OPEN DOOR FAMILY MEDICAL CENTER INC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- OPEN DOOR FAMILY MEDICAL CENTER INC (EIN 13-2813103)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-06-07
- IRS object ID
- 201731589349300933
- 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 | 2017-06-07T15:17:33-05:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 221478099 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COHNREZNICK LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4 BECKER FARM ROAD | AddressLine1Txt |
| City | ROSELAND | CityNm |
| State Abbreviation | NJ | StateAbbreviationCd |
| ZIP | 07068 | 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 | 132813103 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OPEN DOOR FAMILY MEDICAL CENTER INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | OPEN | BusinessNameControlTxt |
| Phone | 9145021470 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 165 MAIN STREET | AddressLine1Txt |
| City | OSSINING | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10562 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LINDSAY C FARRELL | PersonNm |
| Person Title | PRESIDENT & CEO | PersonTitleTxt |
| Phone | 9145021470 | PhoneNum |
| Signature | 2017-06-02 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | THOMAS LANNING | PreparerPersonNm |
| PTIN | P00851654 | PTIN |
| Phone | 9732283500 | PhoneNum |
| Preparation | 2017-05-15 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 209.3.217.20 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2017-06-02 | IPDt |
| IP Tm | 13:34:18 | IPTm |
| IP Timezone | ED | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 85D90453E2D3BA535B05F3D251534FC1C34A3536 | 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 | LINDSAY C FARRELL | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 165 MAIN STREET | AddressLine1Txt |
| City | OSSINING | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10562 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $61,615,720 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.OPENDOORMEDICAL.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1975 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | OPEN DOOR FAMILY MEDICAL CENTER PROVIDES QUALITY PRIMARY HEALTH CARE AND HUMAN SERVICES AT AFFORDABLE PRICES TO THE COMMUNITY, PARTICULARLY LOW-INCOME, UNDER-SERVED RESIDENTS AND THOSE LACKING ACCESS TO HEALTH CARE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 16 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 16 | VotingMembersIndependentCnt |
| Total Employee | 547 | TotalEmployeeCnt |
| Total Volunteers | 124 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $10,431,943 | PYContributionsGrantsAmt |
| CY Contributions Grants | $11,820,630 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $30,261,841 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $32,091,863 | CYProgramServiceRevenueAmt |
| PY Investment Income | $488,368 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,477,337 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,057,922 | PYOtherRevenueAmt |
| CY Other Revenue | $1,364,335 | CYOtherRevenueAmt |
| PY Total Revenue | $42,240,074 | PYTotalRevenueAmt |
| CY Total Revenue | $46,754,165 | 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 | $27,933,398 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $31,806,139 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $355,152 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $14,466,171 | PYOtherExpensesAmt |
| CY Other Expenses | $16,131,774 | CYOtherExpensesAmt |
| PY Total Expenses | $42,399,569 | PYTotalExpensesAmt |
| CY Total Expenses | $47,937,913 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$159,495 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$1,183,748 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $90,686,585 | TotalAssetsBOYAmt |
| Total Assets EOY | $91,907,886 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $8,215,187 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $8,846,504 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $82,471,398 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $83,061,382 | NetAssetsOrFundBalancesEOYAmt |
