HEALTHECONNECTIONS INC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- HEALTHECONNECTIONS INC (EIN 20-2702655)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-08-31
- IRS object ID
- 201222449349300007
- Schema version
- 2011v1.2
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-08-31T10:14:38-05:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 161076996 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TESTONE MARSHALL & DISCENZA LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | THE FOUNDRY 432 NORTH FRANKLIN STRE | AddressLine1 |
| City | SYRACUSE | City |
| State | NY | State |
| ZIP Code | 13204 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 202702655 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HEALTH ADVANCEMENT COLLABORATIVE OF | BusinessNameLine1 |
| Business Name Line2 | CENTRAL NEW YORK INC | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | HEAL | NameControl |
| Phone | 3156712241 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 109 SOUTH WARREN ST STATE TOWER BD | AddressLine1 |
| Address Line2 | NO 2000 | AddressLine2 |
| City | SYRACUSE | City |
| State | NY | State |
| ZIP Code | 13202 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | ROB HACK | Name |
| Title | EXECUTIVE DIRECTOR | Title |
| Phone | 3156712241 | Phone |
| Date Signed | 2012-08-27 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | KAREN A HOVEY | Name |
| PTIN | P00020919 | PTIN |
| Phone | 3154764004 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | ROB HACK | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 109 S WARREN STREET | AddressLine1 |
| City | SYRACUSE | City |
| State | NY | State |
| ZIP Code | 13202 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 4253431 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.HEALTHECONNECTIONS.ORG WWW.HAC-CNY.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2005 | YearFormation |
| State Legal Domicile | NY | StateLegalDomicile |
| Activity Or Mission Description | THE COLLABORATIVE'S MISSION IS TO ADVANCE HIGH QUALITY HEALTH CARE, ACCESS AND SAFETY IN CENTRAL NEW YORK WHILE DECREASING OR MANTAINING COSTS. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 30 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 30 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1704273 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1396730 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 130500 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 2856086 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 658 | InvestmentIncomePriorYear |
| Investment Income Current Year | 515 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 100 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 1835431 | TotalRevenuePriorYear |
| Total Revenue Current Year | 4253431 | 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 | 141852 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 605617 | 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 | 1663409 | OtherExpensePriorYear |
| Other Expenses Current Year | 3171168 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 1805261 | TotalExpensesPriorYear |
| Total Expenses Current Year | 3776785 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 30170 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 476646 | RevenuesLessExpensesCY |
| Total Assets BOY | 1296462 | TotalAssetsBOY |
| Total Assets EOY | 1460432 | TotalAssetsEOY |
| Total Liabilities BOY | 836615 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 523939 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 459847 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 936493 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | THE COLLABORATIVE'S MISSION IS TO ADVANCE HIGH QUALITY HEALTH CARE, ACCESS AND SAFETY IN CENTRAL NEW YORK WHILE DECREASING OR MAINTAINING COSTS. | MissionDescription |
| Significant New Program Services | 1 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 117683 | Expense |
| Revenue | 1032921 | Revenue |
| Description | IMPLEMENTING A REGIONAL HEALTH INFORMATION ORGANIZATION SUSTAINABIITY PLAN VIA INPATIENT HOSPITAL CLAIM ASSESSMENT. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 2797071 | Expense |
| Revenue | 995235 | Revenue |
| Description | IMPLEMENTING A REGIONAL HEALTH INFORMATION EXCHANGE TO SUPPORT THE CONNECTIONS OF CLINICAL PROVIDERS IN CENTRAL AND NORTHERN NEW YORK. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 566379 | Expense |
| Revenue | 813625 | Revenue |
