PUTNAM FAMILY AND COMMUNITY SERVICES INC: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- PUTNAM FAMILY AND COMMUNITY SERVICES INC (EIN 06-1485158)
- Tax period
- 2018-01-01 to 2018-12-31
- Filed
- 2019-08-15
- IRS object ID
- 201942279349302039
- Schema version
- 2018v3.1
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-08-15T15:19:43-05:00 | ReturnTs |
| Tax Period End | 2018-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 141604297 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RBT CPAS LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 11 RACQUET RD | AddressLine1Txt |
| City | NEWBURGH | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 12550 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2018-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 061485158 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PUTNAM FAMILY & COMMUNITY SERVICES | BusinessNameLine1Txt |
| Business Name Line2 | INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PUTN | BusinessNameControlTxt |
| Phone | 8452252700 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1808 ROUTE 6 | AddressLine1Txt |
| City | CARMEL | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10512 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ERIC A TOTH | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 8452252700 | PhoneNum |
| Signature | 2019-08-06 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DAVIDE DIGENOVA CPA | PreparerPersonNm |
| PTIN | P00955704 | PTIN |
| Phone | 8455679000 | PhoneNum |
| Preparation | 2019-08-06 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 71.169.2.122 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-08-15 | IPDt |
| IP Tm | 15:19:43 | IPTm |
| IP Timezone | CD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | A4AEA7B7C77B29F1745D3D40FF177CB254434388 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 176E5DFCA47181BC6D5D270AD0D92E13B6B934A5 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COVECARE CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ERIC A TOTH | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1808 ROUTE 6 | AddressLine1Txt |
| City | CARMEL | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10512 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $6,286,085 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.COVECARECENTER.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1997 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | TO PARTNER WITH INDIVIDUALS, FAMILIES AND THE COMMUNITY TO FOSTER HOPE, WELLNESS AND RECOVERY, AND TO RESTORE QUALITY OF LIFE BY ADDRESSING MENTAL HEALTH NEEDS, SUBSTANCE USE, AND SOCIAL AND EMOTIONAL ISSUES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 119 | TotalEmployeeCnt |
| Total Volunteers | 18 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $2,719,826 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,874,368 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $3,562,297 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $3,256,667 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$24,012 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,382 | CYInvestmentIncomeAmt |
| PY Other Revenue | $78,829 | PYOtherRevenueAmt |
| CY Other Revenue | $119,072 | CYOtherRevenueAmt |
| PY Total Revenue | $6,336,940 | PYTotalRevenueAmt |
| CY Total Revenue | $6,251,489 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $26,636 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $27,029 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $5,136,649 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $5,277,824 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $47,990 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,058,592 | PYOtherExpensesAmt |
| CY Other Expenses | $964,641 | CYOtherExpensesAmt |
| PY Total Expenses | $6,221,877 | PYTotalExpensesAmt |
| CY Total Expenses | $6,269,494 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $115,063 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$18,005 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $2,120,341 | TotalAssetsBOYAmt |
