ARC HEALTHRESOURCES OF ROCKLAND INC: Form 990PF, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
ARC HEALTHRESOURCES OF ROCKLAND INC (EIN 13-4142322)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-10-18
IRS object ID
202132919349100408
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)
Return2021-10-18T10:40:04-05:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BDO USA LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1100 PARK AVENUEAddressLine1Txt
CityNEW YORKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP100175001ZIPCd
FieldValueIRS element (for citing)
Return Type990PFReturnTypeCd
Tax Period Begin2020-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN134142322EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ARC HEALTH RESOURCES OF ROCKLAND INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% GANEENE O'BRIENInCareOfNm
Business Name ControlARCHBusinessNameControlTxt
Phone8452672500PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line125 HEMLOCK DRIVEAddressLine1Txt
CityCONGERSCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10920ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonGaneene O'BrienPersonNm
Person TitleCFOPersonTitleTxt
Phone8452672500PhoneNum
Signature2021-10-10SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstGaneenePersonFirstNm
Person LastOBrienPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonPaul HammerschmidtPreparerPersonNm
PTINP01384178PTIN
Phone2128858000PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990-PF IRS990PF

FieldValueIRS element (for citing)
Organization501c3 Exempt PFYes (X)Organization501c3ExemptPFInd
FMV Assets EOY$213,239FMVAssetsEOYAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd

Analysis Of Revenue And Expenses AnalysisOfRevenueAndExpenses

FieldValueIRS element (for citing)
Contri Rcvd Rev And Expnss$0ContriRcvdRevAndExpnssAmt
Schedule B Not RequiredYes (X)ScheduleBNotRequiredInd
Other Income Rev And Expnss$1,429,835OtherIncomeRevAndExpnssAmt
Total Rev And Expnss$1,429,835TotalRevAndExpnssAmt
Total Net Invst Incm$0TotalNetInvstIncmAmt
Comp Ofcr Dir Trst Rev And Expnss$0CompOfcrDirTrstRevAndExpnssAmt
Oth Empl Slrs Wgs Rev And Expnss$1,222,157OthEmplSlrsWgsRevAndExpnssAmt
Oth Empl Slrs Wgs Dsbrs Chrtbl$1,225,417OthEmplSlrsWgsDsbrsChrtblAmt
Pension Empl Bnft Rev And Expnss$236,637PensionEmplBnftRevAndExpnssAmt
Pension Empl Bnft Dsbrs Chrtbl$250,749PensionEmplBnftDsbrsChrtblAmt
Accounting Fees Rev And Expnss$13,500AccountingFeesRevAndExpnssAmt
Accounting Fees Net Invst Incm$0AccountingFeesNetInvstIncmAmt
Accounting Fees Adj Net Incm$0AccountingFeesAdjNetIncmAmt
Accounting Fees Chrtbl Prps$13,500AccountingFeesChrtblPrpsAmt
Other Prof Fees Rev And Expnss$21,711OtherProfFeesRevAndExpnssAmt
Other Prof Fees Net Invst Incm$0OtherProfFeesNetInvstIncmAmt
Other Prof Fees Adj Net Incm$0OtherProfFeesAdjNetIncmAmt
Other Prof Fees Dsbrs Chrtbl$21,711OtherProfFeesDsbrsChrtblAmt
Interest Rev And Expnss$1,870InterestRevAndExpnssAmt
Interest Dsbrs Chrtbl$1,870InterestDsbrsChrtblAmt
Deprec And Dpltn Rev And Expnss$11,272DeprecAndDpltnRevAndExpnssAmt
Occupancy Rev And Expnss$45,866OccupancyRevAndExpnssAmt
Occupancy Dsbrs Chrtbl$45,866OccupancyDsbrsChrtblAmt
Trav Conf Meeting Rev And Expnss$1,348TravConfMeetingRevAndExpnssAmt
Trav Conf Meeting Dsbrs Chrtbl$1,348TravConfMeetingDsbrsChrtblAmt
Other Expenses Rev And Expnss$467,583OtherExpensesRevAndExpnssAmt
Other Expenses Net Invst Incm$0OtherExpensesNetInvstIncmAmt
Other Expenses Adj Net Incm$0OtherExpensesAdjNetIncmAmt
Other Expenses Dsbrs Chrtbl$467,583OtherExpensesDsbrsChrtblAmt
Tot Opr Expenses Rev And Expnss$2,021,944TotOprExpensesRevAndExpnssAmt
Tot Opr Expenses Net Invst Incm$0TotOprExpensesNetInvstIncmAmt
Tot Opr Expenses Adj Net Incm$0TotOprExpensesAdjNetIncmAmt
Tot Opr Expenses Dsbrs Chrtbl$2,028,044TotOprExpensesDsbrsChrtblAmt
Contri Paid Rev And Expnss$0ContriPaidRevAndExpnssAmt
Contri Paid Dsbrs Chrtbl$0ContriPaidDsbrsChrtblAmt
Total Expenses Rev And Expnss$2,021,944TotalExpensesRevAndExpnssAmt
Total Expenses Net Invst Incm$0TotalExpensesNetInvstIncmAmt
Total Expenses Adj Net Incm$0TotalExpensesAdjNetIncmAmt
Total Expenses Dsbrs Chrtbl$2,028,044TotalExpensesDsbrsChrtblAmt
Excess Revenue Over Expenses-$592,109ExcessRevenueOverExpensesAmt
Net Investment Income$0NetInvestmentIncomeAmt

