2024-11-13T14:53:35-06:00 2023-12-31 161131146 BONADIO & CO LLP 432 NORTH FRANKLIN STREET SYRACUSE NY 13204 990 2023-01-01 161568985 UNITED CEREBRAL PALSY ASSOCIATION OF THE NORTH COUNTRY INC UNIT 3153861156 4 COMMERCE LANE CANTON NY 13617 DAVID BENDER CHIEF EXECUTIVE OFFICER 3153861156 2024-11-04 1 1 TYLER SASS P01829225 3154227109 2024-11-04 2023 2024-10-15 13:58:12Z ALEXANDER BRYDEN 4 COMMERCE LANE CANTON NY 13617 24701877 0 X HTTP://WWW.CPNORTHCOUNTRY.ORG/ X 1998 NY PROVIDING SERVICES TO DEVELOPMENTALLY DISABLED INDIVIDUALS AND THEIR FAMILIES INCLUDING RESIDENTIAL AND CLINICAL SERVICES. 15 15 457 15 0 0 6953707 5821979 18039194 17995518 24848 295839 181935 212891 25199684 24326227 0 0 0 0 17080282 15685642 0 0 0 7433271 8903232 24513553 24588874 686131 -262647 24465413 23964503 3667172 3032245 20798241 20932258 X PROVIDING SERVICES TO DEVELOPMENTALLY DISABLED INDIVIDUALS AND THEIR FAMILIES INCLUDING RESIDENTIAL AND CLINICAL SERVICES. 0 0 11782533 9854198 HEALTH AND CLINICAL - PROVIDES PRIMARY MEDICAL CARE TO INDIVIDUALS IN THE COMMUNITY. PROGRAMS INCLUDE PSYCHIATRY, DENTISTRY, PHYSICAL THERAPY AND OPTOMETRY. 15,971 INDIVIDUALS SERVED IN 2023. 5492953 6130719 DEVELOPMENTAL AND FAMILY SUPPORT SERVICES - PROVIDES A COMPREHENSIVE ARRAY OF SERVICES FOR ADULTS WITH DEVELOPMENTAL DISABILITIES WITH THE GOAL BEING TO OFFER LIVING ENVIRONMENTS THAT MEET THE INDIVIDUALS CHOSEN LIFESTYLE. 3,091 INDIVIDUALS SERVED IN 2023. 2357287 WOMEN, INFANTS AND CHILDREN PROGRAM. 2,032 INDIVIDUALS SERVED IN 2023. 1540159 2154709 CONSUMER DIRECTED PERSONAL CARE SERVICES - PROVIDES SERVICES TO ALLOW MEDICAID ELIGIBLE INDIVIDUALS IN THE COMMUNITY TO TRAIN, HIRE, AND DISCHARGE THEIR OWN PERSONAL CARE ATTENDANTS. 40 INDIVIDUALS SERVED IN 2023. 1540159 2154709 21172932 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 80 0 1 457 1 0 0 0 0 0 0 0 0 0 0 0 0 X 15 15 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 NY X ALEXANDER BRYDEN 3153861156 4 COMMERCE LANE CANTON NY 13617 JONDAVID DELONG ESQ PRESIDENT 1.00 X X 0 0 0 MICHAEL DIVINCENZO VICE PRESIDENT 1.00 X X 0 0 0 EMMA BRACKETT SECRETARY 1.00 X X 0 0 0 CHESTER XIANG TREASURER 1.00 X X 0 0 0 JEFFREY DOLLINGER DIRECTOR 1.00 X 0 0 0 JORDAN ESTEY DIRECTOR 1.00 X 0 0 0 KAREN JOHNSON-WEINER DIRECTOR 1.00 X 0 0 0 RICHARD MERCHANT DIRECTOR 1.00 X 0 0 0 WILLIAM MYERS PHD DIRECTOR 1.00 X 0 0 0 DANA OLZENAK MCGUIRE DIRECTOR 1.00 X 0 0 0 REBECCA PREVE DIRECTOR 1.00 X 0 0 0 SARAH TODD DIRECTOR 1.00 X 0 0 0 KAY WALTON DIRECTOR 1.00 X 0 0 0 DONNA WEBSTER DIRECTOR 1.00 X 0 0 0 CATHLYN LAMITIE DIRECTOR 1.00 X 0 0 0 ANNE RICHEY EXECUTIVE DIRECTOR 37.50 X 224331 0 20591 PAMELA MAHAFFY CHIEF FINANCIAL OFFICER 37.50 X 115220 0 15057 ANDREW WILLIAMS MEDICAL DIRECTOR 22.00 X 248276 0 33291 CRAIG RICHARDS INTERNAL MEDICINE/DO 37.50 X 252845 0 23309 DONALD SCHUESSLER PEDIATRICS/MD 37.50 X 223372 0 33591 NATASHYA FRASER DENTIST 40.00 X 184588 0 21372 CHRISTINE THRASHER NURSE PRACTITIONER 37.50 X 168416 0 29156 JACKLINE NGALAME PSYCHIATRIC NURSE PRACTITI 40.00 X 168120 0 8665 1585168 0 185032 14 0 1 0 MUHAMED SALEEM 32 WITTE ROAD ALBANY NY 12203 CONTRACTED PSYCHIATRIST 165630 IDEABOX ENTERPRISES LLC 415 HUGUENOT STREET NEW ROCHELLE NY 10801 SENIOR SYSTEM IT ADMIN SERVICES, MANAGED 134525 CHARLES DEMBOWSKI 9431 JACOB LANE BREWERTON NY 13029 CONTRACTED OPTOMETRIST 103080 3 5496979 325000 5821979 MEDICAID AND MEDICARE 624100 13374308 13374308 340B REVENUE 621990 2252393 2252393 ARTICLE 28 CLINIC AND THIRD-PARTY 621300 1467702 1467702 INCENTIVE