OPEN DOOR FAMILY MEDICAL CENTER INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- OPEN DOOR FAMILY MEDICAL CENTER INC (EIN 13-2813103)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-10-28
- IRS object ID
- 201333019349300413
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-10-28T09:22:55-05:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 420714325 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MCGLADREY LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1185 AVENUE OF THE AMERICAS | AddressLine1 |
| City | NEW YORK | City |
| State | NY | State |
| ZIP Code | 100362602 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 132813103 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OPEN DOOR FAMILY MEDICAL CENTER INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | OPEN | NameControl |
| Phone | 9145021470 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 165 MAIN STREET | AddressLine1 |
| City | OSSINING | City |
| State | NY | State |
| ZIP Code | 10562 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | LINDSAY C FARRELL | Name |
| Title | PRESIDENT & CEO | Title |
| Phone | 9145021470 | Phone |
| Date Signed | 2013-10-28 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MARTIN GREIF | Name |
| PTIN | P00029738 | PTIN |
| Phone | 2123721000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | LINDSAY C FARRELL | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 165 MAIN STREET | AddressLine1 |
| City | OSSINING | City |
| State | NY | State |
| ZIP Code | 10562 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 48491972 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.OPENDOORMEDICAL.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1975 | YearFormation |
| State Legal Domicile | NY | StateLegalDomicile |
| Activity Or Mission Description | OPEN DOOR FAMILY MEDICAL CENTER PROVIDES QUALITY PRIMARY HEALTH CARE AND HUMAN SERVICES AT AFFORDABLE PRICES TO THE COMMUNITY, PARTICULARLY LOW-INCOME, UNDER-SERVED RESIDENTS AND THOSE LACKING ACCESS TO HEALTH CARE. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 19 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 19 | NbrIndependentVotingMembers |
| Total Nbr Employees | 387 | TotalNbrEmployees |
| Total Nbr Volunteers | 352 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 10756507 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 10018576 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 24500364 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 25286649 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 155851 | InvestmentIncomePriorYear |
| Investment Income Current Year | 247475 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 377091 | OtherRevenuePriorYear |
| Other Revenue Current Year | 415562 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 35789813 | TotalRevenuePriorYear |
| Total Revenue Current Year | 35968262 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 18591714 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 20397432 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 8400165 | OtherExpensePriorYear |
| Other Expenses Current Year | 9466603 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 26991879 | TotalExpensesPriorYear |
| Total Expenses Current Year | 29864035 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 8797934 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 6104227 | RevenuesLessExpensesCY |
| Total Assets BOY | 39065935 | TotalAssetsBOY |
| Total Assets EOY | 46340182 | TotalAssetsEOY |
| Total Liabilities BOY | 8771656 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 9757625 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 30294279 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 36582557 | NetAssetsOrFundBalancesEOY |
| Mission Description | THE MISSION OF THE OPEN DOOR FAMILY MEDICAL CENTER, INC. IS TO PROVIDE QUALITY PRIMARY HEALTH CARE AND HUMAN SERVICES AT AFFORDABLE PRICES TO THE COMMUNITY, PARTICULARLY LOW-INCOME, UNDER-SERVED RESIDENTS AND THOSE LACKING ACCESS TO HEALTH CARE. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 18908716 | Expense |
