CHARLES B WANG COMMUNITY HEALTH CENTER INC: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- CHARLES B WANG COMMUNITY HEALTH CENTER INC (EIN 13-2739694)
- Tax period
- 2020-01-01 to 2020-12-31
- Filed
- 2021-11-04
- IRS object ID
- 202113089349304251
- Schema version
- 2020v4.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule J
- Schedule L
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-11-04T16:12:30-05:00 | ReturnTs |
| Tax Period End | 2020-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 221478099 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COHNREZNICK LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1301 AVENUE OF THE AMERICAS | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10019 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 132739694 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHARLES B WANG COMMUNITY HEALTH CENTER | BusinessNameLine1Txt |
| Business Name Line2 | INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CHAR | BusinessNameControlTxt |
| Phone | 2123796988 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 268 CANAL STREET | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10013 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KAUSHAL CHALLA | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 2123796988 | PhoneNum |
| Signature | 2021-10-29 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | KAUSHAL | PersonFirstNm |
| Person Last | CHALLA | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | LORI ROTHE YOKOBOSKY CPA | PreparerPersonNm |
| PTIN | P01273422 | PTIN |
| Phone | 2122970400 | PhoneNum |
| Preparation | 2021-10-13 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | KAUSHAL CHALLA | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 268 CANAL STREET | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10013 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $63,071,350 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.CBWCHC.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1972 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | PROVIDE HIGH QUALITY AND AFFORDABLE HEALTH CARE TO THE UNDERSERVED, WITH A FOCUS ON ASIAN AMERICANS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 17 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 16 | VotingMembersIndependentCnt |
| Total Employee | 645 | TotalEmployeeCnt |
| Total Volunteers | 20 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $23,642,686 | PYContributionsGrantsAmt |
| CY Contributions Grants | $14,437,767 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $49,091,404 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $41,021,157 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,008,391 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,316,195 | CYInvestmentIncomeAmt |
| PY Other Revenue | $4,027,809 | PYOtherRevenueAmt |
| CY Other Revenue | $3,709,740 | CYOtherRevenueAmt |
| PY Total Revenue | $77,770,290 | PYTotalRevenueAmt |
| CY Total Revenue | $60,484,859 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $29,942,664 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $52,375,997 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $45,186,342 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $15,033,768 | PYOtherExpensesAmt |
| CY Other Expenses | $13,438,553 | CYOtherExpensesAmt |
| PY Total Expenses | $97,352,429 | PYTotalExpensesAmt |
| CY Total Expenses | $58,624,895 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$19,582,139 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,859,964 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $50,711,571 | TotalAssetsBOYAmt |
| Total Assets EOY | $53,115,826 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $14,110,331 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $15,717,126 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $36,601,240 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $37,398,700 | NetAssetsOrFundBalancesEOYAmt |
| Mission | PROVIDE HIGH QUALITY AND AFFORDABLE HEALTH CARE TO THE UNDERSERVED, WITH A FOCUS ON ASIAN AMERICANS. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $49,820,421 | ExpenseAmt |
| Revenue | $44,730,897 | RevenueAmt |
| Desc | THE ORGANIZATION OPERATED A FEDERALLY QUALIFIED HEALTH CENTER, WHICH HAD 225,152 VISITS IN 2020. | Desc |
