COMMUNITY HEALTH CARE ASSOCIATION OF NEW YORK STATE INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
COMMUNITY HEALTH CARE ASSOCIATION OF NEW YORK STATE INC (EIN 13-2690296)
Tax period
2016-10-01 to 2017-09-30
Filed
2018-06-05
IRS object ID
201821569349300782
Schema version
2016v3.0
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 ReturnHeader

FieldValueIRS element (for citing)
Return2018-06-05T13:06:15-05:00ReturnTs
Tax Period End2017-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN221478099PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1COHNREZNICK LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11301 AVENUE OF THE AMERICASAddressLine1Txt
CityNEW YORKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10019ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN132690296EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1COMMUNITY HEALTH CARE ASSOCIATIONBusinessNameLine1Txt
Business Name Line2OF NEW YORK STATE INCBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlCOMMBusinessNameControlTxt
Phone2122799686PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1111 broadway No 1402AddressLine1Txt
CityNEW YORKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10006ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonRose DuhanPersonNm
Person TitlePRESIDENT and CeoPersonTitleTxt
Phone2122799686PhoneNum
Signature2018-05-31SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMAGDALENA M CZERNIAWSKI CPAPreparerPersonNm
PTINP00535099PTIN
Phone2122970400PhoneNum
Preparation2018-05-01PreparationDt
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1CHCANYSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerRose DuhanPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1111 broadway No 1402AddressLine1Txt
CityNEW YORKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10006ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$9,189,751GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.CHCANYS.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1971FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionTHAT ALL NEW YORKERS, INCLUDING THOSE WHO ARE MEDICALLY UNDERSERVED HAVE CONTINUOUS ACCESS TO HIGH QUALITY COMMUNITY-BASED HEALTH CARE SERVICES INCLUDING A PRIMARY CARE HOME. TO DO THIS, CHCANYS SERVES AS THE VOICE OF COMMUNITY HEALTH CENTERS AS LEADING PROVIDERS OF PRIMARY HEALTH CARE IN NEW YORK STATE. AS NEW YORK STATE'S PRIMARY CARE ASSOCIATION, CHCANYS WORKS CLOSELY WITH THE MORE THAN 60 FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS) (SECTION 330 GRANTEES AND LOOK-ALIKES) THAT OPERATE APPROXIMATELY 600 SITES ACROSS THE STATE. FQHCS ARE NOT FOR PROFIT PATIENT CENTERED MEDICAL HOMES LOCATED IN MEDICALLY UNDERSERVED AREAS THAT PROVIDE HIGH QUALITY, COST EFFECTIVE PRIMARY HEALTH CARE TO ANYONE SEEKING CARE, REGARDLESS OF THEIR INSURANCE STATUS OR ABILITY TO PAY. SERVING NEARLY 1.8 MILLION NEW YORKERS, THESE FQHCS ARE CENTRAL TO NEW YORK'S HEALTH CARE SAFETY NET.ActivityOrMissionDesc
Voting Members Governing Body33VotingMembersGoverningBodyCnt
Voting Members Independent33VotingMembersIndependentCnt
Total Employee80TotalEmployeeCnt
Total Volunteers33TotalVolunteersCnt
Total Gross UBI$35,405TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$11,008NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$7,959,727PYContributionsGrantsAmt
CY Contributions Grants$8,313,920CYContributionsGrantsAmt
PY Program Service Revenue$669,148PYProgramServiceRevenueAmt
CY Program Service Revenue$853,719CYProgramServiceRevenueAmt
PY Investment Income$97PYInvestmentIncomeAmt
CY Investment Income$92CYInvestmentIncomeAmt
PY Other Revenue$2,143PYOtherRevenueAmt
CY Other Revenue-$6,366CYOtherRevenueAmt
PY Total Revenue$8,631,115PYTotalRevenueAmt
CY Total Revenue$9,161,365CYTotalRevenueAmt
PY Grants And Similar Paid$19,037PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$13,670CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$4,594,530PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$4,864,229CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$154,749CYTotalFundraisingExpenseAmt
PY Other Expenses$3,909,693PYOtherExpensesAmt
CY Other Expenses$4,143,467CYOtherExpensesAmt
PY Total Expenses$8,523,260PYTotalExpensesAmt
CY Total Expenses$9,021,366CYTotalExpensesAmt
PY Revenues Less Expenses$107,855PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$139,999CYRevenuesLessExpensesAmt
Total Assets BOY$1,790,589TotalAssetsBOYAmt
Total Assets EOY$1,863,187TotalAssetsEOYAmt
