2025-10-14T12:55:08-05:00 2024-12-31 390859910 BAKER TILLY ADVISORY GROUP LP 1500 RXR PLAZA WEST TOWER UNIONDALE NY 11556 990 2024-01-01 133964284 INDEPENDENCE CARE SYSTEM INC INDE 8774272525 25 ELM PLACE 5TH FLOOR BROOKLYN NY 11201 REGINA ESTELA CEO AND PRESIDENT 8774272525 2025-10-06 1 1 CATHERINE PETERCSAK P01357092 5167472000 2025-10-06 2024 2025-03-06 01:10:19Z REGINA ESTELA 25 ELM PLACE 5TH FLOOR BROOKLYN NY 11201 28083740 0 X WWW.ICSNY.ORG X 1999 NY TO IMPROVE THE HEALTH OF, AND SERVICES FOR, DISABLED PEOPLE REQUIRING LONG TERM HOME CARE. 12 11 125 11 0 0 570014 448520 12622718 19358878 212459 126747 135491 385641 13540682 20319786 0 0 0 0 11765307 12311738 0 0 0 3110503 2970396 14875810 15282134 -1335128 5037652 12382855 12859631 6631250 2079754 5751605 10779877 X INDEPENDENCE CARE SYSTEM (ICS) IS A NONPROFIT ORGANIZATION COMMITTED TO ASSISTING PEOPLE WITH DISABILITIES TO LIVE INDEPENDENTLY AND PARTICIPATE FULLY IN COMMUNITY LIFE. WE SEEK TO BECOME A MODEL OF INTEGRATED HEALTH CARE AND SOCIAL SUPPORTS BASED ON COLLABORATION BETWEEN CONSUMERS, PROVIDERS AND CARE COORDINATORS. 0 0 11623556 19358878 INDEPENDENCE CARE SYSTEM, INC. (ICS) IS A COMMUNITY OF PROFESSIONALS DEDICATED TO SERVING PEOPLE WITH DISABILITIES BY PROVIDING CARE MANAGEMENT AND SERVICE COORDINATION IN THE COMMUNITY. ICS IS THE FIRST AND ONLY HEALTH HOME PROGRAM IN NEW YORK STATE WITH DISABILITY-EXPERT STAFF AND PROGRAMS DESIGNED TO PROMOTE THE HEALTH AND INDEPENDENCE FOR INDIVIDUALS WITH PHYSICAL DISABILITIES CAUSED BY SPINAL CORD INJURIES, MULTIPLE SCLEROSIS AND OTHER PHYSICAL CONDITIONS THAT LIMIT THEIR MOBILITY. ICS OPERATES THRIVE, A SOCIAL DAY PROGRAM WITH PROGRAMMING SPECIFICALLY GEARED TOWARDS ADULTS WITH PHYSICAL DISABILITIES. IN 2025, ICS BEGAN PARTICIPATING IN THE NYS HEALTH EQUITY REFORM WAIVER, PROVIDING SCREENING AND ENHANCED CARE MANAGEMENT SERVICES FOR NEW YORKERS WITH HEALTH RELATED SOCIAL NEEDS. ICS ALSO OFFERS A COMMUNITY HEALTH WORKER PROGRAM, WHICH PROVIDES HEALTH NAVIGATIONAND PEER MENTORING TO PEOPLE WITH PHYSICAL DISABILITIES DELIVERED BY INDIVIDUALS WITH THE LIVED EXPERIENCE. THESE PROGRAMS ALLOW ICS TO CONTINUE ITS MISSION OF SUPPORTING ADULTS WITH PHYSICAL DISABILITIES AND CHRONIC CONDITIONS TO LIVE AT HOME AND PARTICIPATE FULLY IN COMMUNITY LIFE. 11623556 1 1 0 1 0 0 0 0 0 0 1 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 0 0 0 0 1 64 0 125 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X KERRI O'NEILL CFO 6468317215 25 ELM PLACE 5TH FLOOR BROOKLYN NY 11201 JEFFREY M KRAUSS CHAIRPERSON 1.00 0.00 X X 0 0 0 GERRY DICKERSON BOARD MEMBER 1.00 0.00 X 0 0 0 CHRIS DUFF BOARD MEMBER 1.00 0.00 X 0 0 0 CARLA BOUTIN- FOSTER BOARD MEMBER 1.00 0.00 X 0 0 0 DONNA GALENO BOARD MEMBER 1.00 0.00 X 0 0 0 BILL GUERCI BOARD MEMBER 1.00 0.00 X 0 0 0 JOSE HERNANDEZ BOARD MEMBER 1.00 0.00 X 0 0 0 JANINE KNUDSEN BOARD