AMIDA CARE INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: AMIDA CARE INC (EIN 13-4154068)
Tax period: 2012-01-01 to 2012-12-31
Filed: 2013-11-07
IRS object ID: 201333119349301908
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule G
Schedule J
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-11-07T14:33:13-06:00	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	134154068	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	AMIDA CARE INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	AMID	NameControl
Phone	6467861800	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	248 WEST 35TH STREET NO 7TH FL	AddressLine1
City	NEW YORK	City
State	NY	State
ZIP Code	10001	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	DOUGLAS WIRTH	Name
Title	CEO	Title
Phone	6467861800	Phone
Date Signed	2013-11-07	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	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	DOUGLAS WIRTH	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	248 WEST 35TH STREET NO 7TH FL	AddressLine1
City	NEW YORK	City
State	NY	State
ZIP Code	10001	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	218980978	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.AMIDACARENY.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	2000	YearFormation
State Legal Domicile	NY	StateLegalDomicile
Activity Or Mission Description	AMIDA CARE INC. IS A HEALTH MAINTENANCE ORGANIZATION FORMED TO OBTAIN A COMPREHENSIVE HIV SPECIAL NEEDS CERTIFICATE OF AUTHORITY IN ORDER TO PROVIDE OR ARRANGE FOR ALL MEDICAL ASSISTANCE SERVICES TO PERSONS ENROLLED IN THE PLAN AND FOR ASSISTING ENROLLEES IN THE PRUDENT SELECTION OF SERVICES.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	9	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	9	NbrIndependentVotingMembers
Total Nbr Employees	145	TotalNbrEmployees
Total Nbr Volunteers	9	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	804111	ContributionsGrantsPriorYear
Contributions Grants Current Year	758965	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	88329851	ProgramServiceRevenuePriorYear
Program Service Revenue CY	218214600	ProgramServiceRevenueCY
Investment Income Prior Year	81306	InvestmentIncomePriorYear
Investment Income Current Year	7413	InvestmentIncomeCurrentYear
Other Revenue Prior Year	-3352	OtherRevenuePriorYear
Other Revenue Current Year	-5183	OtherRevenueCurrentYear
Total Revenue Prior Year	89211916	TotalRevenuePriorYear
Total Revenue Current Year	218975795	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	16490	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	4944866	SalariesEtcPriorYear
Salaries Etc Current Year	7179939	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	74293232	OtherExpensePriorYear
Other Expenses Current Year	208028983	OtherExpensesCurrentYear
Total Expenses Prior Year	79254588	TotalExpensesPriorYear
Total Expenses Current Year	215208922	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	9957328	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	3766873	RevenuesLessExpensesCY
Total Assets BOY	34127344	TotalAssetsBOY
Total Assets EOY	36115749	TotalAssetsEOY
Total Liabilities BOY	21158634	TotalLiabilitiesBOY
Total Liabilities EOY	19380166	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	12968710	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	16735583	NetAssetsOrFundBalancesEOY
Mission Description	AMIDA CARE INC. IS A MEDICAID HIV SPECIAL NEEDS MANAGED CARE PLAN THAT PROVIDES ASSISTANCE AND/OR ARRANGES FOR MEDICAL CARE AND NON-MEDICAL SUPPORT FOR PERSONS ENROLLED IN THE PLAN. STAFF ALSO ASSISTS ENROLLEES IN THE PRUDENT SELECTION OF SERVICES.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	198140229	Expense
Revenue	218214600	Revenue
Description	AMIDA CARE IS A MEDICAID MANAGED CARE PLAN THAT PROVIDES ASSISTANCE AND/OR ARRANGES FOR MEDICAL CARE AND NON-MEDICAL SUPPORT FOR PERSONS ENROLLED IN THE PLAN. STAFF ALSO ASSISTS ENROLLEES IN THE PRUDENT SELECTION OF SERVICES. THE PLAN COVERED 63,958 MEMBER MONTHS IN 2012.	Description
Total Program Service Expense	198140229	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	1	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	0	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	1	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	0	RelatedEntity
Related Org Controlled Entity	0	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	675	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	145	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	9	NbrVotingGoverningBodyMembers
Number Independent Voting Members	9	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	0	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	0	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	DOUGLAS WIRTH CEO	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	6467861800	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	248 WEST 35TH STREET 7TH FLOOR	AddressLine1
City	NEW YORK	City
State	NY	State
ZIP Code	10001	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (15 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Highest Compensated EmployeeHighestCompensatedEmployee
PAUL VITALE
CHAIRPERSON	0.50	X	X	0	0	0
EMMA DEVITO
VICE CHAIR	0.50	X	X	0	0	0
STEVEN BUSSEY
SECRETARY	0.50	X	X	0	0	0
TOMAS DEL RIO
TREASURER	0.50	X	X	0	0	0
HOLLY ARGENT-TARIQ
BOARD MEMBER	0.50	X		0	0	0
CHARLES KING
BOARD MEMBER	0.50	X		0	0	0
PAM MATTEL
BOARD MEMBER	0.50	X		0	0	0
ALLEN COX
BOARD MEMBER	0.50	X		0	0	0
LORENA BISE
BOARD MEMBER	0.50	X		0	0	0
DOUGLAS WIRTH
CEO	40.00		X	412727	0	49673
JEROME ERNST MD
CMO	40.00		X	192766	0	31256
FELICE KUSSOY
CFO	40.00		X	190318	0	21092
JAMES CRAMER
COO	40.00		X	160535	0	17627
STEPHANE HOWZE
INTERIM COMPLIANCE OFFICER	40.00		X	93892	0	11516
VIRPI RANTA
DIRECTOR OF CQI	40.00			142345	0	21177	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	1192583	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	152341	TotalOtherCompensation
Number Individuals GT100 K	5	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
ROYAL HEALTH CARE
521 5TH AVENUE	NEW YORK	NY	10175	MANAGEMENT SERVICES	2199356
DEBRA FRIEDMAN
10900 FOREST RIDGE TERRACE	NORTH POTOMAC	MD	20878	STRATEGIC PLANNING CONSULTANT	199810
ROPES & GRAY LLP
ONE INTERNATIONAL PLACE	BOSTON	MA	02110	LEGAL SERVICES	191752
MILLIMAN
3000 BAYPORT DR SUITE 1050	TEMPE	FL	33607	FINANCIAL CONSULTANT	143824
ENRICHMENT RESOURCE GROUP
410 LAUREL LAKE DRIVE	VENICE	FL	34292	CONSULTING SERVICES	100150

