2019-10-30T09:18:40-05:00 2018-12-31 264006060 SAXTON KOCUR AND ASSOCIATES LLP 301 E 2ND ST SUITE 303 JAMESTOWN NY 147015409 990 2018-01-01 160968914 CHAUTAUQUA CO CHAPTER OF NYSARC INC CHAU 7164832344 200 DUNHAM AVENUE JAMESTOWN NY 14701 R MICHAEL GOLDMAN ESQ CHAIR 2019-06-03 true ROBERT KOCUR CPA P00170600 7164836109 2019-10-30 X 72.45.247.18 2019-10-30 09:18:40 CD P 9073C425C0769CABC4F139EE930CC30AF666BEA5 9073C425C0769CABC4F139EE930CC30AF666BEA5 2018 2019-02-21 02:37:17Z THE RESOURCE CENTER R MICHAEL GOLDMAN ESQ 200 DUNHAM AVENUE JAMESTOWN NY 14701 79395471 false X RESOURCECENTER.ORG X 1959 NY SUPPORT INDIVIDUALS WITH DISABILITIES AND OTHER CHALLENGES IN ACHIEVING MAXIMUM INDEPENDENCE, CONTRIBUTING TO THEIR COMMUNITY, EXPERIENCING LIFELONG GROWTH AND ENJOYING QUALITY OF LIFE. 15 12 2196 125 0 77785 40482519 43316460 11442509 10630600 149563 113261 12657591 9952935 64732182 64013256 0 0 49988359 46247442 0 0 14889988 15293675 64878347 61541117 -146165 2472139 31221242 31588848 18445554 16500288 12775688 15088560 X SUPPORT INDIVIDUALS WITH DISABILITIES AND OTHER CHALLENGES IN ACHIEVING MAXIMUM INDEPENDENCE, CONTRIBUTING TO THEIR COMMUNITY, EXPERIENCING LIFELONG GROWTH AND ENJOYING QUALITY OF LIFE. false false 26444964 2474138 RESIDENTIAL SERVICES - TO PROVIDE A HOME-LIKE ATMOSPHERE AND REQUIRED SUPPORTS AND SERVICES TO INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES IN INTERMEDIATE CARE FACILITIES, INDIVIDUALIZED RESIDENTIAL ALTERNATIVES AND SUPPORTIVE APARTMENTS. 10892376 46343 OFFICE FOR PEOPLE WITH DEVELOPMENTAL DISABILITIES HOME AND COMMUNITY BASED SERVICES & DAY PROGRAMS - TO PROVIDE HOME, COMMUNITY, AND CENTER BASED SERVICES THAT PROMOTE AND ENCOURAGE OUTCOMES FOR INDIVIDUALS WITH DEVELOPMENTAL DISABILITIES RELATING TO INDEPENDENCE, INDIVIDUALIZATION, COMMUNITY INCLUSION AND PRODUCTIVITY. 8458372 9574906 REHABILITATION WORKCENTERS - TO PROVIDE ASSESSMENT, TRAINING, AND WORK OPPORTUNITIES FOR INDIVIDUALS WITH DISABILITIES THROUGH COMPETITIVE JOB PLACEMENT, SUPPORTIVE EMPLOYMENT, WORKCENTER AND AFFIRMATIVE BUSINESS. 9787214 8087732 MENTAL HEALTH SERVICES - TO PROVIDE DIAGNOSTIC, TREATMENT, AND SUPPORT SERVICES TO INDIVIDUALS WITH MENTAL HEALTH SUPPORT NEEDS THAT PROMOTE AND FACILITATE PERSONAL RECOVERY AND ADJUSTMENT. REV 2,479,748 EXP 2,828,720 DIAGNOSTIC & TREATMENT CENTER - TO PROVIDE DIAGNOSTIC AND TREATMENT PRIMARY CARE, DENTAL, AND ANCILLARY SERVICES FOR INDIVIDUALS WITH DISBLING CONDITIONS AND THE GENERAL PUBLIC. REV 