MEMBER 1.00 0.00 X 0 0 0 GREGORY NERSESSIAN BOARD MEMBER 1.00 0.00 X 0 0 0 ADRIA POWELL BOARD MEMBER 1.00 0.00 X 0 0 0 RICK SURPIN BOARD MEMBER 1.00 0.00 X 24000 0 0 ANNE ELIZABETH STRAUB BOARD MEMBER 1.00 0.00 X 0 0 0 REGINA ESTELA CEO/PRESIDENT 35.00 0.00 X 298548 0 27311 KERRI O'NEILL CHIEF FINANCIAL OFFICER 35.00 0.00 X 247104 0 22490 RACHAEL STACOM SVP, CLINIC PROG & POPULATION HEALTH 35.00 0.00 X 247909 0 16744 HARRY K BONSU SVP, ADMINISTRATIVE & MEMBER SERVICES 35.00 0.00 X 228047 0 21125 DONNA LOONIE SVP, COMMUNICATIONS & MARKETING 35.00 0.00 X 216418 0 0 CATHERINE H BARUFALDI SVP, HUMAN RESOURCES 35.00 0.00 X 193004 0 27301 MEGAN ROGERS VP, OPERATIONS & INFORMATION SYSTEMS 35.00 0.00 X 173160 0 2600 1628190 0 117571 19 0 1 0 0 448520 448520 MEDICAID PAYMENTS 621500 19358878 19358878 19358878 191935 191935 99858 65449 34409 34409 34409 7633317 7698505 -65188 -65188 -65188 MISC. INCOME 900099 333867 333867 HEALTH CARE WORKERS BONUS 900099 17365 17365 351232 20319786 19358878 0 512388 595452 595452 8976436 7009409 1967027 1982872 1606467 376405 756978 556058 200920 3000 2308 692 65167 51503 13664 300 300 7131 7131 545243 484921 60322 15631 15631 255702 202087 53615 439952 347704 92248 881150 753151 127999 53354 42167 11187 314265 248371 65894 199265 158505 40760 CLEANING 83552 66033 17519 REPAIRS AND MAINTENANCE 36091 31170 4921 VEHICLE OPERATING EXPEN 24285 24285 DUES AND SUBSCRIPTIONS 24147 19084 5063 22161 20033 2128 15282134 11623556 3658578 0 751979 168648 3716 60048 1180597 9986907 255055 314295 5015461 4467821 825562 547640 462128 1684531 8903818 97562 12382855 12859631 1063504 1481903 5567746 597851 6631250 2079754 X 5296858 10553190 454747 226687 5751605 10779877 12382855 12859631 X 5037652 82657 -92037 X 0 1 X 1 0 X 214420 3634293 330448 570014 448520 5197695 15577334 14691318 13480671 12622718 19358878 75730919 15791754 18325611 13811119 13192732 19807398 80928614 0 0 0 80928614 38915 113589 141971 294112 291793 880380 38915 113589 141971 294112 291793 880380 102475 113618 112526 60831 351232 740682 15933144 18552818 14065616 13547675 20450423 82549676 0.98040 0.98610 0.01070 0.00810 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: MISCELLANEOUS REVENUE - 2020 AMOUNT: $ 102,475. 2021 AMOUNT: $ 113,618. 2023 AMOUNT: $ 485. 2024 AMOUNT: $ 333,867. HEALTH CARE WORKERS BONUS - 2022 AMOUNT: $ 112,526. 2024 AMOUNT: $ 17,365. INSURANCE PREMIUM OVERPAYMENT - 2023 AMOUNT: $ 60,346. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 1 0 0 1 0 1 300 300 0 PART II-B, LINE 1: DURING 2024 ICS COLLABORATED WITH THE CIVICS LEAGUE FOR DISABILITIES, A GRASSROOTS, CONSUMER-LED, UNINCORPORATED GROUP, TO ADVOCATE FOR A SPECIALIZED PROGRAM FOR ADULTS WITH PHYSICAL DISABILITIES IN NYS. THIS ACTIVITY INCLUDED VISITS WITH LOCAL MEMBERS OF THE NYS LEGISLATURE AND MEETINGS WITH THE NYS MEDICAID DIRECTOR. ICS ALSO PAID FEES TO GREENBERG TRAURIG, LLP FOR GOVERNMENT REPRESENTATION AT THE NYS LEVEL. 