PHYSICIANS HOME: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
PHYSICIANS HOME (EIN 13-1782482)
Tax period
2010-10-01 to 2011-09-30
Filed
2012-03-01
IRS object ID
201220619349300227
Schema version
2010v3.2
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)
Timestamp2012-03-01T06:07:07-08:00Timestamp
Tax Period End Date2011-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Wilfred Wyler & Co CPAs PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line114 Penn Plaza Suite 1012AddressLine1
CityNew YorkCity
StateNYState
ZIP Code101221012ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-10-01TaxPeriodBeginDate

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 Code10022ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJOSEPH CLEARY MDName
TitlePresidentTitle
Date Signed2012-02-09DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameMICHAEL J HITCHINGSName
Phone2126870050Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

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

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1445 PARK AVENUE 9TH FLOORAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10022ZIPCode
FieldValueIRS element (for citing)
Gross Receipts707736GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web SiteWWW.PHYSICIANSHOME.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1919YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionFINANCIAL AID TO NEEDY PHYSICIANS OR THEIR DEPENDENTS.ActivityOrMissionDescription
Nbr Voting Members Governing Body20NbrVotingMembersGoverningBody
Nbr Independent Voting Members19NbrIndependentVotingMembers
Total Nbr Employees3TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year54922ContributionsGrantsPriorYear
Contributions Grants Current Year156312ContributionsGrantsCurrentYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year180983InvestmentIncomePriorYear
Investment Income Current Year284972InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year235905TotalRevenuePriorYear
Total Revenue Current Year441284TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year253897GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY273723GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year59316SalariesEtcPriorYear
Salaries Etc Current Year55892SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year43780TotalFundrsngExpCurrentYear
Other Expense Prior Year112966OtherExpensePriorYear
Other Expenses Current Year134748OtherExpensesCurrentYear
Total Expenses Prior Year426179TotalExpensesPriorYear
Total Expenses Current Year464363TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-190274RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-23079RevenuesLessExpensesCY
Total Assets BOY6003163TotalAssetsBOY
Total Assets EOY6198178TotalAssetsEOY
Total Liabilities BOY3000TotalLiabilitiesBOY
Total Liabilities EOY4337TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY6000163NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY6193841NetAssetsOrFundBalancesEOY
Mission DescriptionFINANCIAL AID TO NEEDY PHYSICIANS OR THEIR DEPENDENTS.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense302900Expense
Grants273723Grants
Revenue441284Revenue
DescriptionTO PROVIDE FINANCIAL AID IN MERITORIOUS CASES TO NEEDY PHYSICIANS (INCLUDING THEIR DEPENDENTS) WHO HAVE PRACTICED IN NEW YORK STATE. 44 INDIVIDUALS SERVED IN THE YEAR ENDED SEPTEMBER 30, 2011.Description
Total Program Service Expense302900TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualstrueGrantsToIndividuals
Schedule J RequiredfalseScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10962NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingfalseComplianceWithBackupWitholding
Number Of Employees3NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Form8886 T FiledfalseForm8886TFiled
Non Deductible ContributionsfalseNonDeductibleContributions
Non Deductible DisclosurefalseNonDeductibleDisclosure
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Quid Pro Quo DisclosurefalseQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Form720 FiledfalseForm720Filed
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members20NbrVotingGoverningBodyMembers
Number Independent Voting Members19NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Policies Reference ChaptersfalsePoliciesReferenceChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonTHE ORGANIZATIONNamePerson
Telephone Number2128364318TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1445 PARK AVENUE 9TH FLOORAddressLine1
CityNEW YORKCity
StateNYState
ZIP Code10022ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (20 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerKey EmployeeKeyEmployee
WILLIAM HEALY MD
Trustee/dir0.00000
STEPHEN CONNOLLY MD
TRUSTEE/DIR0.00000
SHERWOOD JACOBSON MD
Trustee/Dir0.00000
NINA NORDLICHT
Director0.00000
MARY DODD LMSW
Director1.0040000
MARTHA REDO ESQ
Treasurer/Dir1.00000
LEONARD ROBERTS MD
Director0.00000
JOSEPH CLEARY MD
President & DIR8.003057700XXX
JOHN A MCCLUNG MD
Director0.00000
JOEL ARCHER MD
DIR/2ND VP1.00000
JANET SULLIVAN
Director0.00000
FRANK IAQUINTA MD
Director0.00000
FRANCIS IACOBELLIS MD
Director0.00000
FAZLOLLAH MOQTADERI MD
Director1.00000
EMILY SONNENBLICK MD
Director0.00000
EDRIS BLOOMFIELD
Director0.00000
DONALD FAGER ESQ
SECY/DIR0.00000
DAVID S KARAN MD
Trustee/Dir0.00000
ANDREW E SAMA MD
Director1.00000
ALLEN MEAD MD
T/dir/1ST VP0.00000
FieldValueIRS element (for citing)
Total Reportable Comp From Org30977TotalReportableCompFromOrg
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KfalseTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
All Other Contributions156312AllOtherContributions
Total Contributions156312TotalContributions
Total Program Service Revenue0TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column173744TotalRevenueColumn
Exclusion$173,744ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities377680Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities266452Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities111228Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column111228TotalRevenueColumn
Exclusion$111,228ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column441284TotalRevenueColumn
Exclusion$284,972ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total273723Total
Program Services273723ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total30577Total
Program Services15289ProgramServices
Management And General7644ManagementAndGeneral
Fundraising7644Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total20999Total
Program Services10499ProgramServices
Management And General5250ManagementAndGeneral
Fundraising5250Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total0Total