4,256,235 EXP 4,822,513 OTHER PROGRAMS - INCLUDE PHARMACY, HEALTH HOMES, SOCIAL SERVICES, AND ACCES-VR SERVICES, AMONG OTHERS. REV 1,351,749 EXP 2,135,981 9787214 8087732 55582926 true true false false false false false false true false true false false false true false false true false false false false false false false false false false false true false false false false false false false false false false false false false true true true false false true 95 0 2196 true true true false false false false false false false false false false false X 15 12 false false false false true true true true true false false true true true true true true true true false NY X X KELLY DIMITRI CFO 7164854694 200 DUNHAM AVENUE JAMESTOWN NY 14701 JENNIFER YOST DIRECTOR 12.60 X 6984 0 0 R MICHAEL GOLDMAN ESQ CHAIR 1.00 X X 0 0 0 PATRICIA PERLEE VICE CHAIR 1.00 X X 0 0 0 DR TODD JACOBSON TREASURER/DI 1.00 X X 0 0 0 CRAIG COLBURN DIRECTOR/TRE 1.00 X X 0 0 0 MARIE CARRUBBA ESQ SECRETARY 1.00 X X 0 0 0 DAWN COLUMBARE DNP DIRECTOR 1.00 X 0 0 0 RICHARD ERICKSON CPA DIRECTOR 1.00 X 0 0 0 THOMAS GLATZ DIRECTOR 1.00 X 0 0 0 DONNA HAENGGI DIRECTOR 1.00 X 0 0 0 REBECCA HAMLET KAPPLE DIRECTOR (18 1.00 X 0 0 0 JULIE MCCARTHY DIRECTOR (17 1.00 X 0 0 0 WAYNE ORMSBY DIRECTOR 1.00 X 0 0 0 ALAN RICHARDS DIRECTOR 1.00 X 0 0 0 TIMOTHY ROCHE DIRECTOR (18 1.00 X 0 0 0 BARBARA STEWART DIRECTOR (17 1.00 X 0 0 0 MARLENE SIRIANNO ESQ DIRECTOR 1.00 X 0 0 0 DENISE JONES PRESIDENT/CE 40.00 X 286950 0 44464 KELLY DIMITRI CFO 40.00 X 125158 0 23584 ADNAN MUNIR PHYSICIAN 40.00 X 341695 0 31738 MUMTAZ KARIMI PHYSICIAN 35.00 X 212669 0 32521 COURTNEY OLIVER DENTIST 40.00 X 180673 0 19314 LAURIE FENTON PYSCHIATRIC 40.00 X 141199 0 6966 TODD FRANGIONE DIRECTOR OF 40.00 X 139048 0 12509 1434376 171096 13 false true false INDEPENDENT HEALTH CORPORATION PO BOX 428 WILLIAMSVILLE NY 14231 HEALTH INS ADM 361711 TEAM SERVICES 92 FAIRMOUNT AVENUE JAMESTOWN NY 14701 CONTRACTED SVCS 285873 SOURCEAMERICA 8401 OLD COURTHOUSE ROAD VIENNA VA 22182 COMMISSIONS 196432 ADVOCATES FOR HUMAN POTENTIAL INC 490 BOSTON POST ROAD SUDBURY MA 01776 CONSULTING 190038 NYSARC INC 393 DELAWARE AVENUE DELMAR NY 12054 ADMIN FEES/DUES 187269 7 2150 42740336 573974 2651 43316460 DIAGNOSTIC & TREATMENT CENTER 621400 4256235 4256235 MENTAL HEALTH SERVICES 621400 2479748 2479748 RESIDENTIAL SERVICES 623000 2474138 2474138 OTHER PROGRAMS 621400 1351749 1351749 OPWDD HCBS 621400 46343 46343 22387 22387 10630600 81942 81942 557350 50269 