2024-09-07T10:59:23-05:00 2023-12-31 221478099 COHNREZNICK LLP 14 SYLVAN WAY PARSIPPANY NJ 070543801 990 2023-01-01 132813103 OPEN DOOR FAMILY MEDICAL CENTER INC OPEN 9145021470 165 MAIN STREET OSSINING NY 10562 LINDSAY C FARRELL PRESIDENT & CEO 9145021470 2024-07-26 1 1 LORI ROTHE YOKOBOSKY CPA P01273422 9732283500 2024-07-26 2023 2024-08-08 14:25:15Z LINDSAY C FARRELL 165 MAIN STREET OSSINING NY 10562 75673757 0 X WWW.OPENDOORMEDICAL.ORG X 1975 NY OPEN DOOR FAMILY MEDICAL CENTER PROVIDES QUALITY PRIMARY HEALTH CARE AND HUMAN SERVICES AT AFFORDABLE PRICES TO THE COMMUNITY, PARTICULARLY LOW-INCOME, UNDER-SERVED RESIDENTS AND THOSE LACKING ACCESS TO HEALTH CARE. 13 13 639 200 34867 0 24635758 22736086 43775749 43484459 3690556 3451266 3595626 3450434 75697689 73122245 0 0 0 0 48271524 49357669 0 0 0 18933623 20334103 67205147 69691772 8492542 3430473 147437973 168258336 11461290 15385173 135976683 152873163 THE MISSION OF THE OPEN DOOR FAMILY MEDICAL CENTER, INC. IS TO PROVIDE QUALITY PRIMARY HEALTH CARE AND HUMAN SERVICES AT AFFORDABLE PRICES TO THE COMMUNITY, PARTICULARLY LOW-INCOME, UNDER-SERVED RESIDENTS AND THOSE LACKING ACCESS TO HEALTH CARE. 0 0 41979165 32578953 OPEN DOOR FAMILY MEDICAL CENTER IS A FEDERALLY QUALIFIED HEALTH CENTER WHICH SERVED APPROXIMATELY 71,078 MEDICAL PATIENTS THAT GENDERATED 202,615 VISITS IN 2023.ADDITIONAL FUNDING FOR THIS PROGRAM IS PROVIDED THROUGH FEDERAL GRANTS, AS SHOWN ON FORM 990, PART VIII, LINE 1E. 12081377 9971178 OPEN DOOR FAMILY MEDICAL CENTER IS A FEDERALLY QUALIFIED HEALTH CENTER WHICH SERVED APPROXIMATELY 21,066 DENTAL PATIENTS THAT GENDERATED 53,574 VISITS IN 2023.ADDITIONAL FUNDING FOR THIS PROGRAM IS PROVIDED THROUGH FEDERAL GRANTS, AS SHOWN ON FORM 990, PART VIII, LINE 1E. 5216908 4305694 OPEN DOOR FAMILY MEDICAL CENTER IS A FEDERALLY QUALIFIED HEALTH CENTER WHICH SERVED APPROXIMATELY 5,845 MENTAL HEALTH PATIENTS THAT GENDERATED 29,902 VISITS IN 2023.ADDITIONAL FUNDING FOR THIS PROGRAM IS PROVIDED THROUGH FEDERAL GRANTS, AS SHOWN ON FORM 990, PART VIII, LINE 1E. 59277450 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 57 0 1 639 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X MARIA MAZZOTTA 9145021470 165 MAIN STREET OSSINING NY 10562 ANDRES VALDESPINO VICE CHAIRMAN 1.00 X X 0 0 0 BARBARA ILARDI BOARD MEMBER 1.00 X 0 0 0 CHARLES CHEHEBAR BOARD MEMBER 1.00 X 0 0 0 DANIEL ROSS CHAIRMAN 1.00 X X 0 0 0 DAYSI BRIONES SECRETARY 1.00 X X 0 0 0 DORIAN LINDSAY BOARD MEMBER 1.00 X 0 0 0 HOWARD S SCHRADER BOARD MEMBER 1.00 X 0 0 0 LORNA NUNEZ OUTGOING BOARD MEMBER 1.00 X 0 0 0 MARGOTH PILLA TREASURER 1.00 X X 0 0 0 MARIE PENNACCHIO BOARD MEMBER 1.00 X 0 0 0 MICHELLE HORVATH OUTGOING BOARD MEMBER 1.00 X 0 0 0 RUTH SAPATANGA BOARD MEMBER 1.00 X 0 0 0 SAMANTHA VILLAZAN BOARD MEMBER 1.00 X 0 0 0 SHIRLEY BUONTEMPO BOARD MEMBER 1.00 X 0 0 0 TYLER BEEBE OUTGOING BOARD MEMBER 1.00 X 0 0 0 WILLIAM REIFER BOARD MEMBER 1.00 X 0 0 0 LINDSAY C FARRELL PRESIDENT & CEO 35.50 2.00 X 535608 28190 43087 MARIA MAZZOTTA CHIEF FINANCE OFFICER 35.50 2.00 X 299023 15728 10655 DAREN WU CHIEF MEDICAL