SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2013
Open to Public
Inspection
Name of the organization
ADVANCED CENTER FOR PSYCHOTHERAPY INC
 
Employer identification number

11-1864871
Return Reference Explanation
FORM 990, PART VI, SECTION A, LINE 6 MEDISYS HEALTH NETWORK IS THE SOLE MEMBER.
FORM 990, PART VI, SECTION A, LINE 7A MEDISYS HEALTH NETWORK, AS SOLE MEMBER CAN APPOINT THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 AND APPROPRIATE SCHEDULES, AS REQUIRED (FORM 990), IS PREPARED BY OUTSIDE ACCOUNTANT AND REVIEWED INTERNALLY BY MANAGEMENT, AT WHICH TIME IT IS CONSIDERED THE FINAL DRAFT. THE FINAL DRAFT OF THE FORM 990 IS PRESENTED TO THE TRUSTEES VIA EMAIL AND OR A BOARD MEETING. ONCE THE REVIEW OF THE FORM 990 HAS BEEN COMPLETED TO THE BOARD'S SATISFACTION, IT IS FINALIZED AND SUBSEQUENTLY FILED WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12C DISCLOSURE IN ACCORDANCE WITH THE CONFLICT OF INTEREST POLICY BY EMPLOYEES THAT SATISFY THE CRITERIA TO BE CONSIDERED AN "INTERESTED PERSON" IS SUBMITTED UPON HIRING AND ANNUALLY THEREAFTER. THE COMPLIANCE OFFICERS REVIEW THE SUBMISSIONS FOR CONFLICTS AND REPORTS THEM TO THE BOARD.
FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS - CERTIFICATE OF INCORPORATION FILED WITH THE NYS DEPARTMENT OF STATE; CONFLICT OF INTEREST POLICY IS NOT PUBLICLY AVAILABLE. FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART VII, SECTION A, LINE 1B: SEETH VIVEK M.D., RECEIVED COMPENSATION FOR THE PERFORMANCE OF SERVICES AS A PHYSICIAN FOR THE JAMAICA HOSPITAL MEDICAL CENTER WORKING ABOUT 40 HOURS PER WEEK. SEETH VIVEK M.D. DID NOT RECEIVE COMPENSATION AS VICE PRESIDENT FOR ADVANCED CENTER FOR PSYCHOTHERAPY INC. ANTHONY MAFFIA RECEIVED COMPENSATION FOR THE PERFORMANCE OF SERVICES TO THE JAMAICA HOSPITAL MEDICAL CENTER WORKING ABOUT 40 HOURS PER WEEK. ANTHONY MAFFIA DID NOT RECEIVE COMPENSATION AS A TRUSTEE FOR ADVANCED CENTER FOR PSYCHOTHERAPY INC. WILLIAM LYNCH RECEIVED COMPENSATION FOR THE PERFORMANCE OF SERVICES TO THE JAMAICA HOSPITAL MEDICAL CENTER WORKING ABOUT 40 HOURS PER WEEK. WILLIAM LYNCH DID NOT RECEIVE COMPENSATION AS A TRUSTEE FOR ADVANCED CENTER FOR PSYCHOTHERAPY INC. OR MEDISYS AMBULANCE SYSTEM FOR EACH OF WHICH HE WORKED ABOUT 1 HOUR PER WEEK.
FORM 990, PART IX, LINE 11G PHYSICIANS: PROGRAM SERVICE EXPENSES 1,694,540. MANAGEMENT AND GENERAL EXPENSES 154,343. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,848,883. THERAPISTS: PROGRAM SERVICE EXPENSES 524,103. MANAGEMENT AND GENERAL EXPENSES 55,743. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 579,846. SECURITY: PROGRAM SERVICE EXPENSES 53,606. MANAGEMENT AND GENERAL EXPENSES 5,701. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 59,307. HOUSEKEEPING: PROGRAM SERVICE EXPENSES 28,720. MANAGEMENT AND GENERAL EXPENSES 3,055. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 31,775.
FORM 990, PART VII, COLUMN C: MANAGEMENT HAS IN THE PREPARATION OF ITS FORM 990 REVIEWED PERSONNEL IN THE INSTITUTION TO SEE IF ANYONE MEETS THE CRITERIA ESTABLISHED TO BE CONSIDERED A "KEY EMPLOYEE" FOR IRS PURPOSES. IT IS THE CONTENTION OF MANAGEMENT THAT NO EMPLOYEE FULFILLS ANY OF THE SITUATIONS UNDER THE RESPONSIBILITY TEST ESTABLISHED BY THE IRS TO MEET TITLE OF KEY EMPLOYEE. THEREFORE, PART VII OF FORM 990 DOES NOT HAVE ANY INDIVIDUALS WHO WOULD BE CONSIDERED A "KEY EMPLOYEE".
FORM 990, PART VII, SECTION A, LINE 1B: FOR BRUCE FLANZ, PRESIDENT & CEO, MOUNIR DOSS, EXECUTIVE VICE PRESIDENT & CFO, THE HOURS REPORTED BELOW REFLECT THE TOTAL TIME WORKED AS OFFICERS FOR ALL OF THE RELATED ORGANIZATIONS SHOWN ON SCHEDULE R. TOTAL COMPENSATION IS REPORTED ON EACH ENTITY'S FORM 990. COST ALLOCATION AMONG THE ENTITIES IS PERFORMED CONSISTENTLY WITH ACCOUNTING RULES AND APPLICABLE COST ALLOCATION METHODOLOGIES. ESTIMATED NUMBER OF HOURS WORKED PER WEEK FOR RELATED ORGANIZATIONS IS AS FOLLOWS: MEDISYS HEALTH NETWORK - 10 HOURS PER WEEK FLUSHING HOSPITAL MEDICAL CENTER - 15 HOURS PER WEEK JAMAICA HOSPITAL MEDICAL CENTER - 30 HOURS PER WEEK OTHER RELATED ENTITIES LISTED ON SCHEDULE R - 10.0 HOURS PER WEEK
FORM 990, AMENDED RETURN: FORM 990 IS BEING AMENDED TO CORRECT A CLERICAL ERROR.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2013

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