2024-11-11T10:41:15-06:00 2023-12-31 161131146 BONADIO & CO LLP 432 NORTH FRANKLIN STREET SYRACUSE NY 13204 990 2023-01-01 161104065 NORTH COUNTRY TRANSITIONAL LIVING SERVICES INC NORT 3157821777 482 BLACK RIVER PARKWAY WATERTOWN NY 13601 MAUREEN CEAN EXECUTIVE DIRECTOR 3157821777 2024-11-07 1 1 BENJAMIN NOVAK P01946532 3154227109 2024-11-07 2023 2024-10-15 13:58:12Z TRANSITIONAL LIVING SERVICES OF NORTHERN NEW YORK MAUREEN CEAN 482 BLACK RIVER PARKWAY WATERTOWN NY 13601 14050167 0 X HTTPS://WWW.TLSNNY.COM/ X 1977 NY COMPASSIONATE PEOPLE, PROVIDING DIGNIFIED PERSON-CENTERED SERVICES THAT PROMOTE WELLNESS AND RECOVERY WHILE EMPOWERING PEOPLE TO ACHIEVE THEIR GOALS, HOPES, AND DREAMS IN A COMMUNITY OF MUTUAL SUPPORT. 8 8 229 10 0 0 2690840 3259185 9180366 8724970 -45116 71364 8046 30909 11834136 12086428 0 0 0 0 8253938 8814785 0 0 0 3419299 3625644 11673237 12440429 160899 -354001 13711108 13165015 5194330 4961461 8516778 8203554 X COMPASSIONATE PEOPLE, PROVIDING DIGNIFIED PERSON-CENTERED SERVICES THAT PROMOTE WELLNESS AND RECOVERY WHILE EMPOWERING PEOPLE TO ACHIEVE THEIR GOALS, HOPES, AND DREAMS IN A COMMUNITY OF MUTUAL SUPPORT. 0 0 3175413 3694640 ADULT RESIDENTIAL SERVICES PROGRAM: THIS PROGRAM ADDRESSES THE SPECIFIC FUNCTIONAL AND BEHAVIORAL NEEDS OF RESIDENTS WHICH PREVENT THEM FROM ACCESSING GENERIC HOUSING. 26,277 UNITS OF SERVICE PROVIDED. 2913940 1016605 CASE MANAGEMENT: HEALTH HOME CARE MANAGEMENT PROGRAM PROVIDES COORDINATED, COMPREHENSIVE MEDICAL AND BEHAVIORAL HEALTH CARE TO MEDICAID-ENROLLED ADULTS WITH CHRONIC CONDITIONS THROUGH CARE MANAGEMENT AND INTEGRATION THAT ASSURES ACCESS TO APPROPRIATE SERVICES, IMPROVES HEALTH OUTCOMES, REDUCES PREVENTABLE HOSPITALIZATIONS AND EMERGENCY ROOM VISITS, PROMOTES USE OF HEALTH INFORMATION TECHNOLOGY (HIT), AND AVOIDS UNNECESSARY CARE. 6,294 BILLABLE SERVICES PROVIDED. 1353491 2304876 BEHAVIORAL HEALTH AND WELLNESS CLINIC: ARTICLE 31 CLINIC TO PROVIDE ASSISTANCE TO INDIVIDUALS IN LEWIS COUNTY. BHWC PROVIDES COMPREHENSIVE MENTAL HEALTH SERVICES TO INDIVIDUALS WHO HAVE MENTAL HEALTH CONCERNS, BEHAVIOR PROBLEMS, EMOTIONAL DISTRESS, AND CO-OCCURRING DISORDERS. IT IS A NYS OFFICE OF MENTAL HEALTH LICENSED OUTPATIENT CLINIC. CLIENTS ARE SCREENED, EVALUATED AND TREATED BASED ON THEIR INDIVIDUAL NEEDS. SERVICES PROVIDED AT THE BHWC INCLUDE PSYCHIATRIC EVALUATION/ ASSESSMENTS AND MEDICATION MANAGEMENT, GROUP THERAPY FOR ADULTS AND CHILDREN, INDIVIDUAL THERAPY FOR ADULTS AND CHILDREN, COUPLES COUNSELING, FAMILY THERAPY, PSYCHO EDUCATIONAL SESSIONS AND SUPPORT GROUPS. 7,410 VISITS PROVIDED. 3611644 1815040 OTHER PROGRAMS INCLUDING CHILDREN AND YOUTH RESIDENTIAL SERVICES, SUPPORTIVE HOUSING, HOME AND COMMUNITY BASED WAIVER SERVICES, AND PROPERTY MANAGEMENT. 3611644 1815040 11054488 1 1 0 0 0 0 0 0 1 0 1 0 0 1 1 0 1 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 0 0 0 1 139 0 1 229 1 0 0 0 0 0 0 0 0 0 0 0 0 X 8 8 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X JORDAN JONES 3157821777 482 BLACK RIVER PARKWAY WATERTOWN NY 13601 MIKE LIVELY PRESIDENT 1.00 X X 0 0 0 SHAWN MEAD VICE PRESIDENT 1.00 X X 0 0 0 ELIZABETH BROWN SECRETARY 1.00 X X 0 0 0 JOHN C PARCELL IV TREASURER 1.00 X X 0 0 0 CHRISTINE M PULEO DIRECTOR 1.00 X 0 0 0 NANCY KALL DIRECTOR 1.00 X 0 0 0 WILLIAM KIMBALL PHD DIRECTOR 1.00 X 0 0 0 TIMOTHY VIRKLER DIRECTOR 1.00 X 0 0 0 MAUREEN CEAN EXECUTIVE DIRECTOR 40.00 X 127852 0 7502 CHELSEA ASHCROFT NURSE PRACTIONER 40.00 X 164613 0 17077 292465 0 24579 2 0 1 0 0 3258570 615 3259185 MEDICAID 623990 7300814 7300814 PARTICIPANT FEES 623990 749243 749243 THIRD PARTY PAYERS AND SELF-PAY 623990 480353 480353 PRIOR YEAR REVENUE 623990 