Total Liabilities BOY$1,468,257TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,400,856TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$322,332NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$462,331NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE MISSION OF THE COMMUNITY HEALTH CARE ASSOCIATION OF NEW YORK STATE (CHCANYS) IS TO ENSURE THAT ALL NEW YORKERS, INCLUDING THOSE WHO ARE MEDICALLY UNDERSERVED, HAVE CONTINUOUS ACCESS TO HIGH QUALITY COMMUNITY-BASED HEALTH CARE SERVICES INCLUDING A PRIMARY CARE HOME. TO DO THIS, CHCANYS SERVES AS THE VOICE OF COMMUNITY HEALTH CENTERS AS LEADING PROVIDERS OF PRIMARY HEALTH CARE IN NEW YORK STATE. AS NEW YORK STATE'S PRIMARY CARE ASSOCIATION, CHCANYS WORKS CLOSELY WITH THE MORE THAN 60 FEDERALLY QUALIFIED HEALTH CENTERS (SECTION 330 GRANTEES AND LOOK-ALIKES) THAT OPERATE APPROXIMATELY 600 SITES ACROSS THE STATE. FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS) ARE NOT-FOR-PROFIT, PATIENT-CENTERED MEDICAL HOMES LOCATED IN MEDICALLY UNDERSERVED AREAS THAT PROVIDE HIGH QUALITY, COST-EFFECTIVE PRIMARY HEALTH CARE TO ANYONE SEEKING CARE, REGARDLESS OF THEIR INSURANCE STATUS OR ABILITY TO PAY. SERVING 1.8 MILLION NEW YORKERS, THESE FQHCS ARE CENTRAL TO NEW YORK'S HEALTH CARE SAFETY NET.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$7,630,742ExpenseAmt
Grant$13,670GrantAmt
Revenue$818,314RevenueAmt
DescCHCANYS 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 MANAGEMENTDesc
Total Program Service Expenses$7,630,742TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document20IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee80EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members33GoverningBodyVotingMembersCnt
Independent Voting Member33IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Joanna Thomas Director of Finance and OperationsBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2122793819PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1111 Broadway Suite 1402AddressLine1Txt
CityNEW YORKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10006ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (43 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
ANNE K NOLON
BOARD MEMBER1.00Yes (X)$0$0$0
Arturo Perez
BOARD MEMBER1.00Yes (X)$0$0$0
Brian McIndoe
BOARD MEMBER1.00Yes (X)$0$0$0
Daniel Dey
BOARD MEMBER1.00Yes (X)$0$0$0
David Kim
BOARD MEMBER1.00Yes (X)$0$0$0
David Shippee
BOARD MEMBER1.00Yes (X)$0$0$0
Gabrielle Vonleh
Outgoing BOARD MEMBER1.00Yes (X)$0$0$0
Harvey Lawrence
BOARD MEMBER & Treasurer1.50Yes (X)$0$0$0Yes (X)
Henry Thompson
BOARD MEMBER1.00Yes (X)$0$0$0
Jane T Eng
BOARD MEMBER1.00Yes (X)$0$0$0
Janice Harbin
BOARD MEMBER1.00Yes (X)$0$0$0
Joanne Haefner
BOARD MEMBER1.00Yes (X)$0$0$0
John Rugge MD
BOARD MEMBER1.00Yes (X)$0$0$0
Julia Tsien
BOARD MEMBER1.00Yes (X)$0$0$0
L Jeannine Bookhardt-Murray
BOARD MEMBER1.00Yes (X)$0$0$0
Larry McReynolds
BOARD MEMBER & Immediate Past Chair1.50Yes (X)$0$0$0Yes (X)
LaVonne Ansari
BOARD MEMBER1.00Yes (X)$0$0$0
Lazetta Duncan Moore
BOARD MEMBER1.00Yes (X)$0$0$0
Linda Muller
BOARD MEMBER & 2nd Vice President1.50Yes (X)$0$0$0Yes (X)
Lindsay Farrell
BOARD MEMBER & Secretary1.50Yes (X)$0$0$0Yes (X)
Mali Trilla
BOARD MEMBER1.00Yes (X)$0$0$0
Mary Ann Zelazny
BOARD MEMBER & Board Chair2.00Yes (X)$0$0$0Yes (X)
Matt Weissman
BOARD MEMBER1.00Yes (X)$0$0$0
Michael L Leary
BOARD MEMBER1.00Yes (X)$0$0$0
Neil Calman MD
BOARD MEMBER & 1st Vice Chair1.50Yes (X)$0$0$0Yes (X)
Paloma Hernanadez
BOARD MEMBER1.00Yes (X)$0$0$0
PAMELA MATTEL
BOARD MEMBER1.00Yes (X)$0$0$0
Patricia Fernandez
BOARD MEMBER1.00Yes (X)$0$0$0
Paul Kaye MD
BOARD MEMBER1.00Yes (X)$0$0$0
Paul Vitale
BOARD MEMBER1.00Yes (X)$0$0$0
randall coppin
BOARD MEMBER1.00Yes (X)$0$0$0
Walter Priest
BOARD MEMBER1.00Yes (X)$0$0$0
Warria Esmond MD
BOARD MEMBER1.00Yes (X)$0$0$0
Wendy Stark
BOARD MEMBER1.00Yes (X)$0$0$0
Lisa Hellerstein
SVP/ Interim CEO & President35.00$252,305$0$11,963Yes (X)
Rose duhan
PRESIDENT & CEO35.00$0$0$0Yes (X)
Steven Solinsky
Outgoing VP of Finance & Operations35.00$170,223$0$16,832Yes (X)
Amy Grandov
DIR OF HEALTH INFO TECH35.00$128,064$0$6,869Yes (X)
Beverly Grossman
POLICY DIRECTOR35.00$153,420$0$1,438Yes (X)
Diane Ferran
DIR CLINICAL QUALITY IMPROvement28.00$175,973$0$15,938Yes (X)
Sonia Panigrahy
Quality and technology initiatives35.00$113,159$0$13,532Yes (X)
Suzanne Rossel
DIr OF HEALTH CENTER SUPPORT35.00$191,126$0$31,804Yes (X)
Elizabeth Swain