| Total Program Service Expenses | $49,820,421 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | Yes (1) | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 14 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 645 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 17 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 16 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NY | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LYNN D SHERMAN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2123796988 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 268 CANAL STREET | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10013 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| EMILY WOO | ||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| IRENE CHU | ||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| JEANNE LEE JACKSON | ||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| JIMING LIANG | ||||||||
| CHAIRPERSON | 3.00 | Yes (X) | $0 | $0 | $0 | 1.00 | Yes (X) | |
| KENNY CHIN ESQ | ||||||||
| OUTGOING BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| KITTY CHEN | ||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| LESLIE CHUANG MD | ||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| LINH MY AN | ||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| MARIE LAM | ||||||||
| OUTGOING BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | 1.00 | ||
| MARY AGNES PAN | ||||||||
| TREASURER | 3.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| OWH KIAN ONG | ||||||||
| VICE-CHAIRPERSON | 3.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| PAULINE TSE | ||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| PHILIP CHONG JR | ||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| REGINA LEE | ||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| SOPHIA NG TSAO | ||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| STEPHANIE CHENG | ||||||||
| SECRETARY | 3.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| TIMOTHY HSU | ||||||||
| OUTGOING BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| VICKI TSE MD | ||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| VICTOR LEE | ||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | 1.00 | ||
| YVONNE GHAW | ||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| BETTY K CHENG | ||||||||
| EXECUTIVE VP & COO | 35.00 | $274,287 | $0 | $44,487 | Yes (X) | |||
| DE YOUNG CHAN | ||||||||
| CFO | 35.00 | $198,227 | $0 | $17,306 | Yes (X) | |||
| JANE T ENG ESQ | ||||||||
| OUTGOING PRESIDENT & CEO | 34.00 | $239,183 | $0 | $13,900 | 1.00 | Yes (X) | ||
| KAUSHAL CHALLA | ||||||||
| CHIEF EXECUTIVE OFFICER | 34.00 | $334,794 | $0 | $647 | 1.00 | Yes (X) | ||
| KENNETH SHIEH | ||||||||
| CHIEF STRATEGY OFFICER | 35.00 | $213,945 | $0 | $20,229 | Yes (X) | |||
| LYNN D SHERMAN | ||||||||
| EVP FINANCE , IT, CAPITAL PROJECTS & HUMAN RESOURC | 34.00 | $318,790 | $0 | $45,841 | 1.00 | Yes (X) | ||
| PERRY PONG MD | ||||||||
| EXECUTIVE VP & CMO | 35.00 | $327,571 | $0 | $44,341 | Yes (X) | |||
| ALLAN W HO MD | ||||||||
| CHIEF OF OBSTETRICS AND GYNECOLOGY | 35.00 | $368,499 | $0 | $42,568 | Yes (X) | |||
| DU CHU WU MD | ||||||||
| SENIOR INTERNIST LEVEL II | 35.00 | $312,292 | $0 | $40,374 | Yes (X) | |||
| JIAN-PING CHEN MD | ||||||||
| DIRECTOR OF MENTAL HEALTH | 35.00 | $348,803 | $0 | $43,331 | Yes (X) | |||
| JIE YING SHEN MD | ||||||||
| SENIOR PEDIATRICIAN LEVEL II | 35.00 | $376,171 | $0 | $36,190 | Yes (X) | |||
| SHIMIN CAO MD | ||||||||
| CHIEF OF INTERNAL MEDICINE, QUEENS | 35.00 | $325,899 | $0 | $42,108 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,638,461 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $391,322 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 12 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (4 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| VVC HOLDING CORP | |||||
| 95 PINE ST STE110 | BURLINGTON | VT | 05401 | EMR SERVICES | $223,776 |
| AFRICAN SERVICES COMMITTEE INC | |||||
| 429 WEST 127TH ST | NEW YORK | NY | 10027 | HEP B SCREENING AND EDUCATION | $154,486 |
| COHNREZNICK LLP | |||||
| 1301 AVENUE OF THE AMERICAS 7TH FL | NEW YORK | NY | 10019 | AUDIT/TAX SERVICES | $121,985 |
| CIPHERHEALTH | |||||
