CHAUTAUQUA CENTER INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
CHAUTAUQUA CENTER INC (EIN 27-3512018)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-10-29
IRS object ID
202123029349301417
Schema version
2020v4.1
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)
Return2021-10-29T10:15:27-05:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN161131146PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BONADIO & CO LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1100 CORPORATE PARKWAY SUITE 200AddressLine1Txt
CityAMHERSTCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14226ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN273512018EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE CHAUTAUQUA CENTER INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCHAUBusinessNameControlTxt
Phone7163636050PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1319 CENTRAL AVENUEAddressLine1Txt
CityDUNKIRKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14048ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMICHAEL PEASEPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone7163636050PhoneNum
Signature2021-10-27SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstMICHAELPersonFirstNm
Person LastPEASEPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJUSTIN N REIDPreparerPersonNm
PTINP01321869PTIN
Phone7162506600PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMICHAEL PEASEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1319 CENTRAL AVENUEAddressLine1Txt
CityDUNKIRKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14048ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$14,995,368GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.TCCHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2013FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionTO PROVIDE HEALTH CARE SERVICES BY OPERATING DIAGNOSTIC AND TREATMENT FACILITIES PURSUANT TO ARTICLE 28 OF THE PUBLIC HEALTH LAW OF NEW YORK STATE. THE CENTER OPERATES THREE CLINICS IN DUNKIRK, NEW YORK AND ONE CLINIC IN JAMESTOWN, NEW YORK. THE CENTER PROVIDES THESE AMBULATORY HEALTH CARE, WELLNESS, AND RELATED SERVICES TO ANYONE, REGARDLESS OF ABILITY TO PAY, RESIDING IN UNDER-SERVED AND OTHER DESIGNATED COMMUNITIES IN THE CHAUTAUQUA AND SURROUNDING REGION.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee184TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$7,836,002PYContributionsGrantsAmt
CY Contributions Grants$4,149,686CYContributionsGrantsAmt
PY Program Service Revenue$10,461,199PYProgramServiceRevenueAmt
CY Program Service Revenue$10,817,827CYProgramServiceRevenueAmt
PY Investment Income$5,409PYInvestmentIncomeAmt
CY Investment Income$4,022CYInvestmentIncomeAmt
PY Other Revenue$41,755PYOtherRevenueAmt
CY Other Revenue$23,833CYOtherRevenueAmt
PY Total Revenue$18,344,365PYTotalRevenueAmt
CY Total Revenue$14,995,368CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$6,926,155PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$8,078,493CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$9,937,994PYOtherExpensesAmt
CY Other Expenses$4,857,622CYOtherExpensesAmt
PY Total Expenses$16,864,149PYTotalExpensesAmt
CY Total Expenses$12,936,115CYTotalExpensesAmt
PY Revenues Less Expenses$1,480,216PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$2,059,253CYRevenuesLessExpensesAmt
Total Assets BOY$20,635,507TotalAssetsBOYAmt
Total Assets EOY$23,067,167TotalAssetsEOYAmt
Total Liabilities BOY$11,875,929TotalLiabilitiesBOYAmt
Total Liabilities EOY$12,248,336TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$8,759,578NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$10,818,831NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO PROVIDE HIGH QUALITY AND LOW COST HEALTH CARE SERVICES BY OPERATING DIAGNOSTIC AND TREATMENT FACILITIES PURSUANT TO ARTICLE 28 OF THE PUBLIC HEALTH LAW OF NY STATE. THE CENTER OPERATES ONE CLINIC IN JAMESTOWN, NEW YORK, AND THREE CLINICS IN DUNKIRK, NEW YORK. THE CENTER PROVIDES THESE AMBULATORY HEALTH CARE, WELLNESS AND RELATED SERVICES TO ANYONE, REGARDLESS OF ABILITY TO PAY WHICH PROVIDE A BROAD RANGE OF MEDICAL, DENTAL, BEHAVIORAL HEALTH, NUTRITIONAL AND OTHER SERVICES TO A LARGE MEDICALLY UNDERSERVED POPULATION, REGARDLESS OF THEIR ABILITY TO PAY.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$10,468,957ExpenseAmt
Revenue$10,841,660RevenueAmt
