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PHYSICIANS HOME: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
PHYSICIANS HOME (EIN 13-1782482)
Tax period
2012-10-01 to 2013-09-30
Filed
2014-02-14
IRS object ID
201410459349301771
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)
Timestamp2014-02-14T13:05:12-06:00Timestamp
Tax Period End Date2013-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN271728945EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1O'CONNOR DAVIES LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1665 FIFTH AVENUEAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10022ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN131782482EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1PHYSICIANS HOME INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlPHYSNameControl
Phone2128364318Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1445 PARK AVENUE 9TH FLOORAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code100228632ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJOSEPH B CLEARY MDName
TitlePRESIDENTTitle
Phone2128364318Phone
Date Signed2014-02-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameGARRETT M HIGGINS CPAName
PTINP00543209PTIN
Phone2122862600Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJOSEPH B CLEARY MDNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1445 PARK AVENUE 9TH FLOORAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code100228632ZIPCode
FieldValueIRS element (for citing)
Gross Receipts1294759GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.PHYSICIANSHOME.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1919YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionPHYSICIANS' HOME PROVIDES FINANCIAL AID TO NEEDY PHYSICIANS OR THEIR DEPENDENTS.ActivityOrMissionDescription
Nbr Voting Members Governing Body20NbrVotingMembersGoverningBody
Nbr Independent Voting Members19NbrIndependentVotingMembers
Total Nbr Employees3TotalNbrEmployees
Total Nbr Volunteers19TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year66296ContributionsGrantsPriorYear
Contributions Grants Current Year50578ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year180972InvestmentIncomePriorYear
Investment Income Current Year216707InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year247268TotalRevenuePriorYear
Total Revenue Current Year267285TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year290330GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY311980GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year64443SalariesEtcPriorYear
Salaries Etc Current Year71933SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year28566TotalFundrsngExpCurrentYear
Other Expense Prior Year133582OtherExpensePriorYear
Other Expenses Current Year153286OtherExpensesCurrentYear
Total Expenses Prior Year488355TotalExpensesPriorYear
Total Expenses Current Year537199TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-241087RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-269914RevenuesLessExpensesCY
Total Assets BOY6913845TotalAssetsBOY
Total Assets EOY7042368TotalAssetsEOY
Total Liabilities BOY24483TotalLiabilitiesBOY
Total Liabilities EOY130431TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY6889362NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY6911937NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionSEE SCHEDULE OMissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense348745Expense
Grants311980Grants
DescriptionPHYSICIANS' HOME PROVIDES REGULAR FINANCIAL AID TO NEEDY PHYSICIANS OR IMMEDIATE FAMILY MEMBERS OF A DECEASED PHYSICIAN. DURING THE YEAR THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS EVALUATED THE NEEDS OF EACH BENEFICIARY FOR CONTINUED ASSISTANCE. IN ADDITION SEVEN NEW APPLICATIONS FOR AID WERE REVIEWED AND FOUR WERE ACCEPTED. THE ORGANIZATION PROVIDED $311,980 IN DIRECT ASSISTANCE TO THIRTY PHYSICIANS AND NINE FAMILY MEMBERS DURING THE YEAR.Description
