2024-05-09T12:27:42-05:00 2023-06-30 161131146 BONADIO & CO LLP 171 SULLYS TRAIL SUITE 201 PITTSFORD NY 14534 990 2022-07-01 161557074 BAKER VICTORY HEALTHCARE CENTER BAKE 7168289479 790 RIDGE ROAD LACKAWANNA NY 14218 CINDY LEE CEO 7168289750 2024-05-09 1 CINDY LEE XXX-XX-XXXX 1 MELISSA SLATER P01275195 5853811000 2024-05-09 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z CINDY LEE 790 RIDGE ROAD LACKAWANNA NY 14218 2756157 0 X WWW.OLVHS.ORG X 1998 NY BAKER VICTORY HEALTHCARE CENTER IS A PRIVATE, VOLUNTARY NOT-FOR-PROFIT FACILITY OPERATED MAINLY FOR THE BENEFIT OF THE CITIZENS OF WESTERN NEW YORK. IT IS THE CORPORATION'S OBJECTIVE TO OPERATE A COMPREHENSIVE OUTPATIENT FACILITY, OFFERING OUTPATIENT DENTAL, PEDIATRIC, PODIATRIC, PRIMARY MEDICAL CAFE, NUTRITIONAL, WELL-CHILD CARE, PRE-NATAL CARE AND SOCIAL WORK SERVICES ON A FULL OR PART TIME CLINIC BASIS TO ELIGIBLE MEDICAID RECIPIENTS AND OTHER PERSONS, PURSUANT TO APPLICABLE STATUTES AND REGULATIONS. 18 18 29 18 0 0 317983 561597 2005605 2194560 0 0 0 0 2323588 2756157 0 0 0 0 1570644 1841871 0 0 0 950509 1088167 2521153 2930038 -197565 -173881 452943 529271 1066498 1316707 -613555 -787436 X BAKER VICTORY HEALTHCARE CENTER IS A PRIVATE, VOLUNTARY NOT-FOR-PROFIT FACILITY OPERATED MAINLY FOR THE BENEFIT OF THE CITIZENS OF WESTERN NEW YORK. IT IS THE CORPORATION'S OBJECTIVE TO OPERATE A COMPREHENSIVE OUTPATIENT FACILITY, OFFERING OUTPATIENT DENTAL, PEDIATRIC, PODIATRIC, PRIMARY MEDICAL CAFE, NUTRITIONAL, WELL-CHILD CARE, PRE-NATAL CARE AND SOCIAL WORK SERVICES ON A FULL OR PART TIME CLINIC BASIS TO ELIGIBLE MEDICAID RECIPIENTS AND OTHER PERSONS, PURSUANT TO APPLICABLE STATUTES AND REGULATIONS. 0 0 2492074 2194560 BAKER VICTORY HEALTHCARE CENTER OFFERS A WIDE VARIETY OF SERVICES TO BOTH THE RESIDENTS OF OLV HUMAN SERVICES AND THE GENERAL COMMUNITY. THE STATE-OF-THE-ART COMPLEX PROVIDES HIGH-QUALITY, CONVENIENT, AFFORDABLE AND COMPASSIONATE CARE TO ALL PATIENTS. 2492074 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 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 0 0 0 1 1 0 1 29 1 0 0 0 0 0 0 0 0 0 0 0 0 X 18 18 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X EMILY MILLER 7168289479 790 RIDGE ROAD LACKAWANNA NY 14218 KATHLEEN MORIARTY CHRISTY PRESIDENT 1.00 1.00 X X 0 0 0 JOHN BRENNAN VICE PRESIDENT/TREASURER 1.00 1.00 X X 0 0 0 MICKEY KEARNS SECRETARY 1.00 1.00 X 0 0 0 PATRICK O'LEARY BOARD MEMBER 1.00 1.00 X 0 0 0 REV DAN FIEBELKORN II BOARD MEMBER 1.00 1.00 X 0 0 0 REV MSGR PAUL BURKARD BOARD MEMBER 1.00 1.00 X 0 0 0 KELLY CULTRARA