Form990 PF Balance Sheets Form990PFBalanceSheetsGrp

FieldValueIRS element (for citing)
Cash BOY$3,899CashBOYAmt
Cash EOY$34,206CashEOYAmt
Cash EOYFMV$34,206CashEOYFMVAmt
Acct Rcvbl$39,387AcctRcvblAmt
Acct Rcvbl BOY$249,535AcctRcvblBOYAmt
Acct Rcvbl EOY$39,387AcctRcvblEOYAmt
Acct Rcvbl EOYFMV$39,387AcctRcvblEOYFMVAmt
Prepaid Expenses BOY$3,612PrepaidExpensesBOYAmt
Land Bldg Equip Cost Or Other Bss$451,065LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$311,419LandBldgEquipAccumDeprecAmt
Land BOY$81,444LandBOYAmt
Land EOY$139,646LandEOYAmt
Land EOYFMV$139,646LandEOYFMVAmt
Total Assets BOY$338,490TotalAssetsBOYAmt
Total Assets EOY$213,239TotalAssetsEOYAmt
Total Assets EOYFMV$213,239TotalAssetsEOYFMVAmt
Accounts Payable BOY$107,119AccountsPayableBOYAmt
Accounts Payable EOY$115,901AccountsPayableEOYAmt
Mortgages And Notes Payable BOY$2,850MortgagesAndNotesPayableBOYAmt
Mortgages And Notes Payable EOY$0MortgagesAndNotesPayableEOYAmt
Other Liabilities BOY$2,457,939OtherLiabilitiesBOYAmt
Other Liabilities EOY$2,918,865OtherLiabilitiesEOYAmt
Total Liabilities BOY$2,567,908TotalLiabilitiesBOYAmt
Total Liabilities EOY$3,034,766TotalLiabilitiesEOYAmt
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind
No Donor Rstr Net Assests BOY-$2,229,418NoDonorRstrNetAssestsBOYAmt
No Donor Rstr Net Assests EOY-$2,821,527NoDonorRstrNetAssestsEOYAmt
Tot Net Ast Or Fund Balances BOY-$2,229,418TotNetAstOrFundBalancesBOYAmt
Tot Net Ast Or Fund Balances EOY-$2,821,527TotNetAstOrFundBalancesEOYAmt
Total Liabilities Net Ast BOY$338,490TotalLiabilitiesNetAstBOYAmt
Total Liabilities Net Ast EOY$213,239TotalLiabilitiesNetAstEOYAmt

Chg In Net Assets Fund Balances ChgInNetAssetsFundBalancesGrp

FieldValueIRS element (for citing)
Tot Net Ast Or Fund Balances BOY-$2,229,418TotNetAstOrFundBalancesBOYAmt
Excess Revenue Over Expenses-$592,109ExcessRevenueOverExpensesAmt
Subtotal-$2,821,527SubtotalAmt
Tot Net Ast Or Fund Balances EOY-$2,821,527TotNetAstOrFundBalancesEOYAmt
FieldValueIRS element (for citing)
Cap Gains Loss Tx Invst Incm DetailCapGainsLossTxInvstIncmDetail

