2020-06-15T15:07:11-05:00 2019-09-30 221478099 COHNREZNICK LLP 1301 AVENUE OF THE AMERICAS NEW YORK NY 10019 990 2018-10-01 132690296 COMMUNITY HEALTH CARE ASSOCIATION OF NEW YORK STATE INC COMM 2122799686 111 BROADWAY NO 1402 NEW YORK NY 10001 ROSE DUHAN PRESIDENT AND CEO 2122799686 2020-05-27 1 LORI ROTHE YOKOBOSKY CPA P01273422 2122970400 2020-05-21 209.59.242.35 2020-05-27 17:44:09 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 3A16AF227DFFBEB6A54D665AEE301AB9EC7A606C 2018 2020-04-17 16:48:07Z CHCANYS ROSE DUHAN 111 BROADWAY NO 1402 NEW YORK NY 10001 9663283 0 X WWW.CHCANYS.ORG X 1971 NY SEE SCHEDULE O 33 33 88 0 29671 10059 7645521 8365134 1075647 1021730 262 199 -1675 253032 8719755 9640095 7114 1700 0 0 5055064 5142414 0 0 128890 4011879 4028804 9074057 9172918 -354302 467177 1733380 2126597 1625351 1551391 108029 575206 X OUR VISION:EVERY NEW YORK STATE COMMUNITY HAS PRIMARY CARE THAT ENCOMPASSES ALL ASPECTS OF EACH PATIENT'S HEALTH AND WELL-BEING. 0 0 7720756 1700 992059 CHCANYS WORKS TO INCREASE ACCESS TO HEALTH CARE FOR ALL NEW YORKERS GRASSROOTS ADVOCACY AND SUPPORTS FQHC'S WITH TOOLS AND INFORMATION NECESSARY TO MAINTAIN AND IMPROVE EXISTING PROGRAMS, STRENGTHEN CORE SERVICES AND BUILD NEW PROGRAMS. CHCANYS HAS A PROVEN TRACK RECORD OF ADDRESSING THE NEEDS OF ITS FQHC'S BY SHARING INFORMATION AND DEVELOPING TRAINING MODULES ON A VARIETY OF TOPICS, ENABLING THEM TO MEET CONTRACTUAL REPORTING OBLIGATIONS, ADDRESS REGULATORY CHANGES AND STANDARDIZE AND IMPROVE CARE. CHCANYS' MAIN PROGRAM AREAS ARE: POLICY AND ADVOCACY; QUALITY AND TECHNOLOGY INITIATIVES; PRIMARY CARE WORKFORCE INITIATIVES; HEALTH CENTER SUPPORT; AND EMERGENCY MANAGEMENT 7720756 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 20 0 1 88 1 1 1 0 0 0 0 1 1 0 0 0 0 0 0 X 33 33 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 0 0 NY X JOANNA THOMAS VP FINANCE & OPERATIONS 2122793819 111 BROADWAY SUITE 1402 NEW YORK NY 10006 ANDREA DEMEO TRUSTEE 1.00 X 0 0 0 ANNE K NOLON OUTGOING TRUSTEE 1.00 X 0 0 0 ARTURO PEREZ TRUSTEE 1.00 X 0 0 0 BRIAN MCINDOE TRUSTEE & TREASURER 1.00 X X 0 0 0 DANIEL DEY TRUSTEE 1.00 X 0 0 0 DAVID KIM TRUSTEE 1.00 X 0 0 0 DAVID NEMIROFF TRUSTEE 1.00 X 0 0 0 DAVID SHIPPEE TRUSTEE 1.00 X 0 0 0 DOUGLAS YORK TRUSTEE 1.00 X 0 0 0 HARVEY LAWRENCE TRUSTEE & 2ND VICE CHAIR 1.50 X X 0 0 0 HENRY THOMPSON TRUSTEE 1.00 X 0 0 0 JANE T ENG TRUSTEE 1.00 X 0 0 0 JANICE HARBIN TRUSTEE 1.00 X 0 0 0 JOANNE HAEFNER TRUSTEE 1.00 X 0 0 0 JOEY MARIE HORTON TRUSTEE 1.00 X 0 0 0 JOHN RUGGE MD OUTGOING TRUSTEE 1.00 X 0 0 0 JULIA TSIEN TRUSTEE 1.00 X 0 0 0 L JEANNINE BOOKHARDT-MURRAY TRUSTEE 1.00 X 0 0 0 LARRY MCREYNOLDS TRUSTEE 1.00 X 0 0 0 