1430716 1290854 139862 3473856 3089874 383982 110889 87093 23796 547640 LIABILITIES, DISCONTINUED OPERATIONS 170176 OPERATING LEASE LIABILITY 427675 597851 X 20467892 82657 82657 20385235 -65449 -65449 20319786 15347583 65449 65449 15282134 0 15282134 PART X, LINE 2: MANAGEMENT HAS EVALUATED ICS'S TAX POSITIONS AND CONCLUDED THAT ICS HAS NOT TAKEN ANY UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS TO COMPLY WITH THE PROVISIONS OF ACCOUNTING STANDARDS CODIFICATION 740. PART XI, LINE 4B - OTHER ADJUSTMENTS: RENTAL EXPENSES -65,449. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 65,449. X X X X 0 0 0 0 0 0 0 0 0 REGINA ESTELA CEO/PRESIDENT 298548 0 0 0 0 0 0 0 27311 0 325859 0 0 0 KERRI O'NEILL CHIEF FINANCIAL OFFICER 247104 0 0 0 0 0 0 0 22490 0 269594 0 0 0 RACHAEL STACOM SVP, CLINIC PROG & POPULATION HEALTH 247909 0 0 0 0 0 0 0 16744 0 264653 0 0 0 HARRY K BONSU SVP, ADMINISTRATIVE & MEMBER SERVICE 228047 0 0 0 0 0 0 0 21125 0 249172 0 0 0 CATHERINE H BARUFALDI SVP, HUMAN RESOURCES 193004 0 0 0 0 0 0 0 27301 0 220305 0 0 0 DONNA LOONIE SVP, COMMUNICATIONS & MARKETING 216418 0 0 0 0 0 0 0 0 0 216418 0 0 0 MEGAN ROGERS VP, OPERATIONS & INFORMATION SYSTEMS 173160 0 0 0 0 0 0 0 2600 0 175760 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION DISTRIBUTES A COPY OF THE FINAL "DRAFT" OF THE FORM 990 TO THE BOARD OF DIRECTORS FOR REVIEW AND APPROVAL PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C EMPLOYEES ARE EXPECTED TO CONDUCT ACTIVITIES RELATING TO PERSONS, BUSINESSES, AND OTHER ORGANIZATIONS CLOSELY ASSOCIATED WITH THEM IN SUCH A WAY THAT NO CONFLICT MAY ARISE BETWEEN THE OTHER INTERESTS AND THE POLICIES, OPERATIONS OR INTERESTS (REAL OR APPARENT) OF INDEPENDENCE CARE SYSTEM, INC. THIS INCLUDES, BUT IS NOT LIMITED TO, OUTSIDE EMPLOYMENT. A CONFLICT OF INTEREST IS ANY DIRECT OR INDIRECT INTEREST IN A CONTRACTOR, REFERRER, OR RELATED ORGANIZATION, ON THE PART OF AN EMPLOYEE OR AN EMPLOYEE'S IMMEDIATE FAMILY, THAT MIGHT REASONABLY AFFECT THE EMPLOYEE'S JUDGMENT OR DECISIONS EXERCISED ON BEHALF OF THE ORGANIZATION. PROVIDE COMPLIANCE TRAINING TO THE BOD AND TO HAVE THEM COMPLETE THE COI ATTESTATIONS. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION FOR THE PRESIDENT/CEO AND SVP-OPERATIONS & INFORMATION SYSTEMS ARE BASED ON EMPLOYMENT CONTRACT, WHICH WERE APPROVED BY THE BOARD OF DIRECTORS. COMPENSATION FOR ALL OTHER POSITIONS WERE APPROVED BY THE CEO BASED ON RECOMMENDATIONS BY THE VICE PRESIDENT OF HUMAN RESOURCES AFTER CONSIDERING JOB DUTIES AND COMPETITIVE SALARIES IN THE COMMUNITY; INSURING EQUITY WITHIN THE ORGANIZATION. THIS PROCESS IS DOCUMENTED IN THE BOARD MINUTES. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: NET GAIN FROM WIND-DOWN OF DISCONTINUED OPERATIONS -92,037.