BRIDGEWAY BEHAVIORAL HEALTH SERVICES A NJ NONPROFIT CORPORATIO: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- BRIDGEWAY BEHAVIORAL HEALTH SERVICES A NJ NONPROFIT CORPORATIO (EIN 22-2257891)
- Tax period
- 2016-07-01 to 2017-06-30
- Filed
- 2018-02-27
- IRS object ID
- 201830589349300303
- Schema version
- 2016v3.0
- 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 | 2018-02-27T08:31:55-06:00 | ReturnTs |
| Tax Period End | 2017-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 455221053 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SPIRE GROUP PC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 WALNUT AVE SUITE 103 | AddressLine1Txt |
| City | CLARK | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 07066 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 222257891 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BRIDGEWAY REHABILITATION SERVICES | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BRID | BusinessNameControlTxt |
| Phone | 9083557886 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 615 NORTH BROAD STREET | AddressLine1Txt |
| City | ELIZABETH | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 07208 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CORY STORCH | PersonNm |
| Person Title | PRESIDENT & CEO | PersonTitleTxt |
| Phone | 9083557886 | PhoneNum |
| Signature | 2018-02-08 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | KATHLEEN M CLAYTON CPA | PreparerPersonNm |
| PTIN | P01448135 | PTIN |
| Phone | 7323818887 | PhoneNum |
| Preparation | 2018-02-08 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 50.248.167.217 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2018-02-08 | IPDt |
| IP Tm | 15:26:09 | IPTm |
| IP Timezone | ES | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 9135EFC53999E47487AA411418F5F771EECA806D | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | EEAEA61D704201C10371416C8D0D2914B8073921 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | CORY STORCH | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 615 NORTH BROAD STREET | AddressLine1Txt |
| City | ELIZABETH | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 07208 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $27,314,416 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.BRIDGEWAYINC.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1972 | FormationYr |
| Legal Domicile State | NJ | LegalDomicileStateCd |
| Activity Or Mission | A PSYCHIATRIC REHABILITATION SERVICE AGENCY PROVIDING ASSISTANCE TO NJ RESIDENTS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 406 | TotalEmployeeCnt |
| Total Volunteers | 25 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $16,936,278 | PYContributionsGrantsAmt |
| CY Contributions Grants | $14,560,110 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $8,424,495 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $12,703,056 | CYProgramServiceRevenueAmt |
| PY Investment Income | $53,234 | PYInvestmentIncomeAmt |
| CY Investment Income | $21,254 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$4,739 | PYOtherRevenueAmt |
| CY Other Revenue | $1,001 | CYOtherRevenueAmt |
| PY Total Revenue | $25,409,268 | PYTotalRevenueAmt |
| CY Total Revenue | $27,285,421 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $734,495 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $662,117 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $20,138,292 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $20,880,565 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $33,034 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $4,848,093 | PYOtherExpensesAmt |
| CY Other Expenses | $5,545,337 | CYOtherExpensesAmt |
| PY Total Expenses | $25,720,880 | PYTotalExpensesAmt |
| CY Total Expenses | $27,088,019 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$311,612 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $197,402 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $8,410,893 | TotalAssetsBOYAmt |
| Total Assets EOY | $12,099,655 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $4,681,135 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $8,172,495 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $3,729,758 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $3,927,160 | NetAssetsOrFundBalancesEOYAmt |
| Mission | A PSYCHIATRIC REHABILITATION SERVICE AGENCY PROVIDING ASSISTANCE FOR RESIDENTS OF NJ WHO HAVE EXPERIENCED PSYCHIATRIC DISABILITIES. PROGRAMS PROVIDE SKILL DEVELOPMENT AND SUPPORT SERVICES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $1,788,066 | ExpenseAmt |
| Grant | $38,317 | GrantAmt |
| Revenue | $1,265,430 | RevenueAmt |