| Total Assets EOY | $2,151,955 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,573,558 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,623,177 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $546,783 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $528,778 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO PARTNER WITH INDIVIDUALS, FAMILIES AND THE COMMUNITY TO FOSTER HOPE, WELLNESS AND RECOVERY, AND TO RESTORE QUALITY OF LIFE BY ADDRESSING MENTAL HEALTH NEEDS, SUBSTANCE USE, AND SOCIAL AND EMOTIONAL ISSUES. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $2,456,040 | ExpenseAmt |
| Grant | $27,029 | GrantAmt |
| Revenue | $1,476,464 | RevenueAmt |
| Desc | COMMUNITY BASED/REHABILITATION SERVICES- THESE SERVICES ARE COMPRISED OF OUR COMPREHENSIVE PERSONALIZED RECOVERY ORIENTED SERVICES (PROS) PROGRAM AND CARE MANAGEMENT PROGRAMS WHICH PROVIDE OPPORTUNITIES FOR REHABILITATION AND RECOVERY FOR ADULTS AND CHILDREN WHO LIVE WITH SERIOUS MENTAL HEALTH CONCERNS. THE PROS PROGRAM ASSISTS INDIVIDUALS IN RECOVERING FROM THE DISABLING EFFECTS OF MENTAL ILLNESS. ADDITIONALLY, THERE ARE A NUMBER OF SMALL PROGRAMS WHICH PROVIDE SCREENING, SUPPORT AND ADVOCACY TO INDIVIDUALS AND FAMILIES IN THE COMMUNITY. EACH PROGRAM IS ROOTED IN THE PRINCIPLES OF PSYCHIATRIC REHABILITATION- THE BELIEF THAT ALL INDIVIDUALS HAVE THE RIGHT TO DETERMINE THEIR OWN TREATMENT BASED ON THEIR INTERESTS, STRENGTHS AND INDIVIDUAL GOALS. EACH PROGRAM OFFERS REHABILITATION OPTIONS AND SUPPORTIVE SERVICES THAT HELP PARTICIPANTS REALIZE THEIR POTENTIAL AND LEAD SATISFYING, PRODUCTIVE AND INDEPENDENT LIVES. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,975,898 | ExpenseAmt |
| Revenue | $1,480,118 | RevenueAmt |
| Desc | MENTAL HEALTH SERVICES- OUR MENTAL HEALTH CLINIC SERVICES PROVIDE INDIVIDUALIZED AND CARING ASSISTANCE FOR A WIDE RANGE OF ISSUES THAT SERIOUSLY AFFECT PEOPLE'S ABILITY TO LIVE SATISFYING AND PRODUCTIVE LIVES. INDIVIDUAL, FAMILY AND GROUP COUNSELING ARE AVAILABLE AND BASED UPON EACH PERSON'S NEEDS. HOPE IS RENEWED AS THERAPIST AND CLIENT WORK TOGETHER AND IDENTIFY NEEDS, BUILD UPON PERSONAL STRENGTHS AND DEVELOP NEW SKILLS. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $845,732 | ExpenseAmt |
| Revenue | $300,085 | RevenueAmt |
| Desc | SUBSTANCE USE TREATMENT & PREVENTION SERVICES - OUR SUBSTANCE USE PROGRAMS ARE DEDICATED TO THE PHILOSOPHY THAT ADDICTION IS A TREATABLE DISEASE. INDIVIDUAL, GROUP, AND COUPLE COUNSELING, AS WELL AS PSYCHIATRIC EVALUATIONS AND MEDICATION ASSISTED THERAPY PROVIDE TREATMENT UNIQUE TO THE NEEDS OF EACH PERSON. COMMUNITY EDUCATION AND REFERRAL INFORMATION SERVICES ARE ALSO MADE AVAILABLE TO THE PUBLIC AND THROUGHOUT OUR LOCAL SCHOOL DISTRICTS. COMMUNITY AND OUTREACH SERVICES HELP OTHERS ENHANCE THEIR POTENTIAL, MAKE HEALTHY CHOICES AND BETTER MANAGE THEIR LIVES. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $5,277,670 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (true) | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (true) | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 6 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 119 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (true) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (true) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ERIC A TOTH | PersonNm |
| Phone | 8452252700 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1808 ROUTE 6 | AddressLine1Txt |
| Address Line2 | 1808 ROUTE 6 | AddressLine2Txt |
| City | CARMEL | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10512 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| SALVATORE GAMBINO | |||||||||
| CHAIRPERSON | 2.00 | 1.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| STACEY GIBSON | |||||||||
| VICE CHAIRPE | 2.00 | 1.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| CHRISTOPHER DILLON | |||||||||
