MENTAL HEALTH SERVICES ERIE COUNTY SOUTH EAST CORP V SPECTRUM HUMAN: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- MENTAL HEALTH SERVICES ERIE COUNTY SOUTH EAST CORP V SPECTRUM HUMAN (EIN 16-1019944)
- Tax period
- 2014-01-01 to 2014-12-31
- Filed
- 2015-09-21
- IRS object ID
- 201532649349300688
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-09-21T15:30:10-05:00 | ReturnTs |
| Tax Period End | 2014-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 160929175 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DOPKINS & COMPANY LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 INTERNATIONAL DR | AddressLine1Txt |
| City | BUFFALO | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 142215794 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 161019944 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MENTAL HEALTH SERVICES OF ERIE COUNTY SE CORP V | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MENT | BusinessNameControlTxt |
| Phone | 7166622040 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 227 THORN AVENUE PO BOX 631 | AddressLine1Txt |
| City | ORCHARD PARK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 141270631 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BRUCE NISBET | PersonNm |
| Person Title | PRESIDENT/CEO | PersonTitleTxt |
| Phone | 7166622040 | PhoneNum |
| Signature | 2015-09-17 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | KAREN COSTA | PreparerPersonNm |
| PTIN | P01448677 | PTIN |
| Phone | 7166348800 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-04-25 22:37:26Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SPECTRUM HUMAN SERVICES | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | BRUCE NISBET | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 227 THORN AVENUE PO BOX 631 | AddressLine1Txt |
| City | ORCHARD PARK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 141270631 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $16,423,949 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.SPECTRUMHUMANSERVICES.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1973 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | SPECTRUM HUMAN SERVICES IS DEDICATED TO IMPROVING THE HEALTH OF ADULTS AND CHILDREN IN THE COMMUNITY BY ADDRESSING THEIR MENTAL HEALTH, CHEMICAL DEPENDENCY AND PHYSICAL HEALTH NEEDS THROUGH INTEGRATED RECOVERY ORIENTED TREATMENT SERVICES. THIS IS ACCOMPLISHED THROUGH A CONTINUUM OF 10 TREATMENT PROGRAMS LICENSED BY BOTH THE NYS OFFICE OF MENTAL HEALTH AND OFFICE OF ALCOHOLISM AND SUBSTANCE ABUSE SERVICES IN 7 LOCATIONS THROUGHOUT ERIE COUNTY IN WESTERN NEW YORK. | ActivityOrMissionDesc |
| Voting Members Governing Body | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 283 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $3,985,555 | PYContributionsGrantsAmt |
| CY Contributions Grants | $4,517,712 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $11,556,462 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $11,763,017 | CYProgramServiceRevenueAmt |
| PY Investment Income | $4,704 | PYInvestmentIncomeAmt |
| CY Investment Income | $686 | CYInvestmentIncomeAmt |
| PY Other Revenue | $3,388 | PYOtherRevenueAmt |
| CY Other Revenue | $142,534 | CYOtherRevenueAmt |
| PY Total Revenue | $15,550,109 | PYTotalRevenueAmt |
| CY Total Revenue | $16,423,949 | 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 | $10,552,742 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $11,391,583 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $4,592,636 | PYOtherExpensesAmt |
| CY Other Expenses | $5,027,277 | CYOtherExpensesAmt |
| PY Total Expenses | $15,145,378 | PYTotalExpensesAmt |
| CY Total Expenses | $16,418,860 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $404,731 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $5,089 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $3,568,822 | TotalAssetsBOYAmt |