Excise Tax Based On Invst Incm ExciseTaxBasedOnInvstIncmGrp

FieldValueIRS element (for citing)
Investment Income Excise Tax$0InvestmentIncomeExciseTaxAmt
Subtotal$0SubtotalAmt
Tax Based On Investment Income$0TaxBasedOnInvestmentIncomeAmt
Exempt Frgn Org Tax Wthld At Srce$0ExemptFrgnOrgTaxWthldAtSrceAmt
Total Payments And Credits$0TotalPaymentsAndCreditsAmt
Tax Due$0TaxDueAmt

Statements Regarding Acty StatementsRegardingActyGrp

FieldValueIRS element (for citing)
Legislative Political ActyfalseLegislativePoliticalActyInd
More Than100 SpentfalseMoreThan100SpentInd
Form1120 POL FiledfalseForm1120POLFiledInd
Activities Not Previously RptfalseActivitiesNotPreviouslyRptInd
Changes To Articles Or BylawsfalseChangesToArticlesOrBylawsInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Organization Dissolved EtcfalseOrganizationDissolvedEtcInd
Section508e Rqr SatisfiedfalseSection508eRqrSatisfiedInd
At Least5000 In AssetsYes (true)AtLeast5000InAssetsInd
Org Report Or Register StateNYOrgReportOrRegisterStateCd
Form990 PF Filed With Atty GenYes (true)Form990PFFiledWithAttyGenInd
Private Operating FoundationfalsePrivateOperatingFoundationInd
New Substantial ContributorsfalseNewSubstantialContributorsInd
Own Controlled EntityfalseOwnControlledEntityInd
Donor Advised FundfalseDonorAdvisedFundInd
Comply With Public Insp RqrYes (true)ComplyWithPublicInspRqrInd
Website AddressN/AWebsiteAddressTxt

Persons With Books Name PersonsWithBooksName

FieldValueIRS element (for citing)
Business Name Line1GANEENE O'BRIENBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8452672500PhoneNum

Location Of Books US Address LocationOfBooksUSAddress

FieldValueIRS element (for citing)
Address Line125 HEMLOCK DRIVEAddressLine1Txt
CityCONGERSCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10920ZIPCd
FieldValueIRS element (for citing)
Foreign Accounts QuestionfalseForeignAccountsQuestionInd

Statements Regarding Acty4720 StatementsRegardingActy4720Grp

FieldValueIRS element (for citing)
Sale Or Exch Disqualified PrsnfalseSaleOrExchDisqualifiedPrsnInd
Brrw Or Lend Disqualified PrsnfalseBrrwOrLendDisqualifiedPrsnInd
Furn Goods Disqualified PrsnfalseFurnGoodsDisqualifiedPrsnInd
Pay Comp Disqualified PrsnfalsePayCompDisqualifiedPrsnInd
Transfer Ast Disqualified PrsnfalseTransferAstDisqualifiedPrsnInd
Payment To Government OfficialfalsePaymentToGovernmentOfficialInd
Uncorrected Prior ActsfalseUncorrectedPriorActsInd
Undistributed Income PYfalseUndistributedIncomePYInd
Business HoldingsfalseBusinessHoldingsInd
Jeopardy InvestmentsfalseJeopardyInvestmentsInd
Uncorrected PY Jeopardy InvstfalseUncorrectedPYJeopardyInvstInd
Influence LegislationfalseInfluenceLegislationInd
Influence ElectionfalseInfluenceElectionInd
Grants To IndividualsfalseGrantsToIndividualsInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Noncharitable PurposefalseNoncharitablePurposeInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd

Officer Dir Trst Key Empl Info OfficerDirTrstKeyEmplInfoGrp

Officer Dir Trst Key Empl OfficerDirTrstKeyEmplGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee Benefit ProgramEmployeeBenefitProgramAmtExpense Account Other AllwncExpenseAccountOtherAllwncAmt
KAREN FEINSTEIN
25 HEMLOCK DRIVECONGERSNY10920PRESIDENT1.0$0$0$0
EDWARD RAUSH
25 HEMLOCK DRIVECONGERSNY10920VICE PRESIDENT1.0$0$0$0
SUSAN CONKLIN
25 HEMLOCK DRIVECONGERSNY10920SECRETARY1.0$0$0$0
DIAN CIFUNI
25 HEMLOCK DRIVECONGERSNY10920TREASURER1.0$0$0$0
LYNDA MELTZER
25 HEMLOCK DRIVECONGERSNY10920DIRECTOR1.0$0$0$0