OFFICER 37.50 X 415542 0 11550 NAIDA HENRIQUEZ CHIEF DENTAL OFFICER 37.50 X 240182 0 14512 SHARON P JOSEPH-GISS DIRECTOR OF PEDIATRICS/MEDICAL SITE DIRECTOR 37.50 X 303492 0 42985 JACOB ALBERT SAMANDER CLINICAL PSYCHIATRIST 37.50 X 306651 0 30571 SAMANTHA RAI MEDICAL SITE DIRECTOR/ASSOCIATE PROGRAM DIRECTOR 37.50 X 278502 0 32776 BRUCE M SHAFFER PODIATRIST 37.50 X 242659 0 19922 ROBERT MAX DYKSTERHOUSE ASSOCIATE MEDICAL DIRECTOR/INTERNIST 37.50 X 230405 0 36417 2852064 43918 242475 112 0 1 0 COMPUTER DESIGN & INTEGRATION LLC 500 FIFTH AVE SUITE 1500 NEWYORK NY 10110 IT SOLUTIONS PROVIDER 849073 THE MEDCOR GROUP INC 1801 W OLYMPIC BLVD PASADENA CA 911992259 MEDICAL BILLING 800001 HITCH INC 2 CHURCH STREET OSSINING NY 10562 MANAGEMENT SERVICES 682146 COMPREHENSIVE EYE SERVICES PO BOX 187 ARMONK NY 10504 EYE CLINIC 666055 ECLINICAL WORKS 2 TECHNOLOGY DRIVE WESTBORO MA 015811757 ECW SUPPORT 624825 15 1683108 17721985 3330993 22736086 MEDICAID MANAGED CARE PLAN 621400 12266308 12266308 NYS MANAGED CARE WRAPAROUND 621400 9095335 9095335 MEDICAID 621400 5957383 5957383 NEW YORK STATE SAFETY NET FUNDS 621400 4414351 4414351 OTHER THIRD-PARTY PAYORS 621400 2752608 2752608 8998474 8998474 43484459 3129305 3129305 79068 0 79068 79068 34867 44201 2873473 2551512 321961 321961 321961 MANAGEMENT SERVICES 900099 3371366 3371366 3371366 73122245 46855825 34867 3495467 1567473 1383916 183557 39846982 35196429 4650553 1013983 887537 126446 3639877 3185977 453900 3289354 2879166 410188 72502 72502 139381 139381 312440 312440 6458011 5210043 1247968 2293874 2039800 254074 453667 453667 1507652 1113142 394510 98195 55474 42721 184652 184652 93031 70806 22225 2744069 2088508 655561 369873 64269 305604 PHARMACEUTICALS 2359685 2359685 REPAIRS & MAINTENANCE 1205428 917450 287978 EQUIPMENT RENTAL 573179 436246 136933 DUES AND SUBSCRIPTION 457553 457553 1010911 746797 264114 69691772 59277450 10414322 0 11142188 10980495 127339 203950 3877577 5864900 6066407 7537731 839690 546644 65595572 35799419 28126422 29796153 95865898 111851321 1392452 1477142 147437973 168258336 8005242 8967779 88976 925247 2935500 2472000 431572 3020147 11461290 15385173 X 135063872 150610282 912811 2262881 135976683 152873163 147437973 168258336 3430473 13466007 0 X 0 1 X 1 1 1 X 12879694 23483218 17117991 24635758 22736086 100852747 12879694 23483218 17117991 24635758 22736086 100852747 100852747 1889424 1905605 2016359 3090607 3173506 12075501 2550031 2623142 3084557 3316138 3371366 14945234 127873482 210227221 0.78870 0.78760 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MISCELLANEOUS REVENUE - 2019 AMOUNT: $ 126,698. 2020 AMOUNT: $ 174,902. 2021 AMOUNT: $ 174,791. 2022 AMOUNT: $ 425,815. MANAGEMENT SERVICES - 2019 AMOUNT: $ 2,338,333. 2020 AMOUNT: $ 2,448,240. 2021 AMOUNT: $ 2,620,520. 2022 AMOUNT: $ 2,890,323. 2023 AMOUNT: $ 3,371,366. MEDICAID MEANINGFUL USE INCENTIVE - 2019 AMOUNT: $ 85,000. 2021 AMOUNT: $ 289,246. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 857996 143036 1001032 1000000 -142004 857996 1.00000 0 0 4315016 4315016 19022075 5404079 13617996 20880771 14401313 6479458 13609896 11379629 2230267 7767814 4614398 3153416 29796153 DUE TO RELATED PARTY 593746 FINANCE LEASE LIABILITY 17951 DUE TO THIRD-PARTY PAYORS 2408450 3020147 X 88988843 13466007 143700 5218562 18828269 70160574 312440 2649231 2961671 73122245 69752796 143700 229764 373464 69379332 312440 312440 69691772 PART V, LINE 4: THE ORGANIZATION HAS ADOPTED INVESTMENT AND SPENDING POLICIES FOR ENDOWMENT ASSETS THAT ATTEMPT TO PROVIDE A PREDICTABLE STEAM OF FUNDING TO PROGRAMS SUPPORTED BY ITS ENDOWMENT WHILE SEEKING TO MAINTAIN THE PURCHASING POWER OF THE ENDOWMENT ASSETS. UNDER THIS POLICY, AS APPROVED BY THE BOARD OF DIRECTORS, THE ENDOWMENT ASSETS ARE INVESTED IN A MANNER THAT IS INTENDED TO PROVIDE, IN PRIORITY ORDER: 1) SAFETY OF PRINCIPAL, 2) LIQUIDITY FOR OPERATING NEEDS, 3) DIVERSIFICATION OF RISK, AND 4) MAXIMIZATION OF YIELD. STRATEGIES EMPLOYED FOR ACHIEVING OBJECTIVES TO SATISFY ITS LONG-TERM RATE-OF-RETURN OBJECTIVES, THE ORGANIZATION RELIES ON A TOTAL RETURN STRATEGY DESIGNED TO PROVIDE A REASONABLE LEVEL OF ANNUAL DISTRIBUTIONS TO GENERAL OPERATING FUNDS AND TO PROVIDE FOR THE LONG-TERM PRESERVATION OF ITS ENDOWMENT FUNDS. THE INVESTMENT STRATEGY OF THE ORGANIZATION IS BASED ON A DISCIPLINED, CONSISTENT AND DIVERSIFIED APPROACH UTILIZING MULTIPLE ASSET CLASSES UNDER THE FOLLOWING ASSET CATEGORIES: RETURN-SEEKING ASSETS, RISK-MITIGATING ASSETS AND DIVERSIFYING ASSETS. THE INTENT IS TO ACCOMMODATE AND CONSIDER DIVERSE STRATEGIES DEEMED REASONABLE AND PRUDENT. INVESTED ASSETS ARE MANAGED IN A SOCIALLY RESPONSIBLE MANNER WITH THE GOAL OF PROTECTING PRINCIPAL WHILE GENERATING INCOME APPROPRIATE TO CONSERVATIVE INVESTMENT STRATEGY WITH STRICT FISCAL PRINCIPLES. PART X, LINE 2: MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE ORGANIZATION AND HAS CONCLUDED THAT, AS OF DECEMBER 31, 2023 AND 2022, THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS. THE ORGANIZATION HAS NO UNRECOGNIZED TAX BENEFITS AT DECEMBER 31, 2023 AND 2022. THE ORGANIZATION'S FEDERAL AND STATE INFORMATION RETURNS PRIOR TO CALENDAR YEAR 2020 ARE CLOSED, AND MANAGEMENT CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS. PART XI, LINE 2D - OTHER ADJUSTMENTS: INTERCOMPANY ELIMINATIONS -2,443,766. REVENUE OF RELATED ENTITIES 7,662,328. PART XI, LINE 4B - OTHER ADJUSTMENTS: MANAGEMENT SERVICES 2,649,231. PART XII, LINE 2D - OTHER ADJUSTMENTS: EXPENSES OF RELATED ENTITIES 5,322,761. INTERCOMPANY ELIMINATIONS -2,443,766. MANAGEMENT SERVICES -2,649,231. X X X 0 1 0 0 0 0 0 1 0 LINDSAY C FARRELL PRESIDENT & CEO 491540 25871 35961 1893 8107 426 30522 1606 10411 548 576541 30344 0 0 DAREN WU CHIEF MEDICAL OFFICER 380907 0 32800 0 1835 0 11550 0 0 0 427092 0 0 0 SHARON P JOSEPH-GISS DIRECTOR OF PEDIATRICS/MEDICAL SITE 268330 0 32277 0 2885 0 9855 0 33130 0 346477 0 0 0 JACOB ALBERT SAMANDER CLINICAL PSYCHIATRIST 294755 0 9000 0 2896 0 10887 0 19684 0 337222 0 0 0 MARIA MAZZOTTA CHIEF FINANCE OFFICER 265980 13988 30979 1631 2064 109 9360 493 762 40 309145 16261 0 0 SAMANTHA RAI MEDICAL SITE DIRECTOR/ASSOCIATE PROG 253913 0 