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	5	NumberOfContractorsGT100K
Fundraising Events	52600	FundraisingEvents
All Other Contributions	706365	AllOtherContributions
Total Contributions	758965	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	MEDICAID PAYMENTS	Description
Business Code	900099	BusinessCode
Total Revenue Column	218214600	TotalRevenueColumn
Related Or Exempt Function Income	218214600	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	218214600	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	7413	TotalRevenueColumn
Exclusion	$7,413	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	0	GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events	52600	CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses	5183	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	-5183	TotalRevenueColumn
Exclusion	-$5,183	ExclusionAmount

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	218975795	TotalRevenueColumn
Related Or Exempt Function Income	218214600	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$2,230	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	1158480	Total
Management And General	1158480	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	4849754	Total
Management And General	4849754	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	87872	Total
Management And General	87872	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	611533	Total
Management And General	611533	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	472300	Total
Management And General	472300	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	1445968	Total
Management And General	1445968	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	247491	Total
Management And General	247491	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	65500	Total
Management And General	65500	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	2799126	Total
Management And General	2799126	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	897032	Total
Management And General	897032	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	126674	Total
Management And General	126674	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	1003865	Total
Management And General	1003865	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	142575	Total
Management And General	142575	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	50235	Total
Management And General	50235	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	205525	Total
Management And General	205525	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	53555	Total
Management And General	53555	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
PHARMACY COSTS	141579928	141069248	510680
MEDICAL SERVICES	54074845	54074845
HEALTH ASSESSMENTS & SU	2996136	2996136
UTILIZATION MANAGEMENT	1059330		1059330