| Description | SUPPORTING PHYSICIANS IN THE IMPLEMENTATION AND MEANINGFUL USE OF ELECTRONIC HEALTH RECORDS. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 127254 | Expense |
| Revenue | 14305 | Revenue |
| Description | SUPPORTING THE LEGAL AND OPERATIONAL AFFILIATION OF OUR REGIONAL HEALTH INFORMATION ORGANIZATION BUSINESS WITH THE CENTRAL NEW YORK HEALTH SYSTEMS AGENCY HEALTH PLANNING BUSINESS. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 127254 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Rev | 14305 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 3608387 | 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 | 1 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | 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 | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 0 | 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 | 1 | 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 |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 10 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 0 | NumberOfEmployees |
| 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 | 30 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 30 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 1 | 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 | 0 | WhistleblowerPolicy |
| Document Retention Policy | 0 | 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 | ROB HACK | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 3156712241 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 109 SOUTH WARREN ST SUITE 2000 | AddressLine1 |
| City | SYRACUSE | City |
| State | NY | State |
| ZIP Code | 13202 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (33 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| ORRIN MACMURRAY | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| BILL CONOLE | |||||||
| VICE CHAIR 1 | 1.00 | X | 0 | 0 | 0 | X | |
| DAVID DUGGAN | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| JOSEPH AUGUSTINE | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| BRUCE WOOD | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| DAVID DUERR | |||||||
| TREASURER | 1.00 | X | 0 | 0 | 0 | X | |
| ANN GILPIN | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| BRIDGET HART | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| ERIC HUNT | |||||||
| CHAIRMAN | 1.00 | X | 0 | 0 | 0 | X | |
| PAUL KRONENBERG | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| CYNTHIA MORROW | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| JOHN MCCABE | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| ANNE MESSENGER | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| PAUL BECALLO | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| DAVID OLIKER | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| DAVID PAGE | |||||||
| SECRETARY | 1.00 | X | 0 | 0 | 0 | X | |
| KATHRYN RUSCITTO | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| NORMAN POLTENSEN | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| JAMES REED | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| RICHARD SEMERAN | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| ERIC SPINA | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| JAMES TIFFT | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| ARTHUR VERCILLO | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| ROBERT WEISENTHAL | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| MADELYN HORNSTEIN | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| MICHELLE JONES GALVIN | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| RICHARD KAZEL | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| RUBERT COWART | |||||||
| VICE CHAIR 2 | 1.00 | X | 0 | 0 | 0 | X | |
| TIMOTHY BOBO | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| TOM CARMAN | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| ROBERT J HACK | |||||||
| EXECUTIVE DIREC | 55.00 | 140000 | 0 | 0 | X | ||
| KAREN ROMANO | |||||||
| DIRECTOR | 40.00 | 115000 | 0 | 0 | X | ||
| PETER LOTTO | |||||||
| DIRECTOR | 40.00 | 103000 | 0 | 0 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 358000 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 0 | TotalOtherCompensation |
| Number Individuals GT100 K | 3 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 0 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (3 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| OPTUMINSIGHT | |||||
| 2771 MOMENTUM PLACE | CHICAGO | IL | 606895327 | HEALTH INFORMATION EXCHANGE CONSULTING | 2595823 |
| OLEEN PINNACLE HEALTHCARE CONSULTING | |||||
| 10800 FINANCIAL CENTER | LITTLE ROCK | AR | 72211 | HEALTHCARE CONSULTING | 554778 |
