VISITING NURSE ASSOCIATION HEALTH CARE SERVICES INC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- VISITING NURSE ASSOCIATION HEALTH CARE SERVICES INC (EIN 13-5562377)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-11-14
- IRS object ID
- 201723189349310527
- 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 | 2017-11-14T16:12:02-06:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 271728945 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PKF O'CONNOR DAVIES LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 MAMARONECK AVENUE | AddressLine1Txt |
| City | HARRISON | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 105281633 | 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 | 135562377 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VISITING NURSE ASSOCIATION HEALTH CARE | BusinessNameLine1Txt |
| Business Name Line2 | SERVICES INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | VISI | BusinessNameControlTxt |
| Phone | 7188163510 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 400 LAKE AVENUE | AddressLine1Txt |
| City | STATEN ISLAND | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10303 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BARRINGTON BURKE-GREEN | PersonNm |
| Person Title | ADMINISTRATOR, COO | PersonTitleTxt |
| Phone | 7188163510 | PhoneNum |
| Signature | 2017-11-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | GARRETT M HIGGINS | PreparerPersonNm |
| PTIN | P00543209 | PTIN |
| Phone | 9143818900 | PhoneNum |
| Preparation | 2017-11-14 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 65.51.112.58 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2017-11-14 | IPDt |
| IP Tm | 12:33:38 | IPTm |
| IP Timezone | ES | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 8F3E04F861F0216E32497907D09A877E57DED22A | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | DBE3753688BC1776818C679406F8E276569BC57D | 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 | BARRINGTON BURKE-GREEN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 400 LAKE AVENUE | AddressLine1Txt |
| City | STATEN ISLAND | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10303 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $11,778,050 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.VNASI.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1928 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE THE HIGHEST QUALITY THERAPEUTIC, SUPPORT AND PREVENTIVE HEALTH CARE SERVICES OUTSIDE THE HOSPITAL SETTING AS AN INDEPENDENT HEALTH CARE AGENCY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 15 | VotingMembersIndependentCnt |
| Total Employee | 144 | TotalEmployeeCnt |
| Total Volunteers | 18 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $213,969 | PYContributionsGrantsAmt |
| CY Contributions Grants | $165,090 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $14,498,416 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $11,392,050 | CYProgramServiceRevenueAmt |
| PY Investment Income | $14,292 | PYInvestmentIncomeAmt |
| CY Investment Income | $107 | CYInvestmentIncomeAmt |
| PY Other Revenue | $197,893 | PYOtherRevenueAmt |
| CY Other Revenue | $220,803 | CYOtherRevenueAmt |
| PY Total Revenue | $14,924,570 | PYTotalRevenueAmt |
| CY Total Revenue | $11,778,050 | 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 | $8,347,488 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $7,696,522 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $7,296,341 | PYOtherExpensesAmt |
| CY Other Expenses | $5,561,673 | CYOtherExpensesAmt |
| PY Total Expenses | $15,643,829 | PYTotalExpensesAmt |
| CY Total Expenses | $13,258,195 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$719,259 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$1,480,145 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $4,085,220 | TotalAssetsBOYAmt |
| Total Assets EOY | $3,412,620 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $6,522,614 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $6,075,159 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$2,437,394 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$2,662,539 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO PROVIDE THE HIGHEST QUALITY THERAPEUTIC, SUPPORT AND PREVENTIVE HEALTH CARE SERVICES OUTSIDE THE HOSPITAL SETTING AS AN INDEPENDENT HEALTH CARE AGENCY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $11,448,025 | ExpenseAmt |