| Revenue | 19800283 | Revenue |
| Description | OPEN DOOR FAMILY MEDICAL CENTER IS A FEDERALLY QUALIFIED HEALTH CENTER WHICH SERVED APPROXIMATELY 34,173 MEDICAL PATIENTS THAT GENERATED 123,974 VISITS IN 2012. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 3356691 | Expense |
| Revenue | 4509935 | Revenue |
| Description | OPEN DOOR FAMILY MEDICAL CENTER IS A FEDERALLY QUALIFIED HEALTH CENTER WHICH SERVED APPROXIMATELY 14,108 DENTAL PATIENTS THAT GENERATED 33,104 VISITS IN 2012. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 1593881 | Expense |
| Revenue | 976431 | Revenue |
| Description | OPEN DOOR FAMILY MEDICAL CENTER IS A FEDERALLY QUALIFIED HEALTH CENTER WHICH SERVED APPROXIMATELY 2,132 MENTAL HEALTH PATIENTS THAT GENERATED 7,528 VISITS IN 2012. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 23859288 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 23 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 387 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 19 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 19 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | NY | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARIA MAZZOTTA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 9145021470 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 165 MAIN STREET | AddressLine1 |
| City | OSSINING | City |
| State | NY | State |
| ZIP Code | 10562 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (28 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|---|
| TYLER BEEBE | |||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||||
| CHARLES CHEHEBAR | |||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||||
| JOHN CONYERS | |||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||||
| WALTER EDGE | |||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||||
| JENNIFER GURAHIAN | |||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||||
| DORIAN LINDSAY | |||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||||
| TONY MEJIAS | |||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||||
| KEVIN NELSON | |||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||||
| MARIA M PEREZ | |||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||||
| MARGOTH PILLA | |||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||||
| ROSA ROJAS | |||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||||
| DIANA SCHAEFER | |||||||||
| VICE CHAIRMAN | 1.00 | X | 0 | 0 | 0 | X | |||
| HOWARD S SCHRADER | |||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||||
| DAVID K SHERMAN | |||||||||
| TREASURER | 1.00 | X | 0 | 0 | 0 | X | |||
| STEWART TABIN | |||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||||
| ROSA TAYLOR | |||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||||
| ANDRES VALDESPINO | |||||||||
| CHAIRMAN | 1.00 | X | 0 | 0 | 0 | X | |||
| LUIS VICETTI | |||||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||||
| DONNA WADE | |||||||||
| SECRETARY | 1.00 | X | 0 | 0 | 0 | X | |||
| LINDSAY C FARRELL | |||||||||
| PRESIDENT & CEO | 34.00 | 288088 | 0 | 16586 | X | 4.00 | |||
| MARIA MAZZOTTA | |||||||||
| CHIEF FINANCIAL OFFICER | 33.00 | 165938 | 0 | 4671 | X | 2.00 | |||
| DAREN WU | |||||||||
| CHIEF MEDICAL OFFICER | 38.00 | 279236 | 0 | 11846 | X | ||||
| JANET H BOZZONE | |||||||||
| DIRECTOR OF DENTAL SERVICE | 38.00 | 195997 | 0 | 9698 | X | ||||
| BRUCE M SHAFFER | |||||||||
| PODIATRIST | 38.00 | 228214 | 0 | 20083 | X | ||||
| KAREN MURRAY | |||||||||
| OB/GYN PHYSICIAN | 38.00 | 212561 | 0 | 18624 | X | ||||
| ANITA WILENKIN | |||||||||
| CHIEF OPERATING OFFICER | 38.00 | 177845 | 0 | 26199 | X | ||||
| REBECCA ANN WILLIAMS | |||||||||
| FAMILY PRACTICE PHYSICIAN | 38.00 | 172686 | 0 | 24356 | X | ||||
| DEBRA L GERSON | |||||||||
