STAYWELL HEALTH CARE INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
STAYWELL HEALTH CARE INC (EIN 22-3160873)
Tax period
2010-07-01 to 2011-06-30
Filed
2011-11-28
IRS object ID
201113329349300701
Schema version
2010v3.4
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)
Timestamp2011-11-28T08:23:52-06:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1GUILMARTIN DIPIRO & SOKOLOWSKI LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1213 COURT ST SUITE 703AddressLine1
CityMIDDLETOWNCity
StateCTState
ZIP Code064573367ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN223160873EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1STAYWELL HEALTH CARE INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSTAYNameControl
Phone2037568021Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line180 PHOENIX AVENUE SUITE 201AddressLine1
CityWATERBURYCity
StateCTState
ZIP Code06702ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDONALD THOMPSONName
TitlePRESIDENTTitle
Phone2037568021Phone
Date Signed2011-11-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameMICHAEL A SOKOLOWSKIName
Phone8603475689Phone
Date Prepared2011-11-16DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDONALD THOMPSONNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line180 PHOENIX AVENUEAddressLine1
CityWATERBURYCity
StateCTState
ZIP Code06702ZIPCode
FieldValueIRS element (for citing)
Gross Receipts12862072GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.STAYWELLHEALTH.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1992YearFormation
State Legal DomicileCTStateLegalDomicile
Activity Or Mission DescriptionPROVIDE HEALTH CARE TO WATERBURY INNER CITY RESIDENTSActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees156TotalNbrEmployees
Total Gross UBI-3479TotalGrossUBI
Net Unrelated Business Txbl Income-2098NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year3639556ContributionsGrantsPriorYear
Contributions Grants Current Year3170165ContributionsGrantsCurrentYear
Program Service Revenue Prior Year9535140ProgramServiceRevenuePriorYear
Program Service Revenue CY9505293ProgramServiceRevenueCY
Investment Income Prior Year3860InvestmentIncomePriorYear
Investment Income Current Year8749InvestmentIncomeCurrentYear
Other Revenue Prior Year4613OtherRevenuePriorYear
Other Revenue Current Year-1268OtherRevenueCurrentYear
Total Revenue Prior Year13183169TotalRevenuePriorYear
Total Revenue Current Year12682939TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year9009157SalariesEtcPriorYear
Salaries Etc Current Year9666634SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year6376TotalFundrsngExpCurrentYear
Other Expense Prior Year2374534OtherExpensePriorYear
Other Expenses Current Year2708412OtherExpensesCurrentYear
Total Expenses Prior Year11383691TotalExpensesPriorYear
Total Expenses Current Year12375046TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1799478RevenuesLessExpensesPriorYear
Revenues Less Expenses CY307893RevenuesLessExpensesCY
Total Assets BOY8415396TotalAssetsBOY
Total Assets EOY9136341TotalAssetsEOY
Total Liabilities BOY2444221TotalLiabilitiesBOY
Total Liabilities EOY2857273TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY5971175NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY6279068NetAssetsOrFundBalancesEOY
Mission DescriptionPROVIDE HEALTH CARE TO WATERBURY INNER CITY RESIDENTSMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense7592901Expense
Revenue9505293Revenue
DescriptionMEDICAL CLINIC, HEALTHY START, AND DENTAL CLINIC WHICH PROVIDE MEDICAL, PRENATAL, AND CHILDCARE FOR INNER CITY RESIDENTS AND UNINSURED RESIDENTS AND RESTORATIVE DENTAL CARE FOR INNER CITY CHILDREN.Description
Total Program Service Expense7592901TotalProgramServiceExpense
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 StmttrueConsolidatedAuditFinancialStmt
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 IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
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 ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109642NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees156NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
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 OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledCTStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonLULE TRACEYNamePerson
Telephone Number2037568021TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line180 PHOENIX AVENUEAddressLine1
CityWATERBURYCity
StateCTState
ZIP Code06702ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (19 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
DONALD THOMPSON
CEO/PRES.40.00XX191827067455
MARK BRIGGS
VICE CHAIR2.00XX000
ANGIE MEDINA
SECRETARY2.00XX000
ARLENE ARIAS LCSW
TREASURER2.00XX000
DR JENNIFER GONZALEZ-COLON
MEMBER2.00X000
WALTER MACHNICZ
MEMBER2.00X000
TYRONE WILLIAMSON
MEMBER2.00X000
REV CHRISTOPHER KING
MEMBER2.00X000
SANDEE SOREL-LEDUC
MEMBER2.00X000
CAROLYN A HIGHSMITH
MEMBER2.00X000
ALBERTO GONZALEZ
MEMBER2.00X000
SUNIL D'CUHNA
CMO40.00X222360067455
LULE TRACEY
CFO40.00X158521051205
AMIT PATEL
DENTAL DIREC35.00184142056808X
RATNAKER MANDAVA
DMD32.00131822040667X
MONIKA KAUL
FAMILY PRACT40.00128006039490X
ANN ASUNTO
FAMILY PRACT40.00124023038261X
ADNAN SADIQ
MD40.00123527038108X
VASUDEV KANADE
INTERNIST40.00122433037771X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1386661TotalReportableCompFromOrg
Total Other Compensation437220TotalOtherCompensation
Number Individuals GT100 K15NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
ALTERIS RENEWABLES INC
BOX 83347WOBURNMA01801SOLAR ENERGY195010
UCONN HEALTH CENTER
263 FARMINGTON AVEFARMINGTONCT06032PED DENTISTRY117667
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
Government Grants3169446GovernmentGrants
All Other Contributions719AllOtherContributions
Noncash Contributions447004NoncashContributions
Total Contributions3170165TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPATIENT FEESDescription
Business Code621400BusinessCode
Total Revenue Column9505293TotalRevenueColumn
Related Or Exempt Function Income9505293RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue9505293TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column8749TotalRevenueColumn
Exclusion$8,749ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real175654Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real179133Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-3479Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-3479TotalRevenueColumn
Unrelated Business Revenue-3479UnrelatedBusinessRevenue