Compensation Highest Paid Empl CompensationHighestPaidEmplGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdTitleTitleTxtAverage Hrs Per Wk Devoted To PosAverageHrsPerWkDevotedToPosRtCompensationCompensationAmtEmployee BenefitsEmployeeBenefitsAmtExpense AccountExpenseAccountAmt
ANDREA RITCHEN
25 HEMLOCK DRIVECONGERSNY10920MED. DIR./PHYSICIAN18.0$119,068$5,506$0
RUSSELL H TOBE
25 HEMLOCK DRIVECONGERSNY10920PSYCHIATRIST14.0$99,687$0$0
ANDREA CIOFFI
25 HEMLOCK DRIVECONGERSNY10920A16 TREATMENT SUPVR35.0$88,685$4,117$0
MARS MEDINA
25 HEMLOCK DRIVECONGERSNY10920PHYSICAL THERAPIST36.0$93,260$4,506$0
KELLY FOX
25 HEMLOCK DRIVECONGERSNY10920DIR. MED. PRACTICE40.0$71,889$16,880$0
FieldValueIRS element (for citing)
Other Employee Paid Over50k1OtherEmployeePaidOver50kCnt

Compensation Of Hghst Pd Cntrct CompensationOfHghstPdCntrctGrp

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CUREMDBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1120 BROADWAY 35TH FLOORAddressLine1Txt
CityNEW YORKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10271ZIPCd
FieldValueIRS element (for citing)
Service TypeSOFTWARE BILLINGServiceTypeTxt
Compensation$157,770CompensationAmt
FieldValueIRS element (for citing)
Contractor Paid Over50k0ContractorPaidOver50kCnt

Summary Of Direct Chrtbl Acty SummaryOfDirectChrtblActyGrp

FieldValueIRS element (for citing)
Description1TO PROVIDE PRIMARY MEDICAL CARE AND RELATED SERVICES TO PEOPLE WITH DISABILITIES.Description1Txt
Expenses1$1,834,298Expenses1Amt
FieldValueIRS element (for citing)
Sum Of Program Related InvstSumOfProgramRelatedInvstGrp

Minimum Investment Return MinimumInvestmentReturnGrp

FieldValueIRS element (for citing)
Average Monthly FMV Of Sec$0AverageMonthlyFMVOfSecAmt
Average Monthly Cash Balances$30,342AverageMonthlyCashBalancesAmt
FMV All Other Noncharitable Ast$0FMVAllOtherNoncharitableAstAmt
Total FMV Of Unused Assets$30,342TotalFMVOfUnusedAssetsAmt
Acquisition Indebtedness$0AcquisitionIndebtednessAmt
Adjusted Total FMV Of Unused Ast$30,342AdjustedTotalFMVOfUnusedAstAmt
Cash Deemed Charitable$455CashDeemedCharitableAmt
Net Vl Noncharitable Assets$29,887NetVlNoncharitableAssetsAmt
Minimum Investment Return$1,494MinimumInvestmentReturnAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
Minimum Investment Return$1,494MinimumInvestmentReturnAmt
Tax Based On Investment Income$0TaxBasedOnInvestmentIncomeAmt
Total Tax$0TotalTaxAmt
Distributable Before Adj$1,494DistributableBeforeAdjAmt
Distributable Before Ded$1,494DistributableBeforeDedAmt
Distributable As Adjusted$1,494DistributableAsAdjustedAmt

Qualifying Distri Part XII QualifyingDistriPartXIIGrp

FieldValueIRS element (for citing)
Expenses And Contributions$2,028,044ExpensesAndContributionsAmt
Program Related Invst Total$0ProgramRelatedInvstTotalAmt
Charitable Assets Acquis Paid$0CharitableAssetsAcquisPaidAmt
Set Aside Suitability Test$0SetAsideSuitabilityTestAmt
Set Aside Cash Distri Test$0SetAsideCashDistriTestAmt
Qualifying Distributions$2,028,044QualifyingDistributionsAmt
Pct Sect4940e Org Net Invst Incm$0PctSect4940eOrgNetInvstIncmAmt
Adjusted Qualifying Distri$2,028,044AdjustedQualifyingDistriAmt

