MIDDLETOWN COMMUNITY HEALTH CENTER: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- MIDDLETOWN COMMUNITY HEALTH CENTER (EIN 14-1588402)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-11-13
- IRS object ID
- 201743179349303249
- 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 | 2017-11-13T11:57:19-06:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 113518842 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARKS PANETH LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 685 THIRD AVENUE | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10017 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 141588402 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MIDDLETOWN COMMUNITY HEALTH CENTER INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MIDD | BusinessNameControlTxt |
| Phone | 8453437614 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 21 ORCHARD STREET | AddressLine1Txt |
| City | MIDDLETOWN | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10940 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SYBIL MEDINA | PersonNm |
| Person Title | INTERIM CEO | PersonTitleTxt |
| Phone | 8453437614 | PhoneNum |
| Signature | 2017-11-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ROBERT LYONS | PreparerPersonNm |
| PTIN | P00227472 | PTIN |
| Phone | 2125038800 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 69.74.165.34 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2017-11-13 | IPDt |
| IP Tm | 12:36:16 | IPTm |
| IP Timezone | ES | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DF616C45020760B98F5E40A9976ADF8FF2F9381D | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | B8E8917F0931719FE7A109CCAA1C726E9AF7A481 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2018-03-14 21:41:22Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | SYBIL MEDINA | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 21 ORCHARD STREET | AddressLine1Txt |
| City | MIDDLETOWN | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10940 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $12,542,179 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | MCHCCARES.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1977 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | MIDDLETOWN COMMUNITY HEALTH CENTER, INC IS A NON-PROFIT COMMUNITY BASED ORGANIZATION THAT IS COMMITTED TO THE PROVISION OF HIGH QUALITY, COMPREHENSIVE AND AFFORDABLE HEALTH CARE SERVICES TO ALL MEMBERS OF THE COMMUNITY IN ORDER TO ENHANCE THE QUALITY OF LIFE OF PATIENTS, FAMILIES AND THE COMMUNITY AS A WHOLE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 248 | TotalEmployeeCnt |
| Total Volunteers | 9 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $3,673,261 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,799,501 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $9,162,722 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $8,319,737 | CYProgramServiceRevenueAmt |
| PY Investment Income | $204,165 | PYInvestmentIncomeAmt |
| CY Investment Income | $111 | CYInvestmentIncomeAmt |
| PY Other Revenue | $178,972 | PYOtherRevenueAmt |
| CY Other Revenue | $422,830 | CYOtherRevenueAmt |
| PY Total Revenue | $13,219,120 | PYTotalRevenueAmt |
| CY Total Revenue | $12,542,179 | 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 | $9,717,617 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $9,778,579 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $3,516,172 | PYOtherExpensesAmt |
| CY Other Expenses | $3,608,093 | CYOtherExpensesAmt |
| PY Total Expenses | $13,233,789 | PYTotalExpensesAmt |
| CY Total Expenses | $13,386,672 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$14,669 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$844,493 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $5,100,717 | TotalAssetsBOYAmt |
| Total Assets EOY | $4,397,367 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,889,348 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $3,247,369 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $2,211,369 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,149,998 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | MIDDLETOWN COMMUNITY HEALTH CENTER, INC IS A NON-PROFIT COMMUNITY BASED ORGANIZATION THAT IS COMMITTED TO THE PROVISION OF HIGH QUALITY, COMPREHENSIVE AND AFFORDABLE HEALTH CARE SERVICES TO ALL MEMBERS OF THE COMMUNITY IN ORDER TO ENHANCE THE QUALITY OF LIFE OF PATIENTS, FAMILIES AND THE COMMUNITY AS A WHOLE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $11,202,107 | ExpenseAmt |
| Revenue | $8,319,737 | RevenueAmt |
| Desc | MEDICAL MCHC SERVED THOUSANDS OF PATIENTS IN 2016, WITH AN EMPHASIS ON PROVIDING QUALITY HEALTHCARE TO PEOPLE ACROSS THE LIFESPAN OF EVERY GENDER, RELIGION, SEXUAL ORIENTATION, AND SOCIOECONOMIC STATUS. | Desc |