LAVONNE ANSARI TRUSTEE & 1ST VICE CHAIR 1.50 X X 0 0 0 LAZETTA DUNCAN MOORE TRUSTEE & SECRETARY 1.00 X X 0 0 0 LINDA MULLER OUTGOING TRUSTEE & SECRETARY 1.50 X X 0 0 0 LINDSAY FARRELL TRUSTEE 1.00 X 0 0 0 MALI TRILLA TRUSTEE 1.00 X 0 0 0 MARY ANN ZELAZNY TRUSTEE & IMMEDIATE PAST C 1.50 X X 0 0 0 MICHAEL L LEARY TRUSTEE 1.00 X 0 0 0 MICHAEL PEASE TRUSTEE 1.00 X 0 0 0 MICHELLE LEWIS TRUSTEE 1.00 X 0 0 0 NEIL CALMAN MD TRUSTEE & BOARD CHAIR 1.50 X X 0 0 0 PALOMA HERNANADEZ TRUSTEE 1.00 X 0 0 0 PATRICIA FERNANDEZ TRUSTEE 1.00 X 0 0 0 PAUL KAYE MD TRUSTEE 1.00 X 0 0 0 PAUL VITALE OUTGOING TRUSTEE 1.00 X 0 0 0 RANDALL COPPIN TRUSTEE 1.00 X 0 0 0 ROBERT HAYES TRUSTEE 1.00 X 0 0 0 WALTER PRIEST OUTGOING TRUSTEE 1.00 X 0 0 0 WARRIA ESMOND MD TRUSTEE 1.00 X 0 0 0 WENDY STARK TRUSTEE 1.00 X 0 0 0 JOANNA THOMAS VP, FINANCE & OPERATIONS 35.00 X 162047 0 17092 ROSE DUHAN PRESIDENT & CEO 35.00 X 253537 0 31191 DIANE FERRAN VP, CLINICAL AFFAIRS & PERFORMANCE IMPROVEMENT 28.00 X 193828 0 17944 LISA HELLERSTEIN SR. VICE PRESIDENT, QUALITY & TECHNOLOGY INITIATIV 35.00 X 211935 0 9366 SUZANNE ROSSEL SENIOR VICE-PRESIDENT HEALTH CENTER SUPPORT 35.00 X 158338 0 21895 AMY GRANDOV SENIOR DIRECTOR, HEALTH IT & ANALYTICS PROGRAM 31.50 X 128135 0 5190 LACEY CLARKE DIRECTOR OF POLICY 35.00 X 104901 0 14112 LILIANA HEREDIA SENIOR DIRECTOR, HEALTH CENTER SUPPOER 35.00 X 118696 0 30641 SONIA PANIGRAHY QUALITY AND TECHNOLOGY INI 35.00 X 118817 0 15186 1450234 0 162617 9 0 1 0 AZARA HEALTHCARELLC 70 BLANCHARD RD SUITE 401 BURLINGTON MA 01803 ELECTRONIC HEALTH RECORD CONTRACTOR 926475 GREENBERG TRAURIG LLP 54 STATE ST6TH FL ALBANY NY 12207 LOBBYIST 120000 2 1757282 44525 3939843 2623484 8365134 CONFERENCES & MEETINGS 541700 905318 905318 FEE REVENUE 541700 116412 86741 29671 1021730 199 199 24720 44525 23188 1532 1532 SETTLEMENT 900099 251500 251500 251500 9640095 992059 29671 253231 X 1700 1700 992123 812847 161617 17659 3355177 2748897 546558 59722 83694 68570 13634 1490 399716 327487 65113 7116 311704 255379 50777 5548 9002 9002 64256 64256 153440 153440 2260097 2126205 123945 9947 72543 53070 15690 3783 55402 45391 9025 986 394702 323379 64297 7026 134046 109824 21836 2386 575415 490435 74325 10655 12586 10313 2050 223 42532 35727 6805 CONSUMABLE SUPPLIES 80342 65824 13088 1430 RECRUITMENT & RETENSION 67220 26612 40608 MISCELLANOUS EXPENSE 55613 23374 32239 EQUIP RENTAL & MAINTENA 51608 42282 8407 919 9172918 7720756 1323272 128890 524720 631147 142701 401035 892552 877584 13100 50678 100371 118803 556867 510798 58655 46069 1281 1281 1733380 2126597 927196 810330 467107 526954 231048 214107 1625351 1551391 X -73785 -179368 181814 754574 108029 575206 1733380 2126597 467177 0 X X 0 1 X 1 1 1 X 7056130 7942477 8313920 7645521 8365134 39323182 7056130 7942477 8313920 7645521 8365134 39323182 1618612 37704570 257 97 92 262 199 907 17650 24196 35405 51267 29671 158189 19560 37650 22020 22725 276220 378175 39860453 4061270 0.94590 0.97650 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: FUNDRAISING REVENUE - 2014 AMOUNT: $ 19,560. 