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUSDescription
Total Revenue Column2211TotalRevenueColumn
Related Or Exempt Function Income2211RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue2211TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column12682939TotalRevenueColumn
Related Or Exempt Function Income9507504RelatedOrExemptFunctionIncome
Unrelated Business Revenue-3479UnrelatedBusinessRevenue
Exclusion$8,749ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total759255Total
Program Services513369ProgramServices
Management And General245886ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total6088735Total
Program Services3798013ProgramServices
Management And General2290722ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total640798Total
Program Services403703ProgramServices
Management And General237095ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1634230Total
Program Services1028391ProgramServices
Management And General605839ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total543616Total
Program Services342478ProgramServices
Management And General201138ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total7080Total
Management And General7080ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total32800Total
Management And General32800ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total674552Total
Program Services426839ProgramServices
Management And General247713ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total55824Total
Program Services19538ProgramServices
Management And General36286ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total99899Total
Management And General99899ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total146185Total
Program Services95020ProgramServices
Management And General51165ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total25462Total
Program Services9465ProgramServices
Management And General15997ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total50108Total
Program Services17538ProgramServices
Management And General32570ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total214966Total
Program Services37236ProgramServices
Management And General177730ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total27344Total
Program Services23242ProgramServices
Management And General4102ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
VACCINES447004447004
CLINIC & LAB SUPPLIES27974497910181834
OFFICE/CLINIC EQUIPMENT19740916530732102
TELEPHONE780325072127311
DUES, LICENSES, & MEMBERS75591366671925

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total296412Total
Program Services113461ProgramServices
Management And General176575ManagementAndGeneral
Fundraising6376Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total12375046Total
Program Services7592901ProgramServices
Management And General4775769ManagementAndGeneral
Fundraising6376Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2025931BOY
EOY1163523EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1929794BOY
EOY2502602EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY169949BOY
EOY48759EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY408085BOY
EOY790274EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY165736BOY
EOY22983EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis5724363LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1541078LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY3362447BOY
EOY4183285EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY353454BOY
EOY424915EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY8415396BOY
EOY9136341EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1202248BOY
EOY1583985EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY8317BOY
EOY8317EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY36466BOY
EOY118539EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY1197190BOY
EOY1146432EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2444221BOY
EOY2857273EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY4540293BOY
EOY4640468EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1430882BOY
EOY1638600EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5971175BOY
EOY6279068EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY8415396BOY
EOY9136341EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses307893ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement BothXFinancialStatementBoth
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2928451CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3070656CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3066787CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3639556CurrentTaxYearMinus1Year
Current Tax Year3170165CurrentTaxYear
Total15875615Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2928451CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3070656CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years3066787CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3639556CurrentTaxYearMinus1Year
Current Tax Year3170165CurrentTaxYear
Total15875615Total
FieldValueIRS element (for citing)
Public Support Total17015875615PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years66904CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years32826CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years6332CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3860CurrentTaxYearMinus1Year
Current Tax Year8749CurrentTaxYear
Total118671Total

Net UBI NetUBI

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years3045CurrentTaxYearMinus3Years
Current Tax Year Minus1 Year3613CurrentTaxYearMinus1Year
Total6658Total
FieldValueIRS element (for citing)
Total Support16000944TotalSupport
Gross Receipts From Admissions Etc9507504GrossReceiptsFromAdmissionsEtc
Public Support Pertcentage1700.99220PublicSupportPertcentage170
Public Support Pertcent Prior Year0.99110PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