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total4316Total
Program Services2158ProgramServices
Management And General1079ManagementAndGeneral
Fundraising1079Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total13200Total
Management And General13200ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total27304Total
Management And General27304ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total0Total

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total11345Total
Management And General10211ManagementAndGeneral
Fundraising1134Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total40748Total
Management And General40748ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total0Total

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total5306Total
Program Services531ProgramServices
Management And General4510ManagementAndGeneral
Fundraising265Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total892Total
Management And General892ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total3440Total
Management And General3440ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
SOCIAL WORK700700
Printing and Publications21376109320283
Postage and Shipping1016520408125
FILING FEES260260
BANK CHARGES1212

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total0Total

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total464363Total
Program Services302900ProgramServices
Management And General117683ManagementAndGeneral
Fundraising43780Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY300BOY
EOY300EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY336651BOY
EOY388067EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY783464BOY
EOY1276294EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
EOY0EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis13650LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec11227LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY3028BOY
EOY2423EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY4860061BOY
EOY4511499EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY19659BOY
EOY19595EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY6003163BOY
EOY6198178EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY3000BOY
EOY4337EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY3000BOY
EOY4337EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY5371395BOY
EOY5565073EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY628768BOY
EOY628768EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6000163BOY
EOY6193841EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6003163BOY
EOY6198178EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-23079ReconcilationRevenueExpenses
Reconcilation Other Changes216757ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredfalseFederalGrantAuditRequired
Federal Grant Audit PerformedfalseFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years64025CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years72043CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years66059CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year54922CurrentTaxYearMinus1Year
Current Tax Year156312CurrentTaxYear
Total413361Total

Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170

FieldValueIRS element (for citing)
Total0Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

FieldValueIRS element (for citing)
Total0Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years64025CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years72043CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years66059CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year54922CurrentTaxYearMinus1Year
Current Tax Year156312CurrentTaxYear
Total413361Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total0AmountsSubstContributorsTotal
Public Support Total170413361PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years164621CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years167569CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years182451CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year180988CurrentTaxYearMinus1Year
Current Tax Year284972CurrentTaxYear
Total980601Total

Net UBI NetUBI

FieldValueIRS element (for citing)
Total0Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Total Support1393962TotalSupport
Public Support Pertcentage1700.29650PublicSupportPertcentage170
Public Support Pertcent Prior Year0.26810PublicSupportPertcentPriorYear
Ten Percent Test Current YearXTenPercentTestCurrentYear
General ExplanationPHYSICIANS' HOME, INC. HAS BEEN A SOURCE OF SUPPORT FOR NEEDY NEW YORK STATE PHYSICIANS SINCE ITS FOUNDING IN 1919. OVER THE YEARS INDIVIDUAL DONATIONS AS WELL AS ESTATE BEQUESTS FROM PHYSICIANS AND OTHERS INTERESTED IN OUR MISSION HAVE BEEN MAINTANED IN AN INVESTMENT PORTFOLIO. INTEREST AND DIVIDENDS FROM THE PORTFOLIO HELP US TO PROVIDE MONTHLY FINANCIAL ASSISTANCE TO OUR BENEFICIARIES. HOWEVEER, OUR ORGANIZATION DEPENDS SUBSTANTIALLY EVERY YEAR ON AN APPEAL MAILING FOR CONTRIBUTIONS WHICH ARE PROVIDED BY NEW YORK STATE PHYSICIANS AND OTHER INDIVIDUALS AND ORGANIZATIONS INTERESTED IN OUR MISSION. PHYSICIANS' HOME, INC. DEPENDS UPON THIS PUBLIC SUPPORT YEAR AFTER YEAR TO HELP US MEET OUR GOAL OF ASSISTING NEW YORK STATE PHYSICIANS AND.OR THEIR IMMEDIATE FAMILY MEMBERS, WHO ARE IN FINANCIAL NEED.GeneralExplanation

