RYAN-CHELSEA CLINTON COMMUNITY HEALTH CENTER: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- RYAN-CHELSEA CLINTON COMMUNITY HEALTH CENTER (EIN 13-3911827)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-11-09
- IRS object ID
- 201703139349301220
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule J
- Schedule K
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-11-09T08:51:05-06:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 271728945 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PKF O'CONNOR DAVIES LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 MAMARONECK AVENUE | AddressLine1Txt |
| City | HARRISON | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 105281633 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 133911827 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RYANCHELSEA-CLINTON COMMUNITY HEALTH | BusinessNameLine1Txt |
| Business Name Line2 | CENTER INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | RYAN | BusinessNameControlTxt |
| Phone | 2122654500 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 645 10TH AVENUE | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10036 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DR ELLEN BIRENBAUM | PersonNm |
| Person Title | INTERIM EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 2122654500 | PhoneNum |
| Signature | 2017-11-08 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | GARRETT M HIGGINS | PreparerPersonNm |
| PTIN | P00543209 | PTIN |
| Phone | 9143818900 | PhoneNum |
| Preparation | 2017-11-08 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 65.51.112.58 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2017-11-08 | IPDt |
| IP Tm | 20:59:15 | IPTm |
| IP Timezone | ES | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | C63E204139530C7A73D948D9DBE25A8631A7AD1B | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | CA72600D86868BB63E6792AE27374A61CFC4C663 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2018-03-14 21:41:22Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DR ELLEN BIRENBAUM | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 645 10TH AVENUE | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10036 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $11,055,237 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.RYANCENTER.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1996 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | RYAN/CHELSEA-CLINTON COMMUNITY HEALTH CENTER, INC. (THE "CENTER") OPERATES A FREESTANDING DIAGNOSTIC AND TREATMENT CENTER, LICENSED UNDER ARTICLE 28 OF THE NEW YORK STATE HEALTH LAW, LOCATED IN MANHATTAN. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 101 | TotalEmployeeCnt |
| Total Volunteers | 10 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,991,313 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,383,750 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $7,514,340 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $8,363,781 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,205 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,271 | CYInvestmentIncomeAmt |
| PY Other Revenue | $191,108 | PYOtherRevenueAmt |
| CY Other Revenue | $306,435 | CYOtherRevenueAmt |
| PY Total Revenue | $9,698,966 | PYTotalRevenueAmt |
| CY Total Revenue | $11,055,237 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | 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 | $5,192,464 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $5,573,451 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $4,090,095 | PYOtherExpensesAmt |
| CY Other Expenses | $4,636,640 | CYOtherExpensesAmt |
| PY Total Expenses | $9,282,559 | PYTotalExpensesAmt |
| CY Total Expenses | $10,210,091 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $416,407 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $845,146 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $12,448,167 | TotalAssetsBOYAmt |
