PHYSICIANS HOME: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
PHYSICIANS HOME (EIN 13-1782482)
Tax period
2011-10-01 to 2012-09-30
Filed
2013-05-14
IRS object ID
201331349349305338
Schema version
2011v1.5
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)
Timestamp2013-05-14T14:08:22-05:00Timestamp
Tax Period End Date2012-09-30TaxPeriodEndDate

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 Date2011-10-01TaxPeriodBeginDate

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 Signed2013-05-10DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameGARRETT M HIGGINS CPAName
PTINP00543209PTIN
Phone2122862600Phone
Date Prepared2013-05-10DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

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 Receipts1319955GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteHTTP://WWW.PHYSICIANSHOME.ORG/WebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1919YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionPHYSICIANS' HOME PROVIDES REGULAR FINANCIAL AID TO NEEDY PHYSICIANS OR THEIR DEPENDENTS. DURING THE YEAR FORTY-ONE INDIVIDUALS RECEIVED HELP TOTALING $290,000. THIRTY-TWO BENEFICIARIES WERE PHYSICIANS AND NINE WERE FAMILY MEMBERS.ActivityOrMissionDescription
Nbr Voting Members Governing Body21NbrVotingMembersGoverningBody
Nbr Independent Voting Members19NbrIndependentVotingMembers
Total Nbr Employees4TotalNbrEmployees
Total Nbr Volunteers37TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year156312ContributionsGrantsPriorYear
Contributions Grants Current Year66296ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year284972InvestmentIncomePriorYear
Investment Income Current Year180972InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year441284TotalRevenuePriorYear
Total Revenue Current Year247268TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year273723GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY290330GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year55892SalariesEtcPriorYear
Salaries Etc Current Year64443SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year23614TotalFundrsngExpCurrentYear
Other Expense Prior Year134748OtherExpensePriorYear
Other Expenses Current Year133582OtherExpensesCurrentYear
Total Expenses Prior Year464363TotalExpensesPriorYear
Total Expenses Current Year488355TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-23079RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-241087RevenuesLessExpensesCY
Total Assets BOY6198178TotalAssetsBOY
Total Assets EOY6913845TotalAssetsEOY
Total Liabilities BOY4337TotalLiabilitiesBOY
Total Liabilities EOY24483TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY6193841NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY6889362NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionSEE SCHEDULE OMissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense323401Expense
Grants290330Grants
DescriptionPHYSICIANS' HOME PROVIDES REGULAR FINANCIAL AID TO NEEDY PHYSICIANS OR IMMEDIATE FAMILY MEMBERS OF A DECEASED PHYSICIAN. TO BE ELIGIBLE, THE PHYSICIAN SHOULD HAVE OBTAINED A NEW YORK STATE MEDICAL LICENSE AND HAVE PRACTICED IN THE STATE. ASSISTANCE IS GIVEN WITH THE GOAL BEING TO HELP PROVIDE FOR MODEST LIVING REQUIREMENTS. NO REPAYMENT IS EXPECTED. THE ORGANIZATION PROVIDES SOCIAL SERVICE EVALUATIONS TO AID BENEFICIARIES IN OBTAINING ASSISTANCE TO WHICH THEY ARE ENTITLED FROM GOVERNMENTAL AND OTHER ORGANIZATIONS. DURING THE YEAR THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS EVALUATED THE NEED OF EACH BENEFICIARY FOR CONTINUED ASSISTANCE. IT ALSO EVALUATED SEVEN NEW APPLICATIONS FOR AID, ACCEPTING FIVE. THE ORGANIZATION PROVIDED $290,000 IN DIRECT ASSISTANCE TO THIRTY-TWO PHYSICIANS AND NINE FAMILY MEMBERS DURING THE YEAR.Description
Total Program Service Expense323401TotalProgramServiceExpense
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 Activities1ForeignActivities
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
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10961NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees4NumberOfEmployees
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 Members21NbrVotingGoverningBodyMembers
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 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 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 & PRESIDENT8.00XX3007200
MARTHA REDO EEQ
DIRECTOR & TREASURER1.00XX000
DONALD D FAGER ESQ
DIRECTOR & SECRETARY1.00XX000
ALLEN MEAD MD
DIRECTOR & 1ST VICE-PRESIDENT0.10XX000
ANDREW E SAMA MD
DIRECTOR1.00X000
BRUCE C HORTEN MD
DIRECTOR0.20X000
DAVID S KARAN MD
DIRECTOR & TRUSTEE1.00X000
EDRIS BLOOMFIELD
DIRECTOR0.00X000
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 & 2ND VICE-PRESIDENT1.00XX000
JOHN A MCCLUNG MD
DIRECTOR0.20X000
MARY DODD LMSW
DIRECTOR1.00X20000
SHERWOOD JACOBSON MD
DIRECTOR0.00X000
STEPHEN CONNOLLY MD
DIRECTOR & TRUSTEE0.10X000
WILLIAM HEALY MD
DIRECTOR & TRUSTEE0.10X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org30272TotalReportableCompFromOrg
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 Dues3142MembershipDues
All Other Contributions63154AllOtherContributions
Total Contributions66296TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column185453TotalRevenueColumn
Exclusion$185,453ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities1068206Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities1072687Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-4481Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-4481TotalRevenueColumn
Exclusion-$4,481ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column247268TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$180,972ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total200Total