| FAMILY PRACTICE PHYSICIAN | 38.00 | 178051 | 0 | 9793 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1898616 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 141856 | TotalOtherCompensation |
| Number Individuals GT100 K | 9 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (4 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| COMPREHENSIVE EYE SERVICES | |||||
| PO BOX 187 | ARMONK | NY | 10504 | EYE CLINIC | 247951 |
| ECLINICAL WORKS | |||||
| TWO TECHNOLOGY DRIVE | WESTBOROUGH | MA | 01581 | ECW SUPPORT & E-SUBSCRIBING | 178799 |
| WESTCHESTER INSTITUTE OF HUMAN DEVELOPME | |||||
| CEDAR HALL RM322 | VALHALLA | NY | 10595 | PROJECT LAUNCH EVALUATOR | 140840 |
| MCGLADREY & PULLEN LLP | |||||
| 1185 AVENUE OF THE AMERICAS | NEW YORK | NY | 10036 | AUDIT/TAX PREPARATION | 138526 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 4 | NumberOfContractorsGT100K |
| Government Grants | 7921822 | GovernmentGrants |
| All Other Contributions | 2096754 | AllOtherContributions |
| Total Contributions | 10018576 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| MEDICAID | 621400 | 14798049 | 14798049 |
| UNCOMPENSATED CARE | 621400 | 4225595 | 4225595 |
| CHILD HEALTH PLUS | 621400 | 2557980 | 2557980 |
| SELF-PAY | 621400 | 2399122 | 2399122 |
| MEDICARE | 621400 | 710560 | 710560 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 595343 | TotalRevenueColumn |
| Related Or Exempt Function Income | 595343 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 25286649 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 264378 | TotalRevenueColumn |
| Exclusion | $264,378 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 12506807 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 12523544 | Securities |
| Other | 166 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -16737 | Securities |
| Other | -166 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -16903 | TotalRevenueColumn |
| Exclusion | -$16,903 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| REIMB SALARIES & FRINGE | 900099 | 379378 | $379,378 |
| MISC. REVENUE | 900099 | 36184 | $36,184 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 415562 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 35968262 | TotalRevenueColumn |
| Related Or Exempt Function Income | 25286649 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $663,037 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 972060 | Total |
| Program Services | 799407 | ProgramServices |
| Management And General | 172653 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16044069 | Total |
| Program Services | 12996680 | ProgramServices |
| Management And General | 3047389 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1384853 | Total |
| Program Services | 1138882 | ProgramServices |
| Management And General | 245971 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 819765 | Total |
| Program Services | 674162 | ProgramServices |
| Management And General | 145603 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1176685 | Total |
| Program Services | 967688 | ProgramServices |
| Management And General | 208997 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 118099 | Total |
| Management And General | 118099 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 142371 | Total |
| Management And General | 142371 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 90461 | Total |
| Management And General | 90461 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2239048 | Total |
| Program Services | 1842123 | ProgramServices |
| Management And General | 396925 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5326 | Total |
| Management And General | 5326 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1770073 | Total |
| Program Services | 1308698 | ProgramServices |
| Management And General | 461375 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 207123 | Total |
| Program Services | 207123 | ProgramServices |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 857129 | Total |