| Total Assets EOY | $4,212,953 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,917,742 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $3,571,981 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $651,080 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $640,972 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | SPECTRUM HUMAN SERVICES RESPECTFULLY PARTNERS WITH ADULTS, CHILDREN, AND FAMILIES AS THEY RECOVER FROM BEHAVIORAL, EMOTIONAL, MENTAL HEATH AND/OR SUBSTANCE RELATED DISORDERS BY OFFERING INDIVIDUALIZED AND MEANINGFUL OPPORTUNITIES OF HOPE, EMPOWERMENT AND SUPPORT TO ACHIEVE SELF-DEFINED IMPROVMENTS IN THEIR QUALITY OF LIFE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $2,798,556 | ExpenseAmt |
| Revenue | $2,817,045 | RevenueAmt |
| Desc | LICENSED NY STATE OFFICE OF ALCOHOL AND SUBSTANCE ABUSE MEDICALLY SUPERVISED OUTPATIENT TREATMENT SERVICES:SPECTRUM PROVIDES PERSON CENTERED, TRAUMA INFORMED RECOVERY BASED SERVICES FOR ADULTS AND ADOLESCENTS AT OUR 5 CLINICS IN ERIE AND WYOMING COUNTIES. THESE CLINICS EMPLOY MORE THAN 18 INDIVIDUALS WHO COMPRISE THE MULTIDISCIPLINARY TEAM INCLUDING: CREDENTIALED ALCOHOL AND SUBSTANCE ABUSE COUNSELORS, LICENSED SOCIAL WORKERS, LICENSED MENTAL HEALTH COUNSELORS, REGISTERED NURSES, PSYCHIATRIC NURSE PRACTITIONERS, MEDICAL DOCTORS AND PSYCHIATRISTS; WHO TOGETHER HAVE MORE THAN 150 YEARS' EXPERIENCE IN THE TREATMENT OF SUBSTANCE USE AND CO-OCCURRING DISORDERS. AS WITH OUR MENTAL HEALTH PROGRAMS, THERE IS A GROWING EMPHASIS ON THE INTEGRATION OF SUBSTANCE ABUSE SERVICES WITH OTHER BEHAVIORAL HEALTH PROGRAMS AND PRIMARY HEALTH SERVICES.THE TREATMENT MODELS INCLUDE EVIDENCED BASED PRACTICES SUCH AS FEEDBACK INFORMED TREATMENT, LIVING IN BALANCE, COGNITIVE BEHAVIORAL THERAPY AND IS FOCUSED ON ASSISTING THE INDIVIDUAL TO OBTAIN AND MAINTAIN ABSTINENCE WHILE IMPROVING THE QUALITY OF HIS/HER LIFE INCLUDING FUNCTIONING IN AREAS SUCH AS MENTAL HEALTH, PHYSICAL HEALTH, FAMILY, SOCIAL, LEGAL, SPIRITUAL, LEGAL, AND EDUCATIONAL/VOCATIONAL. SPECTRUM FOCUSES ON PROVIDING HIGH QUALITY BEHAVIORAL HEALTH INTERVENTIONS AND UTILIZES RESOURCES TO ENSURE STAFF RECEIVE THE NEEDED TRAINING SUCH AS COLUMBIA UNIVERSITY'S FULLY INTEGRATED TREATMENT SERIES AND INTERNAL AND EXTERNAL TRAININGS THAT SUPPORT CLINICAL DEVELOPMENT. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $5,488,867 | ExpenseAmt |
| Revenue | $3,530,635 | RevenueAmt |
| Desc | HEALTH HOME/CARE COORDINATION, CARES, HOUSING AND OTHER COMMUNITY AND EMERGENCY SERVICESSERVICES:THE GOALS OF THESE PROGRAMS IS TO HELP SUPPORT THE REHABILITATION SUCCESS FOR HIGH-RISK, HIGH-NEED INDIVIDUALS THAT ALSO HAVE A HIGH UTILIZATION OF PSYCHIATRIC INPATIENT AND/OR CHEMICAL DEPENDENCY DETOXIFICATION TREATMENT WITH MINIMAL SUCCESSFUL OUTCOMES. CARES PROVIDES SHORT TERM CRISIS INTERVENTION SERVICES FOR INDIVIDUALS AT RISK OF HARM TO THEMSELVES OR OTHERS OR AT RISK OF HOSPITALIZATION. HOUSING PROVIDES RENTAL STIPENDS AND CASE MANAGEMENT SERVICES TO HELP OVER 80 PARTICIPANTS MAINTAIN STABILITY AND INDEPENDENCE IN THE COMMUNITY. ALSO INCLUDED IN THIS PROGRAM CATEGORY IS THE HEALTH HOME SERVICES. HEALTH HOME PARTNERS OF WNY IS A COLLABORATION OF 3 ORGANIZATIONS: SPECTRUM HUMAN SERVICES, CATHOLIC HEALTH AND EVERGREEN HEALTH THAT PROVIDE SERVICES IN ERIE, WYOMING AND NIAGARA COUNTIES. HEALTH HOME PROGRAMS ARE SPECIALLY DESIGNATED BY NYS TO FACILITATE AND PROVIDE CARE COORDINATION, LINKAGE AND REFERRAL TO ALL NEEDED HEALTH AND BEHAVIORAL HEALTH SERVICES FOR MEDICAID PARTICIPANTS. A SPECIAL EMPHASIS IS ON THE COORDINATION AND INTEGRATION OF HEALTH, BEHAVIORAL HEALTH AND OTHER REHABILITATIVE SUPPORT SERVICES TO FACILITATE A HOLISTIC APPROACH TO SERVICE DELIVERY AND RECOVERY SUPPORTS. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $3,967,161 | ExpenseAmt |
| Revenue | $3,549,959 | RevenueAmt |
