2024-11-15T16:16:41-06:00 2023-12-31 873231666 PKF O'CONNOR DAVIES ADVISORY LLC 500 MAMARONECK AVENUE SUITE 301 HARRISON NY 105281633 990 2023-01-01 571144402 CONCEPTS OF INDEPENDENT CHOICES INC CONC 2122939999 120 WALL STREET 9TH FLOOR NEW YORK NY 100053979 ANTHONY CAPUTO PRESIDENT 2122939999 2024-11-15 1 1 MELISSA MODELSON P01603524 9143818900 2024-11-15 2023 2024-10-15 13:58:12Z ANTHONY CAPUTO 120 WALL STREET 9TH FLOOR NEW YORK NY 100053979 23038245 0 X WWW.COINY.COM X 2004 NY CONTRACT WITH VARIOUS NEW YORK STATE COUNTIES TO PROVIDE CONSUMER-DIRECTED PERSONAL CARE ASSISTANCE SERVICE TO DISABLED CONSUMERS. 8 7 702 7 0 0 0 0 14488431 17694351 0 0 0 5343894 14488431 23038245 0 0 0 0 13332268 15676944 0 0 0 248003 328302 13580271 16005246 908160 7032999 10624174 10971528 17320870 10635225 -6696696 336303 CONCEPTS OF INDEPENDENT CHOICES' IS A NOT-FOR-PROFIT ORGANIZATION THAT PROVIDES MEDICAID ELIGIBLE DISABLED INDIVIDUALS IN VARIOUS NEW YORK STATE COUNTIES CONSUMER-DIRECTED PERSONAL CARE ASSISTANCE SERVICES. 0 0 15136343 0 17694351 CONTRACT WITH VARIOUS NYS COUNTIES TO PROVIDE CONSUMER-DIRECTED PERSONAL ASSISTANCE SERVICES TO DISABLED CONSUMERS THAT ARE FUNDED BY NYS MEDICAID. 15136343 1 0 0 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 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 8 0 702 1 0 0 0 0 0 0 0 0 0 0 0 0 X 8 7 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 NY X X MARIA MISCHKE 2122939999 120 WALL STREET 9TH FLOOR NEW YORK NY 100053979 ANTHONY CAPUTO PRESIDENT & CEO 5.00 30.00 X X 0 268712 32242 JOANN VITIELLO VICE PRESIDENT 0.50 0.50 X X 0 0 0 JUDITH TSHIBANGU SECRETARY 0.50 0.50 X X 0 0 0 LOUISE WEATHERS TREASURER 0.50 0.50 X X 0 0 0 NANCY BROWN CHAIR 0.50 0.50 X X 0 0 0 ZOE AGIOS DIRECTOR 0.50 0.50 X 0 0 0 JOHN LEWIS BROWN DIRECTOR 0.50 0.50 X 0 0 0 WESTLEY PEMBERTON DIRECTOR 0.50 0.50 X 0 0 0 MARIA MISCHKE CHIEF ADMIN OFFICER 5.00 30.00 X 0 232128 45329 ZBIGNIEW MEJRAN DIRECTOR OF IT 5.00 30.00 X 0 167008 23779 JOSE RODRIGUEZ DIRECTOR OF BILLING 5.00 30.00 X 0 135002 24201 DONETTE TURNAGE DIRECTOR OF INTAKE/ QUAL ASSURANCE 5.00 30.00 X 0 133859 8017 JOSEPH LAWLISS DIRECTOR OF OUTREACH/PENSION 5.00 30.00 X 0 129887 53918 QI YI KUANG COMPTROLLER 5.00 30.00 X 0 124410 8889 BEATA KLAR-JAKUBOWSKI DIRECTOR OF MANAGED CARE CONTRACTS 5.00 30.00 X 0 115649 32365 0 1306655 228740 0 0 1 0 NORTH COUNTRY CENTER FOR INDEPENDENCE L 80 SHARRON AVENUE PLATTSBURGH NY 12901 HOME HEALTH SERVICES 211200 1 MEDICAID REVENUE 621610 17694351 17694351 17694351 FORGIVENESS OF DEBT 900099 4988105 4988105 BAD DEBT RECOVERY 900099 355580 355580 OTHER INCOME 900099 209 209 5343894 23038245 17694351 0 5343894 14116113 13642441 473672 28488 28488 173538 88890 84648 1358805 1318495 40310 35000 35000 29084 29084 334 334 23092 23092 46112 46112 79102 79102 1942 1942 14 14 43372 43372 HEALTH FACILITY EXPENSE 57433 57433 DUES 11590 11590 REPAIRS & MAINTENANCE 941 941 BOARD STIPEND 286 286 16005246 15136343 868903 0 8095335 6807498 2472596 4105910 29625 31502 26618 26618 10624174 10971528 289425 2013985 17031445 8621240 17320870 10635225 X -6696696 336303 0 0 -6696696 336303 10624174 10971528 7032999 0 X 0 0 0 X 12515033 13220570 13564264 14488431 17694351 71482649 12515033 13220570 13564264 14488431 17694351 71482649 0 0 0 71482649 5343894 5343894 12515033 13220570 13564264 14488431 23038245 76826543 0.93040 1.00000 0.00000 0.00000 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: FORGIVENESS OF DEBT - 2019 AMOUNT: $ 0. 