| Revenue | $11,392,050 | RevenueAmt |
| Desc | THE AGENCY PROVIDES OVER 63,634 HOME CARE VISITS ANNUALLY TO MORE THAN 1,932 PATIENTS OVER THE COURSE OF A YEAR. THESE SERVICES INCLUDE SKILLED NURSING CARE, PHYSICAL, OCCUPATIONAL AND OTHER THERAPIES, HOME HEALTH AIDES AND PERSONAL CARE WORKERS, TELEMEDICINE AND REMOTE MONITORING SERVICES. THE AGENCY IS REIMBURSED FOR THESE SERVICES PRINCIPALLY BY MEDICARE AND MEDICAID AND TO A MUCH LESSER EXTENT, BY INSURANCE COMPANIES AND/OR INDIVIDUALS. | Desc |
| Total Program Service Expenses | $11,448,025 | 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 | Yes (1) | 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 | 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 | 148 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 144 | 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 | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 15 | 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 | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | 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 | 0 | 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 |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BARRINGTON BURKE-GREEN CFOCOO | PersonNm |
| Phone | 7188163437 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 400 LAKE AVENUE | AddressLine1Txt |
| City | STATEN ISLAND | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10303 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (23 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 |
|---|---|---|---|---|---|---|---|---|
| DAVID LEHR | ||||||||
| CHAIRMAN | 0.50 | 0.10 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| LUCILLE CHAZANOFF | ||||||||
| SECRETARY, THRU 3/26/16 | 0.10 | 0.10 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| SUSAN LEWIS | ||||||||
| TREASURER/ SECRETARY | 0.50 | 0.10 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| KATHLEEN HEAD | ||||||||
| 1ST VICE CHAIR | 0.50 | 0.10 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| DAN SWEENEY | ||||||||
| 2ND VICE CHAIR | 0.50 | 0.10 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| ROY DANISCHEWSKI | ||||||||
| DIRECTOR | 1.00 | 0.50 | Yes (X) | $0 | $0 | $0 | ||
| FRANK J BESIGNANO | ||||||||
| DIRECTOR | 0.10 | 0.10 | Yes (X) | $0 | $0 | $0 | ||
| JACK OEHM | ||||||||
| DIRECTOR | 0.50 | 0.10 | Yes (X) | $0 | $0 | $0 | ||
| WILLIAM FANI | ||||||||
| DIRECTOR | 0.50 | 0.10 | Yes (X) | $0 | $0 | $0 | ||
| WINSTON WOHR | ||||||||
| DIRECTOR | 0.40 | 0.10 | Yes (X) | $0 | $0 | $0 | ||
| DOLLY SMITH | ||||||||
| DIRECTOR | 0.50 | 0.10 | Yes (X) | $0 | $0 | $0 | ||
| GARY LIGRECI | ||||||||
| DIRECTOR | 0.50 | 0.10 | Yes (X) | $0 | $0 | $0 | ||
| JAMES CROWLEY JR | ||||||||
| DIRECTOR | 0.50 | 0.10 | Yes (X) | $0 | $0 | $0 | ||
| ALAN PORITZ | ||||||||
| DIRECTOR | 0.50 | 0.10 | Yes (X) | $0 | $0 | $0 | ||
| JANE FEMINELLA | ||||||||
| DIRECTOR | 0.10 | 0.05 | Yes (X) | $0 | $0 | $0 | ||
| S RANDOLPH GRETZ | ||||||||
| DIRECTOR, THRU 10/21/16 | 0.40 | 0.10 | Yes (X) | $0 | $0 | $0 | ||
| THOMAS MCDONOUGH | ||||||||
| DIRECTOR | 0.50 | 0.10 | Yes (X) | $0 | $0 | $0 | ||
| JAMES F MITCHELL | ||||||||
| VP PUBLIC RELATIONS | 18.70 | 18.80 | Yes (X) | $101,113 | $0 | $2,412 | ||
| AUDREY PENNEY | ||||||||
| CEO | 35.50 | 2.00 | Yes (X) | $185,811 | $0 | $10,856 | ||
| BARRINGTON BURKE-GREEN | ||||||||
| COO & ACTING CFO | 35.50 | 2.00 | Yes (X) | $162,548 | $0 | $14,415 | ||
| CATHERINE BRITTON | ||||||||
| DIRECTOR CLINICAL OPERATIONS | 37.50 | $106,216 | $0 | $2,672 | Yes (X) | |||
| KWONG-KEUNG S LEUNG | ||||||||
| DIRECTOR INFO SYSTEMS | 37.50 | $105,040 | $0 | $31,976 | Yes (X) | |||
| JENNIFER PARKER | ||||||||
| DIRECTOR SPECIAL PROJECTS | 37.50 | $100,318 | $0 | $31,324 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $761,046 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $93,655 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 6 | 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 |
|---|---|---|---|---|---|
| GREENBERG TRAURIG LLP | |||||
| 2101 L STREET NW SUITE 1000 | WASHINGTON | DC | 20037 | LEGAL SERVICES | $250,000 |
| AIDES AT HOME | |||||
| 29 WEST MARIE STREET | HICKSVILLE | NY | 11801 | HOME HEALTH & PERSONAL CARE AIDES | $203,117 |