Total Program Service Expense348745TotalProgramServiceExpense
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 Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities0ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
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 Organizations0GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required0ScheduleJRequired
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 Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10962NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees3NumberOfEmployees
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 Members20NbrVotingGoverningBodyMembers
Number Independent Voting Members19NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
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 CEO0CompensationProcessCEO
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 Line1JOSEPH B CLEARY MDBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2128364318TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1445 PARK AVENUE 9TH FLOORAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10022ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (21 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
JOSEPH B CLEARY MD
DIRECTOR & PRESIDENT8.00XX3000000
MARTHA REDO EEQ
DIRECTOR & TREASURER1.00XX000
DONALD D FAGER ESQ
DIRECTOR & SECRETARY1.00XX000
ALLEN MEAD MD
DIRECTOR0.00X000
ANDREW E SAMA MD
DIRECTOR & 2ND VICE-PRESIDENT1.00XX000
BRUCE C HORTEN MD
DIRECTOR0.20X000
DAVID S KARAN MD
DIRECTOR & TRUSTEE1.00X000
EDRIS BLOOMFIELD
DIRECTOR UNTIL JULY 20130.00X000
EDWARD J AMSLER ESQ
TRUSTEE0.20X000
EMILY SONNENBLICK MD
DIRECTOR0.00X000
FAZLULLAH MOQTADERI MD
DIRECTOR1.00X000
FRANCIS IACOBELLIS MD
DIRECTOR0.20X000
FRANK IAQUINTA MD
DIRECTOR0.00X000
GEORGE DERMKSIAN MD
DIRECTOR0.50X000
JANET POPE-SULLIVAN
DIRECTOR0.50X000
JOEL ARCHER MD
DIRECTOR & 1ST VICE-PRESIDENT1.00XX000
JOHN A MCCLUNG MD
DIRECTOR0.20X000
MARY DODD LMSW
DIRECTOR1.00X40000
STEPHEN CONNOLLY MD
DIRECTOR & TRUSTEE0.10X000
WILLIAM HEALY MD
DIRECTOR & TRUSTEE0.10X000
MARY O'DOWD
DIRECTOR0.20X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org30400TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation0TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Membership Dues2098MembershipDues
All Other Contributions48480AllOtherContributions
Total Contributions50578TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column179014TotalRevenueColumn
Exclusion$179,014ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities1065167Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities1027474Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities37693Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column37693TotalRevenueColumn
Exclusion$37,693ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column267285TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$216,707ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total200Total
Program Services200ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total311780Total
Program Services311780ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total30647Total
Program Services15523ProgramServices
Management And General7562ManagementAndGeneral
Fundraising7562Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total36427Total
Program Services18013ProgramServices
Management And General9207ManagementAndGeneral
Fundraising9207Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total4859Total
Program Services2429ProgramServices
Management And General1215ManagementAndGeneral
Fundraising1215Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total38028Total
Management And General38028ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total29736Total
Management And General29736ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total800Total
Program Services800ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total20830Total
Management And General10248ManagementAndGeneral
Fundraising10582Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total55241Total