former President and CEO35.00$131,082$0$6,554Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,315,352TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$104,930TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K9IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Azara healthcarellc
70 blanchard rd suite 401burlingtonMA01803Electronic Health Record Contractor$1,160,846
Brown & weinraubpllc
50 State Street 4th floorAlbanyNY12207Lobbyist$150,000
Cohnreznick
1301 avenue of the americasnew yorkNY100196032Financial services & audit$105,864
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt
Membership Dues$1,482,139MembershipDuesAmt
Fundraising$58,307FundraisingAmt
Government Grants$3,370,934GovernmentGrantsAmt
All Other Contributions$3,402,540AllOtherContributionsAmt
Total Contributions$8,313,920TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
CONFERENCES & MEETINGS541700$749,402$749,402
FEE REVENUE541700$104,317$68,912$35,405
FieldValueIRS element (for citing)
Total Program Service Revenue$853,719TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$92TotalRevenueColumnAmt
Exclusion$92ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$22,020FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$58,307ContriRptFundraisingEventAmt
Fundraising Direct Expenses$28,386FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$6,366TotalRevenueColumnAmt
Exclusion-$6,366ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,161,365TotalRevenueColumnAmt
Related Or Exempt Func Income$818,314RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$35,405UnrelatedBusinessRevenueAmt
Exclusion-$6,274ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$13,670TotalAmt
Program Services$13,670ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$414,971TotalAmt
Program Services$347,579ProgramServicesAmt
Management And General$57,557ManagementAndGeneralAmt
Fundraising$9,835FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$3,656,394TotalAmt
Program Services$3,062,596ProgramServicesAmt
Management And General$507,142ManagementAndGeneralAmt
Fundraising$86,656FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$100,032TotalAmt
Program Services$83,787ProgramServicesAmt
Management And General$13,874ManagementAndGeneralAmt
Fundraising$2,371FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$382,233TotalAmt
Program Services$320,158ProgramServicesAmt
Management And General$53,016ManagementAndGeneralAmt
Fundraising$9,059FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$310,599TotalAmt
Program Services$260,158ProgramServicesAmt
Management And General$43,080ManagementAndGeneralAmt
Fundraising$7,361FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$13,786TotalAmt
Management And General$13,786ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$34,768TotalAmt
Management And General$34,768ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$182,862TotalAmt
Program Services$182,862ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,187,541TotalAmt
Program Services$1,986,387ProgramServicesAmt
Management And General$181,670ManagementAndGeneralAmt
Fundraising$19,484FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$192,509TotalAmt
Program Services$136,131ProgramServicesAmt
Management And General$48,400ManagementAndGeneralAmt
Fundraising$7,978FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$137,341TotalAmt
Program Services$128,838ProgramServicesAmt
Management And General$7,262ManagementAndGeneralAmt
Fundraising$1,241FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$390,821TotalAmt
Program Services$327,352ProgramServicesAmt
Management And General$54,207ManagementAndGeneralAmt
Fundraising$9,262FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$155,068TotalAmt
Program Services$133,038ProgramServicesAmt
Management And General$22,030ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$516,599TotalAmt
Program Services$427,628ProgramServicesAmt
Management And General$88,971ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$13TotalAmt
Management And General$13ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$16,849TotalAmt
Program Services$14,112ProgramServicesAmt
Management And General$2,335ManagementAndGeneralAmt
Fundraising$402FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$33,590TotalAmt
Program Services$28,135ProgramServicesAmt
Management And General$5,455ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
Honorarium Stipends$109,659$109,659
RECRUITMENT & RETENTION$91,417$29,775$61,642
EQUIP RENTAL & MAINTENA$46,415$38,877$6,438$1,100
Subscriptions$15,418$15,418