DescIN 2020, THE CHAUTAUQUA CENTER SERVED 10,113 INDIVIDUALS IN THE CHAUTAUQUA COUNTY REGION AREA. THE CENTER IMPROVED COMMUNITY HEALTH BY PROVIDING ACCESS TO QUALITY CARE AT AN AFFORDABLE PRICE, THROUGH THE PROMOTION OF HEALTHY LIFESTYLES AND HEALTH EDUCATION IN ORDER TO ACHIEVE HEALTH EQUITY. SCHEDULED OUTREACH IN THE COMMUNITY PROVIDES INDIVIDUALS AWARENESS OF THE SERVICES AVAILABLE AND SUPPORT WITH OBTAINING INSURANCE COVERAGE OF SLIDING FEE SCALE ARRANGEMENTS. THE CENTER HONORS RELATIONSHIPS WITH THOSE WE SERVE, THE STAFF, PROVIDERS, BOARD MEMBERS, VOLUNTEERS, OUR MANY COMMUNITY PARTNERS AND FRIENDS AS THEY ARE THE VEHICLE BY WHICH THE MISSION IS MAINTAINED. DURING THE YEAR, THE CENTER SERVICED OVER 42,000 VISITS.Desc
Total Program Service Expenses$10,468,957TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document26IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee184EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1AMY E WALTERS - CFOBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7163636050PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1319 CENTRAL AVEAddressLine1Txt
CityDUNKIRKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14048ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
DEBRA PACOS
CHAIR1.00Yes (X)Yes (X)$0$0$0
ELOY BAUTISTA
DIRECTOR1.00Yes (X)$0$0$0
RITA CANFORA
DIRECTOR1.00Yes (X)$0$0$0
JARROD JOHNSON
VICE CHAIR1.00Yes (X)Yes (X)$0$0$0
NANCY YORK
DIRECTOR1.00Yes (X)$0$0$0
REBEKAH LAMOUNTAIN
SECRETARY1.00Yes (X)Yes (X)$0$0$0
ELLEN LUCZKOWIAK
DIRECTOR1.00Yes (X)$0$0$0
SHARON LAWSON
DIRECTOR1.00Yes (X)$0$0$0
CLARK POPPLETON
DIRECTOR1.00Yes (X)$0$0$0
LAURA KOEPKE
DIRECTOR1.00Yes (X)$0$0$0
JENNIFER CRESANTI SWAN
TREASURER1.00Yes (X)Yes (X)$0$0$0
PHILLIP SEYMORE
DIRECTOR1.00Yes (X)$0$0$0
MICHAEL C PEASE
EXECUTIVE DIRECTOR40.00Yes (X)$142,394$0$14,696
TAT-SUM LEE
MEDICAL DIRECTOR20.00Yes (X)$40,443$0$1,647
AMY WALTERS
CFO40.00Yes (X)$81,658$0$4,307
REBECCA RUIZ
COO40.00Yes (X)$71,554$0$3,835
RAJIV PARIKH
MD40.00$278,285$0$19,139Yes (X)
CAILLEAN MCMAHON-TRONETTI
DO32.00$217,209$0$7,560Yes (X)
ELIZABETH KIDDER
MD40.00$213,211$0$9,571Yes (X)
ANUJA MANJU SABAPATHY
MD40.00$179,327$0$10,053Yes (X)
NEERU KAPUR
DDS40.00$185,120$0$1,000Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,409,201TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$71,808TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K11IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
CARDINAL HEALTH 110 LLC
5303 COLLECTIONS CENTER DRIVECHICAGOIL60693HEALTHCARE SERVICES$1,029,118
KIRST CONSTRUCTION INC
PO BOX 171NORTH BOSTONNY14110GENERAL CONSTRUCTION$648,399
EHS INC
206 S ELMWOOD AVENUEBUFFALONY14201HEALTHCARE AND PHARMACY$452,689
BPAS
6 RHOADS DRIVE SUITE 7UTICANY13502RETIREMENT PLANS$401,873
CARMINA WOOD MORRIS ARCHITECTURE & ENGI
487 MAIN STREET SUITE 500BUFFALONY14203ACHITECTURE & ENGINEERING$255,474
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K10CntrctRcvdGreaterThan100KCnt
Government Grants$4,063,545GovernmentGrantsAmt
All Other Contributions$86,141AllOtherContributionsAmt
Total Contributions$4,149,686TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT FEES624110$7,552,094$7,552,094
PHARMACY REVENUE624110$3,141,391$3,141,391
CONTRACT SERVICES624110$124,342$124,342
FieldValueIRS element (for citing)
Total Program Service Revenue$10,817,827TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,022TotalRevenueColumnAmt
Exclusion$4,022ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUSDesc
Business624110BusinessCd
Total Revenue Column$23,833TotalRevenueColumnAmt
Related Or Exempt Func Income$23,833RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$23,833OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$14,995,368TotalRevenueColumnAmt
Related Or Exempt Func Income$10,841,660RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$4,022ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$336,049TotalAmt
Program Services$73,931ProgramServicesAmt
Management And General$262,118ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$6,510,936TotalAmt
Program Services$5,677,537ProgramServicesAmt
Management And General$833,399ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$233,023TotalAmt
Program Services$195,739ProgramServicesAmt
Management And General$37,284ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$393,156TotalAmt
Program Services$330,251ProgramServicesAmt
Management And General$62,905ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$605,329TotalAmt
Program Services$508,476ProgramServicesAmt
Management And General$96,853ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$19,235TotalAmt
Program Services$769ProgramServicesAmt
Management And General$18,466ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$50,111TotalAmt
Program Services$2,004ProgramServicesAmt