Program Services200ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total290130Total
Program Services290130ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total30272Total
Program Services15236ProgramServices
Management And General7518ManagementAndGeneral
Fundraising7518Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total25723Total
Program Services12861ProgramServices
Management And General6431ManagementAndGeneral
Fundraising6431Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1500Total
Program Services750ProgramServices
Management And General375ManagementAndGeneral
Fundraising375Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total6948Total
Program Services3474ProgramServices
Management And General1737ManagementAndGeneral
Fundraising1737Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total30252Total
Management And General30252ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total26641Total
Management And General26641ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total6873Total
Fundraising6873Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total14883Total
Management And General14203ManagementAndGeneral
Fundraising680Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total45818Total
Management And General45818ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total1434Total
Program Services750ProgramServices
Management And General684ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total4300Total
Management And General4300ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total886Total
Management And General886ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total2495Total
Management And General2495ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total488355Total
Program Services323401ProgramServices
Management And General141340ManagementAndGeneral
Fundraising23614Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY300BOY
EOY72477EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY388067BOY
EOY543281EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY11195BOY
EOY14227EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
EOY898EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis14486LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec12113LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY2423BOY
EOY2373EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY4511499BOY
EOY5486304EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY1276294BOY
EOY785885EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY8400BOY
EOY8400EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY6198178BOY
EOY6913845EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY4337BOY
EOY24483EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY4337BOY
EOY24483EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY5565073BOY
EOY5474709EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
EOY785885EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY628768BOY
EOY628768EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6193841BOY
EOY6889362EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6198178BOY
EOY6913845EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-241087ReconcilationRevenueExpenses
Reconcilation Other Changes936608ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
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 Years72043CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years66059CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years54922CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year68218CurrentTaxYearMinus1Year
Current Tax Year66296CurrentTaxYear
Total327538Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years72043CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years66059CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years54922CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year68218CurrentTaxYearMinus1Year
Current Tax Year66296CurrentTaxYear
Total327538Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total4516AmountsSubstContributorsTotal
Public Support Total170323022PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years167569CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years131067CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years158831CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year173744CurrentTaxYearMinus1Year
Current Tax Year185453CurrentTaxYear
Total816664Total
FieldValueIRS element (for citing)
Total Support1144202TotalSupport
Public Support Pertcentage1700.28230PublicSupportPertcentage170
Public Support Pertcent Prior Year0.29700PublicSupportPertcentPriorYear
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, 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 2012, PHYSICIANS' HOME, FOR THE FIRST TIME, PRODUCED A DONORS' JOURNAL. THIS PUBLICATION INCLUDED MESSAGES OF SUPPORT AND GRATITUDE FROM CONTRIBUTORS AND LISTED THE NAMES OF ALL CONTRIBUTORS. THE ORGANIZATION PLANS TO CONTINUE THE DONORS' JOURNAL AS PART OF ITS FUNDRAISING EFFORT.WITH THE 2012 APPEAL, THE ORGANIZATION ACCEPTED CONTRIBUTIONS BY CREDIT CARD FOR THE FIRST TIME. PHYSICIANS' HOME IS CURRENTLY EXPANDING ITS WEBSITE TO PROVIDE AN ATTRACTIVE 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 JUNE 30, 2012, PHYSICIANS HOME RECEIVED ABOUT 450 CONTRIBUTIONS, MOST FROM INDIVIDUALS. 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 TWENTY-MEMBER BOARD OF DIRECTORS 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
FieldValueIRS element (for citing)
Board Designated EOY Balance1.00000BoardDesignatedEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis14486OtherCostOrOtherBasis
Depreciation12113Depreciation
Book Value2373BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings2373TotalOfBookValueLandBuildings