| TREASURER | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| GERALDINE GREENE | |||||||||
| SECRETARY | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| PATRICIA MADIGAN | |||||||||
| RESIGNED 1/1 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| TRACEY S BERNSTEIN ESQ | |||||||||
| RESIGNED 2/1 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| LUANNE CONVERY | |||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| JEFFREY KELLOGG | |||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| ANTHONY MIRDITA | |||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| JESSICA VANACORO | |||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| JOHN J ROCK | |||||||||
| BOARD MEMBER | 2.00 | 1.50 | Yes (X) | $0 | $0 | $0 | |||
| ERINA PONZINI ESQ | |||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| KAREN B PILNER | |||||||||
| BOARD MEMBER | 2.00 | 1.50 | Yes (X) | $0 | $0 | $0 | |||
| SUZANNE FREGIEN | |||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| VINCENT D'AMBROSO | |||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| DARA CAPUTO LCSW-R | |||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| KRISTIN M BURKE ESQ | |||||||||
| RESIGNED 1/1 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| MICHAEL P MCDONOUGH | |||||||||
| RESIGNED 10/ | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| DIANE RUSSO | |||||||||
| CEO | 50.00 | Yes (X) | $168,021 | $0 | $11,748 | ||||
| CYNTHIA OTT | |||||||||
| CFO | 45.00 | Yes (X) | $110,602 | $0 | $11,205 | ||||
| JON BAUMAN MD | |||||||||
| CHIEF MED OF | 30.00 | $160,201 | $0 | $3,849 | Yes (X) | ||||
| PERRY BRANSON | |||||||||
| PSYCHIATRIST | 35.00 | $179,678 | $0 | $4,089 | Yes (X) | ||||
| CHRISTINE E BLOSSY | |||||||||
| PSYCHIATRIC | 30.00 | $101,407 | $0 | $9,663 | Yes (X) | ||||
| ALISON CARROLL | |||||||||
| VP STRATEGIC | 40.00 | $105,771 | $0 | $3,795 | Yes (X) | ||||
| MARK STUMACHER MD | |||||||||
| MEDICAL DIRE | 26.00 | $103,449 | $0 | $1,959 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $929,129 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $46,308 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 7 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Fundraising | $24,421 | FundraisingAmt |
| Government Grants | $2,741,017 | GovernmentGrantsAmt |
| All Other Contributions | $108,930 | AllOtherContributionsAmt |
| Total Contributions | $2,874,368 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|
| MEDICAID INCOME | $2,705,264 | $2,705,264 |
| PATIENT FEE INCOME | $235,741 | $235,741 |
| INSURANCE INCOME | $203,925 | $203,925 |
| MEDICARE INCOME | $111,737 | $111,737 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $3,256,667 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,382 | TotalRevenueColumnAmt |
| Exclusion | $1,382 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $7,933 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $8,449 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$516 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$516 | TotalRevenueColumnAmt |
| Exclusion | -$516 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $96,076 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $24,421 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $26,147 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $69,929 | TotalRevenueColumnAmt |
| Exclusion | $69,929 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|
| MISCELLANEOUS INCOME | $38,079 | $38,079 |
| COURSE UNITS | $11,580 | $11,580 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $49,659 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,251,489 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,306,326 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $70,795 | ExclusionAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,029 | TotalAmt |
| Program Services | $27,029 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $649,394 | TotalAmt |
| Program Services | $544,116 | ProgramServicesAmt |
| Management And General | $101,004 | ManagementAndGeneralAmt |