| Desc | PARTIAL CARE PROGRAM PROVIDES RECOVERY ORIENTED OUTPATIENT CARE IN A FREESTANDING COMMUNITY BASED SETTING. PROGRAM INCLUDES ILLNESS MANAGEMENT, WELLNESS ACTIVITIES, PERSON CENTERED PLANNING, PSYCHIATRIC CARE AND NURSING, SOCIAL AND RECREATIONAL SERVICES, SUPPORTED EDUCATION AND PREVOCATIONAL ACTIVITIES. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $8,922,643 | ExpenseAmt |
| Grant | $179,505 | GrantAmt |
| Revenue | $5,719,587 | RevenueAmt |
| Desc | PACT PROGRAMS PROVIDE COMPREHENSIVE, INTEGRATED REHABILITATION TREATMENT AND SUPPORT SERVICES TO THOSE INDIVIDUALS WHO ARE MOST CHALLENGED WITH SERIOUS MENTAL ILLNESS. PACT INCLUDES 24 HOUR 7 DAY A WEEK SUPPORT, MEDICATION SUPPORT AND EDUCATION, CRISIS RESPONSE, MICA TREATMENT, DIRECT ASSISTANCE WITH LIFE TASKS, ASSISTANCE IN DEVELOPING PEER AND COMMUNITY SOCIAL SUPPORTS,CAREER COUNSELING. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $4,956,781 | ExpenseAmt |
| Grant | $3,055 | GrantAmt |
| Revenue | $1,903,957 | RevenueAmt |
| Desc | THE RESIDENTIAL INTENSIVE SUPPORT TEAM (RIST) IS AN INTENSIVE RESIDENTIAL SUPPORT PROGRAM DESIGNED TO ADDRESS THE NEEDS OF INDIVIDUALS WHO MAY REQUIRE INTENSIVE BUT VARYING DEGREES OF RESIDENTIAL SUPPORT IN THE TRANSITION FROM HOSPITAL TO COMMUNITY LIVING. BRIDGEWAY'S MIDDLESEX AND TRI COUNTY RIST PROGRAMS ARE COMPREHENSIVE, FLEXIBLE, MOBILE TEAMS SKILLED IN STATE OF THE ART INTERVENTIONS THAT PROVIDES PERSON CENTERED RECOVERY AND WELLNESS SERVICES TO PEOPLE RE-ENTERING THE COMMUNITY FROM TRENTON PSYCHIATRIC HOSPITAL, HAGEDORN PSYCHIATRIC HOSPITAL, AND GREYSTONE PARK PSYCHIATRIC HOSPITAL. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $8,124,581 | ExpenseAmt |
| Grant | $441,240 | GrantAmt |
| Revenue | $3,815,823 | RevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $8,124,581 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $441,240 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $3,815,823 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $23,792,071 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | 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 |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| 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 | Yes (1) | 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 | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | 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 With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| 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 | 45 | IRPDocumentCnt |
| IRP Document W2 G | 1 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 406 | 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 | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| 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 |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | 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 | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NJ | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE ORGANIZATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9083557886 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 615 NORTH BROAD STREET | AddressLine1Txt |
| City | ELIZABETH | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 07208 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| MARK T WILLIAMS | |||||||||
| CHAIRMAN | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| AMY B SPAGNOLO | |||||||||
| V.CHAIR | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| ALICE A DEVOE | |||||||||
| SECRETARY | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| CAROLE SHAFFER-KOROS | |||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| MARK RELLINGER | |||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| ABDUL WILLIAMS | |||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| KATE CONROY | |||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| JOSEPH PEREZ | |||||||||
| TREASURER | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |||
| MARLENE GBALDINGER | |||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| PAULA SHEEHY | |||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| CORY STORCH | |||||||||
| PRESIDENT/CEO | 38.00 | $179,217 | $0 | $16,223 | Yes (X) | ||||
| BOHDAN CZARTORYSKY | |||||||||
| MEDICAL DIRECTOR | 38.00 | $205,658 | $0 | $21,997 | Yes (X) | ||||
| CHARLES GARFINKLE | |||||||||
| CHIEF OPERATING OFFICER | 38.00 | $169,851 | $0 | $28,070 | Yes (X) | ||||
| DAVID D'ANTONIO | |||||||||
| DIRECTOR PARTIAL CARE/RIST | 38.00 | $124,432 | $0 | $16,567 | Yes (X) | ||||
| DONNA GIOVINE | |||||||||
| ADVANCED PRACTICE NURSE | 38.00 | $155,688 | $0 | $14,411 | Yes (X) | ||||
| MARIA SIMONE | |||||||||
