2016-08-15T10:57:56-05:00 2015-12-31 161131146 BONADIO & CO LLP 171 SULLYS TRAIL SUITE 201 PITTSFORD NY 14534 990 2015-01-01 462602391 ICIRCLE SERVICES OF THE FINGER LAKES INC ICIR 8444247253 860 HARD RD WEBSTER NY 14580 MARK CURLETTA CFO 5853471209 2016-08-11 1 RICHARD LEICHT P01378913 5853811000 2015 2016-12-15 16:53:06Z HENRY PASZKO 860 HARD RD WEBSTER NY 14580 9283222 0 X WWW.ICIRCLECNY.ORG X 2013 NY TO PROVIDE MEMBERS WITH HIGH-QUALITY HEALTH AND SOCIAL SERVICES THAT ARE CULTURALLY-APPROPRIATE, COMMUNITY-INTEGRATED, AND TAILORED TO THEIR INDIVIDUAL NEEDS, ENSURING A POSITIVE IMPACT ON THEIR PERSONAL HEALTH, LIFESTYLE, AND INDEPENDENCE. 15 14 17 15 0 0 0 217578 0 9033794 0 0 0 31850 0 9283222 0 0 0 0 0 1188463 0 0 0 0 9309015 0 10497478 0 -1214256 1594161 5803075 3469282 8892452 -1875121 -3089377 TO PROVIDE MEMBERS WITH HIGH-QUALITY HEALTH AND SOCIAL SERVICES THAT ARE CULTURALLY-APPROPRIATE, COMMUNITY-INTEGRATED, AND TAILORED TO THEIR INDIVIDUAL NEEDS, ENSURING A POSITIVE IMPACT ON THEIR PERSONAL HEALTH, LIFESTYLE, AND INDEPENDENCE. 0 0 8562457 9065644 MANAGED LONG TERM CARE INSURANCE4185 INDIVIDUALS SERVED 0 0 DEVELOPMENTAL DISABILITIES INDIVIDUAL SUPPORT AND CARE COORDINATION ORGANIZATION. 8562457 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 112 0 1 17 1 0 0 0 0 0 0 0 0 0 0 X 15 14 0 0 0 0 1 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 NY X MARK CURLETTA 5853471209 860 HARD RD WEBSTER NY 14580 SANKAR SEWNAUTH BOARD CHAIR 1.00 39.00 X X 0 441277 14027 MARY WALSH-BOATFIELD BOARD VICE CHAIR 1.00 X X 0 0 0 HILDA ROSARIO-ESCHER TREASURER 1.00 X X 0 0 0 ANN MARIE COOK SECRETARY 1.00 X X 0 0 0 MARIA DIBBLE BOARD MEMBER 1.00 X 0 0 0 NICOLAS CAPPOLETTI BOARD MEMBER 1.00 X 0 0 0 WILLIAM CLARK BOARD MEMBER 1.00 X 0 0 0 MARIELLEN CUPPINI BOARD MEMBER 1.00 X 0 0 0 PATRICIA FRATANGLEO BOARD MEMBER 1.00 X 0 0 0 ERIC GILBERT BOARD MEMBER 1.00 X 0 0 0 PATRICK MCGRATH BOARD MEMBER 1.00 X 0 0 0 JEFF SINSEBOX BOARD MEMBER 1.00 X 0 0 0 RON THOMAS BOARD MEMBER 1.00 X 0 0 0 LORI VANAUKEN BOARD MEMBER 1.00 X 0 0 0 DAVID WISSINK BOARD MEMBER 1.00 X 0 0 0 HENRY PASZKOW CEO/CMO 24.00 X 171541 0 660 MARK CURLETTA CFO 7.00 33.00 X 0 243441 19024 SHARON MARBLE EVP PROGRAM OPERATIONS 40.00 0.00 X 0 156450 13451 171541 841168 47162 1 0 1 0 CENTER FOR DISABILITY RIGHTS 479 STATE STREET ROCHESTER NY 14618 CDPAP/SDC 1019870 METROPOLITAN MEDICAL TRANSPORTATION IPA 992 SOUTH SECOND STREET SUITE 1 RONKONKOMA NY 11779 TRANSPORTATION 299252 MEDICAL SOLUTIONS 135 WEST RIDGE ROAD ROCHESTER NY 14615 CDPAP 205576 HOME CARE PLUS 3111 WINTON ROAD SOUTH ROCHESTER NY 14623 HHA/PERSONAL CARE 201897 ALL METRO HEALTH CARE 50 BROADWAY LYNBROOK NY 11563 HHA/PERSONAL CARE/CDPAP 170611 5 217578 217578 