| ONE PENN PLAZA STE 3101 | NEW YORK | NY | 10119 | APPOINTMENT REMINDERS/BROADCAST MESSAGIN | $120,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $12,270,774 | GovernmentGrantsAmt |
| All Other Contributions | $2,166,993 | AllOtherContributionsAmt |
| Noncash Contributions | $1,562,234 | NoncashContributionsAmt |
| Total Contributions | $14,437,767 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NEW YORK STATE MEDICAID MANAGED C | 621400 | $15,951,000 | $15,951,000 |
| MANAGED CARE PLANS | 621400 | $9,298,600 | $9,298,600 |
| PRIVATE INSURANCE | 621400 | $7,566,640 | $7,566,640 |
| NEW YORK STATE UNCOMPENSATED CARE | 621400 | $3,406,286 | $3,406,286 |
| MEDICAID | 621400 | $2,849,768 | $2,849,768 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,948,863 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,948,863 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $41,021,157 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $115,181 | TotalRevenueColumnAmt |
| Exclusion | $115,181 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,787,505 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,586,491 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,201,014 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,201,014 | TotalRevenueColumnAmt |
| Exclusion | $1,201,014 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| HEALTH PLAN QUALITY DISTRIBUTION | 900099 | $3,244,295 | $3,244,295 |
| MANAGEMENT SERVICES FEES | 900099 | $257,532 | $257,532 |
| METROCARD REIMBURSEMENT | 900099 | $107,899 | $107,899 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $100,014 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $100,014 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $3,709,740 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $60,484,859 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $44,730,897 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,316,195 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,093,575 | TotalAmt |
| Program Services | $1,790,594 | ProgramServicesAmt |
| Management And General | $302,981 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,292,356 | TotalAmt |
| Program Services | $26,763,731 | ProgramServicesAmt |
| Management And General | $4,528,625 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,361,737 | TotalAmt |
| Program Services | $1,164,666 | ProgramServicesAmt |
| Management And General | $197,071 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,255,898 | TotalAmt |
| Program Services | $5,350,546 | ProgramServicesAmt |
| Management And General | $905,352 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,182,776 | TotalAmt |
| Program Services | $3,577,446 | ProgramServicesAmt |
| Management And General | $605,330 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $70,436 | TotalAmt |
| Management And General | $70,436 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $137,565 | TotalAmt |
| Management And General | $137,565 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,013,177 | TotalAmt |
| Program Services | $479,410 | ProgramServicesAmt |
| Management And General | $533,767 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $591,502 | TotalAmt |
| Program Services | $505,900 | ProgramServicesAmt |
| Management And General | $85,602 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,160,792 | TotalAmt |
| Program Services | $3,569,596 | ProgramServicesAmt |
| Management And General | $591,196 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $102,936 | TotalAmt |
| Program Services | $74,866 | ProgramServicesAmt |
| Management And General | $28,070 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $67,320 | TotalAmt |
| Program Services | $48,963 | ProgramServicesAmt |
| Management And General | $18,357 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,247,491 | TotalAmt |
| Program Services | $1,070,238 | ProgramServicesAmt |
| Management And General | $177,253 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $166,643 | TotalAmt |
| Program Services | $54,358 | ProgramServicesAmt |
| Management And General | $112,285 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PHARMACEUTICALS | $1,663,051 | $1,663,051 | |
| DONATED VACCINES | $1,559,834 | $1,559,834 | |
| CONSUMABLE SUPPLIES | $962,560 | $875,945 | $86,615 |
| EQUIPMENT RENTAL AND MA | $542,874 | $457,108 | $85,766 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,152,372 | TotalAmt |