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$18,811TotalAmt
Management And General$18,811ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$9,021,366TotalAmt
Program Services$7,630,742ProgramServicesAmt
Management And General$1,235,875ManagementAndGeneralAmt
Fundraising$154,749FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$105,705BOYAmt
EOY$305,993EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$126,420BOYAmt
EOY$142,587EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,259,447BOYAmt
EOY$1,212,843EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$25,579BOYAmt
EOY$6,500EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$66,909BOYAmt
EOY$118,480EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$556,867LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$481,364LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$85,144BOYAmt
EOY$75,503EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$121,385BOYAmt
EOY$1,281EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,790,589BOYAmt
EOY$1,863,187EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$743,944BOYAmt
EOY$697,622EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$519,934BOYAmt
EOY$480,409EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$204,379BOYAmt
EOY$222,825EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,468,257BOYAmt
EOY$1,400,856EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$119,157BOYAmt
EOY-$28,642EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$441,489BOYAmt
EOY$490,973EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$322,332BOYAmt
EOY$462,331EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,790,589BOYAmt
EOY$1,863,187EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$139,999ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,494,515CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,982,590CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,056,130CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,959,727CurrentTaxYearMinus1YearAmt
Current Tax Year$8,313,920CurrentTaxYearAmt
Total$37,806,882TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$7,494,515CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,982,590CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,056,130CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$7,959,727CurrentTaxYearMinus1YearAmt
Current Tax Year$8,313,920CurrentTaxYearAmt
Total$37,806,882TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$42,279SubstantialContributorsTotAmt
Public Support Total170$37,764,603PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,510CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$519CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$257CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$97CurrentTaxYearMinus1YearAmt
Current Tax Year$92CurrentTaxYearAmt
Total$2,475TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$14,696CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus2 Years$19,560CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$20,400CurrentTaxYearMinus1YearAmt
Current Tax Year$22,020CurrentTaxYearAmt
Total$76,676TotalAmt
FieldValueIRS element (for citing)
Total Support$37,886,033TotalSupportAmt
Gross Receipts Rltd Activities$3,157,963GrossReceiptsRltdActivitiesAmt
Public Support CY1700.99680PublicSupportCY170Pct
Public Support PY1700.99760PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule A, Part II, Line 10, Explanation of Other Income:FormAndLineReferenceDesc
ExplanationFundraising Revenue - 2012 Amount: $ 14,696. 2014 Amount: $ 19,560. 2015 Amount: $ 20,400. 2016 Amount: $ 22,020.ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