Management And General$48,107ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$27,169TotalAmt
Management And General$27,169ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$81,411TotalAmt
Program Services$30,936ProgramServicesAmt
Management And General$50,475ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$302,682TotalAmt
Program Services$237,682ProgramServicesAmt
Management And General$65,000ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$21,184TotalAmt
Program Services$4,449ProgramServicesAmt
Management And General$16,735ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$7,160TotalAmt
Program Services$6,086ProgramServicesAmt
Management And General$1,074ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$208,929TotalAmt
Management And General$208,929ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$474,989TotalAmt
Program Services$199,495ProgramServicesAmt
Management And General$275,494ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$98,016TotalAmt
Program Services$55,869ProgramServicesAmt
Management And General$42,147ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL AND DENTAL SUPP$1,888,646$1,888,646
BAD DEBT EXPENSE$405,419$405,419
SERVICES$357,152$14,286$342,866
MEDICINES AND VACCINES$322,704$322,704

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$592,815TotalAmt
Program Services$514,678ProgramServicesAmt
Management And General$78,137ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$12,936,115TotalAmt
Program Services$10,468,957ProgramServicesAmt
Management And General$2,467,158ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,666,909BOYAmt
EOY$2,689,883EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,236,599BOYAmt
EOY$2,419,859EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$813,551BOYAmt
EOY$1,476,004EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$87,568BOYAmt
EOY$62,436EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$17,191,629LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$830,414LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$15,785,610BOYAmt
EOY$16,361,215EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$45,270BOYAmt
EOY$57,770EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$20,635,507BOYAmt
EOY$23,067,167EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$5,155,929BOYAmt
EOY$4,024,736EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$6,720,000BOYAmt
EOY$6,720,000EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$1,503,600EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$11,875,929BOYAmt
EOY$12,248,336EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$8,759,578BOYAmt
EOY$10,818,831EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$8,759,578BOYAmt
EOY$10,818,831EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$20,635,507BOYAmt
EOY$23,067,167EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$2,059,253ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,558,794CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,237,338CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,053,057CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,836,002CurrentTaxYearMinus1YearAmt
Current Tax Year$4,149,686CurrentTaxYearAmt
Total$20,834,877TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,073,362CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,384,295CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$6,975,585CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,461,199CurrentTaxYearMinus1YearAmt
Current Tax Year$10,817,827CurrentTaxYearAmt
Total$34,712,268TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,632,156CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,621,633CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,028,642CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$18,297,201CurrentTaxYearMinus1YearAmt
Current Tax Year$14,967,513CurrentTaxYearAmt
Total$55,547,145TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$55,547,145PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,355CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,047CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,613CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,409CurrentTaxYearMinus1YearAmt
Current Tax Year$4,022CurrentTaxYearAmt
Total$20,446TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,355CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,047CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,613CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,409CurrentTaxYearMinus1YearAmt
Current Tax Year$4,022CurrentTaxYearAmt
