INDEPENDENCE CARE SYSTEM INC: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- INDEPENDENCE CARE SYSTEM INC (EIN 13-3964284)
- Tax period
- 2017-01-01 to 2017-12-31
- Filed
- 2018-10-12
- IRS object ID
- 201832859349300348
- Schema version
- 2017v2.3
- 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 | 2018-10-12T12:16:08-05:00 | ReturnTs |
| Tax Period End | 2017-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 390859910 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BAKER TILLY VIRCHOW KRAUSE LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 125 BAYLIS ROAD SUITE 300 | AddressLine1Txt |
| City | MELVILLE | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11747 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 133964284 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | INDEPENDENCE CARE SYSTEM INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | INDE | BusinessNameControlTxt |
| Phone | 2125842500 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 257 PARK AVE S 2ND FLR | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 100107304 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARK CORCORAN | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 2125842500 | PhoneNum |
| Signature | 2018-09-25 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ELLEN M LABITA CPA | PreparerPersonNm |
| PTIN | P00140777 | PTIN |
| Phone | 6317527400 | PhoneNum |
| Self Employed | Yes (X) | SelfEmployedInd |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 216.255.126.197 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2018-09-25 | IPDt |
| IP Tm | 16:13:15 | IPTm |
| IP Timezone | ED | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 45D50D8E3994CEF8BF8842BFE43A81B55B26F885 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2018-06-14 16:35:46Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | RICK SURPIN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 257 PARK AVE S 2ND FLR | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 100107304 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $463,381,857 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.ICSNY.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1999 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | TO IMPROVE THE HEALTH OF, AND SERVICES FOR, PEOPLE REQUIRING CHRONIC OR LONG TERM HOME CARE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 5 | VotingMembersIndependentCnt |
| Total Employee | 448 | TotalEmployeeCnt |
| Total Volunteers | 5 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $182,944 | PYContributionsGrantsAmt |
| CY Contributions Grants | $61,285 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $425,573,847 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $463,175,613 | CYProgramServiceRevenueAmt |
| PY Investment Income | $97,713 | PYInvestmentIncomeAmt |
| CY Investment Income | $144,959 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $425,854,504 | PYTotalRevenueAmt |
| CY Total Revenue | $463,381,857 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $32,305,328 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $34,032,123 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $19,163 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $426,563,360 | PYOtherExpensesAmt |
| CY Other Expenses | $454,765,878 | CYOtherExpensesAmt |
| PY Total Expenses | $458,868,688 | PYTotalExpensesAmt |
| CY Total Expenses | $488,798,001 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$33,014,184 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$25,416,144 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $76,310,366 | TotalAssetsBOYAmt |
| Total Assets EOY | $51,768,293 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $112,003,161 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $112,877,232 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$35,692,795 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$61,108,939 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | INDEPENDENCE CARE SYSTEM (ICS) IS A NONPROFIT ORGANIZATION COMMITTED TO ASSISTING PEOPLE WITH DISABILITIES TO LIVE INDEPENDENTLY AND PARTICIPATE FULLY IN COMMUNITY LIFE. WE SEEK TO BECOME A MODEL OF INTEGRATED HEALTH CARE AND SOCIAL SUPPORTS BASED ON COLLABORATION BETWEEN CONSUMERS, PROVIDERS AND CARE COORDINATORS. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $458,156,203 | ExpenseAmt |
| Revenue | $463,175,613 | RevenueAmt |
| Desc | ICS IS A PARTIALLY CAPITATED MEDICAID MANAGED LONG-TERM CARE ORGANIZATION WHICH SUPPORTED 8,010 ELIGIBLE LOW INCOME ADULTS WITH SEVERE DISABILITIES OR WHOM ARE ELDERLY; WHO REQUIRE MORE THAN 120 DAYS OF LONG TERM CARE, REMAIN AT HOME AND PARTICIPATE FULLY IN COMMUNITY LIFE. | Desc |
