NORTHERN OSWEGO COUNTY HEALTH SERVICES INC: Form 990, tax year 2020
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- Organization
- NORTHERN OSWEGO COUNTY HEALTH SERVICES INC (EIN 23-7036393)
- Tax period
- 2020-01-01 to 2020-12-31
- Filed
- 2021-11-03
- IRS object ID
- 202143079349300334
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-11-03T08:50:30-05:00 | ReturnTs |
| Tax Period End | 2020-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 161131146 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BONADIO & CO LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 432 NORTH FRANKLIN STREET | AddressLine1Txt |
| City | SYRACUSE | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13204 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 237036393 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTHERN OSWEGO COUNTY HEALTH SERVICES | BusinessNameLine1Txt |
| Business Name Line2 | INC D/B/A CONNEXTCARE | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | NORT | BusinessNameControlTxt |
| Phone | 3152986569 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 61 DELANO STREET | AddressLine1Txt |
| City | PULASKI | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13142 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TRICIA PETER-CLARK | PersonNm |
| Person Title | PRESIDENT/CEO | PersonTitleTxt |
| Phone | 3152986569 | PhoneNum |
| Signature | 2021-10-25 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | TRICIA | PersonFirstNm |
| Person Last | PETER-CLARK | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | BETTINA LIPPHARDT | PreparerPersonNm |
| PTIN | P00956232 | PTIN |
| Phone | 3154227109 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CONNEXTCARE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | TRICIA PETER-CLARK | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 61 DELANO STREET | AddressLine1Txt |
| City | PULASKI | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13142 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $31,921,623 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.CONNEXTCARE.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1969 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE THE COMMUNITY WITH QUALITY HEALTHCARE AND PROMOTE THE WELLNESS OF THE COMMUNITY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 16 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 16 | VotingMembersIndependentCnt |
| Total Employee | 296 | TotalEmployeeCnt |
| Total Volunteers | 15 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $4,734,408 | PYContributionsGrantsAmt |
| CY Contributions Grants | $6,127,413 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $19,851,840 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $25,337,453 | CYProgramServiceRevenueAmt |
| PY Investment Income | $102,960 | PYInvestmentIncomeAmt |
| CY Investment Income | $79,088 | CYInvestmentIncomeAmt |
| PY Other Revenue | $207,907 | PYOtherRevenueAmt |
| CY Other Revenue | $377,669 | CYOtherRevenueAmt |
| PY Total Revenue | $24,897,115 | PYTotalRevenueAmt |
| CY Total Revenue | $31,921,623 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $17,755,369 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $19,233,258 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $5,867,346 | PYOtherExpensesAmt |
| CY Other Expenses | $6,912,115 | CYOtherExpensesAmt |
| PY Total Expenses | $23,622,715 | PYTotalExpensesAmt |
| CY Total Expenses | $26,145,373 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,274,400 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $5,776,250 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $16,409,036 | TotalAssetsBOYAmt |
| Total Assets EOY | $23,762,909 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,442,704 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $4,046,535 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $13,966,332 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $19,716,374 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO PROVIDE THE COMMUNITY WITH QUALITY HEALTHCARE SERVICES AND PROMOTE THE WELLNESS OF THE COMMUNITY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $17,611,056 | ExpenseAmt |
| Revenue | $22,644,178 | RevenueAmt |
| Desc | PROVIDED HEALTH CARE IN AN UNDERSERVED RURAL AREA OF UPSTATE NEW YORK, REGARDLESS OF THE ABILITY OF THE PATIENT TO PAY FOR THEIR CARE. THE CENTER HAD 71,967 VISITS DURING THE YEAR. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,823,556 | ExpenseAmt |
| Revenue | $1,480,844 | RevenueAmt |
| Desc | PROVIDE DENTAL CARE IN AN UNDERSERVED RURAL AREA OF UPSTATE NEW YORK, REGARDLESS OF THE ABILITY OF THE PATIENT TO PAY FOR THEIR CARE. THE CENTERS HAD 16,986 VISITS DURING THE YEAR. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,567,252 | ExpenseAmt |
| Revenue | $857,848 | RevenueAmt |