| Total Assets EOY | $12,334,436 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $13,071,906 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $12,113,029 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$623,739 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $221,407 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE GUIDING MISSION OF THE RYAN/CHELSEA-CLINTON COMMUNITY HEALTH CENTER, INC, IS THAT "HEALTH CARE IS A RIGHT, NOT A PRIVILEGE." THE CENTER IS DEDICATED TO PROVIDING HIGH QUALITY, AFFORDABLE, COMPREHENSIVE, LINGUISTICALLY APPROPRIATE AND CULTURALLY COMPETENT HEALTHCARE SERVICES TO MEDICALLY UNDERSERVED POPULATIONS. ALL PATIENTS ARE TREATED EQUALLY WITH DIGNITY, RESPECT, COURTESY, CONFIDENTIALITY, AND CONCERN FOR SAFETY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $7,258,569 | ExpenseAmt |
| Revenue | $8,363,781 | RevenueAmt |
| Desc | THE CENTER OPERATES FREESTANDING DIAGNOSTIC AND TREATMENT CENTERS, LICENSED UNDER ARTICLE 28 OF THE NEW YORK STATE HEALTH LAW, LOCATED IN MANHATTAN. THE CENTER PROVIDES A BROAD RANGE OF HEALTH SERVICES TO A LARGELY MEDICALLY UNDERSERVED POPULATION. 9,743 PATIENTS GENERATING 38,476 ENCOUNTERS WERE SERVED BY THIS PROGRAM IN 2016. | Desc |
| Total Program Service Expenses | $7,258,569 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | 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 |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| 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 | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | 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 | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| 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 | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| 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 | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 59 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 101 | 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 |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (1) | 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 |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JOSE VIRELLA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2123167923 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 110 WEST 97TH STREET | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10025 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| WALTER DELACRUZ ESQ | ||||||||
| CHAIRPERSON | 5.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| MICHAEL WILLIAMS | ||||||||
| VICE CHAIR | 5.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| SARAH BOUCHER | ||||||||
| TREASURER | 5.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| HOPE L MASON | ||||||||
| BOARD MEMBER | 5.00 | Yes (X) | $0 | $0 | $0 | |||
| HARRIET CHAN KING | ||||||||
| BOARD MEMBER | 5.00 | Yes (X) | $0 | $0 | $0 | |||
| HECTOR PEREIRA | ||||||||
| BOARD MEMBER | 5.00 | Yes (X) | $0 | $0 | $0 | |||
| E RONALD GUY | ||||||||
| BOARD MEMBER | 5.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| HOWARD LONG | ||||||||
| BOARD MEMBER | 5.00 | Yes (X) | $0 | $0 | $0 | |||
| MARGARET GRAMINS | ||||||||
| BOARD MEMBER | 5.00 | Yes (X) | $0 | $0 | $0 | |||
| CARMELO CRUZ | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| WILLIAM MURPHY | ||||||||
| EXECUTIVE DIRECTOR | 40.00 | Yes (X) | $205,177 | $0 | $26,645 | |||
| JOSE VIRELLA | ||||||||
| CFO | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| YASMIN HASSAN | ||||||||
| PEDIATRIC PHYSICIAN | 40.00 | $203,950 | $0 | $39,947 | Yes (X) | |||
| EDWARD SOLIS | ||||||||
| ADULT MEDICAL PHYSICIAN | 40.00 | $170,346 | $0 | $16,171 | Yes (X) | |||
| ERIC WAHL | ||||||||
| OB/GYN PHYSICIAN | 34.00 | $213,255 | $0 | $39,727 | Yes (X) | |||
| ELLEN BIRENBAUM | ||||||||
| INTERIM EXEC. DIR./MEDICAL DIR. | 40.00 | $196,395 | $0 | $16,959 | Yes (X) | |||
| SACHI BRITTIN | ||||||||
| FAMILY PRACTITIONER | 40.00 | $156,646 | $0 | $14,018 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,145,769 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $153,467 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 9 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| WILLIAM F RYAN COMMUNITY | |||||
| 110 WEST 97TH STREET | NEW YORK | NY | 10025 | ADMIN AND MANAGEMNT SERVICES | $795,000 |
| ST LUKE'S ROOSEVELT HOSPITAL | |||||
| 150 EAST 42ND STREET 5TH FLOOR | NEW YORK | NY | 10170 | MEDICAL SERVICES | $434,836 |