| Total Program Service Expenses | $458,156,203 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| 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 | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (1) | 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 | Yes (1) | 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 | 875 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 448 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 5 | 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 | NY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARK CORCORAN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2125842500 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 257 PARK AVE S 2ND FLR | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 100107304 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (16 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 | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| RICK SURPIN | ||||||||
| BOD MEMBER & PRESIDENT | 35.00 | 8.00 | Yes (X) | Yes (X) | $351,956 | $0 | $24,773 | |
| JEFFREY M KRAUSS | ||||||||
| CHAIRPERSON | 5.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| THOMAS K SMALL | ||||||||
| TREASURER | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $49,923 | $0 | |
| MICHAEL ELSAS | ||||||||
| SECRETARY | 2.00 | 35.00 | Yes (X) | Yes (X) | $0 | $107,548 | $1,254 | |
| CHRIS DUFF | ||||||||
| BOD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| ANNA FLATTAU | ||||||||
| BOD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| NANCY J HOLLAND | ||||||||
| BOD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| GREGORY K NERSESSIAN | ||||||||
| BOD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| JODI STURGEON | ||||||||
| BOD MEMBER | 1.00 | 40.00 | Yes (X) | $0 | $201,081 | $1,165 | ||
| REGINA ESTELA | ||||||||
| CHIEF OPERATING OFFICER | 35.00 | 0.00 | Yes (X) | $341,573 | $0 | $35,090 | ||
| MARK CORCORAN | ||||||||
| CHIEF FINANCIAL OFFICER | 35.00 | 0.00 | Yes (X) | $309,991 | $0 | $24,773 | ||
| RACHAEL STACOM | ||||||||
| SVP CARE MANAGEMENT | 35.00 | 0.00 | $230,210 | $0 | $12,842 | Yes (X) | ||
| KERRI O'NEILL | ||||||||
| SVP OPERATIONS/INFO SYSTEMS | 35.00 | 0.00 | $224,378 | $0 | $21,003 | Yes (X) | ||
| HARRY K BONSU | ||||||||
| SVP ADMIN. & MEMBER SERVICES | 35.00 | 0.00 | $221,952 | $0 | $1,943 | Yes (X) | ||
| JOHN A CATICCHIO | ||||||||
| VP, FINANCE | 35.00 | 0.00 | $196,173 | $0 | $35,090 | Yes (X) | ||
| DONNA L LOONIE | ||||||||
| SVP COMMUNICATION/MARKETING | 35.00 | 0.00 | $189,875 | $0 | $1,943 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,066,108 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $358,552 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $159,876 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 34 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| CZAR SOLUTIONS LLC | |||||
| 78 EWART STREET | SCARSDALE | NY | 10583 | CARE MGMT IMPLEMENTATION SYSTEM | $479,710 |
| SIMON DOES LLC | |||||
| 350 BLEECKER STREET SUITE LK | NEW YORK | NY | 10014 | CONSULTING/MARKETING/ADVERTISING | $226,335 |
| PRODUCTIVE PROGRAMMING | |||||
| 4901 PAGE LANE | BLACK EARTH | WI | 53515 | CARE MGMT/CLAIMS SYSTEMS IMPLEMENTATION | $214,313 |
| BAKER TILLY VIRCHOW KRAUSE LLP | |||||
| 125 BAYLIS RD - STE 300 | MELVILLE | NY | 11747 | ADUIT/TAX | $193,800 |
| WINDSOR STRATEGY PTNRS LLC | |||||
| 196 PRINCETON HIGHTSTWN RD | PRINCETON | NJ | 08550 | ACTUARY | $180,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 9 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $61,285 | AllOtherContributionsAmt |
| Total Contributions | $61,285 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEDICAID PAYMENTS | 621500 | $460,734,181 | $460,734,181 |
| MEMBER SURPLUS PAYMENTS | 621500 | $2,441,432 | $2,441,432 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $463,175,613 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $144,959 | TotalRevenueColumnAmt |
| Exclusion | $144,959 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $463,381,857 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $463,175,613 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $144,959 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,088,156 | TotalAmt |
| Management And General | $1,088,156 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,921,844 | TotalAmt |
| Program Services | $9,399,628 | ProgramServicesAmt |
| Management And General | $16,503,053 | ManagementAndGeneralAmt |
| Fundraising | $19,163 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,992,920 | TotalAmt |
