2023-11-15T08:42:38-06:00 2022-12-31 390859910 BAKER TILLY US LLP 1500 RXR PLAZA WEST TOWER UNIONDALE NY 11556 990 2022-01-01 111881881 SOUTH SHORE CHILD GUIDANCE ASSOCIATION INC SOUT 5168683030 114 CHURCH ST FREEPORT NY 11520 LAWRENCE BOORD CFO 5168683030 2023-11-14 1 LAWRENCE BOORD XXX-XX-XXXX 1 ELLEN M LABITA CPA P00140777 6317527400 X 3 AAL1 IAL1 2022 2023-04-26 12:10:37Z X SUSAN MALISE 114 CHURCH ST FREEPORT NY 11520 7183206 0 X WWW.EPICLI.ORG/SOUTH-SHORE-GUIDANCE X 1959 NY TO ENHANCE THE LIVES OF CHILDREN, FAMILIES, & ADULTS WE SERVE BY PROVIDING COMPREHENSIVE BEHAVIORAL HEALTH SERVICES. 9 9 115 10 0 0 5778377 3614407 2837621 3544060 121 2372 32000 22367 8648119 7183206 0 0 0 0 3540865 4819385 0 0 29371 1168195 1540643 4709060 6360028 3939059 823178 7875904 11149423 3542458 5771952 4333446 5377471 X TO PROVIDE OUTPATIENT BEHAVIORAL HEALTH SERVICES TO CHILDREN AND FAMILIES RESIDING IN NASSAU COUNTY. THE INTENT OF THEIR MISSION IS TO IMPROVE THE CLIENTS' FUNCTIONING WITHIN THE CONTEXT OF FAMILY AND COMMUNITY. 0 0 2713676 2646797 OUT-PATIENT MENTAL HEALTH CLINIC - PROVIDES TREATMENT TO CHILDREN, ADOLESCENTS AND THEIR FAMILIES. SOUTH SHORE CHILD GUIDANCE CENTER PROVIDES INDIVIDUAL, GROUP, FAMILY, MULTI-FAMILY TREATMENT, MEDICATION THERAPY, SHORT-TERM AND LONGER TERM TREATMENT APPROACHES ARE UTILIZED AS NEEDED. BILINGUAL THERAPISTS ARE AVAILABLE. ; IN 2021, SSCG RECEIVED A CERTIFIED COMMUNITY BEHAVIORAL HEALTH CLINIC (CCBHC) GRANT TO ENHANCE AND EXTEND MENTAL HEALTH SERVICES. 1563157 229668 CHILDREN'S MOBILE CRISIS TREATMENT TEAM (CMCT) - PROVIDES IMMEDIATE RESPONSE TO CRISIS INTERVENTION SERVICES. THE GOAL OF MOBILE CRISIS IS TO FACILITATE SERVICES FOR CHILDREN IN AN EMOTIONAL EMERGENCY AND CRISIS SITUATION. CRISIS INTERVENTION SERVICES ARE PROVIDED FOR CHILDREN/ADOLESCENTS, AGES 5-17. THE TEAM RESPONDS ON SITE AT HOME, SCHOOL OR COMMUNITY RESIDENCES. SERVICES ARE AVAILABLE TO RESIDENTS OF NASSAU COUNTY. 729793 506264 CHILDRENS ADDICTION RESOURCE AND EDUCATION CENTER (CARE) - DIRECTS IT'S EFFORTS TO THE RECOGNITION OF ADDICTION AS A DISEASE THROUGH EARLY INTERVENTION, EDUCATION, PREVENTION AND TREATMENT. THE CARE CENTER PROVIDES CHEMICAL DEPENDENCY TREATMENT TO PERSONS IDENTIFIED AS SUBSTANCE ABUSERS, ADULTS OR ADOLESCENTS AND SIGNIFICANT OTHERS, WITH SPECIAL EMPHASIS ON THE TREATMENT OF CHILDREN OF SUBSTANCE ABUSERS. BILINGUAL THERAPISTS ARE AVAILABLE. 438284 0 HOME BASED CRISIS INTERVENTION CENTER (HBCI) - PROVIDES INTENSIVE IN-HOME SERVICES. THE PROGRAMS OBJECTIVE IS TO REDUCE THE RISK AND INCIDENCE OF HOSPITALIZATION OR OUT OF HOME PLACEMENT OF CHILDREN WITH SERIOUS EMOTIONAL DISTURBANCES BY DIRECT FAMILY INTERVENTION AND IN HOME SERVICES ON A SHORT-TERM BASIS. BILINGUAL THERAPISTS ARE AVAILABLE. 229006 161331 SCHOOL SUPPORT - PROVIDES ON SITE TREATMENT TO MIDDLE SCHOOL STUDENTS AND THEIR FAMILIES IN ORDER TO PROMOTE EMOTIONAL, ACADEMIC AND SOCIAL DEVELOPMENT FOR STUDENTS WHO REQUIRE OUTPATIENT INTERVENTION. BILINGUAL THERAPISTS ARE AVAILABLE. 