| ADVANCED PRACTICE NURSE | 38.00 | $115,083 | $0 | $13,065 | Yes (X) | ||||
| LISA VARA | |||||||||
| PROGRAM DIRECTOR | 38.00 | $111,844 | $0 | $12,726 | Yes (X) | ||||
| ROBERT EDES | |||||||||
| DIR. ADMIN SERVICES | 38.00 | $106,650 | $0 | $12,785 | Yes (X) | ||||
| DAI G PHAN | |||||||||
| DIR. QUALITY IMPROVEMENT | 38.00 | $112,650 | $0 | $5,405 | Yes (X) | ||||
| CESAR FONTANEZ | |||||||||
| FORMER CFO | 38.00 | $123,228 | $0 | $12,329 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,404,301 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $153,578 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 10 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (3 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| DRYUANGE HU | |||||
| 3 IMPERIAL COURT | MONROE | NJ | 08831 | HEALTH PROFESSIONALS | $126,857 |
| DRFRANK OSTELLA | |||||
| 8 RIEKENS TRAIL | DENVILLE | NJ | 07834 | HEALTH PROFESSIONALS | $126,160 |
| DRKATE HALLER | |||||
| 36 HAWTHORNE PLACE 3-A | MONTCLAIR | NJ | 07042 | HEALTH PROFESSIONALS | $115,194 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 3 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $14,429,413 | GovernmentGrantsAmt |
| All Other Contributions | $130,697 | AllOtherContributionsAmt |
| Total Contributions | $14,560,110 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEDICAID | 624100 | $12,502,705 | $12,502,705 |
| CONSULTING/CONTRACTS | 900099 | $200,351 | $200,351 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $12,703,056 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $21,254 | TotalRevenueColumnAmt |
| Exclusion | $21,254 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $19,528 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $17,787 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,741 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,741 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,741 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $10,468 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $11,208 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$740 | TotalRevenueColumnAmt |
| Exclusion | -$740 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $27,285,421 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $12,704,797 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $20,514 | ExclusionAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $662,117 | TotalAmt |
| Program Services | $662,117 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,684,701 | TotalAmt |
| Program Services | $14,706,341 | ProgramServicesAmt |
| Management And General | $1,978,360 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $782,628 | TotalAmt |
| Program Services | $675,434 | ProgramServicesAmt |
| Management And General | $107,194 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,151,397 | TotalAmt |
| Program Services | $1,919,467 | ProgramServicesAmt |
| Management And General | $231,930 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,261,839 | TotalAmt |
| Program Services | $1,117,573 | ProgramServicesAmt |
| Management And General | $144,266 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,773 | TotalAmt |
| Program Services | $46,200 | ProgramServicesAmt |
| Management And General | $2,573 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,404,258 | TotalAmt |
| Program Services | $1,133,567 | ProgramServicesAmt |
| Management And General | $270,691 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $69,795 | TotalAmt |
| Program Services | $49,929 | ProgramServicesAmt |
| Management And General | $19,866 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $69,598 | TotalAmt |
| Program Services | $54,530 | ProgramServicesAmt |
| Management And General | $15,068 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $433,563 | TotalAmt |
| Program Services | $363,122 | ProgramServicesAmt |
| Management And General | $70,441 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,224,640 | TotalAmt |
| Program Services | $1,022,538 | ProgramServicesAmt |
| Management And General | $202,102 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,576 | TotalAmt |
| Program Services | $8,808 | ProgramServicesAmt |
| Management And General | $16,768 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $128,856 | TotalAmt |
| Program Services | $108,067 | ProgramServicesAmt |
| Management And General | $20,789 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $708,486 | TotalAmt |
| Program Services | $661,968 | ProgramServicesAmt |
| Management And General | $46,518 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $402,662 | TotalAmt |
| Program Services | $328,455 | ProgramServicesAmt |
