2022-10-31T13:38:24-05:00 2021-12-31 160929175 DOPKINS & COMPANY LLP 200 INTERNATIONAL DR BUFFALO NY 142215794 990 2021-01-01 161019944 MENTAL HEALTH SERVICES OF ERIE COUNTY SE CORP V MENT 7166622040 227 THORN AVENUE PO BOX 631 ORCHARD PARK NY 141270631 NICHOLAS JEROME CFO 7166622040 2022-10-25 1 NICHOLAS JEROME 999009999 MICHAEL ORLOWSKI P00956557 7166348800 2022-10-25 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z SPECTRUM HEALTH AND HUMAN SERVICES NICHOLAS JEROME 227 THORN AVENUE PO BOX 631 ORCHARD PARK NY 141270631 34611663 0 X WWW.SHSWNY.ORG X 1973 NY SPECTRUM HEALTH AND HUMAN SERVICES IS DEDICATED TO IMPROVING THE HEALTH OF ADULTS AND CHILDREN IN THE COMMUNITY BY ADDRESSING THEIR MENTAL HEALTH, CHEMICAL DEPENDENCY AND PHYSICAL HEALTH NEEDS THROUGH INTEGRATED RECOVERY ORIENTED TREATMENT SERVICES. THIS IS ACCOMPLISHED THROUGH A CONTINUUM OF 10 TREATMENT PROGRAMS LICENSED BY BOTH THE NYS OFFICE OF MENTAL HEALTH AND OFFICE OF ALCOHOLISM AND SUBSTANCE ABUSE SERVICES IN 7 LOCATIONS THROUGHOUT ERIE COUNTY IN WESTERN NEW YORK. 9 9 455 0 0 0 10320439 9651360 21822100 20503103 -40444 4302 54304 4452898 32156399 34611663 0 0 0 0 24230586 26199949 0 0 0 8798695 9330366 33029281 35530315 -872882 -918652 12370839 7535170 8904872 4987855 3465967 2547315 X SPECTRUM HUMAN SERVICES RESPECTFULLY PARTNERS WITH ADULTS, CHILDREN, AND FAMILIES AS THEY RECOVER FROM BEHAVIORAL, EMOTIONAL, MENTAL HEATH AND/OR SUBSTANCE RELATED DISORDERS BY OFFERING INDIVIDUALIZED AND MEANINGFUL OPPORTUNITIES OF HOPE, EMPOWERMENT AND SUPPORT TO ACHIEVE SELF-DEFINED IMPROVMENTS IN THEIR QUALITY OF LIFE. 0 0 19571213 19170490 CERTIFIED COMMUNITY BEHAVIORAL HEALTH CENTER (CCBHC)IN JULY OF 2017 SPECTRUM WAS DESIGNATED AS ONE OF THREE LOCAL PROVIDERS TO INITIATE A NEW OUTPATIENT CLINIC MODEL REFERRED TO AS A CCBHC. THIS ALLOWS SPECTRUM TO PROVIDE A RANGE OF NEW SERVICES WITHIN OUTPATIENT FACILITIES. CCBHC SERVICE COMPONENTS INCLUDE INDIVIDUAL COUNSELING, PSYCHIATRIC EVALUATION AND MEDICATION MANAGEMENT, PEER SUPPORT SERVICES, PSYCHIATRIC REHABILITATION, HEALTH SCREENINGS, CASE MANAGEMENT, CRISIS INTERVENTION, COMMUNITY-BASED OUTREACH, AND OFF-SITE SERVICES. WE ALSO PROVIDE 24/7 ON-CALL AND CRISIS INTERVENTION SERVICES TO ALL CCBHC CLIENTS. SERVICES ARE DESIGNED TO PROVIDE A HOLISTIC AND COMPREHENSIVE SET OF SERVICE COMPONENTS TO ADDRESS CLIENT NEEDS WITH THE APPROPRIATE LEVEL OF SERVICE EXPERTISE WITHOUT NEEDING TO REFER TO ADDITIONAL PROVIDERS. OUR SERVICES ALSO INCLUDE A RANGE OF OPTIONS FOR AMBULATORY DETOX SERVICES AND OTHER SUBSTANCE ABUSE TREATMENTS. WE OPERATE THIS PROGRAMMING IN 4 PRIMARY LOCATIONS IN ERIE COUNTY AS WELL AS 3 PRIMARY CARE SATELLITE OFFICES AND ONE LOCATION IN WYOMING COUNTY. 