Total Direct Lobbying TotalDirectLobbyingGrp

FieldValueIRS element (for citing)
Filing Organizations Total$273,622FilingOrganizationsTotalAmt

Total Lobbying Expend TotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$273,622FilingOrganizationsTotalAmt

Other Exempt Purpose Expend OtherExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$7,357,120FilingOrganizationsTotalAmt

Total Exempt Purpose Expend TotalExemptPurposeExpendGrp

FieldValueIRS element (for citing)
Filing Organizations Total$7,630,742FilingOrganizationsTotalAmt

Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp

FieldValueIRS element (for citing)
Filing Organizations Total$531,537FilingOrganizationsTotalAmt

Grassroots Nontaxable GrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Filing Organizations Total$132,884FilingOrganizationsTotalAmt

Tot Lbbyng Grassroot Mns Non Tx TotLbbyngGrassrootMnsNonTxGrp

FieldValueIRS element (for citing)
Filing Organizations Total$0FilingOrganizationsTotalAmt

Tot Lbby Expend Mns Lbbyng Non Tx TotLbbyExpendMnsLbbyngNonTxGrp

FieldValueIRS element (for citing)
Filing Organizations Total$0FilingOrganizationsTotalAmt

Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp

FieldValueIRS element (for citing)
Current Year Minus3$517,830CurrentYearMinus3Amt
Current Year Minus2$543,033CurrentYearMinus2Amt
Current Year Minus1$510,950CurrentYearMinus1Amt
Current Year$531,537CurrentYearAmt
Total$2,103,350TotalAmt
FieldValueIRS element (for citing)
Lobbying Ceiling$3,155,025LobbyingCeilingAmt

Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp

FieldValueIRS element (for citing)
Current Year Minus3$376,283CurrentYearMinus3Amt
Current Year Minus2$336,087CurrentYearMinus2Amt
Current Year Minus1$306,528CurrentYearMinus1Amt
Current Year$273,622CurrentYearAmt
Total$1,292,520TotalAmt

Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp

FieldValueIRS element (for citing)
Current Year Minus3$129,458CurrentYearMinus3Amt
Current Year Minus2$135,758CurrentYearMinus2Amt
Current Year Minus1$127,738CurrentYearMinus1Amt
Current Year$132,884CurrentYearAmt
Total$525,838TotalAmt
FieldValueIRS element (for citing)
Grassroots Ceiling$788,757GrassrootsCeilingAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-A LINE 1B:FormAndLineReferenceDesc
ExplanationEducates 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 CareExplanationTxt