| Total Program Service Expenses | $11,202,107 | 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 | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | Yes (1) | 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 | 22 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 248 | 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 | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SYBIL MEDINA INTERIM CEO | PersonNm |
| Phone | 8453437614 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 21 ORCHARD STREET | AddressLine1Txt |
| City | MIDDLETOWN | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10940 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| JOSEPH PALUGHI | ||||||||
| CHAIRMAN | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| STEFANIE HUBERT | ||||||||
| VICE CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JOHN KLASSEN | ||||||||
| TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| CORNELIA HARVEY | ||||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| MARGARET BOGERT | ||||||||
| BOARD MEMBER (FORMER) | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| LISA ECHEVARRIA | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| DEBORA VALENTINE | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MATTHEW D WITHEROW | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| EMILY HERRERA | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| AJAY PATEL | ||||||||
| BOARD MEMBER (FORMER) | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MARK CAPICOTTO | ||||||||
| BOARD MEMBER (FORMER) | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| YUDELKA BALERIO-HERRERA | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| THERESA BUTLER | ||||||||
| CHIEF EXECUTIVE OFFICER | 35.00 | Yes (X) | $219,506 | $0 | $25,104 | |||
| ALICIA TENNY | ||||||||
| CHIEF FINANCIAL OFFICER | 35.00 | Yes (X) | $131,151 | $0 | $27,335 | |||
| SYBIL MEDINA | ||||||||
| CHIEF PROGRAM OFFICER | 35.00 | Yes (X) | $100,954 | $0 | $27,247 | |||
| JOSEPH LANZA | ||||||||
| CHIEF MEDICAL OFFICER | 35.00 | $229,361 | $0 | $8,829 | Yes (X) | |||
| LYNNE DICOSTANZO | ||||||||
| PHYSICIAN | 35.00 | $209,882 | $0 | $8,748 | Yes (X) | |||
| NILA SINGARAVELU | ||||||||
| PHYSICIAN | 35.00 | $187,773 | $0 | $19,583 | Yes (X) | |||
| LINDA MENDELSOHN | ||||||||
| PHYSICIAN | 35.00 | $160,329 | $0 | $1,400 | Yes (X) | |||
| SADIA KHANDAKER | ||||||||
| PHYSICIAN | 35.00 | $177,827 | $0 | $8,822 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,416,783 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $127,068 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 8 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | 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 |
|---|---|---|---|---|---|
| SUCCESS EHS | |||||
| 100 GREENWAY BLVD | CARROLLTON | GA | 30117 | CONSULTANT | $335,180 |
| TIME WARNER CABLE | |||||
| TIME WARNER CABLE BUILDING SUITE | BUFFALO | NY | 14270 | INTERNET & PHONE SERVICE | $129,825 |
| ORANGE & ROCKLAND | |||||
| 1 BLUE HILL PLAZA | PEARL RIVER | NY | 10965 | UTILITIES | $106,907 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 7 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $3,774,026 | GovernmentGrantsAmt |
| All Other Contributions | $25,475 | AllOtherContributionsAmt |
| Noncash Contributions | $362,976 | NoncashContributionsAmt |
| Total Contributions | $3,799,501 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MANAGED CARE | 621110 | $7,985,985 | $7,985,985 |
| PUBLIC GOODS | 621110 | $333,752 | $333,752 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $8,319,737 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $111 | TotalRevenueColumnAmt |
| Exclusion | $111 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| INSURANCE INCENTIVES | 900099 | $257,693 | $257,693 |
| OTHER REVENUE | 900099 | $165,137 | $165,137 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $422,830 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $12,542,179 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $8,319,737 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $422,941 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $769,488 | TotalAmt |
| Program Services | $178,642 | ProgramServicesAmt |
| Management And General | $590,846 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,743,050 | TotalAmt |
| Program Services | $7,014,545 | ProgramServicesAmt |
| Management And General | $728,505 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $550,835 | TotalAmt |
| Program Services | $513,074 | ProgramServicesAmt |
| Management And General | $37,761 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $715,206 | TotalAmt |