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule D IRS990ScheduleD

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis9181OtherCostOrOtherBasis
Depreciation8726Depreciation
Book Value455BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis4469OtherCostOrOtherBasis
Depreciation2501Depreciation
Book Value1968BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings2423TotalOfBookValueLandBuildings
Total Revenue441284TotalRevenue
Total Expenses464363TotalExpenses
Excess Or Deficit For Year-23079ExcessOrDeficitForYear
Net Unrealized GL On Investments-322808NetUnrealizedGLOnInvestments
Other$539,565OtherAmount
Total Adjustments216757TotalAdjustments
Excess Or Deficit Per FS193678ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt980849TotRevenueEtcAuditedFinclStmt
Other Revenues539565OtherRevenues
Revenue Not Rptd F990539565RevenueNotRptdF990
Revenue Subtotal441284RevenueSubtotal
Total Revenue Per Form990441284TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt464363TotExpensesEtcAuditedFinclStmt
Expenses Subtotal464363ExpensesSubtotal
Total Expenses Per Form990464363TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part XII, Line 2dPart XII, Line 2d: Other revenue amounts included in F/S but not included on form 990CHANGE IN VALUE OF SPLIT-INTEREST AGREEM $539565
Part XI, Line 8Part XI, Line 8: Other Changes in Net Assets or Fund BalancesCHANGE IN VALUE OF SPLIT INTEREST AGREEMENTS $539565

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained
No Grant More Than5000XNoGrantMoreThan5000
Total Nbr Of501 C3 And Govt Grants0TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantFINANCIAL ASSISTANCETypeOfGrant
Number Of Recipients44NumberOfRecipients
Amount Of Cash Grant273723AmountOfCashGrant
Method Of ValuationN/AMethodOfValuation
Description Of Non Cash AssistanceN/ADescriptionOfNonCashAssistance

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierAdditional Supplemental InformationIdentifier
ExplanationPHYSICIANS' HOME MAINTAINS DETAILED RECORDS ON ALL RECIPIENTS OF FINANCIAL ASSISTANCE. THESE RECORDS INCLUDE TAX RETURNS, APPLICATIONS FOR ASSISTANCE, PHYSICIAN STATEMENTS REGARDING MEDICAL DIFFICULTIES, ETC. FOLLOW UP IS PERFORMED ON A REGULAR BASIS USING UPDATE FORMS REVIEWED BY THE EXECUTIVE COMMITTEE.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Line 19Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableA BROCHURE AND OTHER MATERIALS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.FORM 990 - PART VII - BOARD MEMBER ACTIVITYMOST OF THE BOARD OF DIRECTORS LISTED AS '0' HOURS PER WEEK IN COLUMN B PARTICIPATE BY ATTENDING ONE OR MORE MONTHLY EXECUTIVE COMMITTEE MEETINGS AND/OR THE ANNUAL MEETING OF THE MEMBERS.FORM 990 - PART XII - LINE 2 - OVERSIGHT PROCESS:THE PRESIDENT AND TREASURER ASSUME RESPONSIBILITY FOR OVERSIGHT. DETAILED FINANCIAL REPORTS ARE REVIEWED ON AN ONGOING BASIS THROUGHOUT THE YEAR BY THE EXECUTIVE COMMITTEE DURING THEIR MONTHLY MEETINGS.
Form 990, Part VI, Line 12cForm 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsPOTENTIAL CONFLICTS WOULD BE RAISED AND RESOLVED AT MONTHLY EXECUTIVE COMMITTEE MEETINGS.
Form 990, Part VI, Line 11Form 990, Part VI, Line 11: Form 990 Review ProcessFORM 990 IS REVIEWED BY PRESIDENT & TREASURER OF ORGANIZATION PRIOR TO FILING. A COPY OF FORM 990 IS AVAILBLE TO THE OTHER MEMBERS OF THE BOARD.

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