| Desc | MENTAL HEALTH OUTPATIENT CLINIC AND SUPPLEMENTAL SERVICES:SPECTRUM PROVIDES PERSON CENTERED, TRAUMA INFORMED RECOVERY BASED SERVICES FOR ADULTS AND ADOLESCENTS AT OUR 7 OUTPATIENT MENTAL HEALTH CLINICS IN ERIE AND WYOMING COUNTIES. SPECTRUM PROVIDES SERVICES TO OVER 2000 ADULTS, CHILDREN AND FAMILIES EACH YEAR AND MORE THAN 5000 SERVICES EACH MONTH. THE CLINIC TEAM IS COMPRISED OF MORE THAN 35 MENTAL HEALTH PROFESSIONALS INCLUDING: PSYCHIATRISTS, PSYCHIATRIC NURSE PRACTITIONERS, LICENSED SOCIAL WORKERS, LICENSED MENTAL HEALTH COUNSELORS, REGISTERED NURSES, LICENSED PRACTICAL NURSES TO PROVIDE A WIDE RANGE OF CULTURALLY SENSITIVE AND COMPREHENSIVE TREATMENT SERVICES THAT ARE FOCUSED AND RESPONSIVE TO THE INDIVIDUAL'S NEEDS. SPECTRUM'S CORE SERVICE DELIVERY FOCUSES ON THE GROWING NEED FOR INTEGRATION OF HEALTH, BEHAVIORAL HEALTH AND SUBSTANCE ABUSE TREATMENT SERVICES. ALL TREATMENT IS STRENGTH BASED, CLIENT CENTERED, AND OPTIONS INCLUDE INDIVIDUAL, FAMILY, GROUP THERAPY, ALONG WITH PSYCHIATRIC EVALUATION AND MEDICATION TREATMENT AS APPROPRIATE. SPECTRUM FOCUSES ON PROVIDING HIGH QUALITY BEHAVIORAL HEALTH INTERVENTIONS AND UTILIZES RESOURCES TO ENSURE STAFF RECEIVE THE NEEDED TRAINING SUCH AS COLUMBIA UNIVERSITY'S FULLY INTEGRATED TREATMENT SERIES AND INTERNAL AND EXTERNAL TRAININGS THAT SUPPORT CLINICAL DEVELOPMENT. WE ARE CURRENTLY INVOLVED IN THE ZERO SUICIDE INITIATIVE THAT IS FUNDED BY THE NEW YORK STATE OFFICE OF MENTAL HEALTH. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (5 entries)
| ExpenseExpenseAmt | RevenueRevenueAmt | DescDesc |
|---|---|---|
| $1,979,073 | $2,007,912 | PROS AND TRANSPORTATION |
| SUBCONTRACTED SERVICES | ||
| HUD HOUSING SERVICES | ||
| CHILDREN'S INTENSIVE SERVICES | ||
| OTHER |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $1,979,073 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $2,007,912 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $14,233,657 | 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 | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 86 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 283 | 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 |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 7 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | 0 | 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 |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DAVID WAWRZYNEK | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7166622040 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 227 THORN AVE | AddressLine1Txt |
| City | ORCHARD PARK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14127 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (12 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| RICHMOND HUBBARD | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| THERESA M CARPENTER CPA | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| ROBERT B RUH | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MICHAEL T SAGNIBENE | |||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| ROBERT O'LEARY | |||||||
| CHAIRPERSON | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| DAVID S WHITTEMORE | |||||||
| VICE CHAIRPERSON | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| JENNIFER BALL CPA | |||||||
| TREASURER | 1.00 | $0 | $0 | $0 | Yes (X) | ||
| BRUCE NISBET | |||||||
| PRES./CEO | 35.00 | $198,565 | $0 | $8,774 | Yes (X) | ||
| DAVID WAWRZYNEK | |||||||
| CFO | 35.00 | $131,150 | $0 | $6,287 | Yes (X) | ||
| DR MARCELLE MOSTERT | |||||||
| PHYSICIAN | 17.50 | $177,810 | $0 | $32 | Yes (X) | ||
| DAVID PFALZER | |||||||
| NURSE PRACTITIONER | 40.00 | $162,818 | $0 | $21,887 | Yes (X) | ||
| CYNTHIA VOELKER | |||||||
| VICE PRESIDENT OF SERVICES | 40.00 | $130,744 | $0 | $20,427 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $801,087 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $57,407 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 5 | 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 |
|---|---|---|---|---|---|
| JEFFREY KASHIN | |||||
| 925 DELAWARE AVE | BUFFALO | NY | 14209 | MEDICAL CONSULTANT | $267,990 |
| MELITON TANHEHCO | |||||
| 15 CHAR DEL WAY | WILLIAMSVILLE | NY | 14221 | MEDICAL CONSULTANT | $206,625 |
| AIMEE DIPASQUA | |||||
| 5072 WOODWAY COURT | HAMBURG | NY | 14075 | MEDICAL CONSULTANT | $204,673 |
| GERALD TURK | |||||
| 9077 STATE ROUTE 408 | NUNDA | NY | 14517 | MEDICAL CONSULTANT | $137,694 |
| GERALD FRISICARO | |||||
| 3416 ROUTE 394 | RANDOLPH | NY | 14772 | MEDICAL CONSULTANT | $127,985 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $4,365,325 | GovernmentGrantsAmt |