| Fundraising | $4,274 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,769,007 | TotalAmt |
| Program Services | $3,153,285 | ProgramServicesAmt |
| Management And General | $590,866 | ManagementAndGeneralAmt |
| Fundraising | $24,856 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,780 | TotalAmt |
| Program Services | $19,503 | ProgramServicesAmt |
| Management And General | $5,066 | ManagementAndGeneralAmt |
| Fundraising | $211 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $501,461 | TotalAmt |
| Program Services | $442,350 | ProgramServicesAmt |
| Management And General | $56,248 | ManagementAndGeneralAmt |
| Fundraising | $2,863 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $333,182 | TotalAmt |
| Program Services | $293,905 | ProgramServicesAmt |
| Management And General | $37,373 | ManagementAndGeneralAmt |
| Fundraising | $1,904 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,629 | TotalAmt |
| Management And General | $4,629 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,000 | TotalAmt |
| Management And General | $15,000 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,080 | TotalAmt |
| Program Services | $2,715 | ProgramServicesAmt |
| Management And General | $6,365 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,869 | TotalAmt |
| Program Services | $25,985 | ProgramServicesAmt |
| Management And General | $3,782 | ManagementAndGeneralAmt |
| Fundraising | $102 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $156,897 | TotalAmt |
| Program Services | $122,554 | ProgramServicesAmt |
| Management And General | $26,392 | ManagementAndGeneralAmt |
| Fundraising | $7,951 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $90,516 | TotalAmt |
| Program Services | $85,999 | ProgramServicesAmt |
| Management And General | $3,853 | ManagementAndGeneralAmt |
| Fundraising | $664 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $154,280 | TotalAmt |
| Program Services | $122,037 | ProgramServicesAmt |
| Management And General | $29,068 | ManagementAndGeneralAmt |
| Fundraising | $3,175 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,120 | TotalAmt |
| Program Services | $26,120 | ProgramServicesAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,586 | TotalAmt |
| Program Services | $13,678 | ProgramServicesAmt |
| Management And General | $3,714 | ManagementAndGeneralAmt |
| Fundraising | $194 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $121,124 | TotalAmt |
| Program Services | $109,867 | ProgramServicesAmt |
| Management And General | $11,176 | ManagementAndGeneralAmt |
| Fundraising | $81 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $67,742 | TotalAmt |
| Program Services | $56,368 | ProgramServicesAmt |
| Management And General | $10,918 | ManagementAndGeneralAmt |
| Fundraising | $456 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| COUNTY STAFF | $139,744 | $139,744 | ||
| EDUCATION AND TRAINING | $38,959 | $31,078 | $7,838 | $43 |
| PROGRAM EXPENSE | $37,500 | $37,089 | $411 | |
| BANK CHARGES & INTEREST | $24,664 | $5,253 | $18,646 | $765 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,931 | TotalAmt |
| Program Services | $18,995 | ProgramServicesAmt |
| Management And General | $11,485 | ManagementAndGeneralAmt |
| Fundraising | $451 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,269,494 | TotalAmt |
| Program Services | $5,277,670 | ProgramServicesAmt |
| Management And General | $943,834 | ManagementAndGeneralAmt |
| Fundraising | $47,990 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $99,119 | BOYAmt |
| EOY | $81,963 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $95,020 | BOYAmt |
| EOY | $43,086 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $99,427 | BOYAmt |
| EOY | $170,856 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,556,225 | BOYAmt |
| EOY | $1,381,501 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,836 | BOYAmt |
| EOY | $1,333 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $75,197 | BOYAmt |