| Program Services | $1,875,412 | ProgramServicesAmt |
| Management And General | $3,117,508 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,029,203 | TotalAmt |
| Program Services | $732,192 | ProgramServicesAmt |
| Management And General | $1,297,011 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $109,337 | TotalAmt |
| Management And General | $109,337 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $152,400 | TotalAmt |
| Management And General | $152,400 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,216,526 | TotalAmt |
| Program Services | $256,112 | ProgramServicesAmt |
| Management And General | $4,960,414 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $331,100 | TotalAmt |
| Program Services | $196,669 | ProgramServicesAmt |
| Management And General | $134,431 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,084,150 | TotalAmt |
| Program Services | $643,971 | ProgramServicesAmt |
| Management And General | $440,179 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,073,258 | TotalAmt |
| Program Services | $1,231,488 | ProgramServicesAmt |
| Management And General | $841,770 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $180,455 | TotalAmt |
| Program Services | $107,188 | ProgramServicesAmt |
| Management And General | $73,267 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,603 | TotalAmt |
| Program Services | $22,336 | ProgramServicesAmt |
| Management And General | $15,267 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,173,243 | TotalAmt |
| Program Services | $696,891 | ProgramServicesAmt |
| Management And General | $476,352 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $280,025 | TotalAmt |
| Program Services | $166,331 | ProgramServicesAmt |
| Management And General | $113,694 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL EXPENSES | $440,926,420 | $440,926,420 | |
| BAD DEBT | $1,708,781 | $1,014,994 | $693,787 |
| EQUIPMENT & MAINTENANCE | $902,056 | $535,810 | $366,246 |
| MISCELLANEOUS | $471,158 | $279,859 | $191,299 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $119,366 | TotalAmt |
| Program Services | $70,902 | ProgramServicesAmt |
| Management And General | $48,464 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $488,798,001 | TotalAmt |
| Program Services | $458,156,203 | ProgramServicesAmt |
| Management And General | $30,622,635 | ManagementAndGeneralAmt |
| Fundraising | $19,163 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,820,878 | BOYAmt |
| EOY | $8,598,109 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,934,967 | BOYAmt |
| EOY | $21,607,827 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $50,984,257 | BOYAmt |
| EOY | $18,009,004 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $604,639 | BOYAmt |
| EOY | $527,066 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $12,799,466 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $9,934,391 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,804,413 | BOYAmt |
| EOY | $2,865,075 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $161,212 | BOYAmt |
| EOY | $161,212 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $76,310,366 | BOYAmt |
| EOY | $51,768,293 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $109,930,371 | BOYAmt |
| EOY | $102,103,912 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,416,644 | BOYAmt |
| EOY | $1,424,986 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $656,146 | BOYAmt |
| EOY | $9,348,334 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $112,003,161 | BOYAmt |
| EOY | $112,877,232 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$35,692,795 | BOYAmt |
| EOY | -$61,108,939 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$35,692,795 | BOYAmt |
| EOY | -$61,108,939 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $76,310,366 | BOYAmt |
| EOY | $51,768,293 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$25,416,144 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| 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 | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $77,500 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $150,320 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $391,555 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $182,944 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $61,285 | CurrentTaxYearAmt |
| Total | $863,604 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $266,439,291 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $325,811,231 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $391,915,061 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $425,573,847 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $463,175,613 | CurrentTaxYearAmt |