| All Other Contributions | $152,387 | AllOtherContributionsAmt |
| Total Contributions | $4,517,712 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT SERVICE REVENUE | Desc |
| Business | 624100 | BusinessCd |
| Total Revenue Column | $11,763,017 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $11,763,017 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $11,763,017 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $686 | TotalRevenueColumnAmt |
| Exclusion | $686 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | ADMINISTRATIVE SERVICE FEE | Desc |
| Business | 624100 | BusinessCd |
| Total Revenue Column | $142,534 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $142,534 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $142,534 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $16,423,949 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $11,905,551 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $686 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $858,494 | TotalAmt |
| Program Services | $514,953 | ProgramServicesAmt |
| Management And General | $343,541 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,188,247 | TotalAmt |
| Program Services | $7,211,490 | ProgramServicesAmt |
| Management And General | $976,757 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $318,268 | TotalAmt |
| Program Services | $268,943 | ProgramServicesAmt |
| Management And General | $49,325 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,124,078 | TotalAmt |
| Program Services | $949,868 | ProgramServicesAmt |
| Management And General | $174,210 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $902,496 | TotalAmt |
| Program Services | $772,534 | ProgramServicesAmt |
| Management And General | $129,962 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,762 | TotalAmt |
| Management And General | $18,762 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,850 | TotalAmt |
| Management And General | $42,850 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,801,068 | TotalAmt |
| Program Services | $1,801,068 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $226,207 | TotalAmt |
| Program Services | $148,037 | ProgramServicesAmt |
| Management And General | $78,170 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $110,893 | TotalAmt |
| Program Services | $110,893 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,171,436 | TotalAmt |
| Program Services | $1,086,067 | ProgramServicesAmt |
| Management And General | $85,369 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $255,859 | TotalAmt |
| Program Services | $223,084 | ProgramServicesAmt |
| Management And General | $32,775 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $89,662 | TotalAmt |
| Program Services | $89,662 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $234,727 | TotalAmt |
| Program Services | $227,996 | ProgramServicesAmt |
| Management And General | $6,731 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $57,186 | TotalAmt |
| Program Services | $43,957 | ProgramServicesAmt |
| Management And General | $13,229 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MATERIALS & SUPPLIES | $267,603 | $267,603 | |
| CLIENT NEEDS | $204,023 | $204,023 | |
| EQUIPMENT | $198,798 | $188,813 | $9,985 |
| MISCELLANEOUS EXPENSES | $180,271 | $180,271 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $167,932 | TotalAmt |
| Program Services | $124,666 | ProgramServicesAmt |
| Management And General | $43,266 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,418,860 | TotalAmt |
| Program Services | $14,233,657 | ProgramServicesAmt |
| Management And General | $2,185,203 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,128 | BOYAmt |
| EOY | $11,407 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $236,026 | BOYAmt |
| EOY | $81,262 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,678,397 | BOYAmt |
| EOY | $2,535,716 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $70,137 | BOYAmt |