| Desc | PROVIDE HEALTH AND DENTAL CARE IN SIX SCHOOL-BASED HEALTH CENTERS IN AN UNDERSERVED RURAL AREA OF UPSTATE NEW YORK, REGARDLESS OF THE ABILITY OF THE PATIENT TO PAY FOR THEIR CARE. THE CENTER HAD 9,282 VISITS DURING THE YEAR. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $966,624 | ExpenseAmt |
| Revenue | $582,313 | RevenueAmt |
| Desc | BEHAVORIAL HEALTH SERVICES | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $966,624 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $582,313 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $22,968,488 | 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 | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | 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 | 0 | 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 | 0 | 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 | 16 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 296 | 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 | 16 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 16 | 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 | 0 | 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 | TRACY WIMMER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3152986569 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 61 DELANO STREET | AddressLine1Txt |
| City | PULASKI | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 13142 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| MICHAEL BACKUS | ||||||||
| CHAIRPERSON | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| STEVEN GAFFNEY | ||||||||
| VICE CHAIRPERSON | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| BETH HALLINAN | ||||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| TIMOTHY MCCLUSKY | ||||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| PATTY KOHR | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JUDITH J CATELLA | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ROBERT OUSTRICH | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| FELICITY ANNE HALLANAN | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| KATHY MCLEOD | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ROSE ANN JERRETT | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ROBERT TRAINHAM | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| LAUREN SEITER | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| DAVID DINGMAN | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| DR MICHAEL STEPHENS | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| SUSAN LOBDELL | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JAMES OLDENBURG | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| DANIEL DEY | ||||||||
| CEO | 40.00 | Yes (X) | $229,292 | $0 | $5,819 | |||
| TRICIA PETER-CLARK | ||||||||
| CHIEF OPERATING OFFICER | 40.00 | Yes (X) | $161,328 | $0 | $24,280 | |||
| TRACY WIMMER | ||||||||
| CHIEF FINANCIAL OFFICER | 40.00 | Yes (X) | $126,784 | $0 | $23,796 | |||
| PATRICK CARGUELLO | ||||||||
| PHYSICIAN MEDICAL DIRECTOR | 40.00 | $315,746 | $0 | $28,023 | Yes (X) | |||
| MELISSA NOEL | ||||||||
| DENTIST DENTAL DIRECTOR | 40.00 | $265,277 | $0 | $24,775 | Yes (X) | |||
| DAVID BARBER | ||||||||
| PHYSICIAN | 40.00 | $251,832 | $0 | $26,503 | Yes (X) | |||
| THOMAS HANNA | ||||||||
| PHYSICIAN | 40.00 | $268,609 | $0 | $26,439 | Yes (X) | |||
| GLENN F THIBAULT | ||||||||
| PEDIATRICIAN | 40.00 | $305,110 | $0 | $22,003 | Yes (X) | |||
| SCOTT C VAN GORDER | ||||||||
| PHYSICIAN | 40.00 | $267,199 | $0 | $26,634 | Yes (X) | |||
| AMANDA RAY | ||||||||
| PHYSICIAN | 40.00 | $252,311 | $0 | $20,861 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,443,488 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $229,133 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 36 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| HAYNER HOYT CORPORATION | |||||
| 625 ERIE BLVD WEST | SYRACUSE | NY | 13204 | CONSTRUCTION SERVICES | $412,815 |
| HEALTH MANAGEMENT ASSOCIATES | |||||
| ONE MICHIGAN AVE BLDG 120 N WASHI | LANSING | MI | 48933 | HEALTHCARE CONSULTANTS | $227,028 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $5,536,219 | GovernmentGrantsAmt |
| All Other Contributions | $591,194 | AllOtherContributionsAmt |
| Total Contributions | $6,127,413 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICE REV | 621400 | $12,509,849 | $12,509,849 |
| DELIVERY SYSTEM REFORM INCENTIVE | 621400 | $7,495,287 | $7,495,287 |
| 340B PHARMACY | 621400 | $5,229,856 | $5,229,856 |
| INDIGENT CARE FUNDING | 621400 | $102,461 | $102,461 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $25,337,453 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $79,088 | TotalRevenueColumnAmt |
| Exclusion | $79,088 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $149,939 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $149,939 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $149,939 | TotalRevenueColumnAmt |