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	1281198	Total
Management And General	1281198	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	215208922	Total
Program Services	198140229	ProgramServices
Management And General	17068693	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	1044	BOY
EOY	1183	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	31497364	BOY
EOY	28288994	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
EOY	135929	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	1723113	BOY
EOY	6553583	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	313339	BOY
EOY	274897	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	1089804	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	491514	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	339568	BOY
EOY	598290	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	252916	BOY
EOY	262873	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	34127344	BOY
EOY	36115749	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	18924982	BOY
EOY	17146514	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	2233652	BOY
EOY	2233652	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	21158634	BOY
EOY	19380166	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	12968710	BOY
EOY	16735583	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	12968710	BOY
EOY	16735583	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	34127344	BOY
EOY	36115749	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	3766873	ReconcilationRevenueExpenses
Reconcilation Other Changes	0	ReconcilationOtherChanges
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 Separate	X	FinancialStatementSeparate

Field	Value	IRS element (for citing)
Audit Committee	1	AuditCommittee
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	X	PubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	253625	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	49111	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	358185	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	804111	CurrentTaxYearMinus1Year
Current Tax Year	758965	CurrentTaxYear
Total	2223997	Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	10519473	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	24162232	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	29875365	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	88329851	CurrentTaxYearMinus1Year
Current Tax Year	218214600	CurrentTaxYear
Total	371101521	Total

Total509 Total509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	10773098	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	24211343	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	30233550	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	89133962	CurrentTaxYearMinus1Year
Current Tax Year	218973565	CurrentTaxYear
Total	373325518	Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Amts From Subst Contributors AmtsFromSubstContributors

Field	Value	IRS element (for citing)
Total	0	Total

Support From DQ Ps Etc SupportFromDQPsEtc

Field	Value	IRS element (for citing)
Total	0	Total

Field	Value	IRS element (for citing)
Public Support Total509	373325518	PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	13740	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	77579	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	92379	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	81306	CurrentTaxYearMinus1Year
Current Tax Year	7413	CurrentTaxYear
Total	272417	Total

Investment Income And UBTI InvestmentIncomeAndUBTI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	13740	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	77579	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	92379	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	81306	CurrentTaxYearMinus1Year
Current Tax Year	7413	CurrentTaxYear
Total	272417	Total

Total Support Total TotalSupportTotal

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	10786838	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	24288922	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	30325929	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	89215268	CurrentTaxYearMinus1Year
Current Tax Year	218980978	CurrentTaxYear
Total	373597935	Total

Field	Value	IRS element (for citing)
Public Support Percentage509	0.99930	PublicSupportPercentage509
Prior Year Support Percentage	0.99820	PriorYearSupportPercentage
Investment Income Percentage	0.00070	InvestmentIncomePercentage
Prior Yr Invest Income Percentage	0.00180	PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509	X	ThirtyThreePercntTestsCY509

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

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	182682	OtherCostOrOtherBasis
Depreciation	46396	Depreciation
Book Value	136286	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	633891	OtherCostOrOtherBasis
Depreciation	384490	Depreciation
Book Value	249401	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	273231	OtherCostOrOtherBasis
Depreciation	60628	Depreciation
Book Value	212603	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	598290	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
Description	SUBVENTION PAYABLE TO 501(C) ORG	Description
Amount	$2,233,652	Amount