| Program Services | $596,935 | ProgramServicesAmt |
| Management And General | $118,271 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $64,520 | TotalAmt |
| Management And General | $64,520 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $478,014 | TotalAmt |
| Program Services | $340,692 | ProgramServicesAmt |
| Management And General | $137,322 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $435,453 | TotalAmt |
| Program Services | $350,989 | ProgramServicesAmt |
| Management And General | $84,464 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $481,043 | TotalAmt |
| Program Services | $387,736 | ProgramServicesAmt |
| Management And General | $93,307 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $73,237 | TotalAmt |
| Program Services | $38,692 | ProgramServicesAmt |
| Management And General | $34,545 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $58,578 | TotalAmt |
| Program Services | $47,216 | ProgramServicesAmt |
| Management And General | $11,362 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $469,234 | TotalAmt |
| Program Services | $378,217 | ProgramServicesAmt |
| Management And General | $91,017 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $92,810 | TotalAmt |
| Management And General | $92,810 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| BAD DEBT EXPENSE | $595,055 | $595,055 | |
| DONATED VACCINES | $362,976 | $362,976 | |
| REPAIRS & MAINT. | $235,222 | $189,596 | $45,626 |
| TELEPHONE | $202,538 | $163,252 | $39,286 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $59,413 | TotalAmt |
| Program Services | $44,490 | ProgramServicesAmt |
| Management And General | $14,923 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,386,672 | TotalAmt |
| Program Services | $11,202,107 | ProgramServicesAmt |
| Management And General | $2,184,565 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $182,001 | BOYAmt |
| EOY | $159,317 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $242,785 | BOYAmt |
| EOY | $208,329 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,284,737 | BOYAmt |
| EOY | $1,313,035 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $148,219 | BOYAmt |
| EOY | $157,027 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $7,662,693 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $5,103,034 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,242,975 | BOYAmt |
| EOY | $2,559,659 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,100,717 | BOYAmt |
| EOY | $4,397,367 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,467,014 | BOYAmt |
| EOY | $1,929,488 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,313,059 | BOYAmt |
| EOY | $1,278,996 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $109,275 | BOYAmt |
| EOY | $38,885 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,889,348 | BOYAmt |
| EOY | $3,247,369 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,211,369 | BOYAmt |
| EOY | $1,149,998 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,211,369 | BOYAmt |
| EOY | $1,149,998 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,100,717 | BOYAmt |
| EOY | $4,397,367 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$844,493 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$216,878 | 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 | $2,275,224 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,424,235 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,075,345 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,673,261 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,799,501 | CurrentTaxYearAmt |
| Total | $16,247,566 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,275,224 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,424,235 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,075,345 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,673,261 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,799,501 | CurrentTaxYearAmt |
| Total | $16,247,566 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $16,247,566 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $21,495 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $48,564 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $91,376 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $204,165 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $257,804 | CurrentTaxYearAmt |
| Total | $623,404 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,506 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $464,654 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $208,250 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $178,972 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $165,137 | CurrentTaxYearAmt |