| Management And General | $74,207 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| VEHICLE/TRANSPORTATION | $501,832 | $501,832 | |
| SUPPLIES | $352,904 | $339,856 | $13,048 |
| MISC EXPENSES | $79,620 | $45,424 | $34,196 |
| DUES & SUBSCRIPTIONS | $61,740 | $46,843 | $14,897 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,034 | TotalAmt |
| Fundraising | $33,034 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,088,019 | TotalAmt |
| Program Services | $23,792,071 | ProgramServicesAmt |
| Management And General | $3,262,914 | ManagementAndGeneralAmt |
| Fundraising | $33,034 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,388,333 | BOYAmt |
| EOY | $2,651,606 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $855,118 | BOYAmt |
| EOY | $2,870,280 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $461,625 | BOYAmt |
| EOY | $1,736,520 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,087,498 | BOYAmt |
| EOY | $1,326,824 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $10,364,582 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $6,850,157 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,618,319 | BOYAmt |
| EOY | $3,514,425 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,410,893 | BOYAmt |
| EOY | $12,099,655 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,002,604 | BOYAmt |
| EOY | $3,104,577 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $500 | BOYAmt |
| EOY | $3,513,907 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,678,031 | BOYAmt |
| EOY | $1,554,011 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,681,135 | BOYAmt |
| EOY | $8,172,495 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,729,758 | BOYAmt |
| EOY | $3,927,160 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,729,758 | BOYAmt |
| EOY | $3,927,160 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,410,893 | BOYAmt |
| EOY | $12,099,655 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $197,402 | ReconcilationRevenueExpnssAmt |
| 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) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $15,060,025 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $18,406,177 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $20,278,067 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $17,102,701 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $14,570,578 | CurrentTaxYearAmt |
| Total | $85,417,548 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $15,060,025 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $18,406,177 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $20,278,067 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $17,102,701 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $14,570,578 | CurrentTaxYearAmt |
| Total | $85,417,548 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $85,417,548 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,776 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $26,915 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $138,657 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $53,234 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $21,254 | CurrentTaxYearAmt |
| Total | $243,836 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $85,661,384 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $42,267,736 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.99720 | PublicSupportCY170Pct |
| Public Support PY170 | 0.99730 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $17,593 | OtherCostOrOtherBasisAmt |
| Book Value | $17,593 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,699,732 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,460,124 | DepreciationAmt |
| Book Value | $2,239,608 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,218,235 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,971,559 | DepreciationAmt |
| Book Value | $246,676 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,429,022 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,418,474 | DepreciationAmt |
| Book Value | $1,010,548 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $3,514,425 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| NOTES PAYABLE | $1,451,560 |
| DUE TO MEMBERS | $6,535 |
| DUE TO DEPT OF HUMAN SERVICES | $95,916 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,554,011 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $27,314,416 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $28,995 | OtherRevenueAmt |
| Revenue Not Reported | $28,995 | RevenueNotReportedAmt |
| Revenue Subtotal | $27,285,421 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $27,285,421 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $27,117,014 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $28,995 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $28,995 | ExpensesNotReportedAmt |