| Program Services | $814,169 | ProgramServicesAmt |
| Management And General | $338,203 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $58,624,895 | TotalAmt |
| Program Services | $49,820,421 | ProgramServicesAmt |
| Management And General | $8,804,474 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $458,084 | BOYAmt |
| EOY | $631,547 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,470,386 | BOYAmt |
| EOY | $19,880,184 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,308,214 | BOYAmt |
| EOY | $1,829,985 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,869,085 | BOYAmt |
| EOY | $6,841,377 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $759,032 | BOYAmt |
| EOY | $498,583 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $31,377,710 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $20,692,472 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,779,858 | BOYAmt |
| EOY | $10,685,238 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,639,966 | BOYAmt |
| EOY | $4,814,402 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,426,946 | BOYAmt |
| EOY | $7,934,510 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $50,711,571 | BOYAmt |
| EOY | $53,115,826 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,754,564 | BOYAmt |
| EOY | $8,316,235 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,355,767 | BOYAmt |
| EOY | $7,400,891 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,110,331 | BOYAmt |
| EOY | $15,717,126 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,712,491 | BOYAmt |
| EOY | $35,665,367 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,888,749 | BOYAmt |
| EOY | $1,733,333 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,601,240 | BOYAmt |
| EOY | $37,398,700 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $50,711,571 | BOYAmt |
| EOY | $53,115,826 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $1,859,964 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$1,062,504 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,296,250 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $11,305,626 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,956,616 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $23,642,685 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $14,437,767 | CurrentTaxYearAmt |
| Total | $68,638,944 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $44,047,545 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $50,998,159 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $51,043,741 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $49,091,404 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $41,021,157 | CurrentTaxYearAmt |
| Total | $236,202,006 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $53,343,795 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $62,303,785 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $61,000,357 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $72,734,089 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $55,458,924 | CurrentTaxYearAmt |
| Total | $304,840,950 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $45,000 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $134,130 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $546,000 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $30,020 | CurrentTaxYearAmt |
| Total | $755,150 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $45,000 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $134,130 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $546,000 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $30,020 | CurrentTaxYearAmt |
| Total | $755,150 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $304,085,800 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $190,132 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $196,358 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $241,293 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $249,235 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $115,181 | CurrentTaxYearAmt |
| Total | $992,199 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $190,132 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $196,358 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $241,293 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $249,235 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $115,181 | CurrentTaxYearAmt |