571885 4415 -14535 45854 31319 31319 24358434 14805915 9552519 9552519 EXP REIMB FROM RELATED ORG'S 561700 246399 246399 SERVICE REIMBURSEMENT 561700 151413 151413 MISCELLANEOUS 900099 2604 2604 400416 64013256 20583535 113261 471613 471613 37619084 34935630 2683454 534602 507747 26855 4870304 4532359 337945 2751839 2539126 212713 487908 389802 98106 32387 32387 78418 78418 861360 752001 109359 69311 20340 48971 174333 112117 62216 4046117 3653555 392562 1064218 1056698 7520 230592 185561 45031 1778251 1526566 251685 704181 630875 73306 OPERATING SUPPLIES 2134997 2121377 13620 FURNITURE & EQUIP EXPENSE 937583 433135 504448 STAFF TRAINING & TRAVEL 787872 722717 65155 TAX ASSESSMENT 615448 615448 1290699 847872 442827 61541117 55582926 5958191 0 5800 5550 13626406 14153143 3014917 3215484 818548 892541 42623915 32105957 10972121 10517958 2204297 2223351 27349 103211 551804 477610 31221242 31588848 12923941 11445820 1324993 341746 11519 2720 551804 477610 3148965 3489364 438319 737311 46013 5717 18445554 16500288 X 12763523 15071711 12165 16849 12775688 15088560 31221242 31588848 X 2472139 -199563 40296 X false true X true false X 38766406 42439227 44131492 40482519 43316460 209136104 38766406 42439227 44131492 40482519 43316460 209136104 209136104 51256 40889 41219 78610 81942 293916 137964 135189 143574 215322 154017 786066 210216086 207709650 0.99490 0.99490 X PART II, LINE 10 SERVICE REIMBURSEMENT 714,999 MISCELLANEOUS 69,034 VENDING MACHINE FEES 2,033 SUPPLEMENTAL INFORMATION SERVICE REIMBURSEMENT - REIMBURSEMENT FOR SERVICES PROVIDED TO TAX EXEMPT ENTITIES PROVIDING SERVICES AND SUPPORT FOR THE RESOURCE CENTER'S MISSION. false true X 266066 266066 21391554 15883283 5508271 9089095 6747132 2341963 10437231 8318309 2118922 1439969 1157233 282736 10517958 DERIVATIVE INST.-INTEREST RATE SWAP 5717 5717 78768270 -199563 108366 40296 -50901 78819171 -14805915 -14805915 64013256 76455398 108366 108366 76347032 -14805915 -14805915 61541117 SCHEDULE D, PAGE 2, PART IV, LINE 2B THE ORGANIZATION IS THE REPRESENTATIVE PAYEE FOR SEVERAL RESIDENTS AT THE ORGANIZATION'S FACILITIES, AS WELL AS FOR INDIVIDUALS WHO LIVE IN THE COMMUNITY. AS REPRESENTATIVE PAYEE, THE ORGANIZATION'S EMPLOYEES HAVE SIGNATORY AUTHORITY OVER THE INDIVIDUALS' ACCOUNTS. THE BALANCE OF INDIVIDUALS' ACCOUNTS ARE INCLUDED ON THE BALANCE SHEET AS AN OTHER ASSET, WITH AN OFFSETTING LIABILITY REPORTED AS AN ESCROW OR CUSTODIAL ACCOUNT LIABILITY. SCHEDULE D, PAGE 4, PART XI, LINE 2D CHANGE