CAMPHILL HUDSON INC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
CAMPHILL HUDSON INC (EIN 26-4101808)
Tax period
2014-04-01 to 2015-03-31
Filed
2015-11-12
IRS object ID
201513169349302471
Schema version
2014v5.0
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

FieldValueIRS element (for citing)
Return2015-11-12T12:24:47-06:00ReturnTs
Tax Period End2015-03-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PATTISON KOSKEY HOWE BUCCI PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12880 ROUTE 9 SUITE 2AddressLine1Txt
CityVALATIECityNm
State AbbreviationNYStateAbbreviationCd
ZIP12184ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-04-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN264101808EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CAMPHILL HUDSON INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% KAM BELLAMYInCareOfNm
Business Name ControlCAMPBusinessNameControlTxt
Phone5188283431PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1360 WARREN STREETAddressLine1Txt
CityHUDSONCityNm
State AbbreviationNYStateAbbreviationCd
ZIP12534ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKAM BELLAMYPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone5188283431PhoneNum
Signature2015-10-30SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMATTHEW H VANDERBECKPreparerPersonNm
PTINP00874499PTIN
Phone5187586776PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerKAM BELLAMYPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1360 WARREN STREETAddressLine1Txt
CityHUDSONCityNm
State AbbreviationNYStateAbbreviationCd
ZIP12534ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$2,083,187GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CAMPHILLHUDSON.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2009FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionTO CARE FOR ADULTS WITH SPECIAL NEEDS IN FAMILY HOMES, IN MEANINGFUL WORK OPTIONS, AND IN A RICH ARRAY OF SPIRITUAL, CULTURAL, EDUCATIONAL, AND ARTISTIC ACTIVITIESActivityOrMissionDesc
Voting Members Governing Body7VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee18TotalEmployeeCnt
Total Volunteers10TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$154,897PYContributionsGrantsAmt
CY Contributions Grants$1,410,123CYContributionsGrantsAmt
PY Program Service Revenue$470,001PYProgramServiceRevenueAmt
CY Program Service Revenue$567,461CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$46,687PYOtherRevenueAmt
CY Other Revenue$74,942CYOtherRevenueAmt
PY Total Revenue$671,585PYTotalRevenueAmt
CY Total Revenue$2,052,526CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$254,500PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$317,889CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$413,681PYOtherExpensesAmt
CY Other Expenses$478,575CYOtherExpensesAmt
PY Total Expenses$668,181PYTotalExpensesAmt
CY Total Expenses$796,464CYTotalExpensesAmt
PY Revenues Less Expenses$3,404PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,256,062CYRevenuesLessExpensesAmt
Total Assets BOY$225,729TotalAssetsBOYAmt
Total Assets EOY$1,499,534TotalAssetsEOYAmt
Total Liabilities BOY$109,785TotalLiabilitiesBOYAmt
Total Liabilities EOY$127,528TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$115,944NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,372,006NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO CARE FOR ADULTS WITH SPECIAL NEEDS IN FAMILY HOMES, IN MEANINGFUL WORK OPTIONS, AND IN A RICH ARRAY OF SPIRITUAL, CULTURAL, EDUCATIONAL, AND ARTISTIC ACTIVITIES.MissionDesc
Significant New Program SrvcYes (true)SignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$565,528ExpenseAmt
DescRESIDENTIAL IRA PROGRAM, DAY HABILITATION, AND CENTER FOR SOCIAL ARTS- CAMPHILL HUDSON WORKS TO BUILD HEALTHY SOCIAL RELATIONSHIPS IN AN ENVIRONMENT DEDICATED TO PERSONAL AND SOCIAL HEALING AND CARING FOR THE EARTH. OUR MISSION IS TO BUILD COMMUNITY WITH PEOPLE OF ALL ABILITIES THROUGH LIVING, LEARNING, WORKING, AND PLAYING WITH PEOPLE OF ALL AGES, RACES, ABILITIES, AND CREEDS. APPROXIMATELY 1,300 UNITS WERE SERVED IN THE IRA PROGRAM DURING THE FISCAL YEAR. THE ORGANIZATION ALSO HAS A DAY HABILITATION PROGRAM.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$29,076ExpenseAmt
DescCAMPHILL HUDSON PROVIDES FISCAL INTERMEDIARY SERVICES TO SELF DIRECTED SERVICES- INDIVIDUALS ACCESSING SELF-DIRECTED MEDICAID SERVICES. WE SUPPORT INDIVIDUALS IN MAKING DECISIONS ABOUT AND TAKING RESPONSIBILITY FOR MAINTAINING THEIR SERVICES. UTILIZING A PERSON-CENTERED PLANNING PROCESS, SELF-DIRECTION ALLOWS INDIVIDUALS FREEDOM TO CHOOSE SUPPORTS TAILORED TO THEIR NEEDS, AND TO TAKE RESPONSIBILITY FOR MANAGING RESOURCES ALLOCATED TO THEM. APPROXIMATELY 4,000 UNITS WERE SERVED IN THE SELF DIRECTED SERVICES PROGRAM DURING THE FISCAL YEAR.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$594,604TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document11IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee18EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members7GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsYes (true)ChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonKAM BELLAMYPersonNm
Phone5188283431PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1360 WARREN STREETAddressLine1Txt
CityHUDSONCityNm
State AbbreviationNYStateAbbreviationCd
ZIP12534ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
BOB NORRIS
PRESIDENT1.00.0Yes (X)Yes (X)$0$0$0
LEE EDWARDS
SECRETARY1.00.0Yes (X)Yes (X)$0$53,985$0
TIM PAHOLAK
MEMBER1.00.0Yes (X)$0$0$0
ERIKA LAURION
MEMBER1.00.0Yes (X)$0$0$0
ALAN MILLER
VICE PRESIDENT1.00.0Yes (X)Yes (X)$0$0$0
DAVID LEWIS
TREASURER1.00.0Yes (X)Yes (X)$0$0$0
PAULA FORMAN
MEMBER1.00.0Yes (X)$0$0$0
JODY BROOKES
ASSISTANT SECRETARY40.00.0Yes (X)$38,703$0$0
KAM BELLAMY
EXECUTIVE DIRECTOR40.01.0Yes (X)$75,109$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$113,812TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$53,985TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