| FADMO HEALTH AND HOMECARE AGENCY | |||||
| 194 TARGEE STREET | STATEN ISLAND | NY | 10304 | HOME HEALTH & PERSONAL CARE AIDES | $150,034 |
| CITY INVESTIGATION & SECURITY | |||||
| 368 AVENUE U | BROOKLYN | NY | 11223 | INVESTIGATION & SECURITY SERVICE | $119,941 |
| ROBERT ROSENBERG | |||||
| 13 EAST HAM COURT | SCOTCHPLAINS | NJ | 07076 | CONTRACT SPEECH PATHOLOGIST | $119,574 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 7 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $155,000 | GovernmentGrantsAmt |
| All Other Contributions | $10,090 | AllOtherContributionsAmt |
| Total Contributions | $165,090 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET PATIENT SERVICE REVENUE | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $11,392,050 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $11,392,050 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $11,392,050 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $107 | TotalRevenueColumnAmt |
| Exclusion | $107 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| MANAGEMENT FEES | 900099 | $190,750 | $190,750 |
| OTHER OPERATING INCOME | 900099 | $24,259 | $24,259 |
| MEDICAL RECORDS | 900099 | $5,794 | $5,794 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $220,803 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $11,778,050 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $11,392,050 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $220,910 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $477,155 | TotalAmt |
| Program Services | $405,582 | ProgramServicesAmt |
| Management And General | $71,573 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,739,841 | TotalAmt |
| Program Services | $4,878,865 | ProgramServicesAmt |
| Management And General | $860,976 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $94,511 | TotalAmt |
| Program Services | $80,334 | ProgramServicesAmt |
| Management And General | $14,177 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $760,629 | TotalAmt |
| Program Services | $646,535 | ProgramServicesAmt |
| Management And General | $114,094 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $624,386 | TotalAmt |
| Program Services | $530,728 | ProgramServicesAmt |
| Management And General | $93,658 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $319,309 | TotalAmt |
| Management And General | $319,309 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $127,494 | TotalAmt |
| Management And General | $127,494 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,106,977 | TotalAmt |
| Program Services | $3,103,658 | ProgramServicesAmt |
| Management And General | $3,319 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $65,776 | TotalAmt |
| Program Services | $55,910 | ProgramServicesAmt |
| Management And General | $9,866 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $294,275 | TotalAmt |
| Program Services | $250,134 | ProgramServicesAmt |
| Management And General | $44,141 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $100,424 | TotalAmt |
| Program Services | $85,360 | ProgramServicesAmt |
| Management And General | $15,064 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $449,188 | TotalAmt |
| Program Services | $381,810 | ProgramServicesAmt |
| Management And General | $67,378 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $69,882 | TotalAmt |
| Program Services | $59,400 | ProgramServicesAmt |
| Management And General | $10,482 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,208 | TotalAmt |
| Program Services | $9,527 | ProgramServicesAmt |
| Management And General | $1,681 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,097 | TotalAmt |
| Management And General | $38,097 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $83,236 | TotalAmt |
| Program Services | $83,236 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $77,669 | TotalAmt |
| Program Services | $66,019 | ProgramServicesAmt |
| Management And General | $11,650 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| BAD DEBT EXPENSE | $657,208 | $657,208 | |
| MEDICAL SUPPLIES | $65,431 | $65,431 | |
| NYS ASSESSMENT | $32,211 | $32,211 | |
| COMMUNITY AFFAIRS | $27,215 | $23,133 | $4,082 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,073 | TotalAmt |
| Program Services | $32,944 | ProgramServicesAmt |