| COMMUNITY EYECARE ASSOCIATES | |||||
| 229 EAST 79TH STREET | NEW YORK | NY | 10021 | EYE CARE SERVICES | $169,948 |
| COHN REZNICK LLP | |||||
| 1301 6TH AVE | NEW YORK | NY | 10019 | ACCOUNTING SERVICES | $153,626 |
| STRATEGIC SERVICES GROUP INC | |||||
| 545 5TH AVENUE | NEW YORK | NY | 10017 | SECURITY SERVICES | $124,047 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $588,130 | RelatedOrganizationsAmt |
| Government Grants | $1,476,827 | GovernmentGrantsAmt |
| All Other Contributions | $318,793 | AllOtherContributionsAmt |
| Noncash Contributions | $176,827 | NoncashContributionsAmt |
| Total Contributions | $2,383,750 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NEW YORK STATE AND CHILD HEALTH | 621990 | $2,960,610 | $2,960,610 |
| MEDICAID | 621990 | $1,114,026 | $1,114,026 |
| MEDICAID MANAGED CARE | 621990 | $1,028,861 | $1,028,861 |
| MEDICARE | 621990 | $845,612 | $845,612 |
| MEDICAID MANAGED CARE INCENTIVES | 621990 | $582,632 | $582,632 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,832,040 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,832,040 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $8,363,781 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,271 | TotalRevenueColumnAmt |
| Exclusion | $1,271 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| OTHER INCOME | 900099 | $303,909 | $303,909 |
| MEDICAL RECORDS | 900099 | $2,526 | $2,526 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $306,435 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $11,055,237 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $8,363,781 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $307,706 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $231,822 | TotalAmt |
| Program Services | $190,660 | ProgramServicesAmt |
| Management And General | $41,162 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,110,503 | TotalAmt |
| Program Services | $3,364,339 | ProgramServicesAmt |
| Management And General | $746,164 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $209,235 | TotalAmt |
| Program Services | $178,469 | ProgramServicesAmt |
| Management And General | $30,766 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $668,058 | TotalAmt |
| Program Services | $569,828 | ProgramServicesAmt |
| Management And General | $98,230 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $353,833 | TotalAmt |
| Program Services | $301,806 | ProgramServicesAmt |
| Management And General | $52,027 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $795,000 | TotalAmt |
| Management And General | $795,000 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,451 | TotalAmt |
| Program Services | $12,435 | ProgramServicesAmt |
| Management And General | $29,016 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,391 | TotalAmt |
| Management And General | $55,391 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,555 | TotalAmt |
| Program Services | $11,555 | ProgramServicesAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,516,816 | TotalAmt |
| Program Services | $789,988 | ProgramServicesAmt |
| Management And General | $726,828 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,296 | TotalAmt |
| Management And General | $32,296 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $214,020 | TotalAmt |
| Program Services | $127,993 | ProgramServicesAmt |
| Management And General | $86,027 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $271,819 | TotalAmt |
| Program Services | $247,089 | ProgramServicesAmt |
| Management And General | $24,730 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,032 | TotalAmt |
| Program Services | $23,010 | ProgramServicesAmt |
| Management And General | $18,022 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,749 | TotalAmt |
| Program Services | $9,749 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $91,861 | TotalAmt |
| Program Services | $53,483 | ProgramServicesAmt |
| Management And General | $38,378 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $408,177 | TotalAmt |
| Program Services | $326,542 | ProgramServicesAmt |
| Management And General | $81,635 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,856 | TotalAmt |