| EOY | $38,276 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,395,668 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $965,337 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $191,465 | BOYAmt |
| EOY | $430,331 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,052 | BOYAmt |
| EOY | $4,609 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,120,341 | BOYAmt |
| EOY | $2,151,955 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $818,382 | BOYAmt |
| EOY | $559,963 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $64,734 | BOYAmt |
| EOY | $144,041 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $322,955 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $690,442 | BOYAmt |
| EOY | $596,218 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,573,558 | BOYAmt |
| EOY | $1,623,177 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $546,783 | BOYAmt |
| EOY | $528,778 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $546,783 | BOYAmt |
| EOY | $528,778 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,120,341 | BOYAmt |
| EOY | $2,151,955 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$18,005 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,483,279 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,397,837 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,614,502 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,719,826 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,874,368 | CurrentTaxYearAmt |
| Total | $13,089,812 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,483,279 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,397,837 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,614,502 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,719,826 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,874,368 | CurrentTaxYearAmt |
| Total | $13,089,812 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $88,285 | SubstantialContributorsTotAmt |
| Public Support Total170 | $13,001,527 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $270 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $95 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $125 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $545 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,315 | CurrentTaxYearAmt |
| Total | $10,350 | TotalAmt |
Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $51,263 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $68,929 | CurrentTaxYearAmt |
| Total | $120,192 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $13,220,354 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $15,893,715 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.98340 | PublicSupportCY170Pct |
| Public Support PY170 | 0.99220 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Schedule D IRS990ScheduleD
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $348,251 | OtherCostOrOtherBasisAmt |
| Depreciation | $8,930 | DepreciationAmt |
| Book Value | $339,321 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $20,307 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,208 | DepreciationAmt |
| Book Value | $15,099 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $798,502 | OtherCostOrOtherBasisAmt |
| Depreciation | $743,282 | DepreciationAmt |
| Book Value | $55,220 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $228,608 | OtherCostOrOtherBasisAmt |
| Depreciation | $207,917 | DepreciationAmt |
| Book Value | $20,691 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $430,331 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO THIRD PARTY PAYER | $394,607 |