3179781 3220466 ASSERTIVE COMMUNITY TREATMENT TEAMS (ACT)ACT IS A NYS OMH LICENSED PROGRAM PROVIDING INTENSIVE COMMUNITY-BASED SERVICES TO CLIENTS IN THE FIELD WHO ARE SUCCESSFUL WITH TRADITIONAL OUTPATIENT SERVICES. SERVICES ARE PROVIDED BY A TEAM OF PSYCHIATRISTS, NURSES, CO-OCCURRING DISORDER SPECIALISTS, LICENSED CLINICAL THERAPISTS, PEERS AND CASE MANAGERS. THE PROGRAM PROVIDES INTENSIVE COMMUNITY OUTREACH AND SERVICES IN THE CLIENT'S HOME OR OTHER LOCATION. AT LEAST FOUR TO SIX VISITS ARE MADE MONTHLY TO ADDRESS CASE MANAGEMENT, COMMUNITY INTEGRATION AND BEHAVIORAL HEALTH STABILITY. THE GOAL IS TO INSURE INTEGRATION IN THE COMMUNITY WHILE PROVIDING BEHAVIORAL HEALTH TREATMENT AND PHYSICAL HEALTH MONITORING TO AVOID COSTLY EMERGENCY ROOM OR INPATIENT HOSPITALIZATIONS. SPECTRUM OPERATES 3 FULLY STAFFED ACT PROGRAMS. THEY ARE CURRENTLY OPERATING IN NIAGARA, ERIE AND CATTARAUGUS COUNTY. ALL PROGRAMS WORK CLOSELY WITH THE COUNTY OPERATED SPOA PROGRAMS TO IDENTIFY PROGRAM RECIPIENTS AND INSURE RAPID ACCESS AND ENROLLMENT INTO PROGRAMS. 4297484 4165340 HOUSING STABILITY AND CASE MANAGEMENTSPECTRUM OPERATES 227 SCATTERED SITE SUPPORTIVE HOUSING BEDS IN ERIE AND WYOMING COUNTY. THESE PROGRAMS ARE FUNDED WITH A COMBINATION OF HOUSING AND URBAN DEVELOPMENT GRANTS, NYS OFFICE OF MENTAL HEALTH FUNDING AND NYS OFFICE OF ALCOHOL AND SUBSTANCE ABUSE HOUSING. THE PROGRAM PROVIDES RENTAL ASSISTANCE AND COMMUNITY-BASED CASE MANAGEMENT SERVICES FOR ADULTS AND FAMILIES AFFECTED BY ANY ONE OR MORE CHRONIC BEHAVIORAL OR PHYSICAL HEALTH CONDITIONS. THE GOAL OF THE PROGRAM IS TO ASSIST INDIVIDUALS WITH CHRONIC DISABILITIES MAINTAIN THEMSELVES IN THE COMMUNITY, AVOID COSTLY HOSPITALIZATIONS, AND, TO THE EXTENT POSSIBLE, ESTABLISH THE HIGHEST LEVEL OF INDEPENDENT LIVING GIVEN THEIR DISABILITY. WE HAVE A STAFF OF ALMOST 20 CASE MANAGERS, PEERS AND RESOURCES SPECIALIST THAT COLLABORATE ON SERVICES PLANS TO INSURE EACH INDIVIDUAL HAS MAXIMUM LINKAGE TO MAINSTREAM RESOURCES. WE ALSO WORK WITH OUR VOCATIONAL SPECIALIST TO DEVELOP VOCATION, EDUCATION AND OTHER EMPLOYMENT GOALS AS DESIRED BY THE RECIPIENTS. 3598902 -1600295 OTHER SERVICES:SUBCONTRACTED SERVICESHUD HOUSING SERVICESCHILDREN'S INTENSIVE SERVICESOTHER MISCELLANEOUS SERVICES 3598902 -1600295 30647380 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 1 161 0 1 455 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 1 1 0 NY X X NICHOLAS JEROME 7166622040 227 THORN AVENUE PO BOX 631 ORCHARD PARK NY 141270631 RICHMOND HUBBARD BOARD MEMBER 1.00 X 0 0 0 DONALD DAUMAN CHIEF FINANCIAL OFFICER (2021) 37.50 X X 169813 0 31551 BELINDA ROSKWITALSKI BOARD MEMBER 1.00 X 0 0 0 MICHELLE CORDERO BOARD MEMBER 1.00 X 0 0 0 ALEXANDRA WEHR BOARD MEMBER 1.00 X 0 0 0 MICHAEL T SAGNIBENE BOARD MEMBER 1.00 X 0 0 0 ROBERT B RUH SECRETARY 1.00 X X 0 0 0 JENNIFER BALL CPA TREASURER 1.00 X X 0 0 0 DAVID S WHITTEMORE ESQ VICE CHAIRPERSON 1.00 X X 0 0 0 ROBERT O'LEARY CHAIRPERSON 1.00 X X 0 0 0 CYNTHIA VOELKER ASSOCIATE CEO 37.50 X 213211 0 26687 BRUCE NISBET CHIEF EXECUTIVE OFFICER - FORMER 37.50 X 375505 0 16929 