| Revenue | $156,645,887 | RevenueAmt |
| Desc | MANAGED LONG TERM CARE INSURANCE - 4,511 INDIVIDUALS SERVED IN 2021. | Desc |
| Total Program Service Expenses | $124,609,706 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 300 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 209 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE ORGANIZATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8444247253 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 860 HARD RD | AddressLine1Txt |
| City | WEBSTER | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14580 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| GREGORY GRIBBEN | ||||||||
| BOARD CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JENNIFER CARLSON | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| RICHARD YARMEL | ||||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| MARK PETERSON | ||||||||
| BOARD CHAIR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ROBERT RELPH | ||||||||
| BOARD VICE CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| TIM THANEY | ||||||||
| VICE CHAIR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| WARREN HERN | ||||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| PIERRE GIRGIS MD | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| EDWARD MYERS HAYES | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ANDY LOPEZ-WILLIAMS | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| RENE SNYDER | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| SY ZIELINSKI | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| DARYL TIFFIN | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| SHARON MARBLE | ||||||||
| COO | 40.00 | Yes (X) | $250,656 | $0 | $17,999 | |||
| SANKAR SEWNAUTH | ||||||||
| PRESIDENT | 27.00 | Yes (X) | $0 | $810,428 | $18,806 | 13.00 | ||
| RICHARD FERRARI | ||||||||
| CFO | 40.00 | Yes (X) | $0 | $40,067 | $2,436 | |||
| DR JOEL HAAS | ||||||||
| CHIEF MEDICAL OFFICER | 40.00 | Yes (X) | $364,450 | $0 | $1,331 | |||
| MARK CURLETTA | ||||||||
| EVP FINANCE ADMINISTRATION | 40.00 | Yes (X) | $0 | $267,002 | $17,485 | |||
| MARK TRAMMEL | ||||||||
| CFO | 40.00 | Yes (X) | $265,160 | $0 | $5,767 | |||
| HUI CAI | ||||||||
| MEDICAL DIRECTOR | 40.00 | $153,192 | $0 | $21,793 | Yes (X) | |||
| ANDREA VALK | ||||||||
| VP OF GOVERNMENT RELATIONS | 40.00 | $137,145 | $0 | $9,939 | Yes (X) | |||
| TONI BEARDSLEY | ||||||||
| DIRECTOR OF REVENUE AND CLAIMS MANAGEMENT | 40.00 | $111,692 | $0 | $1,331 | Yes (X) | |||
| SARAH FITZWATER | ||||||||
| DIRECTOR OF CLINICAL OPERATIONS | 40.00 | $101,293 | $0 | $24,401 | Yes (X) | |||
| DIANE FREDERICO | ||||||||
| VP OF QUALITY & COMPLIANCE | 40.00 | $100,296 | $0 | $16,156 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,483,884 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,117,497 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $137,444 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 9 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| FREEDOM CARE LLC | |||||
| 1979 MARCUS AVENUE SUITE C-115 | LAKE SUCCESS | NY | 11042 | PROVIDER OF SERVICES TO MEMBERS | $8,596,118 |
| ELITE CHOICE LLC | |||||
| 1967 MCDONALD AVENUE | BROOKLYN | NY | 112231805 | PROVIDER OF SERVICES TO MEMBERS | $8,404,981 |
| BURD HOME HEALTH LLC | |||||
| 274 N GOODMAN STREET SUITE A403 | ROCHESTER | NY | 14607 | PROVIDER OF SERVICES TO MEMBERS | $4,500,574 |
| ANGELS IN YOUR HOME | |||||
| 1495 LAKE AVE | ROCHESTER | NY | 14615 | PROVIDER OF SERVICES TO MEMBERS | $4,472,527 |
| MAXIM OF NEW YORK LLC | |||||
| 7227 LEE DEFOREST DRIVE | COLUMBIA | MD | 21046 | PROVIDER OF SERVICES TO MEMBERS | $3,462,112 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 65 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $2,595,000 | GovernmentGrantsAmt |