2015 AMOUNT: $ 20,400. 2016 AMOUNT: $ 22,020. 2017 AMOUNT: $ 22,725. 2018 AMOUNT: $ 24,720. CAPITAL CAMPAIGN - 2015 AMOUNT: $ 17,250. SETTLEMENT - 2018 AMOUNT: $ 251,500. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 153440 153440 7567316 7720756 536038 134010 0 0 510950 531537 533833 536038 2112358 3168537 306528 273622 326386 153440 1059976 127738 132884 133458 134010 528090 792135 PART II-A LINE 1B: EDUCATES LEGISLATORS AND GOVERNMENT ENTITIES ABOUT ISSUES OF IMPORTANCE TO FEDERALLY QUALIFIED HEALTH CENTERS. SUCH ISSUES INCLUDE: - INDIGENT CARE REIMBURSEMENT - MEDICAID REIMBURSEMENT - HEALTH CARE WORKFORCE - MIGRANT WORKER HEALTH - CAPITAL DEVELOPMENT FOR INCREASED ACCESS TO PRIMARY CARE 43311 29080 14231 255272 255269 3 258284 226449 31835 46069 DEFERRED RENT 214107 214107 X 9663283 0 9663283 -23188 -23188 9640095 9196106 23188 23188 9172918 0 9172918 PART X, LINE 2: THE ASSOCIATION HAS NO UNRECOGNIZED TAX BENEFITS AT SEPTEMBER 30, 2019. THE ASSOCIATION'S FEDERAL AND STATE TAX RETURNS PRIOR TO FISCAL YEAR 2016 ARE CLOSED AND MANAGEMENT CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS. PART XI, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES -23,188. PART XII, LINE 2D - OTHER ADJUSTMENTS: FUNDRAISING EXPENSES 23,188. LATMAN FAMILY DAY AT THE RACES 69245 44525 24720 16415 900 5873 69245 44525 24720 16415 900 5873 23188 1532 X X X 0 0 0 0 0 0 0 0 0 JOANNA THOMAS VP, FINANCE & OPERATIONS 161273 0 0 0 774 0 4379 0 12713 0 179139 0 0 0 ROSE DUHAN PRESIDENT & CEO 253124 0 0 0 413 0 7177 0 24014 0 284728 0 0 0 DIANE FERRAN VP, CLINICAL AFFAIRS & PERFORMANCE I 193558 0 0 0 270 0 5899 0 12045 0 211772 0 0 0 LISA HELLERSTEIN SR. VICE PRESIDENT, QUALITY & TECHNO 210976 0 0 0 959 0 7595 0 1771 0 221301 0 0 0 SUZANNE ROSSEL SENIOR VICE-PRESIDENT HEALTH CENTER 157150 0 0 0 1188 0 5368 0 16527 0 180233 0 0 0 FORM 990, PART I, LINE 1 OUR VISION: EVERY NEW YORK STATE COMMUNITY HAS PRIMARY CARE THAT ENCOMPASSES ALL ASPECTS OF EACH PATIENT'S HEALTH AND WELL-BEING. OUR MISSION: CHAMPION COMMUNITY-CENTERED PRIMARY CARE IN NEW YORK STATE THROUGH LEADERSHIP, ADVOCACY, AND SUPPORT OF COMMUNITY HEALTH CENTERS. ESTABLISHED TO GIVE A VOICE TO THE STATE'S NETWORK OF COMMUNITY HEALTH CENTERS AS LEADING PROVIDERS OF PRIMARY CARE, CHCANYS IS NOW SEEN AS