| DUE TO PUTNAM COUNTY | $201,611 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $596,218 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE D, PAGE 3, PART X | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION FILES AN ANNUAL 990 AS A TAX-EXEMPT ORGANIZATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. AS SUCH, NO FEDERAL OR NEW YORK STATE TAXES ARE PAID BY THE ORGANIZATION. THE ORGANIZATION HAS BEEN CLASSIFIED AS AN ENTITY THAT IS NOT A PRIVATE FOUNDATION WITHIN THE MEANING OF SECTION 509 (A) AND QUALIFIES FOR DEDUCTIBLE CONTRIBUTIONS AS PROVIDED IN SECTION 170 (B)(1)(A)(VI). THE ORGANIZATION ADOPTED THE PROVISIONS OF ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REGARDING ACCOUNTING FOR UNCERTAIN TAX POSITIONS. MANAGEMENT EVALUATED THE ORGANIZATIONS TAX POSITIONS AND CONCLUDED THAT THE ORGANIZATION HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS IN ORDER TO COMPLY WITH THE PROVISIONS OF THIS GUIDANCE. WITH FEW EXCEPTIONS, THE ORGANIZATION IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY THE U.S. FEDERAL, STATE OR LOCAL TAX AUTHORITIES FOR YEARS PRIOR TO 2015. | ExplanationTxt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | DINNER DANCE | Event1Nm |
| Gross Receipts Event1 | $91,745 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $6,911 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $84,834 | GrossRevenueEvent1Amt |
| Food And Beverage Event1 | $19,744 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $1,000 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $5,720 | OtherDirectExpensesEvent1Amt |
| Event2 | SPELLING BEE | Event2Nm |
| Gross Receipts Event2 | $11,242 | GrossReceiptsEvent2Amt |
| Gross Revenue Event2 | $11,242 | GrossRevenueEvent2Amt |
| Rent Facility Costs Event2 | $475 | RentFacilityCostsEvent2Amt |
| Food And Beverage Event2 | $2,380 | FoodAndBeverageEvent2Amt |
| Other Direct Expenses Event2 | $809 | OtherDirectExpensesEvent2Amt |
| Gross Receipts Total | $102,987 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $6,911 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $96,076 | GrossRevenueTotalEventsAmt |
| Rent Fclty Costs Total Events | $475 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $22,124 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $1,000 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $6,529 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $30,128 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $65,948 | NetIncomeSummaryAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | SERVICE DOLLARS | GrantTypeTxt |
| Recipient | 75 | RecipientCnt |
| Non Cash Assistance | $27,029 | NonCashAssistanceAmt |
| Valuation Method Used | FMV | ValuationMethodUsedDesc |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE I, PAGE 1, PART I, LINE 2 | THE PROGRAM DIRECTOR IS GIVEN THE AMOUNT OF SERVICE DOLLARS AVAILABLE BY THE FINANCE OFFICE, BASED ON THE STATE AID LETTER FROM OMH EACH YEAR. THE AMOUNTS ARE PROGRAM SPECIFIC. ELIGIBILITY IS ESTABLISHED WHEN CLIENTS ARE ADMITTED TO THE PROGRAM FOLLOWING THE GUIDELINES OF OMH. IF THEY ARE IN THE PROGRAM, THEY ARE ELIGIBLE FOR THE SERVICE DOLLARS. THE PROGRAM DIRECTORS ARE RESPONSIBLE FOR KEEPING TRACK OF THE AMOUNTS BEING SPENT DURING THE YEAR, BY SPECIFIC CLIENT AND TYPE OF EXPENSE. THEY ALSO TRACK IF IT WAS PAID BY CREDIT CARD, CHECK REQUEST OR PETTY CASH. THE ADULTS SIGN A SLIP ACKNOWLEDGING THE MONEY BEING SPENT ON THEIR BEHALF AT THE TIME OF DISBURSEMENT. THE FINANCE DEPARTMENT MONITORS THE EXPENSES THROUGH THE G/L QUARTERLY. ANY UNSPENT FUNDS AT THE END OF THE YEAR ARE RECOUPED BY OMH ON CLOSEOUT THROUGH THE CFR. |
| SCHEDULE I, PAGE 4, PART IV | DURING 2018, COVECARE ASSISTED 75 INDIVIDUALS THROUGH THE SERVICE DOLLARS PROGRAM. THE FUNDS WERE DISTRIBUTED IN THE FOLLOWING WAY: TRANSPORTATION: 7,417 MEDICATION/THERAPY: 2,842 CLOTHING: 287 FOOD/MEALS: 1,377 HOUSING/MOVING: 6,900 ENTERTAINMENT/CAMP: 4,759 EDUCATION/TRAINING: 1,545 PERSONAL SUPPLIES: 605 FURNITURE: 90 UTILITIES: 1,004 LEISURE: 163 MISCELLANEOUS: 40 TOTAL: 27,029 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|---|
| DIANE RUSSO | ||||
| CEO | $168,021 | $1,702 | $10,046 | $179,769 |
| JON BAUMAN MD | ||||
| CHIEF MED OFFICER | $160,201 | $1,613 | $2,236 | $164,050 |
| PERRY BRANSON | ||||