| Program Services | $18,895 | ProgramServicesAmt |
| Management And General | $19,961 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PHARMACEUTICALS AND MED | $895,683 | $895,683 | |
| EQUIP RENTAL AND MAINTE | $115,599 | $71,803 | $43,796 |
| OTHER DIRECT EXP | $49,334 | $17,241 | $32,093 |
| BAD DEBT | $37,560 | $37,560 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,441 | TotalAmt |
| Program Services | $10,441 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,210,091 | TotalAmt |
| Program Services | $7,258,569 | ProgramServicesAmt |
| Management And General | $2,951,522 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $86,639 | BOYAmt |
| EOY | $75,078 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,913,723 | BOYAmt |
| EOY | $1,781,312 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $59,157 | BOYAmt |
| EOY | $4,246 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $857,368 | BOYAmt |
| EOY | $1,228,702 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,805 | BOYAmt |
| EOY | $10,871 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $190,030 | BOYAmt |
| EOY | $160,994 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $14,772,939 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $6,591,787 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,504,757 | BOYAmt |
| EOY | $8,181,152 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $823,688 | BOYAmt |
| EOY | $892,081 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,448,167 | BOYAmt |
| EOY | $12,334,436 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $805,458 | BOYAmt |
| EOY | $980,211 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,904,725 | BOYAmt |
| EOY | $3,999,103 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $880,978 | BOYAmt |
| EOY | $833,534 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,480,745 | BOYAmt |
| EOY | $6,300,181 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,071,906 | BOYAmt |
| EOY | $12,113,029 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$623,739 | BOYAmt |
| EOY | $221,407 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$623,739 | BOYAmt |
| EOY | $221,407 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,448,167 | BOYAmt |
| EOY | $12,334,436 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $845,146 | ReconcilationRevenueExpnssAmt |
| 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) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| 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 | $2,133,043 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,531,227 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,324,418 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,991,313 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,383,750 | CurrentTaxYearAmt |
| Total | $10,363,751 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,959,788 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,262,255 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,637,534 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,514,340 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $8,363,781 | CurrentTaxYearAmt |
| Total | $37,737,698 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,092,831 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,793,482 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,961,952 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,505,653 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $10,747,531 | CurrentTaxYearAmt |
| Total | $48,101,449 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | 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) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $48,101,449 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $727 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,797 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,303 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,205 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,271 | CurrentTaxYearAmt |