| Total | $992,199 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,601,478 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,664,723 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,990,292 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,027,809 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,709,740 | CurrentTaxYearAmt |
| Total | $18,994,042 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $57,135,405 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $66,164,866 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $65,231,942 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $77,011,133 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $59,283,845 | CurrentTaxYearAmt |
| Total | $324,827,191 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.93610 | PublicSupportCY509Pct |
| Public Support PY509 | 0.93610 | PublicSupportPY509Pct |
| Investment Income CY | 0.00310 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00370 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | HEALTH PLAN QUALITY DISTRIBUTION - 2016 AMOUNT: $ 2,728,821. 2017 AMOUNT: $ 2,796,726. 2018 AMOUNT: $ 3,349,768. 2019 AMOUNT: $ 3,269,299. 2020 AMOUNT: $ 3,244,295. MEANINGFUL USE INCENTIVE - 2016 AMOUNT: $ 242,250. 2017 AMOUNT: $ 212,500. MANAGEMENT SERVICES FEES - 2016 AMOUNT: $ 250,573. 2017 AMOUNT: $ 259,436. 2018 AMOUNT: $ 264,939. 2019 AMOUNT: $ 238,903. 2020 AMOUNT: $ 257,532. METROCARD REIMBURSEMENT - 2016 AMOUNT: $ 316,674. 2017 AMOUNT: $ 319,091. 2018 AMOUNT: $ 306,053. 2019 AMOUNT: $ 277,343. 2020 AMOUNT: $ 107,899. MEDICAL RECORDS CHARGES - 2016 AMOUNT: $ 42,103. 2017 AMOUNT: $ 45,559. 2018 AMOUNT: $ 54,190. 2019 AMOUNT: $ 62,910. 2020 AMOUNT: $ 40,454. OTHER - 2016 AMOUNT: $ 21,057. 2017 AMOUNT: $ 31,411. 2018 AMOUNT: $ 15,342. 2019 AMOUNT: $ 179,354. 2020 AMOUNT: $ 59,560. | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $21,013,357 | OtherCostOrOtherBasisAmt |
| Depreciation | $10,684,493 | DepreciationAmt |
| Book Value | $10,328,864 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $10,364,353 | OtherCostOrOtherBasisAmt |
| Depreciation | $10,007,979 | DepreciationAmt |
| Book Value | $356,374 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $10,685,238 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| SECURITY DEPOSITS | $880,535 |
| DEFERRED COMPENSATION ACCOUNT | $7,053,975 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $7,934,510 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| DEFERRED COMPENSATION PAYABLE | $7,053,975 |
| DEFERRED RENT | $346,916 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $7,400,891 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $59,606,272 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$1,062,504 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $183,917 | OtherRevenueAmt |
| Revenue Not Reported | -$878,587 | RevenueNotReportedAmt |
| Revenue Subtotal | $60,484,859 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $60,484,859 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $59,039,923 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $415,028 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $415,028 | ExpensesNotReportedAmt |
| Expenses Subtotal | $58,624,895 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $58,624,895 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | THE CENTER HAS NO UNRECOGNIZED TAX BENEFITS AT DECEMBER 31, 2020. THE CENTER'S FEDERAL AND STATE INCOME TAX RETURNS PRIOR TO FISCAL YEAR 2017 ARE CLOSED, AND MANAGEMENT CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS. THE CENTER RECOGNIZE INTEREST AND PENALTIES ASSOCIATED WITH TAX MATTERS AS OPERATING EXPENSES AND INCLUDES ACCRUED INTEREST AND PENALTIES WITH ACCRUED EXPENSES IN THE STATEMENT OF FINANCIAL POSITION. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | RELATED ORGANIZATION REVENUE 183,917. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | RELATED ORGANIZATION EXPENSES 415,028. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | DONATIONS TO HEALTHVIEW CBWCHC INC |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JIE YING SHEN MD | ||||||||||||||