Field	Value	IRS element (for citing)
Total Of Amounts	2233652	TotalOfAmounts
Footnote In Part XIII	X	FootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt	218980978	TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F990	0	RevenueNotRptdF990
Revenue Subtotal	218980978	RevenueSubtotal
Other Revenues Not Included	-5183	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	-5183	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	218975795	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	215214105	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	5183	OtherExpensesIncluded
Expenses Not Rptd F990	5183	ExpensesNotRptdF990
Expenses Subtotal	215208922	ExpensesSubtotal
Expenses Not Rptd On Fin Stmt	0	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	215208922	TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:	PART X, LINE 2:	THE PLAN WAS INCORPORATED AS A NOT-FOR-PROFIT CORPORATION UNDER THE LAWS OF THE STATE OF NEW YORK AND IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THEREFORE, THERE IS NO PROVISION FOR INCOME TAXES INCLUDED IN THE ACCOMPANYING FINANCIAL STATEMENTS. IN ADDITION, MANAGEMENT HAS ASSESSED WHETHER THERE WERE ANY UNCERTAIN TAX POSITIONS WHICH MAY GIVE RISE TO INCOME TAX LIABILITIES AND DETERMINED THAT THERE WERE NO SUCH MATTERS REQUIRING RECOGNITION IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE PLAN FILES INCOME TAX RETURNS IN THE U.S. FEDERAL JURISDICTION. THE PLAN IS NO LONGER SUBJECT TO U.S. FEDERAL INCOME TAX EXAMINATIONS BY TAXING AUTHORITIES FOR YEARS BEFORE DECEMBER 31, 2009.
PART XI, LINE 4B - OTHER ADJUSTMENTS:		FUNDRAISING EVENTS EXPENSE NETTED AGAINST FUNDRAISING EVENTS REVENUE -5,183.
PART XII, LINE 2D - OTHER ADJUSTMENTS:		FUNDRAISING EVENTS EXPENSE NETTED AGAINST FUNDRAISING EVENTS REVENUE 5,183.

Schedule G IRS990ScheduleG

Events Information EventsInformation

Field	Value	IRS element (for citing)
Name Of Event1	LIVE YOUR LIFE FUNDRAISER	NameOfEvent1
Gross Receipts Event1	52600	GrossReceiptsEvent1
Charitable Contributions Event1	52600	CharitableContributionsEvent1
Other Direct Expenses Event1	5183	OtherDirectExpensesEvent1
Gross Receipts Total	52600	GrossReceiptsTotal
Charitable Contributions Total	52600	CharitableContributionsTotal
Other Direct Expenses Total Events	5183	OtherDirectExpensesTotalEvents
Direct Expense Summary Events	5183	DirectExpenseSummaryEvents
Net Income Summary	-5183	NetIncomeSummary

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
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	0	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 (5 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
DOUGLAS WIRTH
CEO	347367	0	65000	0	360	0	28866	0	20807	0	462400	0	0	0
JEROME ERNST MD
CMO	190363	0	0	0	2403	0	9942	0	21314	0	224022	0	0	0
FELICE KUSSOY
CFO	185067	0	5000	0	251	0	9457	0	11635	0	211410	0	0	0
JAMES CRAMER
COO	159703	0	0	0	832	0	5567	0	12060	0	178162	0	0	0
VIRPI RANTA
DIRECTOR OF CQI	141678	0	0	0	667	0	7240	0	13937	0	163522	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII

Field	Value	IRS element (for citing)
Return Reference	PART I, LINE 7	ReturnReference
Explanation	PART I, LINE 7: THE FOLLOWING INDIVIDUALS, LISTED ON PART VII, RECEIVED A NON-FIXED PAYMENT IN THE FORM OF A BONUS DURING 2012: DOUGLAS WIRTH - $65,000 FELLICE KUSSOY - $5,000	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