| Program Services | 732797 | ProgramServices |
| Management And General | 124332 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 28285 | Total |
| Program Services | 21292 | ProgramServices |
| Management And General | 6993 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 183137 | Total |
| Program Services | 90198 | ProgramServices |
| Management And General | 92939 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 268075 | Total |
| Management And General | 268075 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1222672 | Total |
| Program Services | 1058834 | ProgramServices |
| Management And General | 163838 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 259898 | Total |
| Program Services | 225072 | ProgramServices |
| Management And General | 34826 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| PHARMACEUTICALS | 632952 | 632952 | |
| LABORATORY FEES | 491923 | 491923 | |
| REPAIRS & MAINTENANCE | 268667 | 194360 | 74307 |
| DATA PROCESSING | 212197 | 112866 | 99331 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 469167 | Total |
| Program Services | 364231 | ProgramServices |
| Management And General | 104936 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 29864035 | Total |
| Program Services | 23859288 | ProgramServices |
| Management And General | 6004747 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5444209 | BOY |
| EOY | 6987689 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 479555 | BOY |
| EOY | 2700670 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 956090 | BOY |
| EOY | 1595925 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6345663 | BOY |
| EOY | 4014842 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 282442 | BOY |
| EOY | 677995 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 26631133 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 12831192 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14143373 | BOY |
| EOY | 13799941 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10779176 | BOY |
| EOY | 15981092 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 635427 | BOY |
| EOY | 582028 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 39065935 | BOY |
| EOY | 46340182 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4967650 | BOY |
| EOY | 6261793 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3739492 | BOY |
| EOY | 3450401 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 64514 | BOY |
| EOY | 45431 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8771656 | BOY |
| EOY | 9757625 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 30210368 | BOY |
| EOY | 36549724 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 83911 | BOY |
| EOY | 32833 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 30294279 | BOY |
| EOY | 36582557 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 39065935 | BOY |
| EOY | 46340182 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 6104227 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 825892 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | -641841 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 6469111 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 6890084 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 8526604 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 10756507 | CurrentTaxYearMinus1Year |
| Current Tax Year | 10018576 | CurrentTaxYear |
| Total | 42660882 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 6469111 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 6890084 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 8526604 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 10756507 | CurrentTaxYearMinus1Year |
| Current Tax Year | 10018576 | CurrentTaxYear |
| Total | 42660882 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | 42660882 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 75938 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 48675 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 153335 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 201594 | CurrentTaxYearMinus1Year |