667290 161331 5673916 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 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 0 0 0 1 9 0 115 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 NY X LAWRENCE BOORD 5167397733 1500 HEMPSTEAD TURNPIKE EAST MEADOW NY 11554 SUSAN MALISE PRESIDENT 1.00 1.00 X X 0 0 0 LEONARD KAUFMAN SECRETARY 1.00 1.00 X X 0 0 0 DONALD ABRAMS DIRECTOR 1.00 1.00 X 0 0 0 GISELLE CAMPBELL-HAM DIRECTOR 1.00 0.00 X 0 0 0 CHRISTOPHER CLARKE ESQ DIRECTOR 1.00 0.00 X 0 0 0 RAYMOND DONNELLY DIRECTOR 1.00 0.00 X 0 0 0 STEVE GREENFIELD DIRECTOR 1.00 0.00 X 0 0 0 LOIS STEIN DIRECTOR 1.00 0.00 X 0 0 0 BARRY WEISS DIRECTOR 1.00 1.00 X 0 0 0 THOMAS M HOPKINS PRESIDENT/CEO 1.00 36.50 X 0 329461 37873 LAWRENCE BOORD CFO 1.00 36.50 X 0 215834 35293 LESLIE ANTIONE MEDICAL DIRECTOR 35.00 0.00 X 153919 0 34755 CHIVONE PAULSON NURSE PRACTITIONER 35.00 0.00 X 121487 0 0 CHRISTINE BOGLE-AUSTEIN SR. DIRECTOR MOBILE CRISIS TEAM 35.00 0.00 X 107348 0 0 382754 545295 107921 3 0 1 0 JGM CONSTRUCTION 164 MAIN STREET HUNTINGTON NY 11743 CONSTRUCTION 2000741 1 3581 3233402 377424 3614407 MEDICAID INCOME 621400 2968019 2968019 THIRD PARTY INSURANCE 621400 488291 488291 OTHER REVENUE 621400 73490 73490 PATIENT FEES 621400 14260 14260 3544060 2372 2372 MISCELLANEOUS REVENUE 900099 22367 22367 22367 7183206 3544060 0 24739 3731524 3729113 2411 317540 317540 511772 511772 258549 258365 184 566247 60961 505286 15779 15779 50203 50203 165943 139624 2561 23758 43509 41275 2234 290466 249402 41064 125960 125960 17704 17498 206 2274 1854 420 3235 3235 42277 42277 27341 21728 5613 BAD DEBT EXPENSE 100000 100000 MISCELLANEOUS EXPENSE 39917 8798 31119 EQUIPMENT LEASING 32357 31205 1152 PROGRAM SUPPLIES 12300 12300 5131 4244 887 6360028 5673916 656741 29371 1419770 119685 39855 177027 2145995 3462919 18993 165167 7241434 247146 4233291 6994288 18000 230337 7875904 11149423 353184 1090076 0 216621 1932074 1851301 1257200 2613954 3542458 5771952 X 4293446 5197031 40000 180440 4333446 5377471 7875904 11149423 X 823178 220847 X X 0 1 X 1 1 1 X 1865027 1962784 1793726 5778377 3614407 15014321 1865027 1962784 1793726 5778377 3614407 15014321 15014321 67 122 140 121 2372 2822 37118 32000 22367 91485 15108628 12476239 0.99380 0.99130 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MISC/OTHER - 2018 AMOUNT: $ 37,118. 2021 AMOUNT: $ 32,000. 2022 AMOUNT: $ 22,367. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 41165 33683 7482 105713 105713 0 7094556 107750 6986806 6994288 DUE TO RELATED PARTY 2608705 DUE TO NYS MEDICAID 5249 2613954 X 7404053 220847 220847 7183206 0 7183206 6360028 0 6360028 0 6360028 PART X, LINE 2: MANAGEMENT EVALUATED SOUTH SHORE'S TAX POSITIONS AND CONCLUDED THAT SOUTH SHORE HAS NOT TAKEN ANY UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS TO COMPLY WITH THE PROVISIONS OF THE FINANCIAL ACCOUNTING STANDARDS BOARD ("FASB") ACCOUNTING STANDARDS CODIFICATION ("ASC") NO. 740. PART XI, LINE 2D - OTHER ADJUSTMENTS: UNREALIZED GAIN ON SWAP AGREEMENT 220,847. 