| EOY | $57,442 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $2,854,337 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,598,868 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,288,280 | BOYAmt |
| EOY | $1,255,469 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $286,854 | BOYAmt |
| EOY | $271,657 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,568,822 | BOYAmt |
| EOY | $4,212,953 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $824,697 | BOYAmt |
| EOY | $1,640,492 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $997,060 | BOYAmt |
| EOY | $1,426,564 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,095,985 | BOYAmt |
| EOY | $504,925 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,917,742 | BOYAmt |
| EOY | $3,571,981 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $651,080 | BOYAmt |
| EOY | $640,972 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $651,080 | BOYAmt |
| EOY | $640,972 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,568,822 | BOYAmt |
| EOY | $4,212,953 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $5,089 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$15,197 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,635,867 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,301,285 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,189,809 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,985,555 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,517,712 | CurrentTaxYearAmt |
| Total | $22,630,228 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,635,867 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $5,301,285 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,189,809 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,985,555 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,517,712 | CurrentTaxYearAmt |
| Total | $22,630,228 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $22,630,228 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $19,260 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $117 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,041 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,704 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $686 | CurrentTaxYearAmt |
| Total | $26,808 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $3,388 | CurrentTaxYearMinus1YearAmt |
| Total | $3,388 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $22,660,424 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $48,799,211 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.99870 | PublicSupportCY170Pct |
| Public Support PY170 | 0.98690 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $374,958 | OtherCostOrOtherBasisAmt |
| Depreciation | $336,386 | DepreciationAmt |
| Book Value | $38,572 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $902,401 | OtherCostOrOtherBasisAmt |
| Depreciation | $562,761 | DepreciationAmt |
| Book Value | $339,640 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,576,978 | OtherCostOrOtherBasisAmt |
| Depreciation | $699,721 | DepreciationAmt |
| Book Value | $877,257 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,255,469 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INTEREST IN NET ASSETS OF FOUNDATION | Desc |
| Book Value | $271,657 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $271,657 | TotalBookValueSecuritiesAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| REFUNDABLE ADVANCES | $113,298 |
| DUE TO THIRD PARTY PAYORS | $391,627 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $504,925 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $16,408,752 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | -$15,197 | OtherRevenueAmt |
| Revenue Not Reported | -$15,197 | RevenueNotReportedAmt |
| Revenue Subtotal | $16,423,949 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $16,423,949 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $16,418,860 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $16,418,860 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $16,418,860 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | THE ORGANIZATION IS EXEMPT FROM TAXATION UNDER SECTION 501 (C)(3) OF THE INTERNAL REVENUE CODE.THE TAX RETURNS FOR THE TAX YEARS 2011 THROUGH 2014 REMAIN SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE FOR US. FEDERAL TAX PURPOSES AND ALSO BY NEW YORK STATE FOR STATE TAX PURPOSES. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | CHANGE IN NET ASSETS OF FOUNDATION -15,197. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BRUCE NISBET | ||||||||||||||