| Current Tax Year | 264381 | CurrentTaxYear |
| Total | 743923 | Total |
Other Income170 OtherIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 20985 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 5676 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 338569 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 377091 | CurrentTaxYearMinus1Year |
| Current Tax Year | 415562 | CurrentTaxYear |
| Total | 1157883 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 44562688 | TotalSupport |
| Gross Receipts From Admissions Etc | 108934883 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.95730 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.96840 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1740016 | OtherCostOrOtherBasis |
| Book Value | 1740016 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2274217 | OtherCostOrOtherBasis |
| Depreciation | 1384158 | Depreciation |
| Book Value | 890059 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 13318535 | OtherCostOrOtherBasis |
| Depreciation | 6448560 | Depreciation |
| Book Value | 6869975 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3316519 | OtherCostOrOtherBasis |
| Depreciation | 2866892 | Depreciation |
| Book Value | 449627 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 5981846 | OtherCostOrOtherBasis |
| Depreciation | 2131582 | Depreciation |
| Book Value | 3850264 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 13799941 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| CAPITAL LEASE PAYABLE | $20,945 |
| DUE TO HUDSON HEALTH PLAN | $74,381 |
| DUE FROM AFFILIATE - EIN # 13-3598184 | -$49,895 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 45431 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 38513485 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 825892 | NetUnrealizedGainsInvestments |
| Donated Srvc And Use Of Facilities | 304609 | DonatedSrvcAndUseOfFacilities |
| Other Revenues | 1884395 | OtherRevenues |
| Revenue Not Rptd F990 | 3014896 | RevenueNotRptdF990 |
| Revenue Subtotal | 35498589 | RevenueSubtotal |
| Investment Expenses Not Included | 90461 | InvestmentExpensesNotIncluded |
| Other Revenues Not Included | 379212 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 469673 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 35968262 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 31306051 | TotExpensesEtcAuditedFinclStmt |
| Donated Services Use Of Facilities | 304609 | DonatedServicesUseOfFacilities |
| Other Expenses Included | 1227868 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 1532477 | ExpensesNotRptdF990 |
| Expenses Subtotal | 29773574 | ExpensesSubtotal |
| Investment Expenses Not Included2 | 90461 | InvestmentExpensesNotIncluded2 |
| Expenses Not Rptd On Fin Stmt | 90461 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 29864035 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (4 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X, LINE 2: | MANAGEMENT EVALUATED THE CORPORATION'S TAX POSITIONS AND CONCLUDED THAT THE CORPORATION HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS TO COMPLY WITH THE PROVISIONS OF THIS GUIDANCE. WITH FEW EXCEPTIONS, THE CORPORATION IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY U.S. FEDERAL, STATE OR LOCAL TAX AUTHORITIES FOR YEARS BEFORE 2009, WHICH IS THE STANDARD STATUTE OF LIMITATIONS LOOK-BACK PERIOD. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | REVENUE OF RELATED ENTITIES 1,884,395. | |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | REIMBURSED SALARIES/FRINGE 379,378. LOSS ON DISPOSAL OF ASSET -166. | |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | PENSION-RELATED CHANGES OTHER THAN NET PERIODIC PENSION COST 641,841. REIMBURSED SALARIES/FRINGE -379,379. EXPENSES OF RELATED ENTITIES 965,240. LOSS ON DISPOSAL OF FIXED ASSET 166. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Housing Allowance Or Residence | X | HousingAllowanceOrResidence |