Return ReferenceReturnReference	ExplanationExplanation
FORM 990, PART VI, SECTION B, LINE 11	THE FORM 990 FOR 2012 IS REVIEWED IN DETAIL BY THE ORGANIZATION'S CFO. ANY QUESTIONS ARISING FROM THAT REVIEW WILL BE DISCUSSED WITH THE PREPARER OF THE RETURN. SUBSEQUENT TO THE DETAILED CFO REVIEW, THE FORM 990 IS REVIEWED BY THE ORGANIZATION'S CEO. ANY QUESTIONS ARISING FROM THAT REVIEW WILL BE DISCUSSED WITH THE CFO AND THE PREPARER OF THE RETURN, AS NEEDED. FOLLOWING CFO AND CEO REVIEW, THE FORM 990 IS REVIEWED BY THE BOARD OF DIRECTORS AT A REGULARLY SCHEDULED BOARD MEETING. THE CEO AND CFO WILL RESPOND TO ANY QUESTIONS RAISED BY THE BOARD MEMBERS. ONCE ALL QUESTIONS HAVE BEEN ANSWERED, THE BOARD, CEO AND CFO WILL APPROVE THE FINALIZATION AND FILING OF THE FORM 990.
FORM 990, PART VI, SECTION B, LINE 12C	DIRECTORS, OFFICERS AND KEY EMPLOYEES ARE REQUIRED ANNUALLY TO COMPLETE AND SIGN A DETAILED CONFLICT OF INTEREST DISCLOSURE STATEMENT. EMPLOYEES ARE REQUIRED TO PROMPTLY DISCLOSE ANY ACTUAL OR POTENTIAL CONFLICTS OF INTEREST TO HIS OR HER SUPERVISOR (OR IN THE CASE OF THE CEO TO THE CHAIR OF THE BOARD OF DIRECTORS). MEMBERS OF THE BOARD OF DIRECTORS ARE REQUIRED TO PROMPTLY DISCLOSE ANY REAL OR POTENTIAL CONFLICTS OF INTEREST TO THE CHAIR OF THE BOARD OF DIRECTORS (OR IN THE CASE THE CONFLICT IS REPORTABLE BY THE CHAIR THEN TO THE VICE CHAIR). THE CONFLICT OF INTEREST STATEMENTS ARE REVIEWED BY THE CORPORATE COMPLIANCE OFFICER WHO RECORDS ANY POTENTIAL CONFLICTS AND MONITORS BUSINESS RELATIONSHIPS BETWEEN AMIDA CARE AND THE INDIVIDUAL REPORTING A POTENTIAL CONFLICT OR ANY ORGANIZATION THAT INDIVIDUAL MAY BE AFFILIATED WITH THAT DOES BUSINESS WITH AMIDA CARE.
FORM 990, PART VI, SECTION B, LINE 15A	THE ORGANIZATION'S BOARD OF DIRECTORS COMMISSIONED A CEO COMPENSATION STUDY TO ESTABLISH COMPENSATION PACKAGES FOR THE CEO. THE BOARD OF DIRECTORS CHAIR COMPLETES AN ANNUAL PERFORMANCE EVALUATION ON THE CEO AND RECOMMENDS ANY COMPENSATION ADJUSTMENTS TO THE BOARD FOR APPROVAL. THE ORGANIZATION'S CEO UTILIZES THE ASSOCIATION FOR COMMUNITY AFFILIATED PLAN ("ACAP") COMPENSATION STUDY TO ESTABLISH THE COMPENSATION OF THE MEDICAL DIRECTOR, CFO, COO AND INTERIM COMPLIANCE OFFICER. ACAP IS AN ASSOCIATION OF NONPROFIT MEDICAID AND MEDICARE HEALTH PLAN ORGANIZATIONS. THE ORGANIZATION'S CEO COMPLETES AN ANNUAL PERFORMANCE EVALUATION OF THE MEDICAL DIRECTOR, CFO, COO AND INTERIM COMPLIANCE OFFICER.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC, BASED UPON WRITTEN REQUEST.
FORM 990 PART VI SECTION A - GOVERNING BODY AND MANAGEMENT, LINE 1A	NUMBER OF VOTING MEMBERS = 9. 7 MEMBERS ARE THE DIRECTORS OF THE 7 NOT-FOR-PROFIT ORGANIZATIONS WHICH FOUNDED AMIDA CARE INC. AND 2 ARE ENROLLED MEMBERS OF THE ORGANIZATION. ALL MEMBERS PARTICIPATE IN BOARD MEETINGS AND VOTE ON ALL MATTERS, EXCEPT THOSE WHICH ASSESS A FINANCIAL CONTRIBUTION REQUIREMENT, IN WHICH CASE, ONLY BOARD MEMBERS WHO REPRESENT ORGANIZATIONS WHICH WOULD BE REQUIRED TO MAKE THE FINANCIAL CONTRIBUTION MAY VOTE.