| PINCKNEY HUGO GROUP | |||||
| 760 W GENESEE ST | SYRACUSE | NY | 13204 | MARKETING | 123587 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 3 | NumberOfContractorsGT100K |
| Membership Dues | 130000 | MembershipDues |
| Government Grants | 1181799 | GovernmentGrants |
| All Other Contributions | 84931 | AllOtherContributions |
| Total Contributions | 1396730 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| RHIO ASSESSMENT | 541900 | 1032921 | 1032921 |
| HEALTH INFORMATION EXC | 541900 | 995235 | 995235 |
| ELECTRONIC HEALTH RECO | 541900 | 813625 | 813625 |
| HEALTH PLANNING | 541900 | 14305 | 14305 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 2856086 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 515 | TotalRevenueColumn |
| Exclusion | $515 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MISCELLANEOUS | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 100 | TotalRevenueColumn |
| Related Or Exempt Function Income | 100 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 100 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4253431 | TotalRevenueColumn |
| Related Or Exempt Function Income | 2856186 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $515 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 141000 | Total |
| Program Services | 132700 | ProgramServices |
| Management And General | 8300 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 386856 | Total |
| Program Services | 363881 | ProgramServices |
| Management And General | 22975 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15298 | Total |
| Program Services | 14435 | ProgramServices |
| Management And General | 863 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19109 | Total |
| Program Services | 18031 | ProgramServices |
| Management And General | 1078 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 43354 | Total |
| Program Services | 40909 | ProgramServices |
| Management And General | 2445 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4542 | Total |
| Program Services | 4287 | ProgramServices |
| Management And General | 255 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 59716 | Total |
| Program Services | 59716 | ProgramServices |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20524 | Total |
| Program Services | 7374 | ProgramServices |
| Management And General | 13150 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2748181 | Total |
| Program Services | 2690362 | ProgramServices |
| Management And General | 57819 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 123812 | Total |
| Program Services | 114007 | ProgramServices |
| Management And General | 9805 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6792 | Total |
| Program Services | 3763 | ProgramServices |
| Management And General | 3029 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2564 | Total |
| Program Services | 1374 | ProgramServices |
| Management And General | 1190 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19485 | Total |
| Program Services | 12960 | ProgramServices |
| Management And General | 6525 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 22440 | Total |
| Program Services | 14286 | ProgramServices |
| Management And General | 8154 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 265 | Total |
| Program Services | 265 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 113621 | Total |
| Program Services | 111339 | ProgramServices |
| Management And General | 2282 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8566 | Total |
| Program Services | 3416 | ProgramServices |
| Management And General | 5150 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| SUPPLIES | 13870 | 6499 | 7371 |
| BAD DEBTS | 12500 | 12500 | |
| TELEPHONE | 12021 | 6847 | 5174 |
| RECRUITMENT | 1908 | 1908 | 0 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 361 | Total |
| Program Services | 28 | ProgramServices |
| Management And General | 333 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3776785 | Total |
| Program Services | 3608387 | ProgramServices |
| Management And General | 168398 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 479012 | BOY |
| EOY | 392916 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 204899 | BOY |
| EOY | 205414 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 603731 | BOY |
| EOY | 270705 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1901 | BOY |
| EOY | 58809 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 14410 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 2837 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6918 | BOY |