2020 AMOUNT: $ 0. 2021 AMOUNT: $ 0. 2022 AMOUNT: $ 0. 2023 AMOUNT: $ 4,988,105. OTHER INCOME - 2023 AMOUNT: $ 209. BAD DEBT RECOVERY - 2023 AMOUNT: $ 355,580. 0 DUE TO RELATED PARTIES 8621240 8621240 0 0 0 0 0 0 0 0 0 ANTHONY CAPUTO PRESIDENT & CEO 0 265664 0 0 0 3048 0 16162 0 16080 0 300954 0 0 MARIA MISCHKE CHIEF ADMIN OFFICER 0 216194 0 5750 0 10184 0 14270 0 31059 0 277457 0 0 ZBIGNIEW MEJRAN DIRECTOR OF IT 0 153086 0 3000 0 10922 0 9949 0 13830 0 190787 0 0 JOSEPH LAWLISS DIRECTOR OF OUTREACH/PENSION 0 121010 0 1500 0 7377 0 8248 0 45670 0 183805 0 0 JOSE RODRIGUEZ DIRECTOR OF BILLING 0 120811 0 4500 0 9691 0 8121 0 16080 0 159203 0 0 PART I, LINE 3 COMPENSATION IS DETERMINED BY ITS RELATED ORGANIZATION, CONCEPTS OF INDEPENDENCE, INC. BELOW IS THEIR PROCESS: COMPENSATION FOR THE CEO WAS REVIEWED AND PRESENTED TO THE BOARD OF DIRECTORS BY AN INDEPENDENT COMPENSATION CONSULTANT. THE BOARD OF DIRECTORS THEN APPROVED THE COMPENSATION AMOUNTS AND ANNUAL INCREASES AND OR BONUSES. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED AND APPROVED BY THE FINANCE COMMITTEE AND IS EMAILED TO THE FULL BOARD PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION'S CONFLICT OF INTEREST POLICY APPLIES TO ANY INTERESTED PERSONS. AN INTERESTED PERSON IS DEFINED AS "ANY DIRECTOR, PRINCIPAL OFFICER, OR MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS, WHO HAS A DIRECT OR INDIRECT INTEREST, AS DEFINED BELOW, IS AN INTERESTED PERSON." IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF THE INTEREST AND SHALL DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OF COMMITTEES WITH GOVERNING BOARD DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. AFTER AN INTERESTED PERSON MAKES THE DISCLOSURE, HE/SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT INVOLVING THE POSSIBLE CONFLICT OF INTEREST. THE CHAIRPERSON OF THE GOVERNING BOARD OR COMMITTEE SHALL, IF APPROPRIATE, APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. AFTER EXERCISING DUE DILIGENCE, THE GOVERNING BOARD OR COMMITTEE SHALL DETERMINE WHETHER THE ORGANIZATION CAN OBTAIN, WITH REASONABLE EFFORTS, A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS SUCH PERSON: A. HAS RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY, B. HAS READ AND UNDERSTANDS THE POLICY, C. HAS AGREED TO COMPLY WITH THE POLICY, AND D. UNDERSTANDS THE ORGANIZATION IS CHARITABLE AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. FORM 990, PART VI, SECTION B, LINE 15A COMPENSATION FOR THE CEO WAS REVIEWED AND PRESENTED TO THE BOARD OF DIRECTORS BY AN INDEPENDENT COMPENSATION CONSULTANT. THE BOARD OF DIRECTORS THEN APPROVED THE COMPENSATION AMOUNTS AND ANNUAL INCREASES AND OR BONUSES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS FORM 990 AVAILABLE FOR PUBLIC INSPECTION AS REQUIRED UNDER SECTION 6104 OF THE INTERNAL REVENUE CODE. THE RETURN IS POSTED ON GUIDESTAR.ORG AND OTHER SIMILAR TYPES OF WEBSITES. IN ADDITION, THE FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY, GOVERNING DOCUMENTS, AND FORM 1023 ARE ALSO AVAILABLE UPON WRITTEN REQUEST OR BY CALLING THE ORGANIZATION DIRECTLY. CONCEPTS OF INDEPENDENCE INC 120 WALL STREET 9TH FLOOR NEW YORK NY 10005 510239824 PERSONAL CARE NY 501(C)(3) LINE 3 N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0