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$44,189OtherCostOrOtherBasisAmt
Depreciation$44,189DepreciationAmt
Book Value$0BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$254,394OtherCostOrOtherBasisAmt
Depreciation$228,986DepreciationAmt
Book Value$25,408BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$258,284OtherCostOrOtherBasisAmt
Depreciation$208,189DepreciationAmt
Book Value$50,095BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$75,503TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
Descdeferred rentDesc
Amt$222,825Amt
FieldValueIRS element (for citing)
Total Liability$222,825TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$9,189,751TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$9,189,751RevenueSubtotalAmt
Other Revenues Not Included-$28,386OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt-$28,386RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$9,161,365TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$9,049,752TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$28,386OtherExpensesIncludedAmt
Expenses Not Reported$28,386ExpensesNotReportedAmt
Expenses Subtotal$9,021,366ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$9,021,366TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part X, Line 2:THE ASSOCIATION HAS NO UNRECOGNIZED TAX BENEFITS AT SEPTEMBER 30, 2017. THE ASSOCIATION'S FEDERAL AND STATE TAX RETURNS PRIOR TO FISCAL YEAR 2014 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 -28,386.
Part XII, Line 2d - Other Adjustments:fundraising expenses 28,386.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1Day at the racesEvent1Nm
Gross Receipts Event1$80,327GrossReceiptsEvent1Amt
Charitable Contri Event1$58,307CharitableContriEvent1Amt
Gross Revenue Event1$22,020GrossRevenueEvent1Amt
Rent Facility Costs Event1$17,651RentFacilityCostsEvent1Amt
Entertainment Event1$900EntertainmentEvent1Amt
Other Direct Expenses Event1$9,835OtherDirectExpensesEvent1Amt
Gross Receipts Total$80,327GrossReceiptsTotalAmt
Charitable Contributions Tot$58,307CharitableContributionsTotAmt
Gross Revenue Total Events$22,020GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$17,651RentFcltyCostsTotalEventsAmt
Entertainment Total Events$900EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$9,835OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$28,386DirectExpenseSummaryEventsAmt
Net Income Summary-$6,366NetIncomeSummaryAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Lisa Hellerstein
SVP/ Interim CEO & President$252,305$0$0$0$0$0$7,578$0$4,385$0$264,268$0$0$0
Steven Solinsky
Outgoing VP of Finance & Operations$170,223$0$0$0$0$0$5,341$0$11,491$0$187,055$0$0$0
Beverly Grossman
POLICY DIRECTOR$153,420$0$0$0$0$0$0$0$1,438$0$154,858$0$0$0
Diane Ferran
DIR CLINICAL QUALITY IMPROvement$175,973$0$0$0$0$0$5,529$0$10,409$0$191,911$0$0$0
Suzanne Rossel
DIr OF HEALTH CENTER SUPPORT$191,126$0$0$0$0$0$5,935$0$25,869$0$222,930$0$0$0
Elizabeth Swain
former President and CEO$131,082$0$0$0$0$0$0$0$6,554$0$137,636$0$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 6There 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 7aEach 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 11bAn 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 12cMembers 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 15aPresident/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 19The documents are available upon request.
Form 990, Part IX, line 11ggrant consultants: Program service expenses 89,802. Management and general expenses 0. Fundraising expenses 19,484. Total expenses 109,286. human resources consultants: Program service expenses 0. Management and general expenses 43,195. Fundraising expenses 0. Total expenses 43,195. program consultants and sub-contractors: Program service expenses 1,553,731. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,553,731. Data Processing: Program service expenses 342,854. Management and general expenses 135,287. Fundraising expenses 0. Total expenses 478,141. Financial Consultant: Program service expenses 0. Management and general expenses 3,188. Fundraising expenses 0. Total expenses 3,188.
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.

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.