| Mission | THE MISSION OF THE OPEN DOOR FAMILY MEDICAL CENTER, INC. IS TO PROVIDE QUALITY PRIMARY HEALTH CARE AND HUMAN SERVICES AT AFFORDABLE PRICES TO THE COMMUNITY, PARTICULARLY LOW-INCOME, UNDER-SERVED RESIDENTS AND THOSE LACKING ACCESS TO HEALTH CARE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $32,721,276 | ExpenseAmt |
| Revenue | $25,872,533 | RevenueAmt |
| Desc | OPEN DOOR FAMILY MEDICAL CENTER IS A FEDERALLY QUALIFIED HEALTH CENTER WHICH SERVED APPROXIMATELY 54,454 MEDICAL PATIENTS THAT GENDERATED 184,172 VISITS IN 2016.Additional funding for this program is provided through federal grants, as shown on Form 990, Part VIII, Line 1e. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $6,082,486 | ExpenseAmt |
| Revenue | $5,649,579 | RevenueAmt |
| Desc | OPEN DOOR FAMILY MEDICAL CENTER IS A FEDERALLY QUALIFIED HEALTH CENTER WHICH SERVED APPROXIMATELY 18,850 DENTAL PATIENTS THAT GENDERATED 45,938 VISITS IN 2016.Additional funding for this program is provided through federal grants, as shown on Form 990, Part VIII, Line 1e. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,956,756 | ExpenseAmt |
| Revenue | $1,934,086 | RevenueAmt |
| Desc | OPEN DOOR FAMILY MEDICAL CENTER IS A FEDERALLY QUALIFIED HEALTH CENTER WHICH SERVED APPROXIMATELY 10,303 MENTAL HEALTH PATIENTS THAT GENDERATED 24,823 VISITS IN 2016.Additional funding for this program is provided through federal grants, as shown on Form 990, Part VIII, Line 1e. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $40,760,518 | 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 | 0 | 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 | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| 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 |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 547 | 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 | 16 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 16 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (1) | 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 | MARIA MAZZOTTA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9145021470 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 165 MAIN STREET | AddressLine1Txt |
| City | OSSINING | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10562 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| ANDRES VALDESPINO | |||||||||
| chairman/Vice-CHAIRMAN | 1.00 | 1.10 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| ANTONIO MEJIAS | |||||||||
| BOARD MEMBER | 1.00 | 0.10 | Yes (X) | $0 | $0 | $0 | |||
| Carmen Taveras-Cruz thru 0216 | |||||||||
| bOARD MEMBER | 1.00 | 0.10 | Yes (X) | $0 | $0 | $0 | |||
| CHARLES CHEHEBAR | |||||||||
| BOARD MEMBER | 1.00 | 0.10 | Yes (X) | $0 | $0 | $0 | |||
| DANIEL ROSS FROM 0616 | |||||||||
| boaRD MEMBER | 1.00 | 0.10 | Yes (X) | $0 | $0 | $0 | |||
| DAVID K SHERMAN | |||||||||
| boaRD MEMBER | 1.00 | 0.10 | Yes (X) | $0 | $0 | $0 | |||
| DIANA SCHAEFER | |||||||||
| BoaRD MEMBER | 1.00 | 0.10 | Yes (X) | $0 | $0 | $0 | |||
| DONNA WADE | |||||||||
| CHAIRWOMAN | 1.00 | 0.10 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| DORIAN LINDSAY | |||||||||
| BOARD MEMBER | 1.00 | 0.10 | Yes (X) | $0 | $0 | $0 | |||
| HOWARD S SCHRADER | |||||||||
| BOARD MEMBER | 1.00 | 1.10 | Yes (X) | $0 | $0 | $0 | |||
| JOHN CONYERS | |||||||||
| BOARD MEMBER | 1.00 | 0.10 | Yes (X) | $0 | $0 | $0 | |||
| LORETTA MOLINARI | |||||||||
| BOARD MEMBER | 1.00 | 0.10 | Yes (X) | $0 | $0 | $0 | |||
| MARGOTH PILLA | |||||||||
| Treasurer | 1.00 | 0.10 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| SHIRLEY BUONTEMPO | |||||||||
| SecreTARY | 1.00 | 0.10 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| STEWART TABIN | |||||||||
| BOARD MEMBER | 1.00 | 0.10 | Yes (X) | $0 | $0 | $0 | |||
| TYLER BEEBE | |||||||||
| BOARD MEMBER | 1.00 | 0.10 | Yes (X) | $0 | $0 | $0 | |||
| WALTER EDGE | |||||||||
| BOARD MEMBER | 1.00 | 0.10 | Yes (X) | $0 | $0 | $0 | |||
| LINDSAY C FARRELL | |||||||||
| PRESIDENT & CEO | 35.50 | 2.00 | Yes (X) | $370,642 | $19,508 | $17,441 | |||
| MARIA MAZZOTTA | |||||||||