| Total Contributions | $2,595,000 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEDICAID PREMIUM REVENUE | 524114 | $154,212,601 | $154,212,601 |
| SPENDDOWN AND NAMI | 524114 | $2,274,797 | $2,274,797 |
| MANAGEMENT SERVICES REVENUE | 561000 | $68,489 | $68,489 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $156,555,887 | TotalProgramServiceRevenueAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $63,987 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $13,810 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $50,177 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $50,177 | TotalRevenueColumnAmt |
| Exclusion | $50,177 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | SETTLEMENT INCOME | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $90,000 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $90,000 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $90,000 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $159,291,064 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $156,645,887 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $50,177 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,500 | TotalAmt |
| Program Services | $7,500 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $905,361 | TotalAmt |
| Program Services | $878,200 | ProgramServicesAmt |
| Management And General | $27,161 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,655,958 | TotalAmt |
| Program Services | $10,618,568 | ProgramServicesAmt |
| Management And General | $37,390 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $172,916 | TotalAmt |
| Program Services | $167,729 | ProgramServicesAmt |
| Management And General | $5,187 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,625,156 | TotalAmt |
| Program Services | $1,577,214 | ProgramServicesAmt |
| Management And General | $47,942 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $836,831 | TotalAmt |
| Program Services | $811,726 | ProgramServicesAmt |
| Management And General | $25,105 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,162,369 | TotalAmt |
| Program Services | $843,324 | ProgramServicesAmt |
| Management And General | $1,319,045 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,603 | TotalAmt |
| Management And General | $39,603 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $67,680 | TotalAmt |
| Management And General | $67,680 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $288,011 | TotalAmt |
| Program Services | $56,680 | ProgramServicesAmt |
| Management And General | $231,331 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $463,979 | TotalAmt |
| Program Services | $454,699 | ProgramServicesAmt |
| Management And General | $9,280 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,405,944 | TotalAmt |
| Program Services | $2,405,944 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $233,070 | TotalAmt |
| Program Services | $230,739 | ProgramServicesAmt |
| Management And General | $2,331 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $69,336 | TotalAmt |
| Program Services | $68,858 | ProgramServicesAmt |
| Management And General | $478 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $231,651 | TotalAmt |
| Program Services | $231,651 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $114,812 | TotalAmt |
| Program Services | $114,240 | ProgramServicesAmt |
| Management And General | $572 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $87,108 | TotalAmt |
| Management And General | $87,108 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL EXPENSES | $105,063,901 | $105,063,901 | |
| BAD DEBT EXPENSE | $890,912 | $890,912 | |
| OTHER | $164,501 | $100,074 | $64,427 |