| Total | $1,872,915,043 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $266,516,791 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $325,961,551 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $392,306,616 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $425,756,791 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $463,236,898 | CurrentTaxYearAmt |
| Total | $1,873,778,647 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $1,873,778,647 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $203,802 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $127,444 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $88,997 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $97,713 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $144,959 | CurrentTaxYearAmt |
| Total | $662,915 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $203,802 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $127,444 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $88,997 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $97,713 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $144,959 | CurrentTaxYearAmt |
| Total | $662,915 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $183,424 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $133,149 | CurrentTaxYearMinus3YearsAmt |
| Total | $316,573 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $266,904,017 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $326,222,144 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $392,395,613 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $425,854,504 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $463,381,857 | CurrentTaxYearAmt |
| Total | $1,874,758,135 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99950 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99920 | PublicSupportPY509Pct |
| Investment Income CY | 0.00040 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00050 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | CONSULTING REVENUE - 2013 AMOUNT: $ 180,930. 2014 AMOUNT: $ 15,460. OTHER MISC REVENUE - 2013 AMOUNT: $ 2,494. 2014 AMOUNT: $ 117,689. | ExplanationTxt |
Schedule B IRS990ScheduleB
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,305,857 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,269,822 | DepreciationAmt |
| Book Value | $1,036,035 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,327,622 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,776,088 | DepreciationAmt |
| Book Value | $1,551,534 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,165,987 | OtherCostOrOtherBasisAmt |
| Depreciation | $888,481 | DepreciationAmt |
| Book Value | $277,506 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $2,865,075 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| PREMIUM LIABILITY - MEDICAID | $8,845,608 |
| DUE TO RELATED PARTY | $16,666 |
| DEFERRED RENT PAYABLE | $486,060 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $9,348,334 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $463,381,857 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $463,381,857 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $463,381,857 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $488,798,001 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $488,798,001 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $488,798,001 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | MANAGEMENT HAS EVALUATED ICS'S TAX POSITIONS AND CONCLUDED THAT ICS HAS NOT TAKEN ANY UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS TO COMPLY WITH THE PROVISIONS OF ACCOUNTING STANDARDS CODIFICATION 740. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 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 (9 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RICK SURPIN | ||||||||||||||
| BOD MEMBER & PRESIDENT | $351,956 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $24,773 | $0 | $376,729 | $0 | $0 | $0 |
| JODI STURGEON | ||||||||||||||
| BOD MEMBER | $0 | $201,081 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $1,165 | $0 | $202,246 | $0 | $0 |
| REGINA ESTELA | ||||||||||||||
| CHIEF OPERATING OFFICER | $341,573 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $35,090 | $0 | $376,663 | $0 | $0 | $0 |
| MARK CORCORAN | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $309,991 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $24,773 | $0 | $334,764 | $0 | $0 | $0 |
| RACHAEL STACOM | ||||||||||||||
| SVP CARE MANAGEMENT | $230,210 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $12,842 | $0 | $243,052 | $0 | $0 | $0 |