Management And General55241ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total995Total
Management And General995ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total3686Total
Management And General3686ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total645Total
Management And General645ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total3325Total
Management And General3325ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total537199Total
Program Services348745ProgramServices
Management And General159888ManagementAndGeneral
Fundraising28566Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY72477BOY
EOY31795EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY543281BOY
EOY458286EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY14227BOY
EOY16975EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY898BOY
EOY897EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis14486LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec12758LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY2373BOY
EOY1728EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY5486304BOY
EOY5685380EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY785885BOY
EOY838907EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY8400BOY
EOY8400EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY6913845BOY
EOY7042368EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY24483BOY
EOY130431EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY24483BOY
EOY130431EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY5474709BOY
EOY5444262EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY785885BOY
EOY838907EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY628768BOY
EOY628768EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6889362BOY
EOY6911937EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6913845BOY
EOY7042368EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-269914ReconcilationRevenueExpenses
Reconciliation Unrealized Invest239467ReconciliationUnrealizedInvest
Reconcilation Other Changes53022ReconcilationOtherChanges
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 Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years66059CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years54922CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years68218CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year66296CurrentTaxYearMinus1Year
Current Tax Year50578CurrentTaxYear
Total306073Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years66059CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years54922CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years68218CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year66296CurrentTaxYearMinus1Year
Current Tax Year50578CurrentTaxYear
Total306073Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total4716AmountsSubstContributorsTotal
Public Support Total170301357PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years131067CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years158831CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years173744CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year185453CurrentTaxYearMinus1Year
Current Tax Year179014CurrentTaxYear
Total828109Total
FieldValueIRS element (for citing)
Total Support1134182TotalSupport
Public Support Pertcentage1700.26570PublicSupportPertcentage170
Public Support Pertcent Prior Year0.28230PublicSupportPertcentPriorYear
Ten Percent Test Current YearXTenPercentTestCurrentYear