| EQUIPMENT RENTAL AND MA | $60,403 | $60,403 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $189,950 | TotalAmt |
| Program Services | $27,344 | ProgramServicesAmt |
| Management And General | $162,606 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $126,736,952 | TotalAmt |
| Program Services | $124,609,706 | ProgramServicesAmt |
| Management And General | $2,127,246 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,939,388 | BOYAmt |
| EOY | $26,592,602 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,170,780 | BOYAmt |
| EOY | $5,735,166 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $76,373 | BOYAmt |
| EOY | $55,864 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $723,060 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $609,965 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $241,717 | BOYAmt |
| EOY | $113,095 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,576,071 | BOYAmt |
| EOY | $7,576,071 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,004,329 | BOYAmt |
| EOY | $40,072,798 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,660,030 | BOYAmt |
| EOY | $21,997,068 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,998,086 | BOYAmt |
| EOY | $14,175,405 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $49,658,116 | BOYAmt |
| EOY | $36,172,473 | 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 | -$28,653,787 | BOYAmt |
| EOY | $3,900,325 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$28,653,787 | BOYAmt |
| EOY | $3,900,325 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,004,329 | BOYAmt |
| EOY | $40,072,798 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $32,554,112 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $948,331 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $100,000 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $145,349 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,100,759 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,685,000 | CurrentTaxYearAmt |
| Total | $4,979,439 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $89,412,457 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $128,898,858 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $186,540,970 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $204,435,096 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $156,555,887 | CurrentTaxYearAmt |
| Total | $765,843,268 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $90,360,788 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $128,998,858 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $186,686,319 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $205,535,855 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $159,240,887 | CurrentTaxYearAmt |
| Total | $770,822,707 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $770,822,707 | PublicSupportTotal509Amt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $90,000 | CurrentTaxYearAmt |
| Total | $90,000 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $90,360,788 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $128,998,858 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $186,686,319 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $205,535,855 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $159,330,887 | CurrentTaxYearAmt |
| Total | $770,912,707 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99990 | PublicSupportCY509Pct |
| Public Support PY509 | 1.00000 | PublicSupportPY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $181,627 | OtherCostOrOtherBasisAmt |
| Depreciation | $169,371 | DepreciationAmt |
| Book Value | $12,256 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $203,254 | OtherCostOrOtherBasisAmt |
| Depreciation | $176,278 | DepreciationAmt |