| Management And General | $3,129 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,258,195 | TotalAmt |
| Program Services | $11,448,025 | ProgramServicesAmt |
| Management And General | $1,810,170 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,750 | BOYAmt |
| EOY | $2,840 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $463,742 | BOYAmt |
| EOY | $361,792 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,901,687 | BOYAmt |
| EOY | $2,353,947 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $220,569 | BOYAmt |
| EOY | $252,076 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $2,608,822 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $2,179,479 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $483,735 | BOYAmt |
| EOY | $429,343 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,737 | BOYAmt |
| EOY | $12,622 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,085,220 | BOYAmt |
| EOY | $3,412,620 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,900,684 | BOYAmt |
| EOY | $1,839,154 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $635,804 | BOYAmt |
| EOY | $581,005 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $700,000 | BOYAmt |
| EOY | $1,450,000 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,286,126 | BOYAmt |
| EOY | $2,205,000 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,522,614 | BOYAmt |
| EOY | $6,075,159 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$2,437,394 | BOYAmt |
| EOY | -$2,662,539 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$2,437,394 | BOYAmt |
| EOY | -$2,662,539 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,085,220 | BOYAmt |
| EOY | $3,412,620 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$1,480,145 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $1,255,000 | 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) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| 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 | $87,969 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $52,500 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $57,969 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $213,969 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $165,090 | CurrentTaxYearAmt |
| Total | $577,497 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $24,549,043 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $22,693,951 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $18,656,612 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $14,498,416 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $11,392,050 | CurrentTaxYearAmt |
| Total | $91,790,072 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $24,637,012 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $22,746,451 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $18,714,581 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $14,712,385 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $11,557,140 | CurrentTaxYearAmt |
| Total | $92,367,569 | 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 | $92,367,569 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $39,536 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $26,203 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $10,652 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $14,292 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $107 | CurrentTaxYearAmt |
| Total | $90,790 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $39,536 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $26,203 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $10,652 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $14,292 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $107 | CurrentTaxYearAmt |
| Total | $90,790 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $245,732 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $255,382 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $249,056 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $197,893 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $220,803 | CurrentTaxYearAmt |
| Total | $1,168,866 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $24,922,280 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $23,028,036 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $18,974,289 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $14,924,570 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $11,778,050 | CurrentTaxYearAmt |