| CHIEF FINANCE OFFICER | 35.50 | 2.00 | Yes (X) | $211,209 | $11,117 | $8,877 | |||
| DAREN WU | |||||||||
| CHIEF MEDICAL OFFICER | 37.50 | $350,805 | $0 | $9,275 | Yes (X) | ||||
| JANET BOZZONE | |||||||||
| CHIEF DENTAL OFFICER | 37.50 | $241,766 | $0 | $11,584 | Yes (X) | ||||
| BRUCE M SHAFFER | |||||||||
| PODIATRIST | 37.50 | $227,745 | $0 | $28,352 | Yes (X) | ||||
| Jacob Albert Samander | |||||||||
| Psychiatrist | 37.50 | $257,040 | $0 | $14,325 | Yes (X) | ||||
| JAY ABRAM ZASLOW | |||||||||
| FAMILY PRACTICE PHYSICIAN | 37.50 | $250,914 | $0 | $35,208 | Yes (X) | ||||
| KAREN MURRAY | |||||||||
| OB/GYN PHYSICIAN | 37.50 | $266,441 | $0 | $31,707 | Yes (X) | ||||
| THOMAS YUEN | |||||||||
| FAMILY PRACTICE PHYSICIAN | 37.50 | $227,811 | $0 | $34,411 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,404,373 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $30,625 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $191,180 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 76 | 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 |
|---|---|---|---|---|---|
| Medcor Revenue Services Inc | |||||
| 725 W Town Country Road Suite 5 | orange | CA | 92868 | Billing Services | $540,000 |
| HITCH Inc | |||||
| 2 CHURCH STREET SUITE 110 | OSSINING | NY | 10562 | CSP Services | $533,986 |
| COMPREHENSIVE EYE SERVICES | |||||
| PO BOX 187 | ARMONK | NY | 10504 | EYE CLINIC | $446,295 |
| ECLINICAL WORKS | |||||
| 110 TURNPIKE ROAD SUITE 308 | westboroUGH | MA | 01581 | ECW SUPPORT | $335,225 |
| Karen Karp & Partners | |||||
| PO BOX 515 | SOUTHOLD | NY | 11971 | HR CONSULTING SERVICES | $256,341 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 9 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $347,000 | RelatedOrganizationsAmt |
| Government Grants | $9,011,328 | GovernmentGrantsAmt |
| All Other Contributions | $2,462,302 | AllOtherContributionsAmt |
| Total Contributions | $11,820,630 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Medicaid Managed Care Plans | 621400 | $10,384,506 | $10,384,506 |
| wrap around | 621400 | $7,094,079 | $7,094,079 |
| MEDICAID | 621400 | $5,832,518 | $5,832,518 |
| SELF-PAY | 621400 | $4,016,073 | $4,016,073 |
| UNCOMPENSATED CARE | 621400 | $2,163,463 | $2,163,463 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,601,224 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,601,224 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $32,091,863 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,062,692 | TotalRevenueColumnAmt |
| Exclusion | $1,062,692 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $15,276,200 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $14,861,555 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $414,645 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $414,645 | TotalRevenueColumnAmt |
| Exclusion | $414,645 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| 340b Pharmacy | 621400 | $808,347 | $808,347 |
| REIMBURSED SALARIES & FRINGE | 900099 | $342,632 | $342,632 |
| Medicaid Meaningful use incentive | 621400 | $195,600 | $195,600 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $17,756 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $17,756 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,364,335 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $46,754,165 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $33,456,198 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,477,337 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,223,698 | TotalAmt |
| Program Services | $1,101,217 | ProgramServicesAmt |
| Management And General | $122,481 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,219,359 | TotalAmt |
| Program Services | $22,384,667 | ProgramServicesAmt |
| Management And General | $2,492,060 | ManagementAndGeneralAmt |
| Fundraising | $342,632 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $820,119 | TotalAmt |
| Program Services | $692,598 | ProgramServicesAmt |
| Management And General | $127,521 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,705,043 | TotalAmt |
| Program Services | $2,316,669 | ProgramServicesAmt |
