VETERANS HEALTH RESEARCH INSTITUTE OF CENTRAL NEW YORK INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
VETERANS HEALTH RESEARCH INSTITUTE OF CENTRAL NEW YORK INC (EIN 16-1365231)
Tax period
2012-10-01 to 2013-09-30
Filed
2014-02-15
IRS object ID
201400489349300030
Schema version
2012v2.1
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)
Timestamp2014-02-15T09:14:54-06:00Timestamp
Tax Period End Date2013-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN161076996EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1TESTONE MARSHALL & DISCENZA LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1THE FOUNDRY 432 NORTH FRANKLIN STAddressLine1
CitySYRACUSECity
StateNYState
ZIP Code13204ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN161365231EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CENTRAL NEW YORK RESEARCH CORPORATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCENTNameControl
Phone3154726123Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1800 IRVING AVENUEAddressLine1
CitySYRACUSECity
StateNYState
ZIP Code13210ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameGEORGE CHAPMANName
TitleTREASURERTitle
Phone3154726123Phone
Date Signed2014-02-11DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameKAREN A HOVEYName
PTINP00020919PTIN
Phone3154764004Phone
Date Prepared2014-02-11DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonLORI GOULDNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1800 IRVING AVENUEAddressLine1
CitySYRACUSECity
StateNYState
ZIP Code13210ZIPCode
FieldValueIRS element (for citing)
Gross Receipts1294202GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1989YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionTHE PRIMARY MISSION OF THE CENTRAL NEW YORK RESEARCH CORPORATION, A 501(C)(3) CORPORATION ESTABLISHED IN ACCORDANCE WITH USC TITLE 38, SUB CHAPTER IV - RESEARCH AND EDUCATION CORPORATION, SECTION 7361-7368 IS TO ADVANCE THE RESEARCH MISSION OF THE SYRACUSE VA MEDICAL CENTER BY CONDUCTING, FACILITATING AND SUPPORTING RESEARCH AND RELATED ACTIVITIES AT THE SYRACUSE VA MEDICAL CENTER. RESEARCH SPONSORED BY THE CENTRAL NEW YORK RESEARCH CORPORATION BENEFITS VETERANS TREATED AT THE SYRACUSE VA MEDICAL CENTER.ActivityOrMissionDescription
Nbr Voting Members Governing Body8NbrVotingMembersGoverningBody
Nbr Independent Voting Members2NbrIndependentVotingMembers
Total Nbr Employees22TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year605927ContributionsGrantsPriorYear
Contributions Grants Current Year654723ContributionsGrantsCurrentYear
Program Service Revenue Prior Year605727ProgramServiceRevenuePriorYear
Program Service Revenue CY633172ProgramServiceRevenueCY
Investment Income Prior Year4863InvestmentIncomePriorYear
Investment Income Current Year-28118InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year5627OtherRevenueCurrentYear
Total Revenue Prior Year1216517TotalRevenuePriorYear
Total Revenue Current Year1265404TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY124838GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year869424SalariesEtcPriorYear
Salaries Etc Current Year844072SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year259432OtherExpensePriorYear
Other Expenses Current Year249451OtherExpensesCurrentYear
Total Expenses Prior Year1128856TotalExpensesPriorYear
Total Expenses Current Year1218361TotalExpensesCurrentYear
Revenues Less Expenses Prior Year87661RevenuesLessExpensesPriorYear
Revenues Less Expenses CY47043RevenuesLessExpensesCY
Total Assets BOY1022326TotalAssetsBOY
Total Assets EOY1019046TotalAssetsEOY
Total Liabilities BOY662829TotalLiabilitiesBOY
Total Liabilities EOY612506TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY359497NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY406540NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionMEDICAL RESEARCH.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense916078Expense
Grants124838Grants
Revenue633172Revenue
DescriptionTHE ORGANIZATION IS ENGAGED IN MEDICAL RESEARCH TO DISCOVER, DEVELOP OR VERIFY KNOWLEDGE RELATED TO CAUSES, DIAGNOSIS, TREATMENT OR PREVENTION OF PHYSICAL OR MENTAL DISEASES AND IMPAIRMENTS FOR VETERANS.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
DescriptionTHE ORGANIZATION IS ENGAGED IN MEDICAL RESEARCH TO DISCOVER, DEVELOP OR VERIFY KNOWLEDGE RELATED TO CAUSES, DIAGNOSIS, TREATMENT OR PREVENTION OF PHYSICAL OR MENTAL DISEASES AND IMPAIRMENTS.Description