194560 194560 8724970 70914 70914 475432 551014 -75582 -75582 -75582 1413175 1412725 450 450 450 MISCELLANEOUS 900099 106491 106491 106491 12086428 8831461 0 -4218 135354 135354 6935215 6410235 524980 186356 169035 17321 781387 703013 78374 776473 664803 111670 27271 27271 47865 47865 186181 109708 76473 168397 100909 67488 1681234 1644590 36644 63107 54952 8155 110741 88859 21882 113655 89017 24638 235607 170667 64940 220183 166338 53845 PROGRAM, RECREATIONAL, 418224 418167 57 OTHER 214144 127888 86256 FOOD 95792 95792 BAD DEBTS 34624 34624 8619 5891 2728 12440429 11054488 1385941 0 3409566 1712292 464268 413860 1261262 1471622 242485 239263 10303254 3905328 6433831 6397926 1154000 2258858 745696 671194 13711108 13165015 1032205 794955 988467 1237107 83170 65485 2358577 2187467 731911 676447 5194330 4961461 X 8516778 8203554 8516778 8203554 13711108 13165015 -354001 40777 0 X X 0 1 X 1 0 X 2286600 4059999 2091474 2690840 3259185 14388098 7918357 7612827 8805233 9180366 8724970 42241753 10204957 11672826 10896707 11871206 11984155 56629851 0 0 0 56629851 474700 477500 417618 505336 569520 2444674 474700 477500 417618 505336 569520 2444674 138777 54397 106491 299665 10679657 12150326 11453102 12430939 12660166 59374190 0.95380 0.95470 0.04120 0.04190 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 555181 555181 8052877 2689307 5363570 1365928 1216021 149907 329268 329268 6397926 CASH HELD FOR PARTICIPANTS 46606 OPERATING LEASE RIGHT-OF-USE ASSET 624588 671194 DUE TO FUNDING SOURCES 52327 OPERATING LEASE LIABILITIES 624120 676447 12678219 40777 551014 591791 12086428 0 12086428 12991443 551014 551014 12440429 0 12440429 PART IV, LINE 2B: TLS HOLDS CASH AS REPRESENTATIVE PAYEE ON BEHALF OF CERTAIN PROGRAM PARTICIPANTS. ALSO, TLS HOLDS SECURITY DEPOSITS FOR TENANTS. PART XI, LINE 2D - OTHER ADJUSTMENTS: DIRECT RENTAL EXPENSES 551,014. PART XII, LINE 2D - OTHER ADJUSTMENTS: DIRECT RENTAL EXPENSES 551,014. X X X X 0 0 0 0 0 0 0 0 0 CHELSEA ASHCROFT NURSE PRACTIONER 164613 0 0 0 0 0 9877 0 7200 0 181690 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE BOARD OF DIRECTORS SHALL RECEIVE A COMPLETE COPY OF THE FORM 990 AND BE GIVEN A PERIOD OF TIME TO REVIEW PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C TLS ANNUALLY DISTRIBUTES CONFLICT OF INTEREST STATEMENTS TO ALL DIRECTORS, OFFICERS AND KEY EMPLOYEES (AS IDENTIFIED BY TLS), A FORM SOLICITING THE DISCLOSURE OF ALL CONFLICTS OF INTEREST, INCLUDING SPECIFIC INFORMATION CONCERNING THE TERMS OF ANY CONTRACT OR TRANSACTION WITH TLS AND WHETHER THE PROCESS FOR APPROVAL SET FORTH WAS USED. DIRECTORS, OFFICERS, AND KEY EMPLOYEES ARE EXPECTED TO DISCLOSE CONFLICTS AS THEY ARISE DURING THE YEAR. FORM 990, PART VI, SECTION B, LINE 15 THE STARTING SALARY AND BENEFITS PACKAGE FOR THE EXECUTIVE DIRECTOR IS DETERMINED BY THE EXECUTIVE COMMITTEE AND IS PRESENTED TO THE BOARD OF DIRECTORS FOR APPROVAL. ON AN ANNUAL BASIS, THE EXECUTIVE COMMITTEE REVIEWS AND APPROVES PERFORMANCE GOALS AND OBJECTIVES WITH RESPECT TO COMPENSATION. BASED ON THE EVALUATION, AN APPROVAL OF MERIT INCREASE OR BENEFIT CHANGES IS MADE BY THE BOARD OF DIRECTORS UPON RECOMMENDATION FROM THE EXECUTIVE COMMITTEE. FORM 990, PART VI, SECTION C, LINE 19 IN ACCORDANCE WITH WRITTEN POLICY, TLS'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS WILL BE PROVIDED TO ANY INDIVIDUAL UPON WRITTEN REQUEST OR IN PERSON, WITHOUT CHARGE OTHER THAN REASONABLE FEES FOR COPYING AND POSTAGE. COPIES ARE AVAILABLE AT THE MAIN OFFICE DURING NORMAL BUSINESS HOURS. PART XII, LINE 2C NORTH COUNTRY TRANSITIONAL LIVING SERVICES, INC. DID NOT CHANGE THEIR PROCESS FOR REVIEW OF THE FINANCIAL STATEMENTS