| Management And General | $388,374 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,837,920 | TotalAmt |
| Program Services | $1,827,936 | ProgramServicesAmt |
| Management And General | $9,984 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $56,591 | TotalAmt |
| Management And General | $56,591 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $147,592 | TotalAmt |
| Management And General | $147,592 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $444,913 | TotalAmt |
| Management And General | $444,913 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,971,160 | TotalAmt |
| Program Services | $1,932,045 | ProgramServicesAmt |
| Management And General | $2,039,115 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,434,668 | TotalAmt |
| Program Services | $2,148,583 | ProgramServicesAmt |
| Management And General | $286,085 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,770,055 | TotalAmt |
| Program Services | $1,551,673 | ProgramServicesAmt |
| Management And General | $218,382 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $119,465 | TotalAmt |
| Program Services | $38,475 | ProgramServicesAmt |
| Management And General | $80,990 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $149,790 | TotalAmt |
| Program Services | $105,248 | ProgramServicesAmt |
| Management And General | $44,542 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $171,639 | TotalAmt |
| Program Services | $163,514 | ProgramServicesAmt |
| Management And General | $8,125 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,518,176 | TotalAmt |
| Program Services | $1,516,142 | ProgramServicesAmt |
| Management And General | $2,034 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $303,858 | TotalAmt |
| Program Services | $259,861 | ProgramServicesAmt |
| Management And General | $43,997 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Provision for bad debts | $1,375,376 | $1,375,376 | |
| PHARMACEUTICALS | $1,016,779 | $1,016,779 | |
| RepairS & MAINTENANCE | $709,100 | $617,929 | $91,171 |
| LABORATORY FEES | $437,144 | $437,144 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,505,468 | TotalAmt |
| Program Services | $1,274,662 | ProgramServicesAmt |
| Management And General | $218,286 | ManagementAndGeneralAmt |
| Fundraising | $12,520 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $47,937,913 | TotalAmt |
| Program Services | $40,760,518 | ProgramServicesAmt |
| Management And General | $6,822,243 | ManagementAndGeneralAmt |
| Fundraising | $355,152 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,531,320 | BOYAmt |
| EOY | $2,143,427 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,430,549 | BOYAmt |
| EOY | $3,300,991 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,267,141 | BOYAmt |
| EOY | $1,256,990 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,587,904 | BOYAmt |
| EOY | $6,214,043 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $603,828 | BOYAmt |
| EOY | $807,703 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $38,545,166 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $18,150,598 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,145,687 | BOYAmt |
| EOY | $20,394,568 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $60,287,723 | BOYAmt |
| EOY | $56,901,012 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $832,433 | BOYAmt |
| EOY | $889,152 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $90,686,585 | BOYAmt |
| EOY | $91,907,886 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,738,814 | BOYAmt |
| EOY | $4,951,507 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $129,608 | BOYAmt |
| EOY | $116,658 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,476,922 | BOYAmt |
| EOY | $2,081,874 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,869,843 | BOYAmt |
| EOY | $1,696,465 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,215,187 | BOYAmt |
| EOY | $8,846,504 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $82,430,083 | BOYAmt |
| EOY | $83,061,382 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,315 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $82,471,398 | BOYAmt |