FieldValueIRS element (for citing)
Total Program Service Expense916078TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10964NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees22NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members8NbrVotingGoverningBodyMembers
Number Independent Voting Members2NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1LORI GOULDBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number3154254400TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1800 IRVING AVENUE SYRACUSE NYAddressLine1
CitySYRACUSECity
StateNYState
ZIP Code13210ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (11 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
JAMES CODY
CHAIRMAN1.0040.00XX02164180
MARK POLHEMUS
PRESIDENT4.0025.00XX02678000
WILLIAM MARX
VICE PRESIDENT1.0040.00XX03290690
MICHAEL CYNAMON
MEMBER10.0030.00X469341849390
AJEET GAJRA
MEMBER1.0040.00X02902470
LARRY LANTINGA
MEMBER1.0040.00X01860110
PETER JONES
MEMBER1.00X000
GEORGE CHAPMAN
TRESURER2.00XX000
BRAD MOTTER
MEMBER40.00X8131500
RICHARD KAZEL
MEMBER1.0040.00X01584270
LORI GOULD
EXECUTIVE DIRECTOR40.00X8077600
FieldValueIRS element (for citing)
Total Reportable Comp From Org209025TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1632911TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Government Grants654723GovernmentGrants
Total Contributions654723TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionRESEARCH GRANTSDescription
Business Code541700BusinessCode
Total Revenue Column633172TotalRevenueColumn
Related Or Exempt Function Income633172RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue633172TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column680TotalRevenueColumn
Exclusion$680ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other28798Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-28798Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-28798TotalRevenueColumn
Exclusion-$28,798ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionINSURANCE PROCEEDSDescription
Business Code900099BusinessCode
Total Revenue Column5627TotalRevenueColumn
Exclusion$5,627ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue5627TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column1265404TotalRevenueColumn
Related Or Exempt Function Income633172RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion-$22,491ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total124838Total
Program Services124838ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total152768Total
Program Services68475ProgramServices
Management And General84293ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total550852Total
Program Services470805ProgramServices
Management And General80047ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total10109Total
Program Services4761ProgramServices
Management And General5348ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total76948Total
Program Services58221ProgramServices
Management And General18727ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total53395Total
Program Services41149ProgramServices
Management And General12246ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total16347Total
Management And General16347ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total60756Total
Program Services36225ProgramServices
Management And General24531ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total35216Total
Program Services24651ProgramServices
Management And General10565ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total3713Total
Program Services50ProgramServices
Management And General3663ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total31774Total
Program Services18389ProgramServices
Management And General13385ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total9851Total
Program Services5502ProgramServices
Management And General4349ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total5240Total
Management And General5240ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total13673Total
Management And General13673ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
LAB SUPPLIES5920558410795
PRINTING AND PUBLICATIO1196335168447
REPAIR AND MAINTENANCE17131101612
TRANSFERS0-1515