ONE OF THE PREMIERE PRIMARY CARE ASSOCIATIONS IN THE COUNTRY. CHCANYS NOT ONLY WORKS TO INCREASE ACCESS FOR THOSE WHO WOULD OTHERWISE GO WITHOUT CARE THROUGH ADVOCACY AND EDUCATION BUT ALSO CREATES MAJOR NEW PROGRAMS AND INITIATIVES THAT SHOWCASE COMMUNITY HEALTH CENTERS AS CENTERS OF EXCELLENCE. CHCANYS DEFINES NEW DIRECTIONS IN PRIMARY CARE DELIVERY AT MORE THAN 70 FEDERALLY QUALIFIED HEALTH CENTERS WITH NEARLY 800 SITES THROUGHOUT THE STATE. FROM CLINICAL EXCELLENCE TO HEALTH INFORMATION TECHNOLOGY, FROM EMERGENCY PREPAREDNESS TO ELIMINATING HEALTH CARE DISPARITIES, CHCANYS' GOAL IS TO PROVIDE COMMUNITY HEALTH CENTERS WITH THE RESOURCES NEEDED TO PROVIDE HIGH QUALITY, COMMUNITY-BASED PRIMARY CARE TO ANYONE IN NEED REGARDLESS OF THEIR ABILITY TO PAY. PART III, LINE 1, CONTINUATION: OUR MISSION: CHAMPION COMMUNITY-CENTERED PRIMARY CARE IN NEW YORK STATE THROUGH LEADERSHIP, ADVOCACY, AND SUPPORT OF COMMUNITY HEALTH CENTERS. ESTABLISHED TO GIVE A VOICE TO THE STATE'S NETWORK OF COMMUNITY HEALTH CENTERS AS LEADING PROVIDERS OF PRIMARY CARE, CHCANYS IS NOW SEEN AS ONE OF THE PREMIERE PRIMARY CARE ASSOCIATIONS IN THE COUNTRY. CHCANYS NOT ONLY WORKS TO INCREASE ACCESS FOR THOSE WHO WOULD OTHERWISE GO WITHOUT CARE THROUGH ADVOCACY AND EDUCATION BUT ALSO CREATES MAJOR NEW PROGRAMS AND INITIATIVES THAT SHOWCASE COMMUNITY HEALTH CENTERS AS CENTERS OF EXCELLENCE. CHCANYS DEFINES NEW DIRECTIONS IN PRIMARY CARE DELIVERY AT MORE THAN 70 FEDERALLY QUALIFIED HEALTH CENTERS WITH NEARLY 800 SITES THROUGHOUT THE STATE. FROM CLINICAL EXCELLENCE TO HEALTH INFORMATION TECHNOLOGY, FROM EMERGENCY PREPAREDNESS TO ELIMINATING HEALTH CARE DISPARITIES, CHCANYS' GOAL IS TO PROVIDE COMMUNITY HEALTH CENTERS WITH THE RESOURCES NEEDED TO PROVIDE HIGH QUALITY, COMMUNITY-BASED PRIMARY CARE TO ANYONE IN NEED REGARDLESS OF THEIR ABILITY TO PAY. FORM 990, PART VI, SECTION A, LINE 6 THERE ARE TWO (2) CLASSES OF MEMBERSHIP IN THE COMMUNITY HEALTH CARE ASSOCIATION OF NEW YORK STATE. ORGANIZATIONAL MEMBERSHIP IN THE ASSOCIATION SHALL BE AVAILABLE TO ANY FQHC OR FQHC LOOK-ALIKE BASED IN NEW YORK STATE. ASSOCIATE MEMBERSHIP IN THE ASSOCIATION IS AVAILABLE TO AGENCIES, ORGANIZATIONS, CONSULTANTS AND INDIVIDUALS THAT ARE INTERESTED IN, OR HAVE GOALS RELATED TO THE ASSOCIATION BUT DO NOT QUALIFY AS ORGANIZATIONAL MEMBERS, E.G., CLINICAL ASSOCIATIONS, AGENCIES, SUPPLIERS AND OTHER FOR-PROFIT OR NON-PROFIT ORGANIZATIONS. ASSOCIATE MEMBERSHIP INCLUDES ALL PRIVILEGES OF ORGANIZATIONAL MEMBERSHIP EXCEPT FULL VOTING. ASSOCIATE MEMBERSHIP IS DESIGNATED ASSOCIATE INDIVIDUAL, ASSOCIATE ORGANIZATIONAL, AND ASSOCIATE GOVERNMENTAL. ASSOCIATE MEMBERS SHALL HAVE VOTING PRIVILEGES ONLY