| Book Value | $26,976 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $338,179 | OtherCostOrOtherBasisAmt |
| Depreciation | $264,316 | DepreciationAmt |
| Book Value | $73,863 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $113,095 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | RESTRICTED DEPOSITS | Desc |
| Book Value | $7,576,071 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $7,576,071 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| UNSECURED NOTE PAYABLE TO RELATED PARTY | $8,990,040 |
| DUE TO RELATED PARTIES, NET | $185,365 |
| DUE TO NEW YORK STATE | $5,000,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $14,175,405 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $159,291,064 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $159,291,064 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $159,291,064 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $126,736,952 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $126,736,952 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $126,736,952 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | ICIRCLE IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (CODE) AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. AS OF DECEMBER 31, 2021 AND 2020, ICIRCLE DID NOT HAVE ANY UNRECOGNIZED TAX BENEFITS OR ANY RELATED ACCRUED INTEREST OR PENALTIES. THE TAX YEARS OPEN TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES ARE 2018 THROUGH 2021. ICIRCLE DOES NOT ANTICIPATE ANY UNRECOGNIZED TAX BENEFITS TO CHANGE IN THE NEXT TWELVE MONTHS. | ExplanationTxt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | 0 | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CDS WOLF FOUNDATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 860 HARD RD | AddressLine1Txt |
| City | WEBSTER | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14580 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 204311706 | RecipientEIN |
| IRC Section | 3 | IRCSectionDesc |
| Cash Grant | $7,500 | CashGrantAmt |
| Non Cash Assistance | $0 | NonCashAssistanceAmt |
| Purpose Of Grant | ASSISTANCE WITH FUNDRAISING AND INVESTMENT ACTIVITIES | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SANKAR SEWNAUTH | ||||||||||||||
| PRESIDENT | $0 | $514,177 | $0 | $218,425 | $0 | $77,826 | $0 | $1,331 | $0 | $17,475 | $0 | $829,234 | $0 | $0 |
| DR JOEL HAAS | ||||||||||||||
| CHIEF MEDICAL OFFICER | $292,948 | $0 | $57,787 | $0 | $13,715 | $0 | $1,331 | $0 | $0 | $0 | $365,781 | $0 | $0 | $0 |
| MARK CURLETTA | ||||||||||||||
| EVP FINANCE ADMINISTRATION | $0 | $81,136 | $0 | $50,538 | $0 | $135,328 | $0 | $512 | $0 | $16,973 | $0 | $284,487 | $0 | $0 |
| MARK TRAMMEL | ||||||||||||||
| CFO | $190,129 | $0 | $60,310 | $0 | $14,721 | $0 | $0 | $0 | $5,767 | $0 | $270,927 | $0 | $0 | $0 |
| SHARON MARBLE | ||||||||||||||
| COO | $194,316 | $0 | $39,142 | $0 | $17,198 | $0 | $1,331 | $0 | $16,668 | $0 | $268,655 | $0 | $0 | $0 |
| HUI CAI | ||||||||||||||
| MEDICAL DIRECTOR | $153,037 | $0 | $50 | $0 | $105 | $0 | $666 | $0 | $21,127 | $0 | $174,985 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINES 4A-B | FormAndLineReferenceDesc |
| Explanation | MARK TRAMMEL WAS THE CFO THROUGH 11/21/2021, UPON HIS DEPARTURE HE WAS PAID A SEVERANCE OF $9,232. MARK CURLETTA WAS THE INTERIM CFO THROUGH 2/2021, UPON HIS DEPARTURE HE WAS PAID A SEVERANCE OF $116,923. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | A COPY OF THE ORGANIZATION'S FINAL FORM 990 WAS PROVIDED IN ELECTRONIC FORM TO EACH VOTING MEMBER OF THE ORGANIZATION'S BOARD OF DIRECTORS PRIOR TO FILING THE FORM. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH ITS WRITTEN CONFLICT OF INTEREST POLICY BY REQUIRING ALL EMPLOYEES, VOLUNTEERS, CONSULTANTS, AND BOARD MEMBERS UPON JOINING THE ORGANIZATION AND ANNUALLY THEREAFTER TO REVIEW, COMPLETE AND SIGN A CONFLICT OF INTEREST DISCLOSURE STATEMENT TO REPORT AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST. REPORTS OF ACTUAL OR POTENTIAL CONFLICTS OF INTEREST ARE REPORTED TO THE DIRECTOR OF QA, THE EXECUTIVE TEAM, OR TO THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS FOR RESOLUTION, AS NEEDED. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE ORGANIZATION USES A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSUTANT, COMPENSATION SURVEYS, WRITTEN EMPLOYMENT CONTRACTS, AND APPROVAL BY THE BOARD OF DIRECTORS TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S OFFICERS AND KEY EMPLOYEES. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART XII, LINE 2C: | THERE HAS BEEN NO CHANGE IN THE PROCESS BY WHICH THE ORGANIZATION OVERSEES ITS AUDIT OR THE PROCESS BY WHICH THE ORGANIZATION SELECTS ITS INDEPENDENT ACCOUNTANT. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (16 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| CDS MONARCH INC | |||||||||||
| 860 HARD ROAD | WEBSTER | NY | 14580 | 161089115 | PROVIDES SERVICES TO DEVELOPMENTALLY DISABLED PERSONS OF ALL AGES | NY | 501(C)(3) | LINE 7 | N/A | 0 | |
| CDS WOLF FOUNDATION INC | |||||||||||
| 860 HARD ROAD | WEBSTER | NY | 14580 | 204311706 | SUPPORTS CHARITABLE ACTIVITIES | NY | 501(C)(3) | LINE 12A I | 0 | CDS MONARCH INC | |
| JNG INC | |||||||||||
| 860 HARD ROAD | WEBSTER | NY | 14580 | 201950813 | PROVIDES HOUSING FOR DISABLED ADULTS | NY | 501(C)(3) | LINE 12A I | 0 | CDS MONARCH INC | |
| CDS HOUSING DEVELOPMENT FUND CORPORATION INC | |||||||||||
| 860 HARD ROAD | WEBSTER | NY | 14580 | 161425111 | PROVIDES HOUSING FOR DISABLED ADULTS | NY | 501(C)(3) | LINE 12A I | 0 | CDS MONARCH INC | |
| CONFAC GROUP HOMES INC | |||||||||||
| 860 HARD ROAD | WEBSTER | NY | 14580 | 222342953 | PROVIDES HOUSING FOR DISABLED ADULTS | NY | 501(C)(3) | LINE 12A I | 0 | CDS MONARCH INC | |
| MSL HOUSING DEVELOPMENT FUND CORPORATION INC | |||||||||||
| 860 HARD ROAD | WEBSTER | NY | 14580 | 273407765 | PROVIDES HOUSING TO PERSONS OF LOW INCOME | NY | 501(C)(3) | LINE 12A I | 0 | CDS MONARCH INC | |
| CDS MSL HARD ROAD 1 HOUSING DEVELOPMENT FUND CO INC | |||||||||||
| 860 HARD ROAD | WEBSTER | NY | 14580 | 465005617 | PROVIDES HOUSING TO PERSONS OF LOW INCOME | NY | 501(C)(3) | LINE 12A I | 0 | CDS MONARCH INC | |
| CDS LIFE TRANSITIONS INC | |||||||||||
| 860 HARD ROAD | WEBSTER | NY | 14580 | 475672694 | PROVIDE MANAGEMENT AND OTHER GENERAL SERVICES TO CDS ENTITIES | NY | 501(C)(3) | LINE 12B II | N/A | 0 | |
| WARRIOR SALUTE VETERAN SERVICES INC | |||||||||||
| 860 HARD ROAD | WEBSTER | NY | 14580 | 810683003 | PROVIDES VETERAN SERVICES | NY | 501(C)(3) | LINE 7 | 0 | CDS LIFE TRANSITIONS INC | |
| LTR HOUSING CORPORATION INC | |||||||||||
| 860 HARD ROAD | WEBSTER | NY | 14580 | 161605654 | PROVIDES HOUSING FOR DISABLED ADULTS | NY | 501(C)(3) | LINE 12A I | 0 | CDS MONARCH INC | |
| CDS MSL HARD ROAD 2 HOUSING DEVELOPMENT FUND CO INC | |||||||||||
| 860 HARD ROAD | WEBSTER | NY | 14580 | 822406389 | PROVIDES HOUSING TO PERSONS OF LOW INCOME | NY | 501(C)(3) | LINE 12A I | 0 | CDS LIFE TRANSITIONS INC | |
| CDS ELMIRA SENIOR LIVING HOUSING DEVELOPMENT FUND CO INC | |||||||||||
| 860 HARD ROAD | WEBSTER | NY | 14580 | 384044548 | PROVIDES HOUSING TO PERSONS OF LOW INCOME | NY | 501(C)(3) | LINE 12A I | 0 | CDS LIFE TRANSITIONS INC | |
| CDS CICERO SENIOR LIVING HOUSING DEVELOPMENT FUND CO INC | |||||||||||
| 860 HARD ROAD | WEBSTER | NY | 14580 | 371904586 | PROVIDES HOUSING TO PERSONS OF LOW INCOME | NY | 501(C)(3) | LINE 12A I | 0 | CDS LIFE TRANSITIONS INC | |
| CDS CLIFFORD AVE HDFC INC | |||||||||||