Facts And Circumstances TestPHYSICIANS' HOME MAINTAINS AN ON-GOING PROGRAM OF SOLICITATION OF FUNDS FROM THE GENERAL PUBLIC. ANNUALLY IN NOVEMBER/DECEMBER, THE ORGANIZATION SENDS AN APPEAL LETTER TO INDIVIDUALS WHO HAVE CONTRIBUTED IN THE PAST; AT REGULAR INTERVALS, USUALLY EVERY THIRD YEAR, THIS APPEAL IS SENT TO ALL PHYSICIANS PRACTICING IN NEW YORK STATE, REACHING APPROXIMATELY 55,000 INDIVIDUALS. IN 2013, PHYSICIANS' HOME PRODUCED ITS SECOND ANNUAL DONORS' JOURNAL. THIS PUBLICATION INCLUDED MESSAGES OF SUPPORT AND GRATITUDE FROM CONTRIBUTORS AND LISTED THE NAMES OF ALL CONTRIBUTORS. THE SECOND ANNUAL DONORS' JOURNAL INCLUDED 114 PAGES, AN INCREASE OF 46 PAGES FROM THE FIRST DONORS' JOURNAL. THE ORGANIZATION PLANS TO CONTINUE THE DONORS' JOURNAL AS PART OF ITS FUNDRAISING EFFORT. DURING 2013, PHYSICIANS' HOME CONTINUED DEVELOPMENT OF AN EXPANDED WEBSITE, WHICH THE ORGANIZATION EXPECTS TO LAUNCH IN FISCAL 2014, TO PROVIDE AN INFORMATIVE PICTURE OF ITS HISTORY, MISSION, AND ORGANIZATION. THE ORGANIZATION'S INVESTMENT PORTFOLIO, AND RELATED INVESTMENT INCOME, IS THE RESULT OF SUBSTANTIAL CONTRIBUTIONS BY NUMEROUS MEMBERS OF THE PHYSICIAN AND NON-PHYSICIAN COMMUNITIES OVER MANY YEARS. THE PORTFOLIO HAS BEEN AUGMENTED BY NUMEROUS ESTATE LEGACIES OVER THE YEARS. DURING THE YEAR ENDED SEPTEMBER 30, 2013, PHYSICIANS' HOME RECEIVED ABOUT 600 CONTRIBUTIONS, MOST FROM INDIVIDUALS. THE NEW YORK STATE MEDICAL SOCIETY DUES NOTICE INCLUDES AN OPPORTUNITY FOR SOCIETY MEMBERS TO ADD A CONTRIBUTION TO PHYSICIANS' HOME TO THEIR ANNUAL DUES PAYMENT. MEDICAL ORGANIZATIONS, SUCH AS COUNTY MEDICAL SOCIETIES, ALSO CONTRIBUTED.THE ORGANIZATION'S OFFICE IS STAFFED DAILY. THE EXECUTIVE COMMITTEE HOLDS REGULARLY SCHEDULED MEETINGS TO REVIEW BENEFICIARY CIRCUMSTANCES. CHECKS ARE DISBURSED TO BENEFICIARIES FROM THE ORGANIZATION'S OFFICE ON THE FIRST OF EACH MONTH. IN ADDITION TO REGULAR MONTHLY CHECKS, PHYSICIANS' HOME OFTEN MAKES DISBURSEMENTS TO MEET EMERGENCIES SHOULD A BENEFICIARY'S SITUATION WARRANT SUCH A PAYMENT.PHYSICIANS' HOME HAS A REPRESENTATIVE GOVERNING BODY. THE 21 MEMBER BOARD OF DIRECTORS AND TRUSTEES INCLUDES PRACTICING AND RETIRED PHYSICIANS WHO PARTICIPATE BECAUSE OF THEIR DEDICATION TO THE ORGANIZATION'S MISSION. THE BOARD ALSO INCLUDES A LICENSED SOCIAL WORKER, TWO ATTORNEYS, AND THE LEADER OF A CHARITABLE ORGANIZATION DEDICATED TO CHILDREN WITH CANCER.FactsAndCircumstancesTest

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

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance628768BeginningOfYearBalance
End Of Year Balance628768EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance628768BeginningOfYearBalance
End Of Year Balance628768EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance628768BeginningOfYearBalance
End Of Year Balance628768EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance628768BeginningOfYearBalance
End Of Year Balance628768EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance628768BeginningOfYearBalance
End Of Year Balance628768EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis10016OtherCostOrOtherBasis
Depreciation9445Depreciation
Book Value571BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis4470OtherCostOrOtherBasis
Depreciation3313Depreciation
Book Value1157BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1728TotalOfBookValueLandBuildings

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionBENEFICIAL INTEREST IN CHARITABLE REMAINDER TRUSTDescription
Book Value838907BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities838907TotalOfBookValueSecurities
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt559774TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments239467NetUnrealizedGainsInvestments
Other Revenues53022OtherRevenues
Revenue Not Rptd F990292489RevenueNotRptdF990
Revenue Subtotal267285RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form990267285TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt537199TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal537199ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form990537199TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:PART V, LINE 4:THE ORGANIZATION'S ENDOWMENT FUNDS ARE INTENDED TO GENERATE INCOME IN PERPETUITY.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X, LINE 2:THE ORGANIZATION RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT OF BEING SUSTAINED. MANAGEMENT HAS DETERMINED THAT THE ORGANIZATION HAS NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION OR DISCLOSURE. THE ORGANIZATION'S TAX RETURNS FOR ALL YEARS SINCE FISCAL 2010 REMAIN OPEN TO EXAMINATION BY THE RESPECTIVE TAXING AUTHORITIES. THERE ARE CURRENTLY NO EXAMINATIONS IN PROGRESS.