IN FAIR VALUE OF DERIVATIVE INSTRUMENT 40,296 SCHEDULE D, PAGE 4, PART XI, LINE 4B COGS INCLUDED ON F/S STMT OF FUNCTIONAL EXP -14,805,915 SCHEDULE D, PAGE 4, PART XII, LINE 4B COGS INCLUDED ON F/S STMT OF FUNCTIONAL EXP -14,805,915 X X X X X false true false false false false false false false DENISE JONES PRESIDENT/CEO 264645 200 22105 24617 19847 331414 18000 ADNAN MUNIR PHYSICIAN 322595 19100 10428 21310 373433 MUMTAZ KARIMI PHYSICIAN 211614 1055 6681 25840 245190 COURTNEY OLIVER DENTIST 179386 1287 3692 15622 199987 TODD FRANGIONE DIRECTOR OF BSN OPS 85396 53652 5160 7349 151557 SCHEDULE J, PART III PART I, LINE 4 - SEVERANCE, NONQUALIFIED, AND EQUITY-BASED PAYMENTS - MEMBERS OF THE EXECUTIVE SUPPORT TEAM PARTICIPATE IN A NON-QUALIFIED, SUPPLEMENTAL RETIREMENT PLAN UNDER SECTION 457F. NO PAYMENTS WERE MADE TO ANY EMPLOYEES DURING THE CURRENT YEAR. FORM 990, PAGE 2, PART III, LINE 4D MENTAL HEALTH SERVICES - TO PROVIDE DIAGNOSTIC, TREATMENT, AND SUPPORT SERVICES TO INDIVIDUALS WITH MENTAL HEALTH SUPPORT NEEDS THAT PROMOTE AND FACILITATE PERSONAL RECOVERY AND ADJUSTMENT. REV 2,479,748 EXP 2,828,720 DIAGNOSTIC & TREATMENT CENTER - TO PROVIDE DIAGNOSTIC AND TREATMENT PRIMARY CARE, DENTAL, AND ANCILLARY SERVICES FOR INDIVIDUALS WITH DISBLING CONDITIONS AND THE GENERAL PUBLIC. REV 4,256,235 EXP 4,822,513 OTHER PROGRAMS - INCLUDE PHARMACY, HEALTH HOMES, SOCIAL SERVICES, AND ACCES-VR SERVICES, AMONG OTHERS. REV 1,351,749 EXP 2,135,981 FORM 990, PAGE 6, PART VI, LINE 6 THE ORGANIZATION IS A NON-STOCK, NOT-FOR-PROFIT ASSOCIATION WITH MEMBERS. THE CLASSES OF MEMBERS CONSIST OF ACTIVE, LIFE AND ASSOCIATE MEMBERS. MEMBERS PAY AN ANNUAL FEE DEPENDING ON THEIR LEVEL OF MEMBERSHIP. FORM 990, PAGE 6, PART VI, LINE 7A ALL ACTIVE MEMBERS ELECT THE BOARD OF DIRECTORS AT THE ANNUAL MEMBERSHIP MEETING. FORM 990, PAGE 6, PART VI, LINE 7B ANY REVISIONS OF THE BY-LAWS OR THE CERTIFICATE OF ORGANIZATION ARE SUBJECT TO THE APPROVAL OF MEMBERSHIP. FORM 990, PAGE 6, PART VI, LINE 11B THE 990 REVIEW COMMITTEE (A SUB-COMMITTEE OF THE BOARD OF DIRECTORS COMPRISED OF THE BOARD PRESIDENT, BOARD TREASURER, EXECUTIVE DIRECTOR (CEO), AND THE CHIEF FINANCIAL OFFICER), MEETS TO REVIEW, APPROVE, AND SIGN THE FORM 990 AND REQUIRED SUPPLEMENTARY SCHEDULES PRIOR TO ITS FILING WITH THE IRS. THE SUB-COMMITTEE ALSO PROVIDES A FULL REPORT OF THIS ACTIVITY TO THE FULL BOARD OF DIRECTORS AND A COPY IS MADE AVAILABLE FOR REVIEW PRIOR TO FILING. FORM 990, PAGE 6, PART VI, LINE 12C DESIGNATED