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionBENEFICIAL INTEREST IN CHARITBALE REMAINDER TRUSTDescription
Book Value785885BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities785885TotalOfBookValueSecurities
Total Revenue247268TotalRevenue
Total Expenses488355TotalExpenses
Excess Or Deficit For Year-241087ExcessOrDeficitForYear
Net Unrealized GL On Investments532093NetUnrealizedGLOnInvestments
Prior Period Adjustments339085PriorPeriodAdjustments
Other$65,430OtherAmount
Total Adjustments936608TotalAdjustments
Excess Or Deficit Per FS695521ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt844791TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments532093NetUnrealizedGainsInvestments
Other Revenues65430OtherRevenues
Revenue Not Rptd F990597523RevenueNotRptdF990
Revenue Subtotal247268RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form990247268TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt488355TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal488355ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form990488355TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 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: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 2009 REMAIN OPEN TO EXAMINATION BY THE RESPECTIVE TAXING AUTHORITIES.
PART XI, LINE 8 - OTHER ADJUSTMENTS:CHANGE IN VALUE OF CHARITABLE REMAINDER TRUST 64,485. PRIOR PERIOD ADJUSTMENT TO UNREALIZED APPRECIATION ON INVESTMENTS 500. PRIOR PERIOD ADJUSTMENT TO CHANGE IN VALUE OF CHARITABLE REMAINDER TRUST 445. TOTAL TO SCHEDULE D, PART XI, LINE 8: 65,430.
PART XII, LINE 2D - OTHER ADJUSTMENTS:CHANGE IN VALUE OF CHARITABLE REMAINDER TRUST 64,485. PRIOR PERIOD ADJUSTMENT TO UNREALIZED APPRECIATION ON INVESTMENTS 500. PRIOR PERIOD ADJUSTMENT TO CHANGE IN VALUE OF CHARITABLE REMAINDER TRUST 445.
PART XI, PAGE 4, LINE 8: AS OF OCTOBER 1, 2011, THE ORGANIZATION RECORDED ADJUSTMENTS TO ITS OPENING NET ASSETS BALANCES RELATED TO A) AN INCREASE IN THE ESTIMATED FAIR VALUE OF AN AMOUNT RECEIVABLE FROM A TRUST WHICH TERMINATED DURING FISCAL 2011; B) AN INCREASE IN THE ESTIMATED FAIR VALUE OF A BENEFICIAL INTEREST IN A CHARITABLE REMAINDER TRUST DUE TO THE RECOMPUTATION OF THE ESTIMATED FAIR VALUE OF SUCH INTEREST; C) THE RECLASSIFICATION OF NET ASSETS PERTAINING TO A BENEFICIAL INTEREST IN A CHARITABLE REMAINDER TRUST FROM UNRESTRICTED TO TEMPORARILY RESTRICTED.

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable

FieldValueIRS element (for citing)
RegionNORTH AMERICARegion
Number Of Offices0NumberOfOffices
Number Of Employees0NumberOfEmployees
Type Of Activities ConductedINVESTMENTSTypeOfActivitiesConducted
Total Expenditures240684TotalExpenditures
FieldValueIRS element (for citing)
Subtotal Number Of Offices0SubtotalNumberOfOffices
Subtotal Number Of Employees0SubtotalNumberOfEmployees
Cont Number Of Offices0ContNumberOfOffices
Cont Number Of Employees0ContNumberOfEmployees
Total Number Of Offices0TotalNumberOfOffices
Total Number Of Employees0TotalNumberOfEmployees
Subtotal Amount Spent240684SubtotalAmountSpent
Cont Amount Spent0ContAmountSpent
Total Amount Spent240684TotalAmountSpent
Transfer To Foreign Corp0TransferToForeignCorp
Interest In Foreign Trust0InterestInForeignTrust
Own Foreign Corp1OwnForeignCorp
Passive Foreign Invest Co0PassiveForeignInvestCo
Foreign Partnership0ForeignPartnership
Boycott Countries0BoycottCountries

Form990 Schedule F Part V Form990ScheduleFPartV

FieldValueIRS element (for citing)
IdentifierMETHOD USED TO ACCCOUNT FOR EXPENDITURES:Identifier
ExplanationSCHEDULE F, PART I, LINE 3: NOTE: ON JANUARY 12, 2012 THE ORGANIZATION PURCHASED A $100,000 CANADIAN PACIFIC RAILWAY COMPANY 4.45% NOTE DUE 3/15/2023. COST: $102,000. THIS BOND WAS PURCHASED ON THE OPEN MARKET IN THE US. NO FUNDS WENT TO A FOREIGN COUNTRY.Explanation