Undistributed Income UndistributedIncomeGrp

FieldValueIRS element (for citing)
Distributable As Adjusted$1,494DistributableAsAdjustedAmt
Undistributed Income PY$0UndistributedIncomePYAmt
Prior Year12018PriorYear1Yr
Prior Year22017PriorYear2Yr
Prior Year32016PriorYear3Yr
Total For Prior Years$0TotalForPriorYearsAmt
Excess Distribution Cyov Yr5$1,563,051ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$1,747,605ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$2,112,813ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$2,226,434ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$2,454,257ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$10,104,160TotalExcessDistributionCyovAmt
Qualifying Distributions$2,028,044QualifyingDistributionsAmt
Applied To Year1$0AppliedToYear1Amt
Applied To Current Year$1,494AppliedToCurrentYearAmt
Remaining Distri From Corpus$2,026,550RemainingDistriFromCorpusAmt
Total Corpus$12,130,710TotalCorpusAmt
Prior Year Undistributed Incm$0PriorYearUndistributedIncmAmt
Taxable1$0Taxable1Amt
Taxable2$0Taxable2Amt
Undistributed Income CY$0UndistributedIncomeCYAmt
Excess Distri Cyov From Yr5$1,563,051ExcessDistriCyovFromYr5Amt
Excess Distri Cyov To Next Yr$10,567,659ExcessDistriCyovToNextYrAmt
Excess From Year4$1,747,605ExcessFromYear4Amt
Excess From Year3$2,112,813ExcessFromYear3Amt
Excess From Year2$2,226,434ExcessFromYear2Amt
Excess From Year1$2,454,257ExcessFromYear1Amt
Excess From Current Year$2,026,550ExcessFromCurrentYearAmt
FieldValueIRS element (for citing)
Private Operating FoundationsPrivateOperatingFoundationsGrp

Supplementary Information SupplementaryInformationGrp

FieldValueIRS element (for citing)
Only Contri To PreselectedYes (X)OnlyContriToPreselectedInd

Analysis Income Producing Acty AnalysisIncomeProducingActyGrp

Program Service Rev Part VII ProgramServiceRevPartVIIGrp (2 entries)

DescDescBusinessBusinessCdRelated Or Exempt Function IncmRelatedOrExemptFunctionIncmAmt
PATIENT SERVICE REVENUE623000$1,125,057
MEDICAID623000$276,267
FieldValueIRS element (for citing)
Fees Contracts From Govt AgFeesContractsFromGovtAgGrp
Membership Dues And AssmntMembershipDuesAndAssmntGrp
Int On Sav And Temp Cash InvstIntOnSavAndTempCashInvstGrp
Div And Int From Sec Part VIIDivAndIntFromSecPartVIIGrp
Net Rntl Incm Re Debt Fincd PropNetRntlIncmReDebtFincdPropGrp
Net Rntl Incm Re Not Debt Fincd PropNetRntlIncmReNotDebtFincdProp
Net Rental Income Personal PropNetRentalIncomePersonalPropGrp
Other Investment Incm Part VIIOtherInvestmentIncmPartVIIGrp
Gain Sales Ast Oth Than InvntryGainSalesAstOthThanInvntryGrp
Net Income Loss From Special EvtNetIncomeLossFromSpecialEvtGrp
Gross Profit Loss Sls Of InvntryGrossProfitLossSlsOfInvntryGrp

Other Revenue Described OtherRevenueDescribedGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUSDesc
Business900099BusinessCd
Exclusion01ExclusionCd
Related Or Exempt Function Incm$28,511RelatedOrExemptFunctionIncmAmt

Subtotals Incm Producing Acty SubtotalsIncmProducingActyGrp

FieldValueIRS element (for citing)
Related Or Exempt Function Incm$1,429,835RelatedOrExemptFunctionIncmAmt
FieldValueIRS element (for citing)
Total Income Producing Acty$1,429,835TotalIncomeProducingActyAmt

Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp

Rln Of Acty To Accom Of Exmpt Prps RlnOfActyToAccomOfExmptPrpsGrp (2 entries)

Line NumberLineNumberTxtRelationship StatementRelationshipStatementTxt
1A&BREVENUE FOR PATIENT SERVICE VISITS TO THE COMPANY'S CLINIC DUE FROM VARIOUS PAYERS, INCLUDING MEDICAID AND MEDICARE.
11AMISCELLANEOUS INCOME USED IN FURTHERANCE OF THE ORGANIZATION'S EXEMPT PURPOSE.