| PSYCHIATRIST | $179,678 | $1,821 | $2,268 | $183,767 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 1, PART I, LINE 6 | VOLUNTEERS ASSIST WITH MAILINGS AND FUNDRAISING EVENTS. |
| FORM 990, PAGE 2, PART III, LINE 4A | COMMUNITY BASED/REHABILITATION SERVICES- THESE SERVICES ARE COMPRISED OF OUR COMPREHENSIVE PERSONALIZED RECOVERY ORIENTED SERVICES (PROS) PROGRAM AND CARE MANAGEMENT PROGRAMS WHICH PROVIDE OPPORTUNITIES FOR REHABILITATION AND RECOVERY FOR ADULTS AND CHILDREN WHO LIVE WITH SERIOUS MENTAL HEALTH CONCERNS. THE PROS PROGRAM ASSISTS INDIVIDUALS IN RECOVERING FROM THE DISABLING EFFECTS OF MENTAL ILLNESS. ADDITIONALLY, THERE ARE A NUMBER OF SMALL PROGRAMS WHICH PROVIDE SCREENING, SUPPORT AND ADVOCACY TO INDIVIDUALS AND FAMILIES IN THE COMMUNITY. EACH PROGRAM IS ROOTED IN THE PRINCIPLES OF PSYCHIATRIC REHABILITATION- THE BELIEF THAT ALL INDIVIDUALS HAVE THE RIGHT TO DETERMINE THEIR OWN TREATMENT BASED ON THEIR INTERESTS, STRENGTHS AND INDIVIDUAL GOALS. EACH PROGRAM OFFERS REHABILITATION OPTIONS AND SUPPORTIVE SERVICES THAT HELP PARTICIPANTS REALIZE THEIR POTENTIAL AND LEAD SATISFYING, PRODUCTIVE AND INDEPENDENT LIVES. |
| FORM 990, PAGE 6, PART VI, LINE 11B | A COPY OF THE FEDERAL FORM 990 WAS PROVIDED TO ALL BOARD MEMBERS, WHICH WAS DISCUSSED AND REVIEWED DURING THE ORGANIZATION'S BOARD MEETING. ANY QUESTIONS REGARDING THE FEDERAL FORM 990 DURING THE BOARD MEETING WERE NOTED AND ANSWERS WERE PROVIDED BY THE ORGANIZATION'S ACCOUNTANT. THE FORM 990 WAS APPROVED BY ALL BOARD MEMBERS PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. |
| FORM 990, PAGE 6, PART VI, LINE 12C | COVECARE CENTER CURRENTLY HAS IN PLACE A CONFLICT OF INTEREST POLICY WHICH IT ANNUALLY MONITORS AND ENFORCES. THE BOARD CURRENTLY MANDATES THAT ALL MEMBERS OF MANAGEMENT AND THE GOVERNING BODY SIGN A CONFLICT OF INTEREST POLICY AND DISCLOSE ANY POTENTIAL OR ACTUAL CONFLICTS THAT MAY EXIST. IF A POTENTIAL OR ACTUAL CONFLICT OF INTEREST EXISTS, THE MATTER SHALL BE REFERRED TO AN AD HOC CONFLICT REVIEW COMMITTEE ("CONFLICT REVIEW COMMITTEE") COMPRISED OF DIRECTORS WHO HAVE NO INTEREST IN THE GIVEN TRANSACTION OR MATTER. THE CONFLICT REVIEW COMMITTEE SHALL DETERMINE WHETHER A CONFLICT OF INTEREST EXISTS AND SHALL INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. THE DIRECTOR, OFFICER OR KEY PERSON WITH THE CONFLICT OF INTEREST SHALL NOT ATTEMPT TO INFLUENCE IMPROPERLY THE DELIBERATION OR VOTING ON THE MATTER GIVING RISE TO SUCH CONFLICT. |
| FORM 990, PAGE 6, PART VI, LINE 15A | COMPENSATION IS DETERMINED BY REVIEWING REGIONAL SALARY BENCHMARKS FOR SIMILAR SIZED AGENCIES/INDUSTRY. THE COMPENSATION OF THE CEO IS THEN APPROVED BY THE BOARD. COST OF LIVING INCREASES ARE MADE PERIODICALLY. COST OF LIVING ADJUSTMENTS DO NOT REQUIRE BOARD APPROVAL. IN ADDITION, IN 2016, THE BOARD APPROVED AN ANNUAL VEHICLE ALLOWANCE FOR THE CEO TO COMPENSATE THE CEO FOR ADDITIONAL TRAVEL EXPENSES. |
| FORM 990, PAGE 6, PART VI, LINE 15B | COMPENSATION FOR OTHER OFFICERS IS DETERMINED BY THE CEO. IT IS EVALUATED BASED ON SIMILAR POSITIONS IN OTHER AGENCIES. |
| FORM 990, PAGE 6, PART VI, LINE 19 | THE ORGANIZATION MAKES ITS DOCUMENTS AVAILABLE UPON WRITTEN REQUEST AS WELL AS THROUGH WWW.GUIDESTAR.ORG AND WWW.CHARITIESNYS.COM |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MENTAL HEALTH ASSOCIATION IN PC II | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2505 CARMEL AVENUE SUITE 212 | AddressLine1Txt |
| City | BREWSTER | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10509 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 133709104 | EIN |
| Primary Activities | RECOVRYSVC | PrimaryActivitiesTxt |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Exempt Code Section | 501C3 | ExemptCodeSectionTxt |
| Public Charity Status | 7 | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COVECARE | BusinessNameLine1Txt |
| Business Name Line2 | PUTNAM FCS D/B/A COVECARE CENTER | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (true) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
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