FieldValueIRS element (for citing)
PersonCAMPHILL VILLAGE USA INCPersonNm

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line184 CAMPHILL ROADAddressLine1Txt
CityCOPAKECityNm
State AbbreviationNYStateAbbreviationCd
ZIP12516ZIPCd
FieldValueIRS element (for citing)
ServicesADMIN AND CARE SERV.ServicesDesc
Compensation$119,719CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
Related Organizations$1,280,000RelatedOrganizationsAmt
All Other Contributions$130,123AllOtherContributionsAmt
Noncash Contributions$1,247,433NoncashContributionsAmt
Total Contributions$1,410,123TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PROGRAM SERVICE FEES623990$159,480$159,480
MEDICAID623990$350,305$350,305
MAINTENANCE FEES623990$57,676$57,676
FieldValueIRS element (for citing)
Total Program Service Revenue$567,461TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$68,699GrossSalesOfInventoryAmt
Cost Of Goods Sold$30,661CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$38,038TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER INCOMEDesc
Business623990BusinessCd
Total Revenue Column$36,904TotalRevenueColumnAmt
Related Or Exempt Func Income$36,904RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$36,904OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,052,526TotalRevenueColumnAmt
Related Or Exempt Func Income$604,365RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$113,812TotalAmt
Program Services$38,703ProgramServicesAmt
Management And General$75,109ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$118,942TotalAmt
Program Services$72,264ProgramServicesAmt
Management And General$46,678ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$64,528TotalAmt
Program Services$28,052ProgramServicesAmt
Management And General$36,476ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$20,607TotalAmt
Program Services$9,473ProgramServicesAmt
Management And General$11,134ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$189,057TotalAmt
Program Services$156,594ProgramServicesAmt
Management And General$32,463ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,999TotalAmt
Program Services$1,999ProgramServicesAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$44,758TotalAmt
Program Services$44,758ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$18,227TotalAmt
Program Services$18,227ProgramServicesAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$9,936TotalAmt
Program Services$9,936ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$19,792TotalAmt
Program Services$19,792ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$25,360TotalAmt
Program Services$25,360ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
FOOD & HOUSEHOLD SUPPLIES$68,666$68,666
SUPPLIES$11,732$11,732
REPAIRS & MAINTENANCE$22,013$22,013
BAD DEBT$20,000$20,000