BOARD MEMBER 1.00 1.00 X 0 0 0 JEFFREY CRIMMINS BOARD MEMBER 1.00 1.00 X 0 0 0 AMY POPADICK BOARD MEMBER 1.00 1.00 X 0 0 0 PETER KOOSHOIAN BOARD MEMBER 1.00 1.00 X 0 0 0 KEVIN EBERLE BOARD MEMBER 1.00 1.00 X 0 0 0 JAMES PARTSCH JR BOARD MEMBER 1.00 1.00 X 0 0 0 JOHN NETTINA BOARD MEMBER 1.00 1.00 X 0 0 0 JOHN O'BRIEN BOARD MEMBER 1.00 1.00 X 0 0 0 REV MSGR DAVID LIPUMA EX-OFFICIO MEMBER 1.00 1.00 X 0 0 0 SISTER ELLEN O'KEEFE EX-OFFICIO MEMBER 1.00 1.00 X 0 0 0 SISTER CHARLENE FONTANA EX-OFFICIO MEMBER 1.00 1.00 X 0 0 0 FATHER ROBERT CONTARIN BOARD MEMBER 1.00 1.00 X 0 0 0 LAUREL PARZYCH CHIEF FINANCIAL OFFICER 1.00 39.00 X 0 192972 32919 CINDY A LEE CEO 1.00 39.00 X 0 289221 37555 JENNIFIER HOLMER DENTAL DIRECTOR 40.00 X 170749 0 25958 FADI AYOUB DENTIST 40.00 X 117900 0 14593 288649 482193 111025 2 0 1 0 0 511597 50000 561597 COMMERCIAL INSURANCE 812900 1216485 1216485 MEDICAID 812900 845808 845808 PRIVATE PAY AND PARTIC 812900 132087 132087 OTHER 900099 180 180 2194560 2756157 2194560 0 0 1469492 1469492 47146 47146 172684 172684 152549 152549 2950 2950 97406 97406 656 656 13637 13637 150014 150014 18 18 53540 53540 16961 16961 ADMINISTRATIVE AND SUPP 437964 437964 MEDICAL SUPPLIES 123872 123872 OTHER 91311 91311 BAD DEBT 75958 75958 23880 23880 2930038 2492074 437964 0 83707 33470 210425 344809 5879 0 1850473 1699481 152932 150992 452943 529271 112832 51085 953666 1265622 1066498 1316707 X -613555 -787436 -613555 -787436 452943 529271 -173881 0 X X 0 1 X 1 0 X 41250 105579 44689 317983 561597 1071098 2535693 2124597 2234790 2005605 2194560 11095245 2576943 2230176 2279479 2323588 2756157 12166343 0 0 0 12166343 2576943 2230176 2279479 2323588 2756157 12166343 1.00000 1.00000 0.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 773521 700244 73277 1076952 999237 77715 150992 DUE TO OLV HUMAN SERVICES 1265622 1265622 2756157 0 2756157 0 2756157 2930038 0 2930038 0 2930038 0 0 0 0 0 0 0 0 0 CINDY A LEE CEO 0 289221 0 0 0 0 0 12277 0 25278 0 326776 0 0 LAUREL PARZYCH CHIEF FINANCIAL OFFICER 0 192972 0 0 0 0 0 7635 0 25284 0 225891 0 0 JENNIFIER HOLMER DENTAL DIRECTOR 170749 0 0 0 0 0 4790 0 21168 0 196707 0 0 0 PART I, LINE 3 BAKER VICTORY HEALTHCARE CENTER RELIES ON A RELATED ORGANIZATION, BAKER HALL DBA OLV HUMAN SERVICES (OLV), TO ESTABLISH THE METHOD USED IN DETERMINING BAKER VICTORY HEALTHCARE CENTER'S TOP MANAGEMENT OFFICIALS COMPENSATION. OLV UTILIZES THE FOLLOWING IN ESTABLISHING METHODS USED TO DETERMINE TOP MANAGEMENT OFFICIAL COMPENSATION: COMPENSATION COMMITTEE, FORM 990 OF OTHER ORGANIZATIONS, WRITTEN