0 0 0 0 0 0 0 0 0 THOMAS M HOPKINS PRESIDENT/CEO 0 329461 0 0 0 0 0 15000 0 22873 0 367334 0 0 LAWRENCE BOORD CFO 0 215834 0 0 0 0 0 0 0 35293 0 251127 0 0 LESLIE ANTIONE MEDICAL DIRECTOR 153919 0 0 0 0 0 34755 0 0 0 188674 0 0 0 PART I, LINE 3 THE EPIC FAMILY HUMAN SERVICES AGENCIES BOARD HAS FORMED A COMPENSATION COMMITTEE FOR DETERMINING THE SALARIES OF KEY EMPLOYEES. THE COMMITTEE USES COMPARABLE SALARY DATA AND SCOPE OF DUTIES. THIS PROCESS WAS LAST PERFORMED IN 2016. FORM 990, PART VI, SECTION A, LINE 3 EPIC FAMILY OF HUMAN SERVICES AGENCIES PERFORMED MANAGEMENT AND ADMINISTRATIVE SERVICES RELATED TO THE DAILY OPERATIONS OF THE AGENCY. FORM 990, PART VI, SECTION A, LINE 6 THE CORPORATION SHALL HAVE TWO (2) CLASSES OF MEMBERS, A PARENT MEMBER AND INDEPENDENT MEMBERS. EPIC FAMILY OF HUMAN SERVICE AGENCIES, INC., ACTING THROUGH ITS BOARD OF DIRECTORS SHALL BE THE PARENT MEMBER. THE INDEPENDENT MEMBERS SHALL CONSIST OF INDIVIDUALS WHO ARE NOT DIRECTORS, OFFICERS OR EMPLOYEES OF THE CORPORATION, EPIC FAMILY OF HUMAN SERVICE AGENCIES, INC., OR ANY OTHER ORGANIZATION AFFILIATED WITH THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A EPIC FAMILY OF HUMAN SERVICE AGENCIES, INC., ACTING THROUGH ITS BOARD OF DIRECTORS SHALL BE THE PARENT MEMBER AND SHALL HAVE ALL THE VOTING RIGHTS OF MEMBERS PROVIDED UNDER APPLICABLE NEW YORK STATE LAW AND THE SPECIFIC RESERVED AUTHORITY PROVIDED IN THE CORPORATION'S CERTIFICATE OF INCORPORATION. INDEPENDENT MEMBER VOTING RIGHTS SHALL BE LIMITED TO THE ELECTION OF ANY SUCCESSOR INDEPENDENT MEMBERS. FORM 990, PART VI, SECTION A, LINE 7B THE PARENT MEMBER SHALL HAVE ALL THE AUTHORITY OF MEMBERS PROVIDED UNDER THE NOT-FOR-PROFIT CORPORATION LAW. FORM 990, PART VI, SECTION B, LINE 11B MANAGEMENT REVIEWS THE 990 WITH THE BOARD OF DIRECTORS. ANY REQUESTED CHANGES ARE MADE AND THE FORM 990 IS THEN DISTRIBUTED TO EACH MEMBER OF THE BOARD OF DIRECTORS PRIOR TO FILING WITH THE IRS. THERE IS AN OPPORTUNITY FOR BOARD MEMBERS TO DISCUSS THE CONTENT OF FORM 990 AT A BOARD MEETING IN PERSON OR BY OTHER COMMUNICATION MEANS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS A WRITTEN CONFLICT OF INTEREST POLICY APPLICABLE TO IT'S DIRECTORS, OFFICERS AND KEY EMPLOYEES. THE PERSONS COVERED ARE REQUIRED TO DISCLOSE AT LEAST ANNUALLY(OR MORE FREQUENTLY, DEPENDING ON THE CIRCUMSTANCES), BUSINESS OR FINANCIAL INTERESTS THAT COULD RESULT IN A CONFLICT OF INTEREST. THE INDIVIDUAL WITH THE CONFLICT OF INTEREST WILL TAKE NO PART IN THE CONSIDERATION OR DETERMINATION OF THE MATTER ON THE PART OF SOUTH SHORE CHILD GUIDANCE. ANY MEMBER OF THE BOARD OF DIRECTORS HAVING ANY CONFLICT OF INTEREST SHALL NOT VOTE OR BE COUNTED IN DETERMINING THE QUORUM FOR ANY VOTE ON ANY TRANSACTION BETWEEN SOUTH SHORE CHILD GUIDANCE AND THE OTHER ENTITY. FORM 990, PART VI, SECTION C, LINE 19 UPON WRITTEN REQUEST THE ORGANIZATION WILL MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS AND FORM 990 AVAILABLE FOR INSPECTION AT ITS OFFICES. FORM 990, PART XI, LINE 9: UNREALIZED GAIN ON SWAP AGREEMENT 220,847. FORM 990, PART XII, LINE 2: EXPLANATION: EFFECTIVE IN 2008 THE ORGANIZATION FORMED AN AUDIT COMMITTEE THAT IS RESPONSIBLE UNDER ITS GOVERNING DOCUMENTS OR THROUGH DELEGATION BY ITS GOVERNING BODY FOR (1) OVERSEEING THE COMPILATION, REVIEW, OR AUDIT OF THE FINANCIAL STATEMENTS, (2) THE SELECTION OF AN INDEPENDENT ACCOUNTANT THAT COMPILED, REVIEWED, OR AUDITED THE STATEMENTS AND (3) ONGOING REVIEW OF PROGRAM BUDGETS VS ACTUAL RESULTS. EPIC FAMILY HUMAN SERVICES AGENCIES 1500 HEMPSTEAD TURNPIKE EAST MEADOW NY 11554 472880294 PROVIDES MANAGEMENT SERVICES TO ITS AFFILIATES NY 501(C)(3) LINE 12A, I N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0