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$47,035TotalAmt
Program Services$47,035ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$796,464TotalAmt
Program Services$594,604ProgramServicesAmt
Management And General$201,860ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$32,275BOYAmt
EOY$65,173EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$1,200,000EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$91,019BOYAmt
EOY$98,807EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$19,319BOYAmt
EOY$23,812EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$15,995BOYAmt
EOY$17,753EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$149,659LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$55,670LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$67,121BOYAmt
EOY$93,989EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$225,729BOYAmt
EOY$1,499,534EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$54,870BOYAmt
EOY$86,722EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$54,915BOYAmt
EOY$40,806EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$109,785BOYAmt
EOY$127,528EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$115,944BOYAmt
EOY$1,362,006EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$10,000EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$115,944BOYAmt
EOY$1,372,006EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$225,729BOYAmt
EOY$1,499,534EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$1,256,062ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$0CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$152,536CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$154,897CurrentTaxYearMinus1YearAmt
Current Tax Year$210,123CurrentTaxYearAmt
Total$517,556TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$152,175CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$313,512CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$294,115CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$516,688CurrentTaxYearMinus1YearAmt
Current Tax Year$636,160CurrentTaxYearAmt
Total$1,912,650TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$152,175CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$313,512CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$446,651CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$671,585CurrentTaxYearMinus1YearAmt
Current Tax Year$846,283CurrentTaxYearAmt
Total$2,430,206TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$95,000CurrentTaxYearMinus1YearAmt
Current Tax Year$127,433CurrentTaxYearAmt
Total$222,433TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Current Tax Year$35,000CurrentTaxYearAmt
Total$35,000TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$95,000CurrentTaxYearMinus1YearAmt
Current Tax Year$162,433CurrentTaxYearAmt
Total$257,433TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$2,172,773PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year$36,904CurrentTaxYearAmt
Total$36,904TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$152,175CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$313,512CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$446,651CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$671,585CurrentTaxYearMinus1YearAmt
Current Tax Year$883,187CurrentTaxYearAmt
Total$2,467,110TotalAmt
FieldValueIRS element (for citing)
First5 Years509Yes (X)First5Years509Ind
Public Support CY5090.00000PublicSupportCY509Pct

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
Explanation ProvidedYes (X)ExplanationProvidedInd
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp
LandLandGrp
BuildingsBuildingsGrp

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$46,661OtherCostOrOtherBasisAmt
Depreciation$2,074DepreciationAmt
Book Value$44,587BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$27,675OtherCostOrOtherBasisAmt
Depreciation$6,688DepreciationAmt
Book Value$20,987BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$75,323OtherCostOrOtherBasisAmt
Depreciation$46,908DepreciationAmt
Book Value$28,415BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$93,989TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDUE TO RELATED PARTIESDesc
Amt$40,806Amt
FieldValueIRS element (for citing)
Total Liability$40,806TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$2,083,187TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$2,083,187RevenueSubtotalAmt
Other Revenues Not Included-$30,661OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt-$30,661RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$2,052,526TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$827,125TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$30,661OtherExpensesIncludedAmt
Expenses Not Reported$30,661ExpensesNotReportedAmt
Expenses Subtotal$796,464ExpensesSubtotalAmt
Total Expenses Per Form990$796,464TotalExpensesPerForm990Amt