| Written Policy Re T And E Expenses | 0 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 0 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 1 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 1 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LINDSAY C FARRELL | ||||||||||||||
| PRESIDENT & CEO | 257004 | 0 | 30000 | 0 | 1084 | 0 | 10138 | 0 | 6448 | 0 | 304674 | 0 | 0 | 0 |
| MARIA MAZZOTTA | ||||||||||||||
| CHIEF FINANCIAL OFFICER | 158306 | 0 | 7500 | 0 | 132 | 0 | 0 | 0 | 4671 | 0 | 170609 | 0 | 0 | 0 |
| DAREN WU | ||||||||||||||
| CHIEF MEDICAL OFFICER | 243553 | 0 | 29498 | 0 | 6185 | 0 | 9767 | 0 | 2079 | 0 | 291082 | 0 | 0 | 0 |
| JANET H BOZZONE | ||||||||||||||
| DIRECTOR OF DENTAL SERVICE | 182128 | 0 | 13183 | 0 | 686 | 0 | 6877 | 0 | 2821 | 0 | 205695 | 0 | 0 | 0 |
| BRUCE M SHAFFER | ||||||||||||||
| PODIATRIST | 227584 | 0 | 0 | 0 | 630 | 0 | 7902 | 0 | 12181 | 0 | 248297 | 0 | 0 | 0 |
| KAREN MURRAY | ||||||||||||||
| OB/GYN PHYSICIAN | 197377 | 0 | 15000 | 0 | 184 | 0 | 5229 | 0 | 13395 | 0 | 231185 | 0 | 0 | 0 |
| ANITA WILENKIN | ||||||||||||||
| CHIEF OPERATING OFFICER | 170174 | 0 | 7000 | 0 | 671 | 0 | 6546 | 0 | 19653 | 0 | 204044 | 0 | 0 | 0 |
| REBECCA ANN WILLIAMS | ||||||||||||||
| FAMILY PRACTICE PHYSICIAN | 172313 | 0 | 0 | 0 | 373 | 0 | 854 | 0 | 23502 | 0 | 197042 | 0 | 0 | 0 |
| DEBRA L GERSON | ||||||||||||||
| FAMILY PRACTICE PHYSICIAN | 177736 | 0 | 0 | 0 | 315 | 0 | 6244 | 0 | 3549 | 0 | 187844 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| PART I, LINE 1A | DAREN WU RECEIVED $6,000 IN TAXABLE HOUSING ALLOWANCE. |
| PART I, LINE 6 | THE FOLLOWING INDIVIDUALS, LISTED ON PART VII, RECEIVED INCENTIVE BONUSES, WHICH ARE BASED ON THE NET EARNINGS OF EACH INDIVIDUAL'S BUSINESS SEGMENT, DURING THE YEAR ENDED 12/31/12: DAREN WU - $23,998 JANET H. BOZZONE - $10,683 KAREN MURRAY - $15,000 |
| PART I, LINE 7 | THE FOLLOWING INDIVIDUALS, LISTED ON PART VII, RECEIVED NON-FIXED PAYMENTS, DETERMINED BY THE BOARD, DURING THE YEAR ENDED 12/31/12: LINDSAY C. FARRELL - $30,000 MARIA MAZZOTTA - $7,500 DAREN WU - $5,500 JANET H. BOZZONE - $2,500 ANITA WILENKIN - $7,000 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (9 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | OPEN DOOR, INC. IS THE SOLE MEMBER OF OPEN DOOR FAMILY MEDICAL CENTER, INC. | |
| FORM 990, PART VI, SECTION B, LINE 11 | OPEN DOOR FAMILY MEDICAL CENTER ENGAGES THE SERVICES OF AN OUTSIDE ACCOUNTING FIRM TO PREPARE THE ANNUAL FORM 990 IN CONJUNCTION WITH ITS ANNUAL AUDITED FINANCIAL STATEMENTS. THE PRESIDENT/CEO AND CFO REVIEW THE FORM 990 AND SCHEDULES FOR ACCURACY. IN JUNE 2013, THE FORM 990, FOR THE YEAR ENDED DECEMBER 31, 2012, WAS PRESENTED TO THE FINANCE COMMITTEE AND BOARD MEMBERS FOR REVIEW PRIOR TO ITS SUBMISSION. | |
| FORM 990, PART VI, SECTION B, LINE 12C | THROUGH ITS CORPORATE COMPLIANCE PROGRAM, THE CENTER'S COMPLIANCE COMMITTEE, WHICH IS COMPRISED OF AN INTERDISCIPLINARY TEAM OF STAFF MEMBERS, MEETS ON A MONTHLY BASIS TO MONITOR THE RESULTS OF ITS INTERNAL AND EXTERNAL AUDITS AND INVESTIGATIONS TO ENSURE COMPLIANCE WITH ITS POLICIES WHICH INCLUDE ANY CONFLICT OF INTEREST. 1. THE MANAGEMENT OF THE OPEN DOOR WILL DEDICATE SUCH RESOURCES AS ARE NECESSARY TO DEVELOP AND IMPLEMENT AN EFFECTIVE CORPORATE COMPLIANCE PROGRAM DESIGNED TO PROMOTE ADHERENCE TO ALL APPLICABLE LAWS, INCLUDING THE STATUTES, REGULATIONS AND REQUIREMENTS APPLICABLE TO MEDICAID, MEDICARE AND OTHER FEDERAL AND STATE HEALTH CARE PROGRAMS. 2. THE COMPLIANCE PROGRAM WILL MEET OR EXCEED THE COMPONENTS OF AN EFFECTIVE COMPLIANCE PROGRAM AS IDENTIFIED BY THE OIG IN ITS COMPLIANCE PROGRAM GUIDANCES. THESE COMPONENTS INCLUDE: A) CONDUCTING INTERNAL MONITORING AND AUDITING; B) IMPLEMENTING WRITTEN STANDARDS AND POLICIES AND PROCEDURES; C) DESIGNATING A COMPLIANCE OFFICER AND COMMITTEE; D) CONDUCTING APPROPRIATE TRAINING AND EDUCATION; E) RESPONDING APPROPRIATELY TO DETECTED OFFENSES AND DEVELOPING CORRECTIVE ACTION; F) DEVELOPING OPEN LINES OF COMMUNICATION; G) ENFORCING DISCIPLINARY STANDARDS THROUGH WELL-PUBLICIZED GUIDELINES. 