| Expenses Subtotal | $27,088,019 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $27,088,019 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | THE ORGANIZATION ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD IS MET. MANAGEMENT DETERMINED THERE WERE NO TAX UNCERTAINTIES THAT MET THE RECOGNITION THRESHOLD IN 2017. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | RENTAL REVENUE SHOWN NET OF EXPENSES FUNDRAISING REVENUE SHOWN NET OF EXPENSES |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | RENTAL REVENUE SHOWN NET OF EXPENSES FUDNRAISING REVENUE SHOWN NET OF EXPENSES |
| FORM X, LINE 2 | BRIDGEWAY IS EXEMPT FROM FEDERAL INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. BRIDGEWAY IS ALSO EXEMPT FROM NEW JERSEY STATE INCOME TAXES AND IS CURRENT ON ALL OTHER TAX LIABILITIES AS OF JUNE 30, 2017. THE ORGANIZATION ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES USING A RECOGNITION THRESHOLD OF MORE-LIKELY-THAN-NOT TO BE SUSTAINED UPON EXAMINATION BY THE APPROPRIATE TAXING AUTHORITY. MEASUREMENT OF THE TAX UNCERTAINTY OCCURS IF THE RECOGNITION THRESHOLD IS MET. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | WALKATHON | Event1Nm |
| Gross Receipts Event1 | $6,968 | GrossReceiptsEvent1Amt |
| Gross Revenue Event1 | $6,968 | GrossRevenueEvent1Amt |
| Other Direct Expenses Event1 | $7,140 | OtherDirectExpensesEvent1Amt |
| Event2 | GOLF FUNDING | Event2Nm |
| Gross Receipts Event2 | $3,500 | GrossReceiptsEvent2Amt |
| Gross Revenue Event2 | $3,500 | GrossRevenueEvent2Amt |
| Other Direct Expenses Event2 | $4,068 | OtherDirectExpensesEvent2Amt |
| Gross Receipts Total | $10,468 | GrossReceiptsTotalAmt |
| Gross Revenue Total Events | $10,468 | GrossRevenueTotalEventsAmt |
| Oth Direct Expnss Total Events | $11,208 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $11,208 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$740 | NetIncomeSummaryAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (12 entries)
| Grant TypeGrantTypeTxt | RecipientRecipientCnt | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceDesc |
|---|---|---|---|
| EMERGENCY/ MEDICAL NEEDS-PARTIAL CARE | 337 | $38,317 | |
| EMERGENCY/MEDICAL NEEDS-PACT TEAMS | 785 | $179,505 | |
| EMERGENCY/MEDICAL NEEDS-HOMELESS, PATH | 124 | $2,241 | |
| EMERGENCY/ MEDICAL NEEDS-SUPPORTED EMPLOYMENT | 117 | $8,619 | |
| EMERGENCY/MEDICAL-SUSSEX PROGRAMS | 374 | $15,118 | |
| EMERGENCY/MEDICAL-SUPPORTED HOUSING | 226 | $111,785 | |
| EMERGENCY/MEDICAL-RIST | 242 | $270,278 | |
| EMERGENCY/MEDICAL-SUPPORTED EDUCATION | 98 | $2,037 | |
| EMERGENCY/MEDICAL-AT RISK PROGRAMS | 24 | $3,055 | |
| EMERGENCY/MEDICAL-OTHER PROGRAMS | 81 | $11,777 | |
| EMERGENCY/MEDICAL-EISS | 836 | $18,819 | LMILMAN - 11/28/17 02:57PM WORKSHEET SCHEDULE I |
| EMERGENCY/MEDICAL-DESIGNATED SCREENING | 619 | $566 | LMILMAN - 11/28/17 02:57PM WORKSHEET SCHEDULE I |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| 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 | 0 | 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 (5 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CORY STORCH | ||||||||||||||
| PRESIDENT/CEO | $149,217 | $0 | $30,000 | $0 | $0 | $0 | $8,958 | $0 | $7,265 | $0 | $195,440 | $0 | $0 | $0 |
| BOHDAN CZARTORYSKY | ||||||||||||||
| MEDICAL DIRECTOR | $205,658 | $0 | $0 | $0 | $0 | $0 | $10,600 | $0 | $11,397 | $0 | $227,655 | $0 | $0 | $0 |
| CHARLES GARFINKLE | ||||||||||||||
| CHIEF OPERATING OFFICER | $152,019 | $0 | $15,500 | $0 | $2,332 | $0 | $8,342 | $0 | $19,728 | $0 | $197,921 | $0 | $0 | $0 |
| DONNA GIOVINE | ||||||||||||||
| ADVANCED PRACTICE NURSE | $146,888 | $0 | $8,800 | $0 | $0 | $0 | $7,835 | $0 | $6,576 | $0 | $170,099 | $0 | $0 | $0 |
| CESAR FONTANEZ | ||||||||||||||
| FORMER CFO | $114,489 | $0 | $8,739 | $0 | $0 | $0 | $6,320 | $0 | $6,009 | $0 | $135,557 | $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 BOARD HAS AUTHORIZED THE EXECUTIVE DIRECTOR TO REVIEW AND EXECUTE THE FORM 990 |
| FORM 990, PART VI, SECTION B, LINE 12C | BOARD SECRETARY REVIEWS ANNUAL CONFLICT STATEMENTS |
| FORM 990, PART VI, SECTION B, LINE 15 | ANNUALLY, ALL COMPENSATION IS REVIEWED AGAINST INDUSTRY STANDARDS FOR EACH PROFESSIONAL POSITION AND OTHER LOCAL NONPROFIT AGENCIES COMPENSATION DATA. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES INFORMATION AVAILABLE FOR PUBLIC INSPECTION UPON WRITTEN REQUEST. |
| FORM 990, PART XII, LINE 2C: | THE BOARD HAS AN ESTABLISHED AUDIT COMMITTEE TO OVERSEE THE SELECTION AND AUDIT PROCESS |
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