| KERRI O'NEILL | ||||||||||||||
| SVP OPERATIONS/INFO SYSTEMS | $224,378 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $21,003 | $0 | $245,381 | $0 | $0 | $0 |
| HARRY K BONSU | ||||||||||||||
| SVP ADMIN. & MEMBER SERVICES | $221,952 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $1,943 | $0 | $223,895 | $0 | $0 | $0 |
| JOHN A CATICCHIO | ||||||||||||||
| VP, FINANCE | $196,173 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $35,090 | $0 | $231,263 | $0 | $0 | $0 |
| DONNA L LOONIE | ||||||||||||||
| SVP COMMUNICATION/MARKETING | $189,875 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $1,943 | $0 | $191,818 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 3 | FormAndLineReferenceDesc |
| Explanation | COMPENSATION FOR THE PRESIDENT/CEO, CHIEF OPERATING OFFICER, AND CHIEF FINANCIAL OFFICER ARE BASED ON EMPLOYMENT CONTRACTS, WHICH WERE APPROVED BY THE BOARD OF DIRECTORS. COMPENSATION FOR ALL OTHER POSITIONS WERE APPROVED BY THE CEO, COO, AND CFO BASED ON RECOMMENDATIONS BY THE VICE PRESIDENT OF HUMAN RESOURCES AFTER CONSIDERING JOB DUTIES AND COMPETITIVE SALARIES IN THE COMMUNITY; INSURING EQUITY WITHIN THE ORGANIZATION. | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| RICK SURPIN-MICHAEL ELSAS | |||
| SEE PART V | $45,627,235 | COOPERATIVE HOME CARE ASSOCIATES - CHCA | 0 |
| RICK SURPIN-JODI STURGEON | |||
| SEE PART V | $956,995 | PARAPROFESSIONAL HEALTHCARE INSTITUTE - PHI | 0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCH L, PART IV: | FormAndLineReferenceDesc |
| Explanation | (B) - RICK SURPIN IS PRESIDENT OF INDEPENDENCE CARE SYSTEM AND ALSO CHAIRMAN OF THE BOARD OF COOPERATIVE HOME CARE ASSOCIATES. MICHAEL ELSAS IS A BOARD MEMBER OF INDEPENDENCE CARE SYSTEM AND ALSO THE PRESIDENT OF COOPERATIVE HOME CARE ASSOCIATES. (B) - RICK SURPIN IS PRESIDENT OF INDEPENDENCE CARE SYSTEM AND A BOARD MEMBER OF PARAPROFESSIONAL HEALTHCARE INSTITUTE. AS OF SEPTEMBER 2013, JODI STURGEON IS A BOARD MEMBER OF INDEPENDENCE CARE SYSTEM AND THE PRESIDENT OF PARAPROFESSIONAL HEALTHCARE INSTITUTE. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE ORGANIZATION DISTRIBUTES A COPY OF THE FINAL "DRAFT" OF THE FORM 990 TO THE BOARD OF DIRECTORS FOR REVIEW AND APPROVAL PRIOR TO FILING WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | EMPLOYEES ARE EXPECTED TO CONDUCT ACTIVITIES RELATING TO PERSONS, BUSINESSES, AND OTHER ORGANIZATIONS CLOSELY ASSOCIATED WITH THEM IN SUCH A WAY THAT NO CONFLICT MAY ARISE BETWEEN THE OTHER INTERESTS AND THE POLICIES, OPERATIONS OR INTERESTS (REAL OR APPARENT) OF INDEPENDENCE CARE SYSTEM, INC. THIS INCLUDES, BUT IS NOT LIMITED TO, OUTSIDE EMPLOYMENT. A CONFLICT OF INTEREST IS ANY DIRECT OR INDIRECT INTEREST IN A CONTRACTOR, REFERRER, OR RELATED ORGANIZATION, ON THE PART OF AN EMPLOYEE OR AN EMPLOYEE'S IMMEDIATE FAMILY, THAT MIGHT REASONABLY AFFECT THE EMPLOYEE'S JUDGMENT OR DECISIONS EXERCISED ON BEHALF OF THE ORGANIZATION. |
| FORM 990, PART VI, SECTION B, LINE 15 | COMPENSATION FOR THE PRESIDENT/CEO, CHIEF OPERATING OFFICER, AND CHIEF FINANCIAL OFFICER ARE BASED ON EMPLOYMENT CONTRACTS, WHICH WERE APPROVED BY THE BOARD OF DIRECTORS. COMPENSATION FOR ALL OTHER POSITIONS WERE APPROVED BY THE CEO, COO, AND CFO BASED ON RECOMMENDATIONS BY THE VICE PRESIDENT OF HUMAN RESOURCES AFTER CONSIDERING JOB DUTIES AND COMPETITIVE SALARIES IN THE COMMUNITY; INSURING EQUITY WITHIN THE ORGANIZATION. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| PARAPROFESSIONAL HEALTHCARE INSTITUTE | ||||||||||
| 349 E 149 STREET | BRONX | NY | 10451 | 133575492 | IMPROVE QUALITY OF ELDER/DISABILITY SERVICES BY IMPROVEMENT OF WORKERS. | NY | 501(C)(3) | LINE 7 | N/A | 0 |
| PATHWAYS TO INDEPENDENCE | ||||||||||
| 349 E 149 STREET | BRONX | NY | 10451 | 204863650 | BENEFITING PEOPLE W/DISABILITIES/LT HEALTH CARE BY SUPPORTING ICS. | NY | 501(C)(3) | LINE 10 | N/A | 0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COOPERATIVE HOME CARE ASSOCIATES | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 349 E 149 STREET | AddressLine1Txt |
| City | BRONX | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10451 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 133238142 | EIN |
| Primary Activities | PERSONAL CARE AIDES | PrimaryActivitiesTxt |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Entity Type | C | EntityTypeTxt |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (3 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| COOPERATIVE HOME CARE ASSOCIATES - CHCA | ||
| M | $45,573,945 | FMV |
| PARAPROFESSIONAL HEALTHCARE INSTITUTE - PHI | ||
| K | $363,326 | FMV |
| PARAPROFESSIONAL HEALTHCARE INSTITUTE - PHI | ||
| M | $567,334 | FMV |
Comments