| Total | $93,627,225 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.98650 | PublicSupportCY509Pct |
| Public Support PY509 | 0.98680 | PublicSupportPY509Pct |
| Investment Income CY | 0.00100 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00130 | 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 | MANAGEMENT FEES - 2012 AMOUNT: $ 237,000. 2013 AMOUNT: $ 237,000. 2014 AMOUNT: $ 237,000. 2015 AMOUNT: $ 184,500. 2016 AMOUNT: $ 190,750. MISCELLANEOUS - 2012 AMOUNT: $ 8,732. 2013 AMOUNT: $ 3,279. 2014 AMOUNT: $ 591. 2015 AMOUNT: $ 2,720. 2016 AMOUNT: $ 24,259. MEDICAL RECORDS - 2013 AMOUNT: $ 15,103. 2014 AMOUNT: $ 11,465. 2015 AMOUNT: $ 10,673. 2016 AMOUNT: $ 5,794. | ExplanationTxt |
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 | $270,873 | OtherCostOrOtherBasisAmt |
| Book Value | $270,873 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $589,728 | OtherCostOrOtherBasisAmt |
| Depreciation | $529,592 | DepreciationAmt |
| Book Value | $60,136 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,748,221 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,649,887 | DepreciationAmt |
| Book Value | $98,334 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $429,343 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO THIRD PARTY PAYORS | $950,000 |
| DUE TO AFFILIATE | $1,255,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $2,205,000 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $11,587,300 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $11,587,300 | RevenueSubtotalAmt |
| Other Revenues Not Included | $190,750 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $190,750 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $11,778,050 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $13,067,445 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $13,067,445 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $190,750 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $190,750 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $13,258,195 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | THE ASSOCIATION RECOGNIZES THE EFFECT OF TAX POSITIONS ONLY WHEN THEY ARE MORE LIKELY THAN NOT TO BE SUSTAINED. MANAGEMENT HAS DETERMINED THAT THE ASSOCIATION HAD NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION OR DISCLOSURE. THE ASSOCIATION IS NO LONGER SUBJECT TO EXAMINATIONS BY THE APPLICABLE TAXING JURISDICTIONS FOR PERIODS PRIOR TO 2013. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | MANAGEMENT FEE INCOME REPORTED ON PART VIII, LINE 11A: 190,750. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | MANAGEMENT FEE INCOME REPORTED ON PART VIII, LINE 11A: 190,750. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| 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 (2 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| AUDREY PENNEY | ||||||||||||||
| CEO | $183,759 | $0 | $0 | $0 | $2,052 | $0 | $341 | $0 | $10,515 | $0 | $196,667 | $0 | $0 | $0 |
| BARRINGTON BURKE-GREEN | ||||||||||||||
| COO & ACTING CFO | $161,568 | $0 | $0 | $0 | $980 | $0 | $3,954 | $0 | $10,461 | $0 | $176,963 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE SOLE MEMBER OF THE CORPORATION (PARENT) IS THE VISITING NURSE ASSOCIATION OF STATEN ISLAND, INC.(VNASI). |
| FORM 990, PART VI, SECTION A, LINE 7A | WHENEVER DIRECTORS ARE TO BE ELECTED BY THE MEMBERS, THEY SHALL BE ELECTED BY A PLURALITY OF THE VOTES CAST AT A MEETING OF SUCH MEMBERS BY THE MEMBERS ENTITLED TO VOTE IN THE ELECTION. |
| FORM 990, PART VI, SECTION A, LINE 7B | WHENEVER ANY CORPORATE ACTION, OTHER THAN THE ELECTION OF DIRECTORS IS TO BE TAKEN BY VOTE OF THE MEMBERS, IT SHALL, EXCEPT AS OTHERWISE REQUIRED BY LAW, BE AUTHORIZED BY A MAJORITY OF THE VOTES CAST AT A MEETING OF MEMBERS BY THE MEMBERS ENTITLED TO VOTE THEREON. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE 990 IS PREPARED BY OUR INDEPENDENT ACCOUNTANTS FROM INFORMATION GATHERED AS PART OF THEIR AUDIT AND FROM OTHER INFORMATION SUPPLIED BY THE AGENCY. A DRAFT OF THE 990 IS REVIEWED BY MANAGEMENT. AFTER THEIR REVIEW, THE FORM 990 IS APPROVED BY THEM AND ELECTRONICALLY FILED WITH THE IRS. THE BOARD OF DIRECTORS IS INFORMED (AT THE NEXT SCHEDULED MEETING AFTER THE FILING DATE) THAT THE FORM 990 HAS BEEN FILED AND THAT THE FORM IS AVAILABLE FOR THEIR EXAMINATION. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION CURRENTLY HAS IN PLACE A CONFLICT OF INTEREST POLICY WHICH IT ANNUALLY MONITORS AND ENFORCES. THE BOARD CURRENTLY MANDATES THAT ALL MEMBERS OF MANAGEMENT AND THE GOVERNING BODY ANNUALLY SIGN A CONFLICT OF INTEREST POLICY AND DISCLOSE ANY POTENTIAL OR ACTUAL CONFLICTS THAT MAY EXIST. THE SIGNED CONFLICT OF INTEREST POLICY IS SUBMITTED TO THE CORPORATE COMPLIANCE OFFICER WHO REVIEWS THE SIGNED ATTESTATIONS FOR POTENTIAL OR ACTUAL CONFLICTS. IF A POTENTIAL OR ACTUAL CONFLICT OF INTEREST EXISTS, THE CORPORATE COMPLIANCE OFFICER WILL NOTIFY A MEMBER OF MANAGEMENT OR THE GOVERNING BODY ABOUT SUCH CONFLICT AND INVESTIGATE THE CONFLICT. THE RESULTS OF THE INVESTIGATION WILL BE SUMMARIZED AND DOCUMENTED BY THE CORPORATE COMPLIANCE OFFICER AND BE REPORTED TO THE GOVERNING BODY. IF THE CORPORATE COMPLIANCE OFFICER ESTABLISHES THAT AN ACTUAL CONFLICT EXISTS, THE MEMBER OF MANAGEMENT OR THE GOVERNING BODY WILL BE NOTIFIED IMMEDIATELY AND WILL NOT BE ALLOWED TO VOTE OR BE A PART OF ANY DECISIONS ABOUT ANY SUCH TRANSACTIONS THAT HAVE TO DO WITH THE CONFLICT UNTIL SUCH TIME THERE IS NO LONGER A CONFLICT. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE EXECUTIVE COMMITTEE, CONSISTING OF PERSONS WITHOUT CONFLICTS OF INTEREST WITH RESPECT TO THE COMPENSATION ARRANGEMENT, ESTABLISH THE CEO AND CFO'S COMPENSATION USING COMPARABLE DATA AND DETERMINED THAT THE SALARY IS REASONABLE. THE EXECUTIVE COMMITTEE'S DECISION ON THE AMOUNT OF COMPENSATION PAID IS REQUIRED TO BE DOCUMENTED IN A WRITTEN FORMAT INCLUDING THE DATE OF THE DECISION. THE COMPENSATION REVIEW PROCESS FOR THE YEAR 2015, FOR THE CEO, COO/CFO WAS LAST UNDER TAKEN IN 2015. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ASSOCIATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. THE ASSOCIATION'S FORM 990 IS AVAILABLE ON WWW.GUIDESTAR.ORG AND OTHER SIMILAR TYPE WEBSITES. |
| FORM 990, PART VII: | CERTAIN OFFICERS AND HIGHLY COMPENSATED EMPLOYEES ARE PAID BY THE ORGANIZATION BUT SPEND A PERCENTAGE OF THEIR TIME WORKING FOR VISITING NURSE ASSOCIATION OF STATEN ISLAND(VNASI) AND VISITING NURSE PLUS(VNP). |
| FORM 990, PART IX, LINE 11G | RNS, LPNS AND PHYSICIANS: PROGRAM SERVICE EXPENSES 195,734. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 195,734. BILLINGS SERVICE: PROGRAM SERVICE EXPENSES 87,980. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 87,980. CONSULTANTS: PROGRAM SERVICE EXPENSES 18,806. MANAGEMENT AND GENERAL EXPENSES 3,319. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 22,125. CONTRACT HEALTH WORKERS: PROGRAM SERVICE EXPENSES 2,801,138. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,801,138. |
| FORM 990, PART XI, LINE 9: | EQUITY TRANSFER FROM AFFILIATE 1,255,000. |
| 990, PART XI, LINE 2C: | THE ASSOCIATION HAS A FINANCE COMMITTEE WHICH FUNCTIONS AS AN AUDIT COMMITTEE AND WHICH ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
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 | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| VISITING NURSE ASSOCIATION OF STATEN ISLAND INC | |||||||||||
| 400 LAKE AVENUE | STATEN ISLAND | NY | 10303 | 133272923 | TO SUPPORT VNAHCS | NY | 501(C)(3) | LINE 12B, II | N/A | 0 | |
| VISITING NURSE PLUS INC | |||||||||||
| 400 LAKE AVENUE | STATEN ISLAND | NY | 10303 | 133712494 | HOME HEALTH CARE | NY | 501(C)(3) | LINE 10 | 0 | VISITING NURSE ASSOCIATION OF STATEN ISLAND | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HEALTH WATCH-LIFELINE INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 400 LAKE AVENUE | AddressLine1Txt |
| City | STATEN ISLAND | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10303 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 133484488 | EIN |
| Primary Activities | PERS MONITORING | PrimaryActivitiesTxt |
| Legal Domicile State | NY | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VISITING NURSE ASSOCIATION OF STATEN ISLAND INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | 0 | 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 | Yes (1) | 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 | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
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