| 860 HARD ROAD | WEBSTER | NY | 14580 | 853773697 | PROVIDES HOUSING TO PERSONS OF LOW INCOME | NY | 501(C)(3) | LINE 12A I | 0 | CDS LIFE TRANSITIONS INC | |
| MONARCH COMMONS HOUSING DEVELOPMENT FUND CO INC | |||||||||||
| 860 HARD ROAD | WEBSTER | NY | 14580 | 871319947 | PROVIDES HOUSING TO PERSONS OF LOW INCOME | NY | 501(C)(3) | LINE 12A I | 0 | CDS LIFE TRANSITIONS INC | |
| CDS BUFFALO 78 HOUSING DEVELOPMENT FUND CO INC | |||||||||||
| 860 HARD ROAD | WEBSTER | NY | 14580 | 871114754 | PROVIDES HOUSING TO PERSONS OF LOW INCOME | NY | 501(C)(3) | LINE 12A I | 0 | CDS LIFE TRANSITIONS INC | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (8 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Predominant Income TypePredominantIncomeTypeTxt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|---|
| MONARCH SENIOR LIVING LP | ||||||||||
| 840 HOLT ROAD | WEBSTER | NY | 14580 | 275336936 | PROVIDES HOUSING TO PERSONS OF LOW INCOME | NY | N/A | N/A | 0 | 0 |
| CDS MONARCH SENIOR LIVING HARD ROAD I LLC | ||||||||||
| 860 HARD ROAD | WEBSTER | NY | 14580 | 320432300 | PROVIDES HOUSING TO PERSONS OF LOW INCOME | NY | N/A | N/A | 0 | 0 |
| CDS ELMIRA SENIOR LIVING LLC HOUSING | ||||||||||
| 860 HARD ROAD | WEBSTER | NY | 14580 | 611850530 | PROVIDES HOUSING TO PERSONS OF LOW INCOME | NY | N/A | N/A | 0 | 0 |
| CDS MSL HARD ROAD 2 LLC | ||||||||||
| 860 HARD ROAD | WEBSTER | NY | 14580 | 822343017 | PROVIDES HOUSING TO PERSONS OF LOW INCOME | NY | N/A | N/A | 0 | 0 |
| CDS CICERO SENIOR HOUSING LLC | ||||||||||
| 860 HARD ROAD | WEBSTER | NY | 14580 | 320573193 | PROVIDES HOUSING TO PERSONS OF LOW INCOME | NY | N/A | N/A | 0 | 0 |
| CDS CLIFFORD AVE LLC | ||||||||||
| 860 HARD ROAD | WEBSTER | NY | 14580 | 853459772 | PROVIDES HOUSING TO PERSONS OF LOW INCOME | NY | N/A | N/A | 0 | 0 |
| MONARCH COMMONS LLC | ||||||||||
| 860 HARD ROAD | WEBSTER | NY | 14580 | 863890321 | PROVIDES HOUSING TO PERSONS OF LOW INCOME | NY | N/A | N/A | 0 | 0 |
| CDS BUFFALO 78 LLC | ||||||||||
| 860 HARD ROAD | WEBSTER | NY | 14580 | 863933642 | PROVIDES HOUSING TO PERSONS OF LOW INCOME | NY | N/A | N/A | 0 | 0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (8 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| MONARCH SENIOR LIVING GP INC | |||||||||
| 860 HARD ROAD | WEBSTER | NY | 14580 | 275336675 | PROVIDES HOUSING TO PERSONS OF LOW INCOME | NY | CDS MONARCH INC | C | 0 |
| CDS MSL MM LLC | |||||||||
| 860 HARD ROAD | WEBSTER | NY | 14580 | 464688864 | PROVIDES HOUSING TO PERSONS OF LOW INCOME | NY | CDS MONARCH INC | C | 0 |
| CDS ELMIRA SENIOR LIVING MM LLC | |||||||||
| 860 HARD ROAD | WEBSTER | NY | 14580 | 352600011 | PROVIDES HOUSING TO PERSONS OF LOW INCOME | NY | CDS LIFE TRANSITIONS INC | C | 0 |
| CDS MSL MM 2 LLC | |||||||||
| 860 HARD ROAD | WEBSTER | NY | 14580 | 352601222 | PROVIDES HOUSING TO PERSONS OF LOW INCOME | NY | CDS LIFE TRANSITIONS INC | C | 0 |
| CDS CICERO SENIOR LIVING MM LLC | |||||||||
| 860 HARD ROAD | WEBSTER | NY | 14580 | 384087568 | PROVIDES HOUSING TO PERSONS OF LOW INCOME | NY | CDS LIFE TRANSITIONS INC | C | 0 |
| CDS CLIFFORD AVE MM LLC | |||||||||
| 860 HARD ROAD | WEBSTER | NY | 14580 | 853479946 | PROVIDES HOUSING TO PERSONS OF LOW INCOME | NY | CDS LIFE TRANSITIONS INC | C | 0 |
| MONARCH COMMONS MM LLC | |||||||||
| 860 HARD ROAD | WEBSTER | NY | 14580 | 863905706 | PROVIDES HOUSING TO PERSONS OF LOW INCOME | NY | CDS LIFE TRANSITIONS INC | C | 0 |
| CDS BUFFALO 78 MM LLC | |||||||||
| 860 HARD ROAD | WEBSTER | NY | 14580 | 863962028 | PROVIDES HOUSING TO PERSONS OF LOW INCOME | NY | CDS LIFE TRANSITIONS INC | C | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | Yes (1) | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
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