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

FieldValueIRS element (for citing)
Disclosed Orgs Legal ControlfalseDisclosedOrgsLegalControl
Disclosed For Charitable PurposesfalseDisclosedForCharitablePurposes
Written Policy MonitoringfalseWrittenPolicyMonitoring
Sect170h Requirements SatisfiedfalseSect170hRequirementsSatisfied
Solicited Assets For SalefalseSolicitedAssetsForSale
Agent Trustee EtcfalseAgentTrusteeEtc
Included On FSfalseIncludedOnFS
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis384297OtherCostOrOtherBasis
Book Value384297BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis4397219OtherCostOrOtherBasis
Depreciation890415Depreciation
Book Value3506804BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis906353OtherCostOrOtherBasis
Depreciation621494Depreciation
Book Value284859BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis36494OtherCostOrOtherBasis
Depreciation29169Depreciation
Book Value7325BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings4183285TotalOfBookValueLandBuildings
Total Revenue12682939TotalRevenue
Total Expenses12375046TotalExpenses
Excess Or Deficit For Year307893ExcessOrDeficitForYear
Excess Or Deficit Per FS307893ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt13048907TotRevenueEtcAuditedFinclStmt
Other Revenues365968OtherRevenues
Revenue Not Rptd F990365968RevenueNotRptdF990
Revenue Subtotal12682939RevenueSubtotal
Total Revenue Per Form99012682939TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt12741014TotExpensesEtcAuditedFinclStmt
Other Expenses Included365968OtherExpensesIncluded
Expenses Not Rptd F990365968ExpensesNotRptdF990
Expenses Subtotal12375046ExpensesSubtotal
Total Expenses Per Form99012375046TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
RECONCILIATION OF CHANGES - OTHERSCHEDULE D, PAGE 4, PART XI, LINE 8ASSETS RELEASED FROM RESTRICTION-DEPRECIATION 186,835 UBIT EXPENSES 179,133 RELEASED FROM RESTRICTION-DEPREC -186,835 UBIT EXPENSES -179,133
REVENUE AMOUNTS INCLUDED IN FINANCIALS - OTHERSCHEDULE D, PAGE 4, PART XII, LINE 2DASSETS RELEASED FROM RESTRICTION-DEPRECIATION 186,835 UBIT EXPENSES 179,133
EXPENSE AMOUNTS INCLUDED IN FINANCIALS - OTHERSCHEDULE D, PAGE 4, PART XIII, LINE 2DRELEASED FROM RESTRICTION-DEPREC 186,835 UBIT EXPENSES 179,133

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrgComp Report Prior990 Filing OrgCompReportPrior990FilingOrg
DONALD THOMPSON
1918274783519620259282183341
SUNIL D'CUHNA
2223604783519620289815217166
LULE TRACEY
1585213158519620209726151607
AMIT PATEL
1841421997636832240950
RATNAKER MANDAVA
13182240667172489
MONIKA KAUL
12800639490167496
ANN ASUNTO
12402338261162284
ADNAN SADIQ
12352738108161635
VASUDEV KANADE
12243337771160204

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSupplies

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F990447004NoncashContribsRptdF990
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S PROCESS USED TO REVIEW FORM 990FORM 990, PAGE 6, PART VI, LINE 11BEACH MEMBER OF THE BOARD RECEIVES A COPY OF THE 990 FOR REVIEW BEFORE FILING.
ENFORCEMENT OF CONFLICTS POLICYFORM 990, PAGE 6, PART VI, LINE 12CDONALD THOMPSON, CEO, MONITORS POLICY BY REVIEWING AND ADDRESSING ANY POTENTIAL CONFLICTS AND FOLLOWING UP EACH YEAR FOR ANY CHANGES.
COMPENSATION PROCESS FOR TOP OFFICIALFORM 990, PAGE 6, PART VI, LINE 15AINFORMATION FROM NATIONAL AND STATEWIDE SURVEYS ARE USED AS CRITERIA TO DETERMINE THE SALARY OF THE CEO. THIS INFORMATION IS GIVEN TO THE PERSONNEL COMMITTEE FOR REVIEW. THE PERSONNEL COMMITTEE NEGOTIATES AND APPROVES THE SALARY OF THE CEO.
COMPENSATION PROCESS FOR OFFICERSFORM 990, PAGE 6, PART VI, LINE 15BNATIONAL AND STATEWIDE SURVEYS ARE USED TO DETERMINE THE PAYSCALE OF EMPLOYEE SALARIES. WITH INPUT FROM THE HUMAN RESOURCE DEPARTMENT, EMPLOYEE'S SALARIES ARE DECIDED.
GOVERNING DOCUMENTS DISCLOSURE EXPLANATIONFORM 990, PAGE 6, PART VI, LINE 19ALL GOVERNING DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1TRALEE INCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line180 PHOENIX AVE STE 201AddressLine1
CityWATERBURYCity
StateCTState
ZIP Code06702ZIPCode
FieldValueIRS element (for citing)
EIN061594623EIN
Primary ActivitiesPROPERTYPrimaryActivities
Legal Domicile StateCTLegalDomicileState
Exempt Code Section501C2ExemptCodeSection

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Controlled OrgfalseControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1TRALEE INCBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeJTransactionType
Amount Involved123960AmountInvolved
Method Of Amt DeterminationACTUAL COSTMethodOfAmtDetermination

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