2025-02-25T12:24:36-06:00 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 2025-02-25 1 1 MELISSA MODELSON P01603524 9143818900 2025-02-24 2023 2025-03-06 01:10:19Z X ANTHONY CAPUTO 120 WALL STREET 9TH FLOOR NEW YORK NY 100053979 18050140 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 355789 14488431 18050140 0 0 0 0 13332268 15676940 0 0 0 248003 335244 13580271 16012184 908160 2037956 10624174 11101799 17320870 15760539 -6696696 -4658740 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 15107255 0 17694351 CONTRACT WITH VARIOUS NYS COUNTIES TO PROVIDE CONSUMER-DIRECTED PERSONAL ASSISTANCE SERVICES TO DISABLED CONSUMERS THAT ARE FUNDED BY NYS MEDICAID. 15107255 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 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 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 BAD DEBT RECOVERY 900099 355580 355580 OTHER INCOME 900099 209 209 355789 18050140 17694351 0 355789 14116109 13642437 473672 28488 28488 173538 88890 84648 1358805 1318495 40310 40000 40000 29084 29084 334 334 23102 23102 46112 46112 81039 81039 1942 1942 14 14 43372 43372 HEALTH FACILITY EXPENSE 57433 57433 DUES 11585 11585 REPAIRS & MAINTENANCE 941 941 BOARD STIPEND 286 286 16012184 15107255 904929 0 8095335 6807497 2472596 4105910 29625 31502 26618 156890 10624174 11101799 289425 1746427 17031445 14014112 17320870 15760539 X -6696696 -4658740 0 0 -6696696 -4658740 10624174 11101799 2037956 0 X X 0 1 X 0 0 X 12515033 13220570 13564264 14488431 17694351 71482649 12515033 13220570 13564264 14488431 17694351 71482649 0 0 0 71482649 355789 355789 12515033 13220570 13564264 14488431 18050140 71838438 0.99500 1.00000 0.00000 0.00000 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2023 AMOUNT: $ 209. BAD DEBT RECOVERY - 2023 AMOUNT: $ 355,580. 0 DUE TO RELATED PARTIES 13881903 OPERATING LEASE LIABILITY 132209 14014112 X 18050140 0 18050140 0 18050140 16012184 0 16012184 0 16012184 PART X, LINE 2: THE ORGANIZATION RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY WHEN THE TAX POSITIONS ARE MORE LIKELY THAN NOT TO BE SUSTAINED. MANAGEMENT HAS DETERMINED THAT THE ORGANIZATION HAD NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION OR DISCLOSURE. THE ORGANIZATION IS NO LONGER SUBJECT TO EXAMINATIONS BY THE APPLICABLE TAXING JURISDICTIONS FOR PERIODS PRIOR TO DECEMBER 31, 2020. 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. FORM 990, PART XII, LINE 2C: THE ENTIRE BOARD ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS DID NOT CHANGE FROM THE PRIOR YEAR. AMENDED FORM 990: AN AMENDED RETURN IS BEING FILED IN ORDER TO CONFORM TO THE ORGANIZATION'S DECEMBER 31, 2023 AUDITED FINANCIAL STATEMENTS. A LISTING OF ALL THE CHANGES TO THE FORM 990 IS AS FOLLOWS: 1. PAGE 1, BOX G: GROSS RECEIPTS WAS RESTATED TO REFLECT THE UPDATED REVENUE REPORTED IN PART VIII. 2. PART I, LINES 11, 12, 15, 17, 18, 19, 20, 21, AND 22: THESE AMOUNTS WERE UPDATED TO REFLECT THE CHANGES REPORTED IN THEIR RESPECTIVE PARTS OF THE RETURN DUE TO THE ISSUANCE OF THE FINANCIAL STATEMENTS. 3. PART III, LINE 4A: THE TOTAL PROGRAM EXPENSES REPORTED FOR THIS PROGRAM WAS UPDATED TO AGREE TO THE ADJUSTMENTS MADE IN PART IX. 4. PART IV, LINES 11F, AND 12A: THESE LINES WERE UPDATED TO REFLECT THE CHANGES REPORTED IN THEIR RESPECTIVE PARTS OF THE RETURN DUE TO THE ISSUANCE OF THE FINANCIAL STATEMENTS. 5. PART VIII, LINES 11, AND 12: THESE REVENUE LINES WERE UPDATED TO AGREE TO THE AUDITED FINANCIAL STATEMENTS. 6. PART IX: THESE AMOUNTS WERE UPDATED TO REFLECT THE FUNCTIONAL ALLOCATION PER THE AUDITED FINANCIAL STATEMENTS. 7. PART X, LINES 15, 16, 17, 25, 26, 27, 32 AND 33: THESE AMOUNTS WERE UPDATED TO AGREE TO THE AUDITED FINANCIAL STATEMENTS. 8. PART XI, LINES 1, 2, 3, AND 10: THESE AMOUNTS WERE UPDATED FOR THE CHANGES REPORTED IN PART VIII AND PART IX, AS MENTIONED ABOVE AS WELL AS TO AGREE TO THE AUDITED FINANCIAL STATEMENTS. 9. PART XII, LINE 2B: THIS LINE WAS CHECKED "YES" AS FINANCIAL STATEMENTS WERE ISSUED FOR THE TAX YEAR. 10. SCHEDULE A, PART III, COLUMN E: THE AMOUNTS IN THIS COLUMN WERE UPDATED TO AGREE TO THE CHANGES IN PART VIII. 11. SCHEDULE D, PART XI AND XII: THE AMOUNTS REPORTED IN THESE SECTIONS WERE COMPLETED TO AGREE WITH THE REVENUE AND EXPENSES, PER THE AUDITED FINANCIAL STATEMENTS. 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