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total1218361Total
Program Services916078ProgramServices
Management And General302283ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY732BOY
EOY1119EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY738296BOY
EOY665792EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY244097BOY
EOY344648EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY3340BOY
EOY5664EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis112976LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec111153LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY35861BOY
EOY1823EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1022326BOY
EOY1019046EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY77764BOY
EOY136816EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY585065BOY
EOY475690EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY662829BOY
EOY612506EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY359497BOY
EOY406540EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY359497BOY
EOY406540EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1022326BOY
EOY1019046EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses47043ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Medical Research Org170b1 AiiiXMedicalResearchOrg170b1Aiii

Hospital Name And Address HospitalNameAndAddress

Name Name

FieldValueIRS element (for citing)
Business Name Line1SYRACUSE VA MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
CitySYRACUSECity
StateNYState

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis112976OtherCostOrOtherBasis
Depreciation111153Depreciation
Book Value1823BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1823TotalOfBookValueLandBuildings
Tot Revenue Etc Audited Fincl Stmt1294202TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal1294202RevenueSubtotal
Other Revenues Not Included-28798OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt-28798RevenueNotRptdOnFinStmt
Total Revenue Per Form9901265404TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt1247159TotExpensesEtcAuditedFinclStmt
Other Expenses Included28798OtherExpensesIncluded
Expenses Not Rptd F99028798ExpensesNotRptdF990
Expenses Subtotal1218361ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9901218361TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifierExplanationExplanation
PART XI, LINE 4B - OTHER ADJUSTMENTS:LOSS ON DISPOSAL OF ASSETS
PART XII, LINE 2D - OTHER ADJUSTMENTS:LOSS ON DISPOSAL OF ASSETS

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained0RecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
UNIVERSITY OF ROCHESTER
910 GENESEE STREET SUITE 200ROCHESTERNY14611160743209501(C)(3)51883TO PROVIDE RESEARCH RELATED TO OUTCOMES IN CALLERS TO THE VA'S 24/7 VETERANS CRISIS LINE
NEW YORK CHIROPRACTIC COLLEGE
2360 ROUTE 89SENECA FALLSNY13148131916574501(C)(3)14882TO PROVIDE RESEARCH SERVICES RELATED TO CONTROLLED TRIAL FOR EFFICACY OF FOOT ORTHOTICS IN VETERANS WITH CHRONIC LOWER BACK PAIN
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants2TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPART 1, LINE 2Identifier
Return ReferencePROCEDURES FOR MONITORING USE OF GRANT FUNDSReturnReference
ExplanationTHE PRINCIPAL INVESTIGATORS CONDUCT WEEKLY (MINIMUM) PHONE CALLS WITH THE LEAD INVESTIGATORS AT EACH SITE. ANNUAL PROGRESS REPORTS ARE SUBMITTED BY EACH SUBAWARDEE AT THE END OF THE BUDGET PERIOD.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (7 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
JAMES CODY
CHAIRMAN0166475000499430000021641800
MARK POLHEMUS
PRESIDENT0206000000618000000026780000
WILLIAM MARX
VICE PRESIDENT0253130000759390000032906900
MICHAEL CYNAMON
MEMBER4689614226100384267800004693418493900
AJEET GAJRA
MEMBER0223267000669800000029024700
LARRY LANTINGA
MEMBER0143085000429260000018601100
RICHARD KAZEL
MEMBER0121867000365600000015842700

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION B, LINE 11ALL BOARD MEMBERS ARE PROVIDED A COPY OF THE 990 DRAFT PRIOR TO SUBMISSION.
FORM 990, PART VI, SECTION B, LINE 12CTHE CONFLICT OF INTEREST POLICY IS REVIEWED ANNUALLY WITH EACH EMPLOYEE AND BOARD MEMBER WHO HAVE TO RE-AFFIRM THAT THERE ARE NO CONFLICTS OF INTEREST.
FORM 990, PART VI, SECTION B, LINE 15ATHE SALARY OF THE EXECUTIVE DIRECTOR WAS DETERMINED AFTER USING AN OUTSIDE CONSULTING FIRM AND SALARY DATA.
FORM 990, PART VI, SECTION C, LINE 19COPIES OF THE TAX RETURN ARE KEPT AT THE CORPORATION'S OFFICE. RETURNS ARE ALSO AVAILABLE GUIDESTAR AND NYS CHARITIES BUREAU VIA THE INTERNET.
FORM 990 PART XIII, LINE 2CNO CHANGE IN THE PROCESSES FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1SYRACUSE VA MEDICAL CENTERBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1800 IRVING AVEAddressLine1
CitySYRACUSECity
StateNYState
ZIP Code13210ZIPCode
FieldValueIRS element (for citing)
Primary ActivitiesMEDICAL CARE OF VETERANSPrimaryActivities
Legal Domicile StateNYLegalDomicileState
Exempt Code Section501(C)(1)ExemptCodeSection
Controlled Org0ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
SYRACUSE VA MEDICAL CENTER
P63508CASH PAID
SYRACUSE VA MEDICAL CENTER
Q92999CASH RECEIVED

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