| PRES./CEO | $195,000 | $0 | $0 | $0 | $3,565 | $0 | $8,742 | $0 | $32 | $0 | $207,339 | $0 | $0 | $0 |
| DR MARCELLE MOSTERT | ||||||||||||||
| PHYSICIAN | $177,810 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $32 | $0 | $177,842 | $0 | $0 | $0 |
| DAVID PFALZER | ||||||||||||||
| NURSE PRACTITIONER | $162,624 | $0 | $0 | $0 | $194 | $0 | $7,288 | $0 | $14,599 | $0 | $184,705 | $0 | $0 | $0 |
| CYNTHIA VOELKER | ||||||||||||||
| VICE PRESIDENT OF SERVICES | $130,000 | $0 | $0 | $0 | $744 | $0 | $5,828 | $0 | $14,599 | $0 | $151,171 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 8B | SPECTRUM ONLY HAS A BOARD OF DIRECTORS AND FINANCE COMMITTEE. ALL DECISIONS MUST BE APPROVED THROUGH THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION B, LINE 11 | THE FORM 990 IS PRESENTED IN DRAFT FORM TO ORGANIZATIONS CFO FOR REVIEW. THE RETURN IS THEN PROVIDED TO THE BOARD MEMBERS FOR THEIR REVIEW PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. |
| FORM 990, PART VI, SECTION B, LINE 12C | IN ACCORDANCE WITH SPECTRUM'S CONFLICT OF INTEREST POLICY, EACH "OFFICER" INCLUDES ANY NON-DIRECTOR SERVING ON ANY COMMITTEE OF THE BOARD OF DIRECTORS AND DIRECTORS SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS THAT SUCH PERSON: A. HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY, B. HAS READ AND UNDERSTANDS THE POLICY, C. HAS AGREED TO COMPLY WITH THE POLICY, AND D. UNDERSTANDS THE CORPORATION IS A CHARITABLE ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION, IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES, E. IS NOT AWARE THAT HE OR SHE HAS ANY FINANCIAL INTEREST OR, IF HE OR SHE IS AWARE OF ANY FINANCIAL INTEREST, A DESCRIPTION OF ALL MATERIAL FACT CONCERNING IT. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE BOARD SUBCOMMITTEE HAS THE RESPONSIBILITY TO DETERMINE THE COMPENSATION OF KEY EMPLOYEES. THE PURPOSE OF THE COMMITTEE IS TO APPROVE ANNUAL PERFORMANCE STANDARDS AND TO DETERMINE APPROPRIATE PERFORMANCE MEASURES AND ESTABLISH CRITERIA FOR ANY INCENTIVE BASED COMPENSATION. IT ALSO ANNUALLY REVIEWS AND APPROVES ANY CHANGES TO THE TOTAL COMPENSATION OF KEY EMPLOYEES. THE COMMITTEE DETERMINES IF THE COMPENSATION IS REASONABLE. TO ACCOMPLISH THIS, THE COMMITTEE WILL OBTAIN COMPARABLE COMPENSATION DATA FOR EXECUTIVES OF OTHER NON PROFIT ORGANIZATIONS OF SIMILAR SIZE IN THE WESTERN NEW YORK AREA. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC ON ITS OWN WEBSITE. COPIES CAN BE PROVIDED UPON REQUEST BY PHONE, IN WRITING, OR VIA E-MAIL. A COPY OF THE 990 CAN BE FOUND THROUGH THE WEBSITE WWW.GUIDESTAR.ORG. |
| FORM 990, PART IX, LINE 11G | MEDICAL & NON-MEDICAL CONSULTANT FEES: PROGRAM SERVICE EXPENSES 1,341,037. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,341,037. CONTRACTUAL & SUBCONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 412,854. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 412,854. PAYROLL PROCESSING FEES: PROGRAM SERVICE EXPENSES 47,177. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 47,177. |
| FORM 990, PART XI, LINE 9: | CHANGE IN NET ASSETS OF FOUNDATION -15,197. |
| FORM 990; PART XI; LINE 2C | THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SPECTRUM HUMAN SERVICES FOUNDATION INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 227 THORN AVENUE-PO BOX 631 | AddressLine1Txt |
| City | ORCHARD PARK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 14127 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 222832638 | EIN |
| Primary Activities | SUPPORT THE MISSION OF SPECTRUM HUMAN SERVICES | PrimaryActivitiesTxt |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | PF, TYPE III | PublicCharityStatusTxt |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Comments