| Total | $1,020,519 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $17,891,489 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $45,064,887 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.90810 | PublicSupportCY170Pct |
| Public Support PY170 | 0.96010 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $423,715 | OtherCostOrOtherBasisAmt |
| Book Value | $423,715 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,791,586 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,549,458 | DepreciationAmt |
| Book Value | $1,242,128 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $327,620 | OtherCostOrOtherBasisAmt |
| Depreciation | $144,026 | DepreciationAmt |
| Book Value | $183,594 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,119,772 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,409,550 | DepreciationAmt |
| Book Value | $710,222 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $2,559,659 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DEFERRED RENT | Desc |
| Amt | $38,885 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $38,885 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $11,947,124 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $11,947,124 | RevenueSubtotalAmt |
| Other Revenues Not Included | $595,055 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $595,055 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $12,542,179 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $13,603,550 | TotExpnsEtcAuditedFinclStmtAmt |
| Losses Reported | $216,878 | LossesReportedAmt |
| Expenses Not Reported | $216,878 | ExpensesNotReportedAmt |
| Expenses Subtotal | $13,386,672 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $13,386,672 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | THE CENTER BELIEVES IT HAS NO UNCERTAIN TAX POSITIONS AS OF DECEMBER 31, 2016 AND 2015 IN ACCORDANCE WITH ACCOUNTING STANDARDS CODIFICATION ("ASC") TOPIC 740 ("INCOME TAXES"), WHICH PROVIDES STANDARDS FOR ESTABLISHING AND CLASSIFYING ANY TAX PROVISIONS FOR UNCERTAIN TAX POSITIONS. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | UNCOLLECTABLE ACCOUNTS 595,055. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 (7 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| THERESA BUTLER | ||||||||||||||
| CHIEF EXECUTIVE OFFICER | $214,506 | $0 | $5,000 | $0 | $0 | $0 | $0 | $0 | $25,104 | $0 | $244,610 | $0 | $0 | $0 |
| ALICIA TENNY | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $126,151 | $0 | $5,000 | $0 | $0 | $0 | $0 | $0 | $27,335 | $0 | $158,486 | $0 | $0 | $0 |
| JOSEPH LANZA | ||||||||||||||
| CHIEF MEDICAL OFFICER | $229,361 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $8,829 | $0 | $238,190 | $0 | $0 | $0 |
| LYNNE DICOSTANZO | ||||||||||||||
| PHYSICIAN | $209,882 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $8,748 | $0 | $218,630 | $0 | $0 | $0 |
| NILA SINGARAVELU | ||||||||||||||
| PHYSICIAN | $187,773 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $19,583 | $0 | $207,356 | $0 | $0 | $0 |
| LINDA MENDELSOHN | ||||||||||||||
| PHYSICIAN | $160,329 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $1,400 | $0 | $161,729 | $0 | $0 | $0 |
| SADIA KHANDAKER | ||||||||||||||
| PHYSICIAN | $177,827 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $8,822 | $0 | $186,649 | $0 | $0 | $0 |
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 13 | ContributionCnt |
| Noncash Contributions Rpt F990 | $362,976 | NoncashContributionsRptF990Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS PREPARED BY INDEPENDENT ACCOUNTING FIRM AND IS REVIEWED BY MANAGEMENT PRIOR TO SUBMISSION AND DISTRIBUTED TO THE FULL BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION EMPLOYS A CORPORATE COMPLIANCE COORDINATOR WHO REVIEW AND MAINTAINS THE CONFLICT OF INTEREST STATEMENTS THAT ARE RECEIVED ANNUALLY FROM THE EXECUTIVE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION B, LINE 15A | THE HR DIRECTOR COLLECTS VARIOUS SALARY SURVEYS FROM THE STATE'S PRIMARY CARE ASSOCIATION, NACHC, 990S OF OTHER FQHCS, AND THE INTERNET FOR CEOS IN SIMILAR CAPACITIES. THIS INFORMATION IS THEN PROVIDED TO THE BOARD OF DIRECTORS WHO ANALYZE THE DATA AND MAKE A DECISION ON WHAT IS CONSIDERED FAIR COMPENSATION FOR THE CEO. FOR EVERY ONE ELSE, THE ORGANIZATION USES VARIOUS THIRD PARTY DATA LIKE SALARY SURVEYS FROM THE STATE'S PRIMARY CARE ASSOCIATION, NACHC, 990S, AND THE INTERNET. THE CEO USES THIS INFORMATION TO MAKE A DECISION ON EMPLOYEES SALARY. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE DOCUMENTS ARE AVAILABLE UPON REQUEST. |
| FORM 990, PART XI, LINE 9: | WRITE OFF FIXED ASSETS -216,878. |
| FORM 990, PART XII, LINE 2C: | RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT HAS NOT BEEN CHANGED FROM THE PRIOR YEAR. |