| Total | $8,303 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $727 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,797 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,303 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,205 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,271 | CurrentTaxYearAmt |
| Total | $8,303 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $10,099 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus2 Years | $15,323 | CurrentTaxYearMinus2YearsAmt |
| Total | $25,422 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $27,525 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $121,170 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $102,274 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $191,108 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $306,435 | CurrentTaxYearAmt |
| Total | $748,512 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,131,182 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,916,449 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,081,852 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,698,966 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $11,055,237 | CurrentTaxYearAmt |
| Total | $48,883,686 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.98400 | PublicSupportCY509Pct |
| Public Support PY509 | 0.98720 | PublicSupportPY509Pct |
| Investment Income CY | 0.00020 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00060 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
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 C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $11,555 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $11,555 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | ORGANIZATION UTILIZED THE SERVICES OF A LOBBYING FIRM AND ITS SHARE OF LOBBYING EXPENSE WAS $11,555 FOR CALENDAR YEAR 2016. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,964,266 | OtherCostOrOtherBasisAmt |
| Book Value | $1,964,266 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,525,463 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,572,207 | DepreciationAmt |
| Book Value | $5,953,256 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,283,210 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,019,580 | DepreciationAmt |
| Book Value | $263,630 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $8,181,152 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DEBT SERVICE FUND | $729,755 |
| DEFERRED FINANCING COSTS | $143,854 |
| OTHER RECEIVABLES | $18,472 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $892,081 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO WILLIAM F. RYAN COMMUNITY HEALTH CENTER, INC. | $4,700,181 |
| SUBVENTION CERTIFICATE PAYABLE | $1,600,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $6,300,181 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $11,017,677 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $11,017,677 | RevenueSubtotalAmt |
| Other Revenues Not Included | $37,560 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $37,560 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $11,055,237 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $10,172,531 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $10,172,531 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $37,560 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $37,560 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $10,210,091 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | THE CENTER RECOGNIZES THE EFFECT OF INCOME TAX POSITIONS ONLY IF THOSE POSITIONS ARE MORE LIKELY THAN NOT TO BE SUSTAINED. MANAGEMENT HAS DETERMINED THAT THE CENTER HAD NO UNCERTAIN TAX POSITIONS THAT WOULD REQUIRE FINANCIAL STATEMENT RECOGNITION OR DISCLOSURE. THE CENTER IS NO LONGER SUBJECT TO EXAMINATIONS BY THE APPLICABLE TAXING JURISDICTIONS FOR PERIODS PRIOR TO DECEMBER 31, 2013. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | PROVISION FOR BAD DEBT NETTED AGAINST REVENUES 37,560. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | PROVISION FOR BAD DEBT NETTED AGAINST REVENUES 37,560. |
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 (6 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| WILLIAM MURPHY | ||||||||||||||
| EXECUTIVE DIRECTOR | $205,177 | $0 | $0 | $0 | $0 | $0 | $4,104 | $0 | $22,541 | $0 | $231,822 | $0 | $0 | $0 |