| Exclusion | $149,939 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $227,730 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $227,730 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $227,730 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $31,921,623 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $25,565,183 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $229,027 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $536,351 | TotalAmt |
| Management And General | $536,351 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,226,871 | TotalAmt |
| Program Services | $14,144,262 | ProgramServicesAmt |
| Management And General | $1,082,609 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $318,190 | TotalAmt |
| Program Services | $296,514 | ProgramServicesAmt |
| Management And General | $21,676 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,126,109 | TotalAmt |
| Program Services | $1,933,243 | ProgramServicesAmt |
| Management And General | $192,866 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,025,737 | TotalAmt |
| Program Services | $915,519 | ProgramServicesAmt |
| Management And General | $110,218 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $412,291 | TotalAmt |
| Program Services | $372,505 | ProgramServicesAmt |
| Management And General | $39,786 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,601 | TotalAmt |
| Program Services | $11,385 | ProgramServicesAmt |
| Management And General | $1,216 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,300 | TotalAmt |
| Program Services | $43,639 | ProgramServicesAmt |
| Management And General | $4,661 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,040 | TotalAmt |
| Management And General | $9,040 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $683,854 | TotalAmt |
| Program Services | $617,861 | ProgramServicesAmt |
| Management And General | $65,993 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,032,161 | TotalAmt |
| Program Services | $544,680 | ProgramServicesAmt |
| Management And General | $487,481 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $593,498 | TotalAmt |
| Program Services | $563,128 | ProgramServicesAmt |
| Management And General | $30,370 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,276 | TotalAmt |
| Program Services | $9,858 | ProgramServicesAmt |
| Management And General | $5,418 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $118,643 | TotalAmt |
| Program Services | $110,666 | ProgramServicesAmt |
| Management And General | $7,977 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $73 | TotalAmt |
| Program Services | $73 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $393,166 | TotalAmt |
| Program Services | $288,793 | ProgramServicesAmt |
| Management And General | $104,373 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $132,225 | TotalAmt |
| Program Services | $88,531 | ProgramServicesAmt |
| Management And General | $43,694 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PHARMACEUTICALS AND LAB | $1,637,549 | $1,637,549 | |
| REPAIRS & MAINTENANCE | $725,675 | $389,508 | $336,167 |
| CONSUMABLE SUPPLIES | $523,851 | $454,107 | $69,744 |
| BAD DEBTS | $251,740 | $251,740 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $322,172 | TotalAmt |
| Program Services | $294,927 | ProgramServicesAmt |
| Management And General | $27,245 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,145,373 | TotalAmt |
| Program Services | $22,968,488 | ProgramServicesAmt |
| Management And General | $3,176,885 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,562,261 | BOYAmt |
| EOY | $11,034,687 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,839,729 | BOYAmt |
| EOY | $3,409,237 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $62,469 | BOYAmt |
| EOY | $189,563 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,621,782 | BOYAmt |
| EOY | $1,436,445 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $277,405 | BOYAmt |
| EOY | $364,645 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $10,126,760 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $6,006,586 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,861,046 | BOYAmt |
| EOY | $4,120,174 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,184,344 | BOYAmt |
| EOY | $3,208,158 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,409,036 | BOYAmt |
| EOY | $23,762,909 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,890,004 | BOYAmt |
| EOY | $1,518,521 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,938 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $518,762 | BOYAmt |
| EOY | $2,528,014 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,442,704 | BOYAmt |
| EOY | $4,046,535 | 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 | $13,966,332 | BOYAmt |
| EOY | $19,716,374 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,966,332 | BOYAmt |