Total$20,446TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,635,511CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,624,680CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,033,255CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$18,302,610CurrentTaxYearMinus1YearAmt
Current Tax Year$14,971,535CurrentTaxYearAmt
Total$55,567,591TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99960PublicSupportCY509Pct
Public Support PY5090.99960PublicSupportPY509Pct
Investment Income CY0.00040InvestmentIncomeCYPct
Investment Income PY0.00040InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule D IRS990ScheduleD

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$15,864,951OtherCostOrOtherBasisAmt
Depreciation$548,649DepreciationAmt
Book Value$15,316,302BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,204,216OtherCostOrOtherBasisAmt
Depreciation$247,434DepreciationAmt
Book Value$956,782BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$122,462OtherCostOrOtherBasisAmt
Depreciation$34,331DepreciationAmt
Book Value$88,131BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$16,361,215TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescPAYCHECK PROTECTION PROGRAM LOANDesc
Amt$1,503,600Amt
FieldValueIRS element (for citing)
Total Liability$1,503,600TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$14,995,368TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$14,995,368RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$14,995,368TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$12,936,115TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$12,936,115ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$12,936,115TotalExpensesPerForm990Amt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
RAJIV PARIKH
MD$278,285$0$0$0$0$0$11,400$0$7,739$0$297,424$0$0$0
CAILLEAN MCMAHON-TRONETTI
DO$217,209$0$0$0$0$0$6,560$0$1,000$0$224,769$0$0$0
ELIZABETH KIDDER
MD$213,211$0$0$0$0$0$8,571$0$1,000$0$222,782$0$0$0
ANUJA MANJU SABAPATHY
MD$179,327$0$0$0$0$0$7,200$0$2,853$0$189,380$0$0$0
NEERU KAPUR
DDS$185,120$0$0$0$0$0$0$0$1,000$0$186,120$0$0$0
MICHAEL C PEASE
EXECUTIVE DIRECTOR$141,914$0$480$0$0$0$6,077$0$8,619$0$157,090$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 3FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION ESTABLISHED THE COMPENSATION OF THE EXECUTIVE DIRECTOR THROUGH A DECISION BY THE COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE REVIEWED AN ANNUAL COMPENSATION SURVEY FROM THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS AND THEN THE COMPENSATION WAS APPROVED BY THE BOARD OF DIRECTORS.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE RETURN IS DISTRIBUTED TO ALL MEMBERS OF THE BOARD OF DIRECTORS PRIOR TO FILING. THE RETURN IS REVIEWED AND ANY QUESTIONS/CHANGES ARE BROUGHT TO THE ATTENTION OF MANAGEMENT. APPROPRIATE CHANGES, IF NECESSARY, ARE MADE PRIOR TO FILING RETURN.
FORM 990, PART VI, SECTION B, LINE 12CON ENTRY TO THE BOARD OF DIRECTORS AND ANNUALLY THEREAFTER, EACH DIRECTOR, PRINCIPAL OFFICER, AND MEMBER OF A COMMITTEE WITH BOARD-DELEGATED POWERS ANNUALLY REVIEWS THE BYLAWS INCLUDING THE CONFLICT OF INTEREST STATEMENT; AND THEN EACH MEMBER IS REQUIRED TO SIGN AND SUBMIT A CONFLICT OF INTEREST STATEMENT ANNUALLY; UNDERSTANDS THAT THE ORGANIZATION 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; AND DISCLOSES ANY POTENTIAL CONFLICTS OF INTEREST IN WRITING. ON AN ANNUAL BASIS, ALL TRANSACTIONS DISCUSSED AND IDENTIFIED AS CONFLICTS OF INTEREST WILL BE EVALUATED BY THE DISINTERESTED PERSONS AS TO WHETHER THE TRANSACTION MEETS THE REQUIREMENTS OF A FAIR AND REASONABLE TRANSACTION IN ACCORDANCE WITH THE NYS ATTORNEY GENERAL GUIDANCE.
FORM 990, PART VI, SECTION B, LINE 15THE BOARD OF DIRECTORS REVIEWS THE EXECUTIVE DIRECTOR'S PERFORMANCE ANNUALLY. SALARY INCREASES ARE BASED ON THE RESULTS OF THAT REVIEW, ORGANIZATIONAL PERFORMANCE, AND COMPARATIVE ANALYSIS OF EXECUTIVE DIRECTOR COMPENSATION. THE ORGANIZATION PARTICIPATES IN AN ANNUAL COMPENSATION SURVEY FROM THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS AND OBTAINS COMPENSATION DATA FOR DIRECTORS, MANAGERS, AND PROVIDERS THAT IS CATEGORIZED BY NATIONAL, REGIONAL, STATE, AND REVENUE VOLUME. THIS INFORMATION IS USED IN DETERMINING SALARY AND COMPENSATION RANGES FOR DIRECTORS.
FORM 990, PART VI, SECTION C, LINE 19THE CENTER MAINTAINS ELECTRONIC COPIES AND DISTRIBUTES THEM UPON REQUEST. ADDITIONALLY, THE FORM 990 IS A PUBLIC DOCUMENT.
PART XII, LINE 2C EXPLANATIONPROCESS HAS NOT CHANGED FROM PREVIOUS YEAR.

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