NICHOLAS M JEROME CHIEF FINANCIAL OFFICER - MAY 2022 37.50 X 0 0 0 JEFFREY KASHIN PHYSICIAN 37.50 X 405766 0 35133 DAVID PFALZER NURSE PRACTITIONER 37.50 X 191097 0 32279 MARCELLE MOSTERT PHYSICIAN 17.50 X 297138 0 13402 NILOFAR SARVAIYA PSYCHIATRIST 37.50 X 238047 0 19074 ROSANNA CARTER NURSE PRACTITIONER 37.50 X 181074 0 26114 2071651 0 201169 8 0 1 0 COCO ENTERPRISES 8158 HILLSIDE STREET ANGOLA NY 14006 JANITORIAL SERVICES 290295 WARSAW REDEVELOPMENT LLC 2071 CRITTENDEN ROAD ALDEN NY 14004 SITE RENT 290042 AIMEE DIPASQUA 5072 WOODWAY COURT HAMBURG NY 14075 MEDICAL CONSULTANT 252759 WILLIAMS MEDIA GROUP 461 ELLICOTT STREET FLOOR 3 BUFFALO NY 14203 MARKETING SERVICES 106950 4 9195876 455484 9651360 PATIENT SERVICE REVENUE 624100 20503103 20503103 20503103 4302 4302 FORGIVENESS OF TERM -NOTE PAYABLE 624100 4298000 4298000 CHANGE IN BENEFICIAL INTEREST OF 624100 100508 100508 INCOME FROM LLC RELATED TO EXEMPT 624100 54390 54390 4452898 34611663 24956001 0 4302 3420328 3420328 17290683 14289644 3001039 763077 658549 104528 2839589 2472504 367085 1886272 1648037 238235 229493 229493 1677578 1545584 131994 3224954 3073599 151355 90436 90436 501320 500554 766 154857 131484 23373 PROFESSIONAL SERVICES 619855 341884 277971 MATERIALS & SUPPLIES 452320 452320 ELECTRONIC DATA EXPENSE 428413 342087 86326 MARKETING 405509 393679 11830 1545631 1286691 258940 35530315 30647380 4882935 0 2115 0 3685589 659 4083454 3535729 134699 192442 4616083 1724121 3229207 2891962 530393 108488 705382 805890 12370839 7535170 2206252 2400856 6350292 2055842 348328 531157 8904872 4987855 X 3465967 2547315 3465967 2547315 12370839 7535170 -918652 0 X X 0 1 X 1 1 1 X 6223031 7648040 8398114 10320439 9651360 42240984 6223031 7648040 8398114 10320439 9651360 42240984 42240984 1596 509 2024 2025 4302 10456 42251440 101527042 0.99980 0.99980 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2273828 370595 1903233 1162839 575139 587700 1179416 778387 401029 2891962 BENEFICIAL INTEREST IN THE FOUNDATION 805890 805890 REFUNDABLE ADVANCES 531157 531157 X 34712171 100508 100508 34611663 0 34611663 35530315 0 35530315 0 35530315 PART X, LINE 2: THE ORGANIZATION IS EXEMPT FROM TAXATION UNDER SECTION 501 (C)(3) OF THE INTERNAL REVENUE CODE. THE TAX RETURNS FOR THE TAX YEARS 2018 THROUGH 2021 REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE FOR U.S. FEDERAL TAX PURPOSES AND ALSO BY NEW YORK STATE FOR STATE TAX PURPOSES. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN BENEFICIAL INTEREST IN SPECTRUM FOUNDATION 100,508. X X X X 0 0 0 0 0 0 0 0 0 JEFFREY KASHIN PHYSICIAN 382134 0 23632 0 0 0 18259 0 16874 0 440899 0 0 0 BRUCE NISBET CHIEF EXECUTIVE OFFICER - FORMER 272574 0 16279 0 86652 0 16898 0 31 0 392434 0 0 0 MARCELLE MOSTERT PHYSICIAN 280380 0 16758 0 0 0 13371 0 31 0 310540 0 0 0 NILOFAR SARVAIYA PSYCHIATRIST 231577 0 6470 0 0 0 10712 0 8362 0 257121 0 0 0 CYNTHIA