| EOY | $83,061,382 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $90,686,585 | BOYAmt |
| EOY | $91,907,886 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$1,183,748 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $1,451,614 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $322,118 | 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) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| 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 | $10,018,576 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,589,529 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $10,087,522 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $10,431,943 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $11,820,630 | CurrentTaxYearAmt |
| Total | $51,948,200 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $10,018,576 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,589,529 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $10,087,522 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $10,431,943 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $11,820,630 | CurrentTaxYearAmt |
| Total | $51,948,200 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $51,948,200 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $264,378 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $349,896 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $902,137 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $723,447 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,062,692 | CurrentTaxYearAmt |
| Total | $3,302,550 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $415,562 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $404,724 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $301,875 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,045,922 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,364,335 | CurrentTaxYearAmt |
| Total | $3,532,418 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $58,783,168 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $141,462,817 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.88370 | PublicSupportCY170Pct |
| Public Support PY170 | 0.91070 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule A, Part II, Line 10, Explanation of Other Income: | FormAndLineReferenceDesc |
| Explanation | MISCELLANEOUS REVENUE - 2012 Amount: $ 36,184. 2013 Amount: $ 46,557. 2014 Amount: $ 27,789. 2015 Amount: $ 34,842. 2016 Amount: $ 17,756. REIMBURSED SALARIES FRINGE - 2012 Amount: $ 379,378. 2013 Amount: $ 358,167. 2014 Amount: $ 274,086. 2015 Amount: $ 231,564. 2016 Amount: $ 342,632. Medicaid Meaningful use incentive - 2015 Amount: $ 412,250. 2016 Amount: $ 195,600. 340b Pharmacy - 2015 Amount: $ 367,266. 2016 Amount: $ 808,347. | 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 | $1,740,016 | OtherCostOrOtherBasisAmt |
| Book Value | $1,740,016 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,274,217 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,568,476 | DepreciationAmt |
| Book Value | $705,741 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $15,542,708 | OtherCostOrOtherBasisAmt |
| Depreciation | $9,161,851 | DepreciationAmt |
| Book Value | $6,380,857 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,425,782 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,897,446 | DepreciationAmt |
| Book Value | $1,528,336 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $15,562,443 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,522,825 | DepreciationAmt |
| Book Value | $10,039,618 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $20,394,568 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| Due to related party | $121,494 |
| Pension liability | $824,971 |
| Line of credit | $750,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,696,465 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $47,075,732 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $1,451,614 | NetUnrealizedGainsInvstAmt |
| Donated Services And Use Fclts | $169,253 | DonatedServicesAndUseFcltsAmt |
| Other Revenue | $863,621 | OtherRevenueAmt |