EMPLOYMENT CONTRACTS, COMPENSATION SURVERY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. FORM 990, PART VI, SECTION B, LINE 11B THE CHIEF FINANCIAL OFFICER REVIEWS THE FORM 990, AND AFTER HER REVIEW WILL PROVIDE A COPY OF THE FORM 990 TO THE BOARD OF DIRECTORS, WHO APPROVE PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C BAKER VICTORY HEALTHCARE CENTER DOES NOT HAVE ITS OWN WRITTEN CONFLICT OF INTEREST POLICY. THE ORGANIZATION ADHERES TO THE CONFLICT OF INTEREST POLICY MAINTAINED BY ITS PARENT NON-PROFIT ORGANIZATION (BAKER HALL DBA OLV HUMAN SERVICES). EVERY YEAR, THE BOARD OF DIRECTORS AND KEY EMPLOYEES SIGN A CONFLICT OF INTEREST STATEMENT ACKNOWLEDGING THAT THEY ARE AWARE OF BAKER HALL'S CONFLICT OF INTEREST POLICY AND NOTE ANY POTENTIAL CONFLICTS. THESE STATEMENTS ARE REVIEWED BY THE COMPLIANCE OFFICER AND ARE REPORTED TO THE AUDIT COMMITTEE. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS OF BAKER HALL D/B/A OLV HUMAN SERVICES (BAKER VICTORY HEALTHCARE SERVICES NON-PROFIT PARENT) HAS ESTABLISHED A PERFORMANCE AND COMPENSATION COMMITTEE OF INDEPENDENT MEMBERS TO EVALUATE THE CEO, ESTABLISH GOALS, CONSIDER COMPENSATION ISSUES AND REPORT OUTCOMES TO THE BOARD. THE COMMITTEE ALSO GATHERS RELEVANT MARKET INFORMATION ABOUT POSITIONS OF SIMILAR RESPONSIBILITIES AND SKILLS AND AS NEEDED, COMPENSATION CONSULTANTS ARE ENGAGED TO BROADEN INFORMATION ACCESS, AND TO ENSURE THAT THE COMPARATIVE INFORMATION IS INTERPRETED PROPERLY. THE INTELLIGENCE GATHERED DURING THAT PROCESS IS USED BY THE CEO IN CONSIDERATION OF COMPENSATION FOR OTHER OFFICERS AND KEY EMPLOYEES. ANNUALLY, KEY EMPLOYEES' COMPENSATION, INCLUDING THE CEO'S, IS PRESENTED TO THE COMMITTEE AND REPORTED TO THE BOARD. FORM 990, PART VI, SECTION C, LINE 19 THE RETURN AND OTHER DOCUMENTS OPEN FOR PUBLIC INSPECTION ARE AVAILABLE UPON WRITTEN REQUEST OR IN PERSON. REQUESTS FOR GOVERNING INSTRUMENTS, FINANCIAL STATEMENTS AND CONFLICT OF INTEREST POLICY ARE CONSIDERED UPON REQUEST. FORM 990 PART XII, LINE 2C THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. BAKER HALL DBA OLV HUMAN SERVICES 790 RIDGE ROAD LACKAWANNA NY 14218 161017453 HEALTH AND HUMAN SERVICES PROVIDER NY 501(C)(3) 7 0 DIOCESE OF BUFFALO 795 MAIN STREET BUFFALO NY 14203 160743984 MULTI EMPLOYER PENSION PLAN CONTRIBUTIONS NY 501(C)(3) CHURCH 0 OLV CHARITIES 780 RIDGE ROAD LACKAWANNA NY 14218 160743191 OPERATING EXPENSES - CONSULTING, UTILITIES, REPAIRS AND MAINTENANCE. NY 501(C)(3) CHURCH AUXILIARY 0 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 1 0 1 0