INCOME 621300 433552 433552 PARTICIPANT FEES 621110 374341 374341 93222 93222 17995518 241015 241015 34536 0 34536 34536 34536 287977 142497 349727 25923 -61750 116574 54824 54824 MISCELLANEOUS REVENUE 900099 178355 178355 178355 24326227 18173873 0 330375 642226 281567 360659 12332344 11026285 1306059 321472 285497 35975 1024714 883315 141399 1364886 1161468 203418 7976 7976 1690072 1169615 520457 307412 182180 125232 897912 851211 46701 188019 168261 19758 35503 17005 18498 17237 11384 5853 687815 597853 89962 264537 44183 220354 FOOD VOUCHERS 1695727 1695727 340B EXPENSE 959529 959529 PROGRAM SUPPLIES 769611 766696 2915 BAD DEBT 682908 682908 698974 388248 310726 24588874 21172932 3415942 0 5634359 3913875 3079481 3810307 538137 440649 1857392 2016586 200521 284776 17589092 7501863 9862906 10087229 2502521 2915171 100000 0 690096 495910 24465413 23964503 1803857 1947500 280793 156559 125827 85097 270794 168048 1185901 675041 3667172 3032245 X 20798241 20932258 20798241 20932258 24465413 23964503 -262647 396664 0 X X 0 1 X 1 1 1 X 8102832 5763552 9151598 6953707 5821979 35793668 18500617 17924750 16079943 18039194 17995518 88540022 26603449 23688302 25231541 24992901 23817497 124333690 0 435563 711617 1147180 435563 711617 1147180 123186510 464922 355780 470407 127466 275551 1694126 464922 355780 470407 127466 275551 1694126 17379 -136709 -40891 66801 178355 84935 27085750 23907373 25661057 25187168 24271403 126112751 0.97680 0.97060 0.01340 0.01250 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 215324 215324 12395783 4492964 7902819 351243 263432 87811 3915954 2745467 1170487 710788 710788 10087229 DUE TO FUNDING SOURCES 175382 LEASE LIABILITY 499659 675041 24722891 396664 396664 24326227 0 24326227 24588874 0 24588874 0 24588874 PART IV, LINE 2B: THE ORGANIZATION SERVES AS REPRESENTATIVE PAYEE FOR PARTICIPANTS IN ITS RESIDENTIAL SERVICES PROGRAMS. X X X X 0 0 0 0 0 0 0 0 0 ANDREW WILLIAMS MEDICAL DIRECTOR 245276 0 3000 0 0 0 12541 0 20750 0 281567 0 0 0 CRAIG RICHARDS INTERNAL MEDICINE/DO 249845 0 3000 0 0 0 12577 0 10732 0 276154 0 0 0 DONALD SCHUESSLER PEDIATRICS/MD 220372 0 3000 0 0 0 11385 0 22206 0 256963 0 0 0 ANNE RICHEY EXECUTIVE DIRECTOR 224331 0 0 0 0 0 11179 0 9412 0 244922 0 0 0 NATASHYA FRASER DENTIST 181588 0 3000 0 0 0 9277 0 12095 0 205960 0 0 0 CHRISTINE THRASHER NURSE PRACTITIONER 160416 0 8000 0 0 0 8455 0 20701 0 197572 0 0 0 JACKLINE NGALAME PSYCHIATRIC NURSE PRACTITI 165120 0 3000 0 0 0 8256 0 409 0 176785 0 0 0 A DORMITORY AUTHORITY OF THE STATE OF NEW YORK 146000293 2014-02-13 1845366 REFINANCE EXISTING DEBT 0 0 0 A 1845366 36493 1808873 2014 1 0 1 1 A 0 0 0 0 0 0 0 A 0 1 0 0 0 0 0 0 1 A 1 FORM 990, PART VI, SECTION B, LINE 11B ON AN ANNUAL BASIS, THE BOARD OF DIRECTORS IS RESPONSIBLE FOR THE REVIEW AND APPROVAL OF THE FEDERAL FORM 990 BEFORE IT IS FILED WITH THE IRS. AN ELECTRONIC VERSION OF THE FORM 990 WILL BE DISTRIBUTED TO ALL DIRECTORS FOR THEIR INFORMATION AND REVIEW. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY IS INITIALLY INTRODUCED DURING TRAINING AND IS REVIEWED PERIODICALLY AFTERWARDS. FORM 990, PART VI, SECTION B, LINE 15A THE BOARD OF DIRECTORS REVIEWS THE CEO'S PERFORMANCE AND COMPARABLE SALARY DATA, AND DECIDES ON APPROPRIATE COMPENSATION ANNUALLY. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, AND CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON WRITTEN REQUEST. FORM 990, PART XII, LINE 2C: THE ORGANIZATION HAS NOT CHANGED ITS OVERSIGHT PROCESS IN THE CURRENT YEAR.