| Revenue Not Reported | $2,484,488 | RevenueNotReportedAmt |
| Revenue Subtotal | $44,591,244 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $444,913 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | $1,718,008 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $2,162,921 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $46,754,165 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $46,661,685 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $169,253 | DonatedServicesUseFcltsAmt |
| Other Expenses Included | $717,440 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $886,693 | ExpensesNotReportedAmt |
| Expenses Subtotal | $45,774,992 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $444,913 | InvestmentExpensesNotIncld2Amt |
| Other Expenses Not Included | $1,718,008 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $2,162,921 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $47,937,913 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part X, Line 2: | THE CORPORATION HAS NO UNRECOGNIZED TAX BENEFITS AT DECEMBER 31, 2016. THE CORPORATION'S FEDERAL AND STATE INFORMATION RETURNS PRIOR TO CALENDAR YEAR 2013 ARE CLOSED AND MANAGEMENT CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS. IF THE CORPORATION HAD UNRELATED BUSINESS INCOME TAXES, IT WILL RECOGNIZE INTEREST AND PENALTIES ASSOCIATED WITH UNCERTAIN TAX POSITIONS AS PART OF THE INCOME TAX PROVISION AND INCLUDE ACCRUED INTEREST AND PENALTIES WITH THE RELATED TAX LIABILITY IN THE CONSOLIDATED STATEMENT OF FINANCIAL POSITION. |
| Part XI, Line 2d - Other Adjustments: | Intercompany eliminations -1,125,955. Pension-related changes other than net periodic pension 322,118. REVENUE OF RELATED ENTITIES 1,667,458. |
| Part XI, Line 4b - Other Adjustments: | Provision for bad debts 1,375,376. REIMBURSED SALARIES & FRINGE 342,632. |
| Part XII, Line 2d - Other Adjustments: | EXPENSES OF RELATED ENTITIES 1,843,395. Intercompany eliminations -1,125,955. |
| Part XII, Line 4b - Other Adjustments: | Provision for bad debts 1,375,376. REIMBURSED SALARIES & FRINGE 342,632. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| 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 | Yes (1) | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LINDSAY C FARRELL | ||||||||||||||
| PRESIDENT & CEO | $322,663 | $16,982 | $46,313 | $2,438 | $1,666 | $88 | $8,789 | $486 | $8,560 | $451 | $387,991 | $20,445 | $0 | $0 |
| MARIA MAZZOTTA | ||||||||||||||
| CHIEF FINANCE OFFICER | $204,272 | $10,751 | $6,642 | $350 | $295 | $16 | $7,396 | $389 | $1,748 | $92 | $220,353 | $11,598 | $0 | $0 |
| DAREN WU | ||||||||||||||
| CHIEF MEDICAL OFFICER | $322,969 | $0 | $27,475 | $0 | $361 | $0 | $9,275 | $0 | $0 | $0 | $360,080 | $0 | $0 | $0 |
| JANET BOZZONE | ||||||||||||||
| CHIEF DENTAL OFFICER | $204,277 | $0 | $35,963 | $0 | $1,526 | $0 | $8,493 | $0 | $3,091 | $0 | $253,350 | $0 | $0 | $0 |
| BRUCE M SHAFFER | ||||||||||||||
| PODIATRIST | $226,296 | $0 | $0 | $0 | $1,449 | $0 | $8,241 | $0 | $20,111 | $0 | $256,097 | $0 | $0 | $0 |
| Jacob Albert Samander | ||||||||||||||
| Psychiatrist | $249,114 | $0 | $7,350 | $0 | $576 | $0 | $5,660 | $0 | $8,665 | $0 | $271,365 | $0 | $0 | $0 |
| JAY ABRAM ZASLOW | ||||||||||||||
| FAMILY PRACTICE PHYSICIAN | $226,585 | $0 | $23,750 | $0 | $579 | $0 | $9,092 | $0 | $26,116 | $0 | $286,122 | $0 | $0 | $0 |
| KAREN MURRAY | ||||||||||||||
| OB/GYN PHYSICIAN | $235,431 | $0 | $30,600 | $0 | $410 | $0 | $9,275 | $0 | $22,432 | $0 | $298,148 | $0 | $0 | $0 |
| THOMAS YUEN | ||||||||||||||
| FAMILY PRACTICE PHYSICIAN | $204,730 | $0 | $22,857 | $0 | $224 | $0 | $8,295 | $0 | $26,116 | $0 | $262,222 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 6 | THE FOLLOWING INDIVIDUALS, LISTED ON PART VII, RECEIVED INCENTIVE BONUSES, WHICH ARE BASED ON individual and site performance, DURING THE YEAR ENDED 12/31/16: JANET BOZZONE - $35,963 DAREN WU - $27,475 ThOMas YUEN - $22,857 Karen Murray - $30,600 Jay Abram Zaslow - $23,750 Jacob Samander $7,350 |