MEDICAID PREMIUM REVEN 524126 8927418 8927418 SPENDDOWN AND NAMI 524126 106376 106376 9033794 MISCELLANEOUS INCOME 900099 31850 31850 31850 9283222 9065644 0 0 389346 389346 605607 257015 348592 4625 1764 2861 122437 38626 83811 66448 17906 48542 606687 606687 37352 37352 4500 4500 56981 47360 9621 18870 16968 1902 31500 8065 23435 44469 10479 33990 97348 97348 6925 5194 1731 5630 3416 2214 MEDICAL EXPENSES 7920657 7920657 OTHER EXPENSES 446812 225757 221055 EQUIPMENT RENTAL AND MA 18951 18951 PARTICIPANT TRANSPORTAT 12333 9250 3083 10497478 8562457 1935021 0 1197925 4416748 0 936543 0 1624 81685 6925 0 74760 396236 373400 1594161 5803075 265819 3586047 3203463 5306405 3469282 8892452 X -1875121 -3089377 -1875121 -3089377 1594161 5803075 -1214256 0 X 0 1 X 1 0 X 217578 217578 9033794 9033794 9251372 9251372 0 0 0 9251372 31850 31850 9283222 9283222 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 11560 1605 9955 70125 5320 64805 74760 RESTRICTED DEPOSITS 373400 373400 DUE TO RELATED PARTIES 1768544 OTHER CURRENT LIABILITIES 402821 UNSECURED NOTE PAYABLE TO RELATED PARTY 3135040 5306405 0 0 0 0 0 0 0 0 0 SANKAR SEWNAUTH BOARD CHAIR 0 298250 0 78403 0 64624 0 790 0 13237 0 455304 0 0 HENRY PASZKOW CEO/CMO 161651 0 9890 0 0 0 405 0 255 0 172201 0 0 0 MARK CURLETTA CFO 0 186490 0 39890 0 17061 0 790 0 18234 0 262465 0 0 SHARON MARBLE EVP PROGRAM OPERATIONS 0 135237 0 20794 0 419 0 790 0 12661 0 169901 0 0 FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION'S MEMBERS INCLUDE INDIVIDUALS ENROLLED IN MEDICAID IN 22 COUNTIES THROUGHOUT THE WESTERN, CENTRAL, AND SOUTHERN TIER REGIONS OF NEW YORK. FORM 990, PART VI, SECTION B, LINE 11 A COPY OF THE ORGANIZATION'S FINAL FORM 990 WAS PROVIDED IN ELECTRONIC FORM TO EACH VOTING MEMBER OF THE ORGANIZATION'S BOARD OF DIRECTORS PRIOR TO FILING THE FORM. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH ITS WRITTEN CONFLICT OF INTEREST POLICY BY REQUIRING ALL EMPLOYEES, VOLUNTEERS, CONSULTANTS, AND BOARD MEMBERS UPON JOINING THE ORGANIZATION AND ANNUALLY THEREAFTER TO REVIEW, COMPLETE AND SIGN A CONFLICT OF INTEREST DISCLOSURE STATEMENT TO REPORT AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST. REPORTS OF ACTUAL OR POTENTIAL CONFLICTS OF INTEREST ARE REPORTED TO THE DIRECTOR OF QA, THE EXECUTIVE TEAM, OR TO THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS FOR RESOLUTION, AS NEEDED. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION USES A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACT, AND APPROVAL BY THE BOARD OF DIRECTORS TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S PRESIDENT/CEO. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. 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