23125 0 1464 0 10290 0 22486 0 311278 0 0 0 ROBERT MAX DYKSTERHOUSE ASSOCIATE MEDICAL DIRECTOR/INTERNIST 207797 0 21500 0 1108 0 8791 0 27626 0 266822 0 0 0 BRUCE M SHAFFER PODIATRIST 235255 0 3680 0 3724 0 8716 0 11206 0 262581 0 0 0 NAIDA HENRIQUEZ CHIEF DENTAL OFFICER 206057 0 30550 0 3575 0 5255 0 9257 0 254694 0 0 0 PART I, LINE 4B LINDSAY C. FARRELL, PRESIDENT & CEO PARTICIPATE IN A SUPPLEMENTAL 457(F) NON-QUALIFIED RETIREMENT PLAN. PART I, LINE 7 INCLUDED IN PART II COLUMN B(II) ARE AMOUNTS REPRESENTING BONUS PAYMENTS. THESE AMOUNTS WERE APPROVED BY THE BOARD AND INCLUDED IN THE INDIVIDUALS' 2023 W-2S. FORM 990, PART VI, SECTION B, LINE 11B OPEN DOOR FAMILY MEDICAL CENTER ENGAGES THE SERVICES OF AN OUTSIDE ACCOUNTING FIRM TO PREPARE THE ANNUAL FORM 990 IN CONJUNCTION WITH ITS ANNUAL AUDITED FINANCIAL STATEMENTS. THE PRESIDENT/CEO AND CFO REVIEW THE FORM 990 AND SCHEDULES FOR ACCURACY. IN 2023, THE FORM 990, FOR THE YEAR ENDED DECEMBER 31, 2023, WAS PRESENTED TO THE FINANCE COMMITTEE AND BOARD MEMBERS FOR REVIEW PRIOR TO ITS SUBMISSION. FORM 990, PART VI, SECTION B, LINE 12C ON AN ANNUAL BASIS, ALL THE BOARD MEMBERS, OFFICERS AND KEY EMPLOYEES SIGN A CONFLICT OF INTEREST DISCLOSURE STATEMENT. ALL DISCLOSURE STATEMENTS ARE UPDATED AND REVIEWED ANNUALLY FOR EXISTING OR POTENTIAL CONFLICTS BY THE PRESIDENT/CEO. IF A CONFLICT IS FOUND, THE AFFECTED INDIVIDUAL IS REQUIRED TO RECUSE HIMSELF/HERSELF FROM ANY DECISION MAKING AND VOTING RELATING TO THE CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE COMMITTEE OF THE BOARD CONDUCTS PARITY STUDIES TO EVALUATE EXECUTIVE COMPENSATION. THE ENTIRE BOARD GOES INTO EXECUTIVE SESSION TO EVALUATE THE CEO AND DETERMINE COMPENSATION. THE CEO CONDUCTS PARITY STUDIES TO EVALUATE OFFICERS AND KEY EMPLOYEES' SALARIES FOR THE EXECUTIVE COMMITTEE. THESE SALARIES, AND THE SALARIES OF THE ENTIRE ORGANIZATION, ARE PRESENTED TO THE BOARD FOR APPROVAL DURING THE BUDGET APPROVAL PROCESS TOWARD YEAR-END. THERE IS CONTEMPORANEOUS SUBSTANTIATION OF THE COMPENSATION DELIBERATION AND DECISION IN THE BOARD MINUTES. FORM 990, PART VI, SECTION C, LINE 19 OPEN DOOR DOES MAKE ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC BY POSTING ON THE ORGANIZATION'S WEBSITE; PROVIDING COPIES UPON REQUEST FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN SECTION 6104(D); AND INSPECTION AT AN OFFICE OF THE ORGANIZATION. THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC UPON REQUEST, AT THE ORGANIZATION'S LOCATION. OPEN DOOR FOUNDATION INC 165 MAIN STREET OSSINING NY 10562 133598184 FUNDRAISING/DEVELOPMENT NY 501(C)(3) LINE 7 OPEN DOOR FAMILY MEDICAL CENTER INC 1 OPEN DOOR LEASING CORP 165 MAIN STREET OSSINING NY 10562 201726717 LEASING SPACE NY OPEN DOOR FAMILY MEDICAL CENTER INC C 760658 7495422 1.00000 1 EUGENE P HESLIN MD PC DBA BRIDGE STREET FAMILY MEDICINE 12 WEST BRIDGE ST SAUGERTIES NY 12466 141794395 MEDICAL PRACTICE NY OPEN DOOR FAMILY MEDICAL CENTER INC C 2384815 790084 1.00000 1 0 0 1 1 0 0 0 0 0 1 1 0 1 1 0 1 0 0 0 OPEN DOOR LEASING CORP K 760658 FMV OPEN DOOR FOUNDATION INC C 1683108 FMV