| SENIOR PEDIATRICIAN LEVEL II | $375,139 | $0 | $0 | $0 | $1,032 | $0 | $8,749 | $0 | $27,441 | $0 | $412,361 | $0 | $0 | $0 |
| ALLAN W HO MD | ||||||||||||||
| CHIEF OF OBSTETRICS AND GYNECOLOGY | $367,467 | $0 | $0 | $0 | $1,032 | $0 | $17,100 | $0 | $25,468 | $0 | $411,067 | $0 | $0 | $0 |
| JIAN-PING CHEN MD | ||||||||||||||
| DIRECTOR OF MENTAL HEALTH | $347,771 | $0 | $0 | $0 | $1,032 | $0 | $17,100 | $0 | $26,231 | $0 | $392,134 | $0 | $0 | $0 |
| PERRY PONG MD | ||||||||||||||
| EXECUTIVE VP & CMO | $326,539 | $0 | $0 | $0 | $1,032 | $0 | $17,100 | $0 | $27,241 | $0 | $371,912 | $0 | $0 | $0 |
| SHIMIN CAO MD | ||||||||||||||
| CHIEF OF INTERNAL MEDICINE, QUEENS | $324,315 | $0 | $0 | $0 | $1,584 | $0 | $14,077 | $0 | $28,031 | $0 | $368,007 | $0 | $0 | $0 |
| LYNN D SHERMAN | ||||||||||||||
| EVP FINANCE , IT, CAPITAL PROJECTS & | $317,206 | $0 | $0 | $0 | $1,584 | $0 | $17,100 | $0 | $28,741 | $0 | $364,631 | $0 | $0 | $0 |
| DU CHU WU MD | ||||||||||||||
| SENIOR INTERNIST LEVEL II | $311,260 | $0 | $0 | $0 | $1,032 | $0 | $10,903 | $0 | $29,471 | $0 | $352,666 | $0 | $0 | $0 |
| KAUSHAL CHALLA | ||||||||||||||
| CHIEF EXECUTIVE OFFICER | $334,650 | $0 | $0 | $0 | $144 | $0 | $0 | $0 | $647 | $0 | $335,441 | $0 | $0 | $0 |
| BETTY K CHENG | ||||||||||||||
| EXECUTIVE VP & COO | $272,572 | $0 | $0 | $0 | $1,715 | $0 | $16,614 | $0 | $27,873 | $0 | $318,774 | $0 | $0 | $0 |
| JANE T ENG ESQ | ||||||||||||||
| OUTGOING PRESIDENT & CEO | $238,460 | $0 | $0 | $0 | $723 | $0 | $0 | $0 | $13,900 | $0 | $253,083 | $0 | $0 | $0 |
| KENNETH SHIEH | ||||||||||||||
| CHIEF STRATEGY OFFICER | $213,585 | $0 | $0 | $0 | $360 | $0 | $13,138 | $0 | $7,091 | $0 | $234,174 | $0 | $0 | $0 |
| DE YOUNG CHAN | ||||||||||||||
| CFO | $197,195 | $0 | $0 | $0 | $1,032 | $0 | $12,004 | $0 | $5,302 | $0 | $215,533 | $0 | $0 | $0 |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CENTRE COURT HOLDINGS LLC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | IRENE CHU, BOARD MEMBER, HAS FINANCIAL INTEREST IN CENTRE COURT HLDNGS LLC | RelationshipDescriptionTxt |
| Transaction | $450,744 | TransactionAmt |
| Transaction | RENT | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 2 | ContributionCnt |
| Noncash Contributions Rpt F990 | $1,562,234 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, COLUMN (B): | FormAndLineReferenceDesc |
| Explanation | COLUMN B REPRESENTS NUMBER OF CONTRIBUTORS. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | COPIES OF THE FORM 990 ARE DISTRIBUTED THE BOARD OF DIRECTORS. IT IS REVIEWED BY SENIOR MANAGEMENT, INCLUDING THE CEO AND CFO, AND DISTRIBUTED TO THE BOARD OF DIRECTORS BEFORE IT IS FILED WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION'S DIRECTORS, OFFICERS AND KEY EMPLOYEES SIGN DISCLOSURE STATEMENTS ANNUALLY. THE BOARD DEVELOPMENT COMMITTEE AND AUDIT COMMITTEE ARE RESPONSIBLE FOR MONITORING COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. IN THE EVENT A CONFLICT EXISTS, THE INDIVIDUAL WITH THE CONFLICT MUST RECUSE HIMSELF/HERSELF FROM ANY DELIBERATION AND VOTING REGARDING THE CONFLICT. |
| FORM 990, PART VI, SECTION B, LINE 15A | ANNUALLY, THE COMPENSATION COMMITTEE OF THE BOARD REVIEWS AND EVALUATES THE PRESIDENT AND CEO AND DECIDES ON COMPENSATION. INFORMATION FROM OUTSIDE CONSULTANTS ON COMPARABLE SALARIES OF SIMILAR ORGANIZATIONS MAY BE USED IN THEIR DETERMINATION. SALARIES FOR OTHER OFFICERS & KEY EMPLOYEES ARE DETERMINED BY THE PRESIDENT AND CEO, USING SALARY SURVEYS WITH INFORMATION FROM OTHER HEALTH CENTERS, AS WELL AS EMPLOYEE ANNUAL EVALUATIONS. |
| FORM 990, PART VI, SECTION C, LINE 19 | COPIES OF GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. |
| FORM 990, PART XII, LINE 2C: | NO CHANGE FROM PRIOR PERIOD PROCESS. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HEALTHVIEW CBWCHC INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 268 CANAL STREET | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10013 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 822560880 | EIN |
| Primary Activities | PROVIDE SUPPORT TO CHARLES B. WANG COMMUNITY HEALTH CENTER, INC. | PrimaryActivitiesTxt |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | LINE 12A, I | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHARLES B WANG COMMUNITY HEALTH CENTER INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Comments