PART XI, LINE 2D - OTHER ADJUSTMENTS:CHANGE IN VALUE OF CHARITABLE REMAINDER TRUST 53,022.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantFINANCIAL ASSISTANCETypeOfGrant
Number Of Recipients39NumberOfRecipients
Amount Of Cash Grant311780AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: PHYSICIANS' HOME MAINTAINS DETAILED RECORDS ON ALL RECIPIENTS OF FINANCIAL ASSISTANCE. THESE RECORDS INCLUDE APPLICATIONS FOR ASSISTANCE ALONG WITH EVIDENCE PERTINENT TO CLAIMS OF FINANCIAL HARDSHIP AND MEDICAL DISABILITY. FOLLOW UP IS PERFORMED ON A REGULAR BASIS USING UPDATE FORMS REVIEWED BY THE EXECUTIVE COMMITTEE.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION MISSION STATEMENTFORM 990, PART III, LINE 1:PHYSICIANS' HOME WAS FOUNDED IN NEW YORK CITY IN 1919, BY SEVERAL PHYSICIANS WHO SAW A NEED TO HELP OTHER DOCTORS WHO WERE STRUGGLING FINANCIALLY. DURING THE EARLIEST YEARS PHYSICIANS' HOME WAS ACTUALLY A PHYSICAL STRUCTURE, LOCATED IN UPSTATE ALLEGANY COUNTY. IN TIME, IT WAS DECIDED THAT PHYSICIANS IN NEED COULD BE SERVED BEST BY PROVIDING MONTHLY FINANCIAL ASSISTANCE, HELPING THEM TO REMAIN IN THEIR OWN HOMES. THE MISSION OF THE ORGANIZATION HAS BEEN CARRIED OUT IN THIS WAY FOR THE PAST HALF-CENTURY. THERE IS NO LONGER A PHYSICAL STRUCTURE SERVING AS A "HOME". THE BASIC ELIGIBILITY REQUIREMENTS ARE THAT A DOCTOR HAS OBTAINED A NEW YORK STATE MEDICAL LICENSE, AND HAS PRACTICED IN THE STATE. IMMEDIATE FAMILY MEMBERS OF A DECEASED PHYSICIAN MAY ALSO BE ELIGIBLE. THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS REVIEWS APPLICATIONS, AND ASSISTANCE IS GIVEN WITH THE GOAL BEING TO HELP PROVIDE FOR BASIC LIVING REQUIREMENTS. NO RE-PAYMENT IS EXPECTED. CIRCUMSTANCES OF BENEFICIARIES ARE REVIEWED AT INTERVALS, TO DETERMINE THE NEED FOR CONTINUED ASSISTANCE. SOCIAL SERVICE INTERVIEWS AND EVALUATIONS ARE CARRIED OUT AS CALLED FOR IN INDIVIDUAL CASES. DURING THE FISCAL YEAR ENDING SEPTEMBER 30, 2013, HELP WAS PROVIDED TO THIRTY-NINE BENEFICIARIES WHO RECEIVED A TOTAL OF $311,980 IN AID. A DONORS' JOURNAL WAS COMPILED AND PUBLISHED AGAIN THIS YEAR. IN COMPARISON TO THE PREVIOUS YEAR TWICE AS MANY CONTRIBUTORS REQUESTED MESSAGES IN THE JOURNAL. THIS FUND-RAISING EFFORT PROVIDED $51,000. WE LOOK FORWARD TO CONTINUING OUR 90+ YEAR MISSION ASSISTING NEW YORK STATE PHYSICIANS IN NEED.
FORM 990, PART VI, SECTION A, LINE 6PHYSICIANS' HOME HAS TWO (2) CLASSES OF MEMBERSHIP, CONTRIBUTING MEMBERS AND ADMINISTRATIVE MEMBERS. CONTRIBUTORS OF $20 OR MORE TO PHYSICIANS' HOME ARE CONTRIBUTING MEMBERS OF THE CORPORATION FOR THAT FISCAL YEAR. THOSE ELECTED BY THE MEMBERS TO BE DIRECTORS, TRUSTEES, OR OFFICERS OF THE CORPORATION ARE ADMINISTRATIVE MEMBERS.
FORM 990, PART VI, SECTION A, LINE 7AEACH CONTRIBUTORY MEMBER MAY ATTEND THE ANNUAL MEETING OF THE ORGANIZATION, AND VOTE FOR THE GOVERNING BODY. MEMBERS OF THE GOVERNING BODY ARE CONSIDERED ADMINISTRATIVE MEMBERS. EACH CONTRIBUTING MEMBER AND ADMINISTRATIVER MEMBER OF THE CORPORATION IS ENTITLED TO ONE VOTE, IN PERSON OR BY PROXY, AT ALL MEETINGS OF MEMBERS.
FORM 990, PART VI, SECTION B, LINE 11THE ORGANIZATION HAS ITS FORM 990 PREPARED BY AN OUTSIDE ACCOUNTING FIRM AND HAS ESTABLISHED THE FOLLOWING REVIEW PROCESS TO ENSURE THAT THE INFORMATION REPORTED IS COMPLETE AND ACCURATE. WHEN THE FORM 990 HAS BEEN PREPARED, REVIEWED BY APPROPRIATE OFFICERS AND THE INTERNAL ACCOUNTANT AND IS READY TO BE FILED WITH THE INTERNAL REVENUE SERVICE, A PAPER COPY OF THE FORM 990 IS PROVIDED TO THE BOARD MEMBERS OF THE ORGANIZATION FOR ANY COMMENTS. ANY COMMENTS ARE THEN GROUPED, SUMMARIZED AND PROVIDED TO THE OUTSIDE ACCOUNTANTS. EACH ISSUE IS DOCUMENTED AND ADDRESSED UNTIL THE RETURN IS FINALIZED AND APPROVED FOR FILING.