VOELKER ASSOCIATE CEO 201988 0 11223 0 0 0 9594 0 17093 0 239898 0 0 0 DAVID PFALZER NURSE PRACTITIONER 180714 0 10383 0 0 0 8599 0 23680 0 223376 0 0 0 ROSANNA CARTER NURSE PRACTITIONER 170994 0 10080 0 0 0 8148 0 17966 0 207188 0 0 0 DONALD DAUMAN CHIEF FINANCIAL OFFICER (2021) 160755 0 9058 0 0 0 7642 0 23909 0 201364 0 0 0 PATRICIA NISBET RELATIVE OF BRUCE NISBET, KEY EMPLOYEE 1120 MEDICAL CONSULTANT SERVICES 0 PARKVIEW HEALTH SERVICES OWNED BY ROBERT O'LEARY, MEMBER OF BOARD OF DIRECTORS 19863 MEDICAL SUPPLIES 0 VALUE NETWORK SPECTRUM IS A COFOUNDER OF THE NETWORK 38237 COVID EXPENSE REIMBURSEMENT 0 FORM 990, PART VI, SECTION A, LINE 8B SPECTRUM ONLY HAS A BOARD OF DIRECTORS AND FINANCE COMMITTEE. ALL DECISIONS MUST BE APPROVED THROUGH THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PRESENTED IN DRAFT FORM TO ORGANIZATIONS CFO FOR REVIEW. THE RETURN IS THEN PROVIDED TO THE BOARD MEMBERS PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C IN ACCORDANCE WITH SPECTRUM'S CONFLICT OF INTEREST POLICY, EACH "OFFICER" INCLUDES ANY NON-DIRECTOR SERVING ON ANY COMMITTEE OF THE BOARD OF DIRECTORS AND DIRECTORS SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS THAT SUCH PERSON: A. HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY, B. HAS READ AND UNDERSTANDS THE POLICY, C. HAS AGREED TO COMPLY WITH THE POLICY, AND D. UNDERSTANDS THE CORPORATION IS A CHARITABLE ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION, IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES, E. IS NOT AWARE THAT HE OR SHE HAS ANY FINANCIAL INTEREST OR, IF HE OR SHE IS AWARE OF ANY FINANCIAL INTEREST, A DESCRIPTION OF ALL MATERIAL FACT CONCERNING IT. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD SUBCOMMITTEE HAS THE RESPONSIBILITY TO DETERMINE THE COMPENSATION OF KEY EMPLOYEES. THE PURPOSE OF THE COMMITTEE IS TO APPROVE ANNUAL PERFORMANCE STANDARDS AND TO DETERMINE APPROPRIATE PERFORMANCE MEASURES AND ESTABLISH CRITERIA FOR ANY INCENTIVE BASED COMPENSATION. IT ALSO ANNUALLY REVIEWS AND APPROVES ANY CHANGES TO THE TOTAL COMPENSATION OF KEY EMPLOYEES. THE COMMITTEE DETERMINES IF THE COMPENSATION IS REASONABLE. TO ACCOMPLISH THIS, THE COMMITTEE WILL OBTAIN COMPARABLE COMPENSATION DATA FOR EXECUTIVES OF OTHER NON PROFIT ORGANIZATIONS OF SIMILAR SIZE IN THE WESTERN NEW YORK AREA. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC ON ITS OWN WEBSITE. COPIES CAN BE PROVIDED UPON REQUEST BY PHONE, IN WRITING, OR VIA E-MAIL. A COPY OF THE 990 CAN BE FOUND THROUGH THE WEBSITE WWW.GUIDESTAR.ORG. FORM 990; PART XI; LINE 2C THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. SPECTRUM HUMAN SERVICES FOUNDATION INC 227 THORN AVENUE-PO BOX 631 ORCHARD PARK NY 14127 222832638 SUPPORT THE MISSION OF SPECTRUM HUMAN SERVICES NY 501(C)(3) LINE 12C, III-FI 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 SPECTRUM HUMAN SERVICE FOUNDATION K 370800 COST