| EOY | $19,716,374 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,409,036 | BOYAmt |
| EOY | $23,762,909 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $5,776,250 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$26,208 | NetUnrlzdGainsLossesInvstAmt |
| 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) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
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
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $16,000 | OtherCostOrOtherBasisAmt |
| Book Value | $16,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,678,013 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,458,092 | DepreciationAmt |
| Book Value | $3,219,921 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $240,838 | OtherCostOrOtherBasisAmt |
| Depreciation | $132,086 | DepreciationAmt |
| Book Value | $108,752 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,942,516 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,416,408 | DepreciationAmt |
| Book Value | $526,108 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $249,393 | OtherCostOrOtherBasisAmt |
| Book Value | $249,393 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $4,120,174 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO THIRD PARTY | $19,114 |
| PAYCHECK PROTECTION PROGRAM | $2,508,900 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $2,528,014 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $31,886,375 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$26,208 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | -$26,208 | RevenueNotReportedAmt |
| Revenue Subtotal | $31,912,583 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $9,040 | InvestmentExpensesNotIncldAmt |
| Revenue Not Reported Fincl Stmt | $9,040 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $31,921,623 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $26,136,333 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $26,136,333 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $9,040 | InvestmentExpensesNotIncld2Amt |
| Expenses Not Rpt Fincl Stmt | $9,040 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $26,145,373 | TotalExpensesPerForm990Amt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | Yes (1) | 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 (10 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DANIEL DEY | ||||||||||||||
| CEO | $213,692 | $0 | $15,600 | $0 | $0 | $0 | $5,765 | $0 | $54 | $0 | $235,111 | $0 | $0 | $0 |
| TRICIA PETER-CLARK | ||||||||||||||
| CHIEF OPERATING OFFICER | $146,978 | $0 | $14,350 | $0 | $0 | $0 | $4,370 | $0 | $19,910 | $0 | $185,608 | $0 | $0 | $0 |
| TRACY WIMMER | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $121,784 | $0 | $5,000 | $0 | $0 | $0 | $3,886 | $0 | $19,910 | $0 | $150,580 | $0 | $0 | $0 |
| PATRICK CARGUELLO | ||||||||||||||
| PHYSICIAN MEDICAL DIRECTOR | $270,340 | $0 | $45,406 | $0 | $0 | $0 | $8,113 | $0 | $19,910 | $0 | $343,769 | $0 | $0 | $0 |
| MELISSA NOEL | ||||||||||||||
| DENTIST DENTAL DIRECTOR | $181,401 | $0 | $83,876 | $0 | $0 | $0 | $4,865 | $0 | $19,910 | $0 | $290,052 | $0 | $0 | $0 |
| DAVID BARBER | ||||||||||||||
| PHYSICIAN | $221,787 | $0 | $30,045 | $0 | $0 | $0 | $6,593 | $0 | $19,910 | $0 | $278,335 | $0 | $0 | $0 |
| THOMAS HANNA | ||||||||||||||
| PHYSICIAN | $248,609 | $0 | $20,000 | $0 | $0 | $0 | $6,529 | $0 | $19,910 | $0 | $295,048 | $0 | $0 | $0 |
| GLENN F THIBAULT | ||||||||||||||
| PEDIATRICIAN | $249,823 | $0 | $55,287 | $0 | $0 | $0 | $7,658 | $0 | $14,345 | $0 | $327,113 | $0 | $0 | $0 |
| SCOTT C VAN GORDER | ||||||||||||||
| PHYSICIAN | $247,199 | $0 | $20,000 | $0 | $0 | $0 | $7,667 | $0 | $18,967 | $0 | $293,833 | $0 | $0 | $0 |
| AMANDA RAY | ||||||||||||||
| PHYSICIAN | $220,859 | $0 | $31,452 | $0 | $0 | $0 | $6,516 | $0 | $14,345 | $0 | $273,172 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE 990 IS REVIEWED BY THE CEO, CFO AND FINANCE COMMITTEE. ONCE APPROVAL HAS BEEN RECEIVED, A COPY IS PROVIDED TO THE FULL BOARD OF DIRECTORS PRIOR TO BEING FILED. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE OF THE POLICY THROUGH THE QUALITY COMMITTEE. AFTER THE ANNUAL REVIEW OF THE CONFLICT OF INTEREST POLICY BY THE QUALITY COMMITTEE, OFFICERS, DIRECTORS, BOARD MEMBERS, AND KEY EMPLOYEES ARE REQUIRED TO SIGN-OFF. NEW STAFF AND BOARD MEMBERS ARE REQUIRED TO READ AND SIGN OFF THAT THEY UNDERSTAND THE POLICY. |
| FORM 990, PART VI, SECTION B, LINE 15A | THE COMPENSATION FOR THE CEO IS DETERMINED BY THE BOARD OF DIRECTORS, USING HEALTHCARE INDUSTRY STANDARDS, AND IS REFLECTED CONTRACTUALLY. THE BOARD THEN VOTES TO APPROVE THE CEO'S COMPENSATION. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST ONLY. |
| PART XII, LINE 2C | NO CHANGES FROM PRIOR YEAR. |
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