| Part I, Line 7 | INCLUDED IN PART II COLUMN B(ii) ARE AMOUNTS REPRESENTING BONUS PAYMENTS. THESE AMOUNTS WERE APPROVED BY THE BOARD AND INCLUDED IN THE INDIVIDUALS' 2016 W-2S. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 4 | OPEN DOOR FAMILY MEDICAL CENTER, INC. amended its bylaws to reflect the removal of Open Door, Inc. as its sole member removing any rights by open Door, Inc. with reagrd to OPEN DOOR FAMILY MEDICAL CENTER, INC. |
| Form 990, Part VI, Section B, line 11b | OPEN DOOR FAMILY MEDICAL CENTER ENGAGES THE SERVICES OF AN OUTSIDE ACCOUNTING FIRM TO PREPARE THE ANNUAL FORM 990 IN CONJUNCTION WITH ITS ANNUAL AUDITED FINANCIAL STATEMENTS. THE PRESIDENT/CEO AND CFO REVIEW THE FORM 990 AND SCHEDULES FOR ACCURACY. IN 2017, THE FORM 990, FOR THE YEAR ENDED DECEMBER 31, 2016, WAS PRESENTED TO THE FINANCE COMMITTEE AND BOARD MEMBERS FOR REVIEW PRIOR TO ITS SUBMISSION. |
| Form 990, Part VI, Section B, line 12c | On an annual basis, all the board members, officers and key employees sign a conflict of interest disclosure statement. All disclosure statements are updated and reviewed annually for existing or potential conflicts by the President/CEO. If a conflict is found, the affected individual is required to recuse himself/herself from any decision making and voting relating to the conflict. |
| Form 990, Part VI, Section B, line 15 | THE EXECUTIVE COMMITTEE OF THE BOARD CONDUCTS PARITY STUDIES TO EVALUATE EXECUTIVE COMPENSATION. THE ENTIRE BOARD GOES INTO EXECUTIVE SESSION TO EVALUATE THE CEO AND DETERMINE COMPENSATION. THE CEO CONDUCTS PARITY STUDIES TO EVALUATE OFFICERS AND KEY EMPLOYEES' SALARIES FOR THE EXECUTIVE COMMITTEE. THESE SALARIES, AND THE SALARIES OF THE ENTIRE ORGANIZATION, ARE PRESENTED TO THE BOARD FOR APPROVAL DURING THE BUDGET APPROVAL PROCESS TOWARD YEAR-END. THERE IS CONTEMPORANEOUS SUBSTANTIATION OF THE COMPENSATION DELIBERATION AND DECISION IN THE BOARD MINUTES. |
| Form 990, Part VI, Section C, line 19 | OPEN DOOR DOES MAKE ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC BY POSTING ON THE ORGANIZATION'S WEBSITE; PROVIDING COPIES UPON request for the same period of disclosure as set forth in section 6104(d); AND INSPECTION AT AN OFFICE OF THE ORGANIZATION. THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC UPON REQUEST, AT THE ORGANIZATION'S LOCATION. |
| Form 990, Part XI, line 9: | PENSION-RELATED CHANGES OTHER THAN NET PERIODIC PENSION COST 322,118. |
| Form 990 XII line 2c explanation | The Organization has a committee responsible for the oversight of the audit as well as the selection of the independent accountant |
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 | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| OPEN DOOR FOUNDATION INC | |||||||||||
| 165 MAIN STREET | OSSINING | NY | 10562 | 133598184 | FUNDRAISING/DEVELOPMENT | NY | 501(c)(3) | Line 7 | OPEN DOOR INC | 0 | |
| OPEN DOOR INC | |||||||||||
| 165 MAIN STREET | OSSINING | NY | 10562 | 133585009 | SUPPORTING ORGANIZATION | NY | 501(c)(3) | Line 12a, I | 0 | N/A | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OPEN DOOR LEASING CORP | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 165 MAIN STREET | AddressLine1Txt |
| City | OSSINING | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10562 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 201726717 | EIN |
| Primary Activities | LEASING SPACE | PrimaryActivitiesTxt |
| Legal Domicile State | NY | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OPEN DOOR FAMILY MEDICAL CENTER INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C | EntityTypeTxt |
| Share Of Total Income | $787,952 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $99,692 | ShareOfEOYAssetsAmt |
| Ownership | 1.00000 | OwnershipPct |
| Controlled Organization | Yes (1) | 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 | Yes (1) | 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 | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | 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 | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OPEN DOOR LEASING CORP | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | K | TransactionTypeTxt |
| Involved | $787,952 | InvolvedAmt |
| Method Of Amount Determination | COST | MethodOfAmountDeterminationTxt |