STAFF (DESIGNATED STAFF SHALL MEAN ALL MEMBERS OF THE EXECUTIVE MANAGEMENT TEAM AS WELL AS ANY EMPLOYEE WHO IS IN THE POSITION TO MAKE DECISIONS THAT INVOLVE PURCHASING GOODS OR SERVICES, OR THAT OTHERWISE MAY ENCUMBER THE ORGANIZATION), BOARD ADVISORY COMMITTEES AND THE BOARD OF DIRECTORS COMPLETE A CONFLICT OF INTEREST FORM ANNUALLY. THE ORGANIZATION'S CORPORATE COMPLIANCE OFFICER REVIEWS ALL FORMS AND REPORTS RESULTS TO THE BOARD OF DIRECTORS AND THE AUDIT COMMITTEE. FORM 990, PAGE 6, PART VI, LINE 15A CEO EMPLOYMENT CONTRACT IS REVIEWED BY THE EXECUTIVE COMMITTEE. COMPARATIVE SALARY STUDIES ARE PROVIDED FROM BUSINESS FIRST PUBLICATIONS AND OTHER LOCAL COMPETITORS FOR THE EXECUTIVE COMMITTEE TO CONSIDER. THE EXECUTIVE COMMITTEE MAKES A RECOMMENDATION TO THE BOARD OF DIRECTORS FOR APPROVAL. FORM 990, PAGE 6, PART VI, LINE 15B ALL OTHER SALARY RANGES ARE REVIEWED BY THE SALARY ADVISORY COMMITTEE, THE PERSONNEL DEPARTMENTS AND ULTIMATELY THE BOARD OF DIRECTORS. FORM 990, PAGE 6, PART VI, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE ON FILE WITH STATE REGULATORY AGENCIES REGULATING THE ORGANIZATION'S ACTIVITIES. FORM 990, PART XI, LINE 9 CHANGE IN FAIR VALUE OF DERIVATIVE INSTRUMENT 40,296 COGS INCLUDED ON F/S STMT OF FUNCTIONAL EXP 14,805,915 COGS INCLUDED ON F/S STMT OF FUNCTIONAL EXP -14,805,915 TOTAL 40,296 CHAUTAUQUA COMMUNITY RESIDENCE INC 200 DUNHAM AVENUE JAMESTOWN NY 14701 222279175 HUD HSING NY 501C3 7 N/A true OPPORTUNITIES FOR LIVING INC 200 DUNHAM AVENUE JAMESTOWN NY 14701 311647074 HUD HSING NY 501C3 7 N/A true FILLING THE GAP INC 92 FAIRMOUNT AVENUE JAMESTOWN NY 14701 223360489 ADMIN SVCS NY 501C3 12D N/A false CHAUTAUQUA CONNECTIONS INC 92 FAIRMOUNT AVENUE JAMESTOWN NY 14701 161474250 CHILD SVCS NY 501C3 10 N/A false false false true true false false false false false false true true false false false false true false false CHAUTAUQUA COMMUNITY RESIDENCE INC D 479399 EOY BALANCE DUE CHAUTAUQUA COMMUNITY RESIDENCE INC K 84768 LEASE PAYMENTS CHAUTAUQUA COMMUNITY RESIDENCE INC L 19634 PERCENTAGE OF RENTS CHAUTAUQUA COMMUNITY RESIDENCE INC Q 265059 AMOUNT RECEIVED OPPORTUNITIES FOR LIVING INC D 15843 EOY BALANCE DUE OPPORTUNITIES FOR LIVING INC L 2321 PERCENTAGE OF RENTS OPPORTUNITIES FOR LIVING INC Q 19163 AMOUNT RECEIVED FILLING THE GAP INC C 31500 AMOUNT RECEIVED CHAUTAUQUA CONNECTIONS INC D 151349 LOAN GUARANTEE BALANCE CHAUTAUQUA CONNECTIONS INC D 263 EOY BALANCE DUE CHAUTAUQUA CONNECTIONS INC L 4692 AMOUNT RECEIVED