Schedule M IRS990ScheduleM

FieldValueIRS element (for citing)
Works Of ArtWorksOfArtGrp
Art Historical TreasuresArtHistoricalTreasuresGrp
Art Fractional InterestArtFractionalInterestGrp
Books And PublicationsBooksAndPublicationsGrp
Clothing And Household GoodsClothingAndHouseholdGoodsGrp
Cars And Other VehiclesCarsAndOtherVehiclesGrp
Boats And PlanesBoatsAndPlanesGrp
Intellectual PropertyIntellectualPropertyGrp
Securities Publicly TradedSecuritiesPubliclyTradedGrp
Securities Closely Held StockSecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust IntrstsSecurPrtnrshpTrustIntrstsGrp
Securities MiscellaneousSecuritiesMiscellaneousGrp
Qualified Contrib Hist StructQualifiedContribHistStructGrp
Qualified Contrib OtherQualifiedContribOtherGrp
Real Estate ResidentialRealEstateResidentialGrp

Real Estate Commercial RealEstateCommercialGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$1,200,000NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Real Estate OtherRealEstateOtherGrp
CollectiblesCollectiblesGrp
Food InventoryFoodInventoryGrp
Drugs And Medical SuppliesDrugsAndMedicalSuppliesGrp
TaxidermyTaxidermyGrp
Historical ArtifactsHistoricalArtifactsGrp
Scientific SpecimensScientificSpecimensGrp
Archaeological ArtifactsArchaeologicalArtifactsGrp

Other Non Cash Contri Table OtherNonCashContriTableGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
DescFORGIVENESS OF DEBTDesc
Contribution2ContributionCnt
Noncash Contributions Rpt F990$47,433NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART VI, SECTION A, QUESTION 4DURING THE YEAR ENDED MARCH 31, 2015, THE ORGANIZATION REVISED ITS BYLAWS. THE BYLAWS WERE AMENDED TO ELIMINATE CAMPHILL VILLAGE COPAKE FOUNDATION AS THE SOLE CORPORATE MEMBER WITH THE RIGHT TO ELECT OR APPOINT MEMBERS.
PART VI, SECTION B, LINE 11THE ORGANIZATION'S BOARD OF DIRECTORS REVIEW AND APPROVE THE 990 PRIOR TO FILING.
PART VI, SECTION B, LINE 12CBOARD MEMBERS ARE REQUIRED TO FILL OUT CONFLICT OF INTEREST FORMS ON AN ANNUAL BASIS.
PART VI, SECTION B, LINE 15ASALARIES ARE DETERMINED BASED ON JOB DESCRIPTION, YEARS OF EXPERIENCE, AND YEARS OF EDUCATION.
PART VI, SECTION C, LINE 19THE ORGANIZATION GIVES THE PUBLIC THE OPTION TO RECEIVE ANY GOVERNING DOCUMENT, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS UPON REQUEST.
PART III, QUESTION 2DURING THE YEAR ENDED MARCH 31, 2015, THE ORGANIZATION BEGAN A SELF DIRECTED SERVICES PROGRAM IN WHICH THEY ACT AS THE FISCAL INTERMEDIARY TO INDIVIDUALS ACCESSING SELF-DIRECTRED MEDICAID SERVICES.
FORM 990 PART IX LINE 11GDESCRIPTION:CONTRACTING SERVICES TOTAL FEES:189057

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
CAMPHILL VILLAGE COPAKE FOUNDATION INC
84 CAMPHILL ROADCOPAKENY12516204565002FIN'L SUPPORTNY501(C)(3)LINE 11A, ICAMPHILL VILfalse
CAMPHILL VILLAGE USA INC
84 CAMPHILL ROADCOPAKENY12516141463358COMMUNITYNY501(C)(3)LINE 9falseN/A
CAMPHILL GHENT INC
84 CAMPHILL ROADCOPAKENY12516270489223DEVELOPMENTNY501(C)(3)LINE 9CAMPHILL VILfalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (6 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
CAMPHILL VILLAGE USA INC
M$119,719FMV
CAMPHILL VILLAGE COPAKE FOUNDATION INC
C$80,000FMV
CAMPHILL VILLAGE COPAKE FOUNDATION INC
C$1,200,000FMV
CAMPHILL VILLAGE USA INC
K$19,569FMV
CAMPHILL VILLAGE USA INC
C$19,500FMV
CAMPHILL VILLAGE USA INC
C$27,933FMV

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