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained
No Grant More Than5000XNoGrantMoreThan5000

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantFINANCIAL ASSISTANCETypeOfGrant
Number Of Recipients41NumberOfRecipients
Amount Of Cash Grant290130AmountOfCashGrant
Method Of ValuationFMVMethodOfValuation

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 BEST BE SERVED BY PROVIDING MONTHLY FINANCIAL ASSISTANCE, HELPING THEM TO REMAIN IN THEIR OWN HOMES. THE MISSION OF THE ORGANIZATION HAS BEEN CARRIED OUT FOR THE PAST HALF-CENTURY THIS WAY. 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 DIRECTOR'S REVIEWS APPLICATIONS, AND ASSISTANCE IS GIVEN WITH THE GOAL BEING TO HELP PROVIDE FOR MODEST LIVING REQUIREMENTS. NO RE-PAYMENT IS EXPECTED. BENEFICIARY CIRCUMSTANCES 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 OUR LAST YEAR, FISCAL YEAR ENDING SEPTEMBER 30, 2012, HELP WAS PROVIDED TO FORTY-ONE BENEFICIARIES, WHO RECEIVED A TOTAL OF $290,000 IN AID. A DONOR'S JOURNAL WAS INITIATED LAST YEAR, GIVING CONTRIBUTORS AN OPPORTUNITY TO EXPRESS GOOD WISHES ALONG WITH THEIR CONTRIBUTION. OUR FUND RAISING APPEAL PROVIDED $55,000; IN ADDITION, A LARGE DISTRIBUTION WAS RECEIVED FROM A LONG-STANDING TRUST FUND. WE LOOK FORWARD TO CONTINUING OUR ROLE IN 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. EACH CONTRIBUTING AND ADMINISTRATIVE MEMBER OF THE CORPORATION IS ENTITLED TO ONE VOTE, IN PERSON OR BY PROXY, AT ALL MEETINGS OF MEMBERS.
FORM 990, PART VI, SECTION A, LINE 7APHYSICIANS' HOME HAS CONTRIBUTORY MEMBERS AND ADMINISTRATIVE MEMBERS. CONTRIBUTORY MEMBERS ARE THOSE INDIVIDUALS WHO CONTRIBUTE $20 OR MORE IN A GIVEN YEAR; EACH 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.
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 HAS BEEN UPDATED TO COVER ALL MEMBERS OF THE BOARD OF DIRECTORS, OFFICERS, ACCOUNTANT(S), AUDITOR(S), AND INVESTMENT MANAGER(S). 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.
FORM 990, PART VI, SECTION B, LINE 15AONE MANAGEMENT OFFICIAL RECEIVES COMPENSATION, THE PRESIDENT. THIS COMPENSATION WAS APPROVED BY THE BOARD OF DIRECTORS IN 2007. 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 MINUTES AND CAN BE SEEN BY A REVIEW OF OUR MINUTES FOR THE ANNUAL MEETING AND EXECUTIVE COMMITTEE MEETINGS, GOOD REPRESENTATION IS PRESENT TO PROVIDE DISCUSSION AND ADVICE IN REGARD TO THE ACTIVITIES OF THE ORGANIZATION . OF THE TWENTY-ONE DIRECTORS AND TRUSTEES THERE WERE FOUR WHO WERE UNABLE TO PARTICIPATE TO ANY EXTENT DURING THE YEAR. EXCEPT FOR ONE, THESE INDIVIDUALS ARE AT AN OLDER AGE, AND HAVE SERVED THE ORGANIZATION WELL OVER THE YEARS; THEY REMAIN ON THE BOARD IN PART AS A COURTESY TOWARD THEIR PREVIOUS SERVICE. DIRECTORS WILL BE PERIODICALLY INFORMED THAT PARTICIPATION BY ALL TO SOME DEGREE IS NECESSARY.
CHANGES IN NET ASSETS OR FUND BALANCES:FORM 990, PART XI, LINE 5:NET UNREALIZED GAINS ON INVESTMENTS: 532,093. PRIOR PERIOD ADJUSTMENTS: 339,085. CHANGE IN VALUE OF CHARITABLE REMAINDER TRUST 64,485. PRIOR PERIOD ADJUSTMENT TO UNREALIZED APPRECIATION ON INVESTMENTS 500. PRIOR PERIOD ADJUSTMENT TO CHANGE IN VALUE OF CHARITABLE REMAINDER TRUST 445. TOTAL TO FORM 990, PART XI, LINE 5: 936,608.
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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