ON COMMITTEES ON WHICH THEY SERVE. ASSOCIATE MEMBERSHIP IS NOT AVAILABLE TO INDIVIDUALS ASSOCIATED WITH ORGANIZATIONAL MEMBERS, INCLUDING, BUT NOT LIMITED TO THEIR EMPLOYEES, THAT PROVIDE PRIMARY CARE. MEMBERSHIP IN THE ASSOCIATE MEMBERSHIP CATEGORY WILL NOT BE AVAILABLE TO THOSE WHO QUALIFY FOR THE ORGANIZATIONAL MEMBERSHIP CATEGORY. FORM 990, PART VI, SECTION A, LINE 7A EACH YEAR AT THE ANNUAL MEETING, THE ORGANIZATIONAL MEMBERSHIP SHALL FIRST ELECT MEMBERS TO ITS BOARD OF DIRECTORS. ELECTION IS BY BALLOT AND A MAJORITY OF THE VOTES CAST SHALL ELECT. FORM 990, PART VI, SECTION B, LINE 11B AN INDEPENDENT ACCOUNTING FIRM PREPARES THE 990 BASED ON AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY MANAGEMENT. THE RETURN IS THEN REVIEWED BY THE SENIOR DIRECTOR OF FINANCE AND THE PRESIDENT AND CEO AND PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO ITS SUBMISSION TO THE IRS. FORM 990, PART VI, SECTION B, LINE 12C MEMBERS OF THE BOARD, AS WELL AS ALL OFFICERS AND KEY EMPLOYEES, ARE REQUIRED TO SIGN WRITTEN CONFLICT OF INTEREST STATEMENTS ON AN ANNUAL BASIS. COPIES OF THE SIGNED FORMS ARE MAINTAINED. ANY CONFLICTS ARE RESOLVED BY THE BOARD. FORM 990, PART VI, SECTION B, LINE 15A PRESIDENT/CEO'S COMPENSATION IS DETERMINED VIA A MARKET ANALYSIS AND COMPARISON. THE EXECUTIVE COMMITTEE LOOKS AT DATA FROM NATIONAL SALARY SURVEYS FOR CEOS OF ASSOCIATIONS OF COMPARABLE SIZED ORGANIZATIONS/ASSOCIATIONS. IN ADDITION, THEY LOOK AT COMPENSATION PACKAGES FOR SIMILARLY-SIZED PRIMARY CARE ASSOCIATIONS (PCAS). AFTER THE COMPENSATION IS RECOMMENDED THE BOARD WILL THEN VOTE TO APPROVE THE COMPENSATION FOR THE PRESIDENT/CEO. FORM 990, PART VI, SECTION C, LINE 19 THE DOCUMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G GRANT CONSULTANTS: PROGRAM SERVICE EXPENSES 149,195. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 149,195. HUMAN RESOURCES CONSULTANTS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 33,210. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 33,210. PROGRAM CONSULTANTS AND SUB-CONTRACTORS: PROGRAM SERVICE EXPENSES 1,977,010. MANAGEMENT AND GENERAL EXPENSES 7,961. FUNDRAISING EXPENSES 9,947. TOTAL EXPENSES 1,994,918. DATA PROCESSING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 77,121. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 77,121. FINANCIAL CONSULTANT: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 5,653. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,653. FORM 990, PART XII, LINE 2C: THE PROCESS FOR OVERSEEING THE AUDIT OF THE FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT ACCOUNTANT THAT AUDITED THE FINANCIAL STATEMENTS HAS BEEN CONSISTENT WITH PRIOR YEARS.