Trnsfr Trans Rln Nonchrtbl EO TrnsfrTransRlnNonchrtblEOGrp

FieldValueIRS element (for citing)
Trnsfr Of Cash To Nonchrtbl EOfalseTrnsfrOfCashToNonchrtblEOInd
Trnsfr Other Asset Nonchrtbl EOfalseTrnsfrOtherAssetNonchrtblEOInd
Sales Or Exchanges Of AssetsfalseSalesOrExchangesOfAssetsInd
Purchase Of Assets Nonchrtbl EOfalsePurchaseOfAssetsNonchrtblEOInd
Rental Of Facilities Oth AssetsfalseRentalOfFacilitiesOthAssetsInd
Reimbursement ArrangementsfalseReimbursementArrangementsInd
Loans Or Loan GuaranteesfalseLoansOrLoanGuaranteesInd
Performance Of Services EtcfalsePerformanceOfServicesEtcInd
Sharing Of Facilities EtcfalseSharingOfFacilitiesEtcInd
Relationships Nonchrtbl EOfalseRelationshipsNonchrtblEOInd

Depreciation Schedule DepreciationSchedule

Mortgages And Notes Payable Sch MortgagesAndNotesPayableSch

Note Payable NotePayableGrp

Lender Name LenderNameGrp

FieldValueIRS element (for citing)
PersonNYSARC INC - TELPPersonNm
FieldValueIRS element (for citing)
Loan Original$164,277LoanOriginalAmt
Balance Due$0BalanceDueAmt
Note2015-01NoteDt
Loan Maturity2020-12LoanMaturityDt
Interest1.63InterestRt
Loan PurposeTO PURCHASE MEDICAL CLINIC SOFTWARELoanPurposeTxt

Other Expenses Schedule OtherExpensesSchedule

Other Expenses Schedule OtherExpensesScheduleGrp (8 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmtNet Investment IncomeNetInvestmentIncomeAmtAdjusted Net IncomeAdjustedNetIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
OFFICE EXPENSES$201,681$0$0$201,681
MANAGEMENT FEES$187,646$0$0$187,646
BAD DEBT EXPENSE$36,000$0$0$36,000
MEDICAL SUPPLIES$15,564$0$0$15,564
INSURANCE$16,982$0$0$16,982
BUILDING REPAIRS & MAINTENANCE$3,476$0$0$3,476
EQUIPMENT RENTAL$3,059$0$0$3,059
MISCELLANEOUS EXPENSES$3,175$0$0$3,175

Other Income Schedule2 OtherIncomeSchedule2

Other Income Detail OtherIncomeDetail (3 entries)

DescDescRevenue And Expenses Per BooksRevenueAndExpensesPerBooksAmt
PATIENT SERVICE REVENUE$1,125,057
MEDICAID$276,267
OTHER REVENUE$28,511

Other Liabilities Schedule OtherLiabilitiesSchedule

Other Liabilities Detail OtherLiabilitiesDetail

FieldValueIRS element (for citing)
DescDUE TO AFFILIATEDesc
BOY Book Value$2,457,939BOYBookValueAmt
EOY Book Value$2,918,865EOYBookValueAmt

Other Professional Fees Schedule OtherProfessionalFeesSchedule

Other Professional Fees Detail OtherProfessionalFeesDetail (2 entries)

CategoryCategoryTxtAmtAmtNet Investment IncomeNetInvestmentIncomeAmtAdjusted Net IncomeAdjustedNetIncomeAmtDisbursements Charitable PrpsDisbursementsCharitablePrpsAmt
PAYROLL PROCESSING FEES$7,011$0$0$7,011
OTHER CONSULTING FEES$14,700$0$0$14,700

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