| EOY | 11573 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1 | BOY |
| EOY | 521015 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1296462 | BOY |
| EOY | 1460432 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 590041 | BOY |
| EOY | 421289 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 246574 | BOY |
| EOY | 102650 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 836615 | BOY |
| EOY | 523939 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 225180 | BOY |
| EOY | 906699 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 234667 | BOY |
| EOY | 29794 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 459847 | BOY |
| EOY | 936493 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1296462 | BOY |
| EOY | 1460432 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 476646 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| 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 Minus2 Years | 149039 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 48300 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1396730 | CurrentTaxYear |
| Total | 1594069 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | 149039 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 48300 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1396730 | CurrentTaxYear |
| Total | 1594069 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | 1594069 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | 1659 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 658 | CurrentTaxYearMinus1Year |
| Current Tax Year | 515 | CurrentTaxYear |
| Total | 2832 | Total |
Other Income170 OtherIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | 130400 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 235500 | CurrentTaxYearMinus1Year |
| Total | 365900 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 1962801 | TotalSupport |
| Gross Receipts From Admissions Etc | 2856186 | GrossReceiptsFromAdmissionsEtc |
| First5 Years170 | X | First5Years170 |
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
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 14410 | InvestmentCostOrOtherBasis |
| Depreciation | 2837 | Depreciation |
| Book Value | 11573 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 11573 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | SOFTWARE LICENSES, NET | Description |
| Book Value | 521015 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 521015 | TotalBookValueOtherAssets |
| Total Revenue | 4253431 | TotalRevenue |
| Total Expenses | 3776785 | TotalExpenses |
| Excess Or Deficit For Year | 476646 | ExcessOrDeficitForYear |
| Excess Or Deficit Per FS | 476646 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 4253431 | TotRevenueEtcAuditedFinclStmt |
| Revenue Not Rptd F990 | 0 | RevenueNotRptdF990 |
| Revenue Subtotal | 4253431 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 4253431 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 3776785 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 3776785 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 3776785 | TotalExpensesPerForm990 |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | NANCY H SMITH CONSULTING | NamePerson |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | FORMER EXECUTIVE DIRECTOR | Relationship |
| Amount Of Transaction | 49005 | AmountOfTransaction |
| Description Of Transaction | CONSULTING WORK | DescriptionOfTransaction |
| Sharing Of Revenues | 0 | SharingOfRevenues |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| NEW PROGRAM SERVICES | FORM 990, PART III, LINE 2 | IMPLEMENTED RHIO SUSTAINABILITY PLAN VIA INPATIENT HOSPITAL CLAIM ASSESSMENT.IMPLEMENTED HEATHECONNECTIONS HEALTH INFORMATION EXCHANGE. |
| FORM 990, PART VI, SECTION A, LINE 4 | SECTION 1 - MEMBER AUTHORIZED. CENTRAL NEW YORK HEALTH SYSTEMS AGENCY, INC SHALL BE THE SOLE MEMBER OF THE CORPORATION (HEREINAFTER "CNYHSA" OR THE "MEMBER"). - GENERAL MANAGEMENT. THE GENERAL MANAGEMENT OF THE AFFAIRS OF THIS CORPORATION SHALL BE VESTED IN ITS BOARD OF DIRECTORS, SUBJECT TO THE RIGHTS OF THE MEMBER AS PROVIDED BY LAW. THE BOARD OF DIRECTORS SHALL HAVE CONTROL OF THE PROPERTY OF THE CORPORATION AND SHALL DETERMINE ITS POLICIES WITH THE ADVICE OF ITS VARIOUS COMMITTEES. IT SHALL HAVE POWER TO EMPLOY NECESSARY STAFF AND OTHER HELP, AUTHORIZE EXPENDITURES AND TAKE ALL NECESSARY AND PROPER STEPS TO CARRY OUT THE PURPOSES OF THIS CORPORATION AND TO PROMOTE ITS BEST INTEREST. SECTION 2 - NUMBER. THE BOARD OF DIRECTORS SHALL CONSIST OF NOT LESS THAN 5 NOR MORE THEN 40 DIRECTORS, THE