3. THE BOARD RECOGNIZES THAT THE DEVELOPMENT AND IMPLEMENTATION OF A COMPREHENSIVE AND EFFECTIVE CORPORATE COMPLIANCE PROGRAM WILL BE BOTH TIME CONSUMING AND COSTLY. ACCORDINGLY, OPEN DOOR MANAGEMENT IS DIRECTED TO PROCEED WITH THE DEVELOPMENT AND IMPLEMENTATION OF A PROGRAM BY FOCUSING ON COMPLIANCE FUNCTIONS HAVING PRIORITY AND ON PRACTICE AREAS IDENTIFIED AS POTENTIAL "RISK AREAS" BY THE OPEN DOOR OR, MORE GENERALLY, BY THE OIG AND OTHER FEDERAL OR STATE GOVERNMENT ENFORCEMENT AGENCIES. CONSISTENT WITH THE OIG'S COMPLIANCE PROGRAM GUIDANCE'S, MANAGEMENT WILL PROCEED WITH THE DEVELOPMENT AND IMPLEMENTATION OF THE CORPORATE COMPLIANCE PROGRAM AND SHALL PROVIDE PERIODIC PROGRESS REPORTS TO THE BOARD. 4. BASED ON THE FOREGOING, THE BOARD DIRECTS OPEN DOOR MANAGEMENT TO SEND A LETTER TO ALL OPEN DOOR EMPLOYEES, CONSULTANTS, VENDORS AND VOLUNTEERS ADVISING THEM OF THE INTENDED COMPLIANCE PROGRAM. | |
| FORM 990, PART VI, SECTION B, LINE 15 | THE EXECUTIVE COMMITTEE OF THE BOARD CONDUCTS PARITY STUDIES TO EVALUATE EXECUTIVE COMPENSATION. THE BOARD APPROVES THE CHIEF EXECUTIVE OFFICER'S GOALS ANNUALLY AND ANNUAL PERFORMANCE. | |
| FORM 990, PART VI, SECTION C, LINE 19 | OPEN DOOR DOES MAKE ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC BY POSTING ON THE ORGANIZATION'S WEBSITE; PROVIDING COPIES UPON REQUEST; AND INSPECTION AT AN OFFICE OF THE ORGANIZATION. THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC UPON REQUEST, AT THE ORGANIZATION'S LOCATION. | |
| FORM 990, PART VII | THE ORGANIZATION, IN A FULL TRANSPARENCY POSTURE TO REPORTING, IS REPORTING ALL BENEFITS IN FULL IN PART VII, COLUMN F AND NOT APPLYING THE $10,000 PER ITEM EXCEPTION FOR CERTAIN BENEFITS. | |
| FORM 990, PART XI, LINE 9: | PENSION-RELATED CHANGES OTHER THAN NET PERIODIC PENSION COST -641,841. | CHANGES IN NET ASSETS OR FUND BALANCES: |
| FORM 990, PART XII, LINE 2C | THE PROCESS FOR OVERSEEING THE AUDIT OF THE FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT THAT AUDITED THE FINANCIAL STATEMENTS HAS BEEN CONSISTENT WITH PRIOR YEARS. | |
| FORM 990, PART VII | LINDSAY FARRELL WORKED 4 HOURS/WEEK FOR OPEN DOOR FOUNDATION, INC. MARIA MAZZOTTA WORKED 2 HOURS/WEEK FOR OPEN DOOR FOUNDATION, INC. | # OF HOURS WORKED FOR RELATED ENTITIES |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| OPEN DOOR FOUNDATION INC | ||||||||||
| 165 MAIN STREET | OSSINING | NY | 10562 | 133598184 | FUNDRAISING/DEVELOPMENT | NY | 501(C)(3) | LINE 7 | OPEN DOOR INC | 0 |
| OPEN DOOR INC | ||||||||||
| 165 MAIN STREET | OSSINING | NY | 10562 | 133585009 | SUPPORTING ORGANIZATION | NY | 501(C)(3) | LINE 11B, II | 0 | |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OPEN DOOR LEASING CORP | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 165 MAIN STREET | AddressLine1 |
| City | OSSINING | City |
| State | NY | State |
| ZIP Code | 10562 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 201726717 | EIN |
| Primary Activity | LEASING SPACE | PrimaryActivity |
| Legal Domicile State | NY | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OPEN DOOR FAMILY MEDICAL CENTER INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Entity | C | TypeOfEntity |
| Share Of Total Income | 290799 | ShareOfTotalIncome |
| Share Of EOY Assets | 13100 | ShareOfEOYAssets |
| Percentage Ownership | 1.00000 | PercentageOwnership |
| Controlled Org | 0 | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 1 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable
Name Of Other Organization NameOfOtherOrganization
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OPEN DOOR LEASING CORP | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | K | TransactionType |
| Amount Involved | 287726 | AmountInvolved |
| Method Of Amt Determination | COST | MethodOfAmtDetermination |