FORM 990, PART VI, SECTION B, LINE 12CTHE PHYSICIANS' HOME CONFLICT OF INTEREST POLICY COVERS ALL MEMBERS OF THE BOARD OF DIRECTORS, TRUSTEES, OFFICERS, ACCOUNTANT(S), AUDITOR(S), INVESTMENT MANAGER(S), AND OFFICE STAFF. THESE PERSONS RECEIVE A STATEMENT OF CONFLICT OF INTEREST POLICY (WHICH ALSO COVERS CONFIDENTIALITY AND WHISTLEBLOWER ACTIVITIES). THE CONFLICT OF INTEREST STATEMENT REQUIRES THAT PERSONS COVERED UNDER THE STATEMENT WILL DISCLOSE TO THE EXECUTIVE COMMITTEE ANY SUCH SITUATION. IF AND WHEN A POTENTIAL CONFLICT OF INTEREST IS DISCLOSED AND VALIDATED BY THE EXECUTIVE COMMITTEE, THE PERSON IS EXPECTED TO RECUSE HIMSELF/HERSELF FROM THE RELATED ACTIVITIES.
ONE OFFICER RECEIVES COMPENSATION FOR ACTING AS MANAGER/COO, THE PRESIDENT. THIS COMPENSATION WAS APPROVED BY THE BOARD OF DIRECTORS. NO REVIEW OF COMPARABLE DATA WAS CONSIDERED NECESSARY SINCE THE LEVEL OF COMPENSATION WAS DEEMED NOMINAL.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY STATEMENT, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC, UPON REQUEST.
FORM 990, PART VII, COLUMN (B) BOARD MEMBER HOURS:BOARD MEMBER PARTICIPATION IS DOCUMENTED IN OUR MEETING MINUTES. GOOD REPRESENTATION IS PRESENT TO PROVIDE DISCUSSION AND ADVICE IN REGARD TO THE ACTIVITIES OF THE ORGANIZATION, PARTICULARLY IN REGARD TO THE DISTRIBUTION OF FUNDS TO BENEFICIARIES. OF THE TWENTY-ONE DIRECTORS AND TRUSTEES THERE WERE FOUR WHO WERE UNABLE TO PARTICIPATE TO ANY EXTENT DURING THE YEAR. ONE WAS DECEASED EARLY IN THE FISCAL YEAR. TWO OF THE OTHER THREE INDIVIDUALS RESIGNED SUBSEQUENT TO SEPTEMBER 30, 2013. ONE REMAINS ON THE BOARD IN PART AS A COURTESY TOWARD HIS PREVIOUS SERVICE. DIRECTORS WILL BE REMINDED THAT PARTICIPATION BY ALL TO SOME DEGREE IS NECESSARY.
CHANGES IN NET ASSETS OR FUND BALANCES:FORM 990, PART XI, LINE 9:CHANGE IN VALUE OF CHARITABLE REMAINDER TRUST 53,022.
FORM 990, PART XII, LINE 2C:THE PRESIDENT, IN CONSULTATION WITH TRUSTEES AND OFFICERS, IS RESPONSIBLE FOR OVERSIGHT AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THERE HAS BEEN NO CHANGE IN THE PROCESS FROM THE PRIOR YEAR.
FORM 990, PART VII: EXPLANATION OF PAYMENT TO MARY DODD:BOARD MEMBER MARY DODD RECEIVES NO COMPENSATION IN HER CAPACITY AS BOARD MEMBER AND OFFICER. SHE DOES RECEIVE COMPENSATION AS AN INDEPENDENT CONTRACTOR IN HER CAPACITY AS A SOCIAL SERVICE CONSULTANT TO PHYSICIANS' HOME, INC.

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