NUMBER OF DIRECTORS TO BE DETERMINED FROM TIME TO TIME BY RESOLUTION OF THE MEMBER. THE CHIEF ADMINISTRATIVE OFFICER OF THE CORPORATION SHALL BE EX-OFFICIO NON-VOTING MEMBER OF THE BOARD OF DIRECTORS. AS USED IN THIS ARTICLE, THE TERM "THE ENTIRE BOARD OF DIRECTORS" SHALL MEAN THE TOTAL NUMBER OF DIRECTORS ENTITLED TO VOTE THAT THE CORPORATION WOULD HAVE IF THERE WERE NO VACANCIES. SECTION 3 - QUALIFICATIONS. EACH MEMBER OF THE BOARD OF DIRECTORS MUST BE AT LEAST EIGHTEEN YEARS OF AGE. SECTION 10 - QUORUM. A QUORUM SHALL BE REQUIRED FOR THE LEGAL AND PROPER CONDUCT OF THE BUSINESS OF THE BOARD OF DIRECTORS. A MAJORITY OF THE TOTAL NUMBER OF MEMBERS OF THE BOARD OF DIRECTORS THEN IN EXISTENCE SHALL CONSTITUTE A QUORUM FOR THE TRANSACTION OF ANY BUSINESS. WHEN A QUORUM IS ONCE PRESENT TO ORGANIZE A MEETING, IT IS NOT BROKEN BY THE SUBSEQUENT WITHDRAWAL OF ANY DIRECTORS, SO LONG AS AT LEAST ONE-THIRD OF THE TOTAL NUMBER OF MEMBERS OF THE BOARD OF DIRECTORS THEN IN EXISTENCE REMAIN PRESENT. ARTICLE IX SECTION 1 - COMPENSATION. NO ELECTED DIRECTOR, OFFICER OR MEMBER OF A COMMITTEE SHALL RECEIVE COMPENSATION FOR HIS/HER SERVICES IN SUCH CAPACITY. THE BOARD OF DIRECTORS SHALL BE EMPOWERED TO PROVIDE REASONABLE COMPENSATION, TOGETHER WITH REIMBURSEMENT FOR REASONABLY INCURRED EXPENSES, FOR OFFICES OR POSTIONS THAT INVOLVE REGULAR EMPLOYMENT BY THE CORPORATION, INCLUDING BUT NOT LIMITED TO, THE POSITION OF CHIEF ADMINISTRATIVE OFFICER. ARTICLE XII SECTION 1 - BY-LAW AMENDMENT. THESE BY-LAWS, OR ANY OF THEM, MAY BE ALTERED, AMENDED OR REPEALED AND NEW BY-LAWS MAY BE ADOPTED AT ANY ANNUAL MEETING OF THE MEMBER OR AT ANY SPECIAL MEETING CALLED FOR THAT PURPOSE, PROVIDED THAT SUCH ACTION IS APPROVED BY TWO-THIRDS OF THE ENTIRE BOARD OF THE MEMBER. THE BOARD OF DIRECTORS SHALL HAVE THE POWER, BY A TWO-THIRDS VOTE OF THE ENTIRE BOARD, TO ALTER OR AMEND OR REPEAL THESE BY-LAWS OR ANY OF THEM (INCLUDING ANY BY-LAW ADOPTED BY THE MEMBER) OR TO ADOPT NEW BY-LAWS. SECTION 2.1 - AMENDMENT. EXCEPT AS OTHERWISE PROVIDED IN THE AFFILIATION AGREEMENT THE CORPORATION'S CERTIFICATE OF INCORPORATION MAY BE CHANGED OR AMENDED, IN WHOLE OR IN PART, BY A VOTE OF THE MEMBER, PROVIDED ALL STATUTORY APPROVALS ARE SUBSEQUENTLY SECURED AND ANY CERTIFICATE OF AMENDMENT OR RESTATED CERTIFICATE OF INCORPORATION IS ACCEPTED FOR FILING BY THE NEW YORK STATE DEPARTMENT OF STATE; AND PROVIDED FURTHER THAT SUCH AMENDMENT OR CHANGE DOES NOT CONTRAVENE ANY OF THE TERMS OF THE AFFILIATION AGREEMENT. SECTION 2.2 - GOVERNING EFFECT. IF THERE IS ANY CONFLICT BETWEEN THE PROVISIONS OF THE CERTIFICATE OF INCORPORATION AND THE BY-LAWS, THE PROVISIONS OF THE CERTIFICATE OF INCORPORAITON SHALL GOVERN. SECTION 3 DISSOLUTION 3.1 PROCEDURES. THIS CORPORATION MAY BE DISSOLVED BY A VOTE OF THE MEMBER AND A MAJORITY OF THE ENTIRE BOARD, PROVIDED ALL STATUTORY APPROVALS ARE SUBSEQUENTLY SECURED AND A CERTIFICATE OF DISSOLUTION IS ACCEPTED FOR FILING BY THE NEW YORK STATE DEPARTMENT OF STATE. 3.2 RESIDUAL ASSETS. UPON DISSOLUTION OF THIS CORPORATION, ANY RESIDUAL ASSETS AND PROPERTY OF THE CORPORATION SHALL, AFTER NECESSARY EXPENSES THEREOF, BE DISTRIBUTED TO SUCH ORGANIZATION AS SHALL QUALIFY UNDER SECTION 501(C)(3)OF THE INTERNAL REVENUE CODE OR TO ANOTHER ORGANIZATION TO BE USED IN SUCH A MANNER AS IN THE JUDGMENT OF A JUSTICE OF THE SUPREME COURT OF THE STATE OF NEW YORK WILL BEST ACCOMPLISH THE GENERAL PURPOSES FOR WHICH THE CORPORATION WAS FORMED. THE COURT MAY ORDER THE CORPORATION TO DISTRIBUTE ANY RESIDUAL ASSETS AND PROPERTY TO THE MEMBER, BUT ONLY IF SUCH DISTRIBUTION HAS BEEN APPROVED BY TWO-THIRDS OF THE ENTIRE BOARD OF THE COPRORATION AS PART OF ITS PLAN OF DISSOLUTION. | |
| FORM 990, PART VI, SECTION A, LINE 6 | CENTRAL NEW YORK HEALTH SYSTEM AGENCY, INC SHALL BE THE SOLE MEMBER OF THE CORPORATION. | |
| FORM 990, PART VI, SECTION B, LINE 11 | LINE 11A EXPLANATION - THE EXECUTIVE COMMITTEE AND FINANCE COMMITTEE REVIEWS THE DRAFT BEFORE ISSUANCE. | |
| FORM 990, PART VI, SECTION B, LINE 12C | SELF ATTESTATION BY BOARD MEMBERSHIP ANNUALLY. | |
| FORM 990, PART VI, SECTION B, LINE 15 | ALL SALARIES OF EMPLOYEES ARE BASED ON EXPERIENCE OF EXECUTIVE DIRECTOR, CURRENT SALARY OF CANDIDATES AND A REVIEW/DISCUSSION WITH STAFF LEASING, OUR HR/PAYROLL PARTNER. EXECUTIVE DIRECTOR COMPENSATION WAS REVIEWED BY THE EXECUTIVE COMMITTEE BASED ON COMPARABLE EXECUTIVE SALARIES OF OTHER NYS RHIO EXECUTIVE DIRECTORS. | |
| FORM 990, PART VI, SECTION C, LINE 18 | UPON REQUEST. | |
| FORM 990, PART VI, SECTION C, LINE 19 | UPON REQUEST. |
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