| YASMIN HASSAN | ||||||||||||||
| PEDIATRIC PHYSICIAN | $203,950 | $0 | $0 | $0 | $0 | $0 | $4,079 | $0 | $35,868 | $0 | $243,897 | $0 | $0 | $0 |
| EDWARD SOLIS | ||||||||||||||
| ADULT MEDICAL PHYSICIAN | $170,346 | $0 | $0 | $0 | $0 | $0 | $3,407 | $0 | $12,764 | $0 | $186,517 | $0 | $0 | $0 |
| ERIC WAHL | ||||||||||||||
| OB/GYN PHYSICIAN | $213,255 | $0 | $0 | $0 | $0 | $0 | $4,265 | $0 | $35,462 | $0 | $252,982 | $0 | $0 | $0 |
| ELLEN BIRENBAUM | ||||||||||||||
| INTERIM EXEC. DIR./MEDICAL DIR. | $196,395 | $0 | $0 | $0 | $0 | $0 | $3,928 | $0 | $13,031 | $0 | $213,354 | $0 | $0 | $0 |
| SACHI BRITTIN | ||||||||||||||
| FAMILY PRACTITIONER | $156,646 | $0 | $0 | $0 | $0 | $0 | $3,133 | $0 | $10,885 | $0 | $170,664 | $0 | $0 | $0 |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DORM AUTH OF STATE OF NY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 146000293 | BondIssuerEIN |
| CUSIP | 649906RT3 | CUSIPNum |
| Bond Issued | 2012-02-22 | BondIssuedDt |
| Issue Price | $6,279,835 | IssuePriceAmt |
| Purpose | PRO. FUND TO REFUND PRIOR ISSUE | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Total Proceeds | $6,279,835 | TotalProceedsAmt |
| In Reserve Fund | $280,144 | InReserveFundAmt |
| Issuance Costs From Proceeds | $291,233 | IssuanceCostsFromProceedsAmt |
| Other Spent Proceeds | $5,697,596 | OtherSpentProceedsAmt |
| Current Refunding | Yes (1) | CurrentRefundingInd |
| Advance Refunding | 0 | AdvanceRefundingInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | 0 | MgmtContractBondFincdPropInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | 0 | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | 0 | RebateNotDueYetInd |
| Exception To Rebate | 0 | ExceptionToRebateInd |
| No Rebate Due | 0 | NoRebateDueInd |
| Variable Rate Issue | 0 | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | Yes (1) | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | 0 | ProceduresCorrectiveActionInd |
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $176,827 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | DONOR VALUED | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (1) | 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 | THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTORS. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | WILLIAM F. RYAN COMMUNITY HEALTH CENTER, INC. PROVIDES GENERAL OVERSIGHT AND FINANCIAL MANAGEMENT SERVICES TO THE ORGANIZATION. JOSE VIRELLA WAS PAID BY WILLIAM F. RYAN COMMUNITY HEALTH CENTER, INC. FOR 2016, HE RECEIVED W-2 COMPENSATION OF 227,093 AND 43,446 OF NON-TAXABLE BENEFITS. WILLIAM F. RYAN COMMUNITY HEALTH CENTER, INC. WAS PAID $795,000 IN 2016 FOR THESE SERVICES. |
| FORM 990, PART VI, SECTION A, LINE 4 | THE ORGANIZATION'S BY-LAWS WERE AMENDED BY THE BOARD ON AUGUST 9,2016. THE BY-LAWS WERE AMENDED AS FOLLOWS: - ARTICLE 1, SECTION 3. THE ORGANIZATION'S "SERVICE AREA" WHICH HAD BEEN PREVIOUSLY NARROWLY DEFINED WAS REPLACED WITH A BROADER DESCRIPTION REFLECTING THE ORGANIZATION'S GREATER REACH AND STRATEGIC AIMS IN TERMS OF EXPANSION OPPORTUNITIES. - ARTICLE 11, SECTION 2 (C) AND (F). DEVELOPING AND IMPLEMENTING POLICIES FOR THE "SLIDING FEE SCALE AND "PATIENT CONFIDENTIALITY AND BILL OF RIGHTS" WAS EXPRESSLY INCLUDED IN THE BOARD'S RESPONSIBILITIES. - ARTICLE 11, SECTION 3(B). A CLARIFICATION THAT IF THE ORGANIZATION RECEIVED PARTICULAR TYPES OF SECTION 330 FUNDING IT WILL ENSURE PATIENT REPRESENTATION ON THE BOARD COMMENSURATE WITH SUCH FUNDING. - ARTICLE 5, SECTION 4(F). EXPRESS AUTHORIZATION FOR THE BOARD TO CREATE "AD HOC COMMITTEE" IN ADDITION TO STANDING COMMITTEES. - ARTICLE 8, SECTION 4. A PROHIBITION ON POLITICAL ACTIVITIES AND LIMITATIONS ON LOBBYING. - ARTICLE 8, SECTION 5. AN EXPRESS PROVISION ON CIRCUMSTANCES OF CORPORATE DISSOLUTION AND THE AUTHORIZATION FOR THE BOARD TO TAKE SUCH DRASTIC ACTION IF WARRANTED. - ARTICLE 9, SECTION 2. INCLUSION OF THE ORGANIZATION'S CONFLICTS OF INTEREST POLICY IN THE BY-LAWS, RATHER THAN ONLY AS A STAND-ALONE DOCUMENT APPROVED BY THE BOARD. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE EXECUTIVE DIRECTOR, CHIEF FINANCIAL OFFICER AND CONTROLLER REVIEW THE FORM 990 BEFORE IT IS PRESENTED AND REVIEWED BY THE BOARD OF DIRECTORS. A COPY OF THE FORM 990 IS ELECTRONICALLY PROVIDED TO THE ENTIRE BOARD OF DIRECTORS. THE CHAIR OF THE FINANCE COMMITTEE THEN PRESENTS THE FORM 990 FOR FULL BOARD REVIEW AT THE BOARD OF DIRECTORS MEETING, BEFORE IT IS FILED WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | IT IS THE POLICY OF RCC THAT ALL BOARD MEMBERS AND EMPLOYEES DISCLOSE ANY INTEREST REGARDLESS OF WHETHER THE INDIVIDUAL THINKS A CONFLICT OF INTEREST ACTUALLY EXISTS. RCC REQUIRES THAT BOARD MEMBERS, CANDIDATES FOR BOARD MEMBERSHIP, AND EMPLOYEES DISCLOSE ANY CONFLICT OF INTEREST IN WRITING AND UPDATE AT LEAST ANNUALLY. MEMBERS OF THE BOARD AND CANDIDATES FOR MEMBERSHIP ON THE BOARD SHALL MAKE DISCLOSURES IN WRITING TO THE CHAIR OF THE BOARD. IF THE CHAIR HAS SUCH AN INTEREST, HE OR SHE MUST MAKE DISCLOSURE IN WRITING TO THE VICE CHAIR, WHO WILL, IN TURN, BE RESPONSIBLE FOR ADVISING THE BOARD. THE EXECUTIVE DIRECTOR SHALL MAKE DISCLOSURES IN WRITING TO THE CHAIR OF THE BOARD WHO WILL, IN TURN, BE RESPONSIBLE FOR ADVISING THE BOARD OF SUCH DISCLOSURE. EMPLOYEES SHALL MAKE DISCLOSURES IN WRITING TO THE EXECUTIVE DIRECTOR. IN THE CASE OF A POTENTIALLY CONFLICTED PERSON WHO IS A BOARD MEMBER, THAT PERSON MAY MAKE A PRESENTATION TO THE BOARD REGARDING WHETHER HE OR SHE HAS A CONFLICT, AND MAY RESPOND TO RELATED QUESTIONS FROM THE BOARD. HOWEVER, AFTER SUCH PRESENTATION, HE OR SHE SHALL LEAVE THE MEETING DURING ANY DISCUSSION OF, OR VOTE ON, WHETHER A CONFLICT OF INTEREST EXISTS, AND IF SUCH CONFLICT IS DETERMINED BY THE BOARD TO EXIST, HE OR SHE SHALL LEAVE THE MEETING DURING ANY DISCUSSION OF, AND VOTING ON, THE TRANSACTION OR ARRANGEMENT THAT INVOLVES THE CONFLICT OF INTEREST. IN THE CASE OF AN EMPLOYEE, THE EXECUTIVE DIRECTOR WILL DECIDE WHETHER A CONFLICT EXISTS. |
| FORM 990, PART VI, SECTION B, LINE 15A | WHEN DETERMINING COMPENSATION FOR THE EXECUTIVE DIRECTOR, THE ORGANIZATION UTILIZES THE SERVICES OF COMPENSATION CONSULTANTS AND RESEARCHES AND STUDIES THE SALARIES AND FRINGE BENEFITS OF OTHER COMMUNITY HEALTH CENTERS AND HEALTHCARE-RELATED ORGANIZATIONS LOCALLY AND REGIONALLY. DECISIONS AND DELIBERATIONS ARE APPROVED AND DOCUMENTED BY THE BOARD. THIS PROCESS WAS LAST UNDER TAKEN IN 2016. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S FORM 990 AND FORM 1023 ARE AVAILABLE FOR PUBLIC INSPECTION AS REQUIRED UNDER SECTION 6104 OF THE INTERNAL REVENUE CODE. THE RETURN IS POSTED ON GUIDESTAR.ORG AND OTHER SIMILAR TYPE OF WEBSITES. IN ADDITION, THE FINANCIAL STATEMENTS, ARTICLES OF INCORPORATION, FORM 990, FORM 1023, AND BY-LAWS ARE ALSO AVAILABLE UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | OTHER CONTRACTED & PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 95,853. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 95,853. PROCESSING FEES: PROGRAM SERVICE EXPENSES 167,570. MANAGEMENT AND GENERAL EXPENSES 36,229. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 203,799. CONSULTANTS: PROGRAM SERVICE EXPENSES 470,202. MANAGEMENT AND GENERAL EXPENSES 388,122. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 858,324. PERSONNEL RECRUITMENT: PROGRAM SERVICE EXPENSES 108,385. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 108,385. FACILITIES SERVICE FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 155,560. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 155,560. EQUIPMENT SERVICE FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 51,064. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 51,064. LABORATORY SERVICE FEES: PROGRAM SERVICE EXPENSES 43,831. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 43,831. |
| FORM 990, PART XII, LINE 2C: | THE ORGANIZATION'S AUDIT COMMITTEE SHALL BE RESPONSIBLE FOR OVERSEEING THE ACCOUNTING AND FINANCIAL REPORTING PROCESSES OF THE CORPORATION AND THE AUDIT OF THE CORPORATION'S FINANCIAL STATEMENTS. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AFIA FOUNDATION INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PARKWEST FIN STATION PO BOX 21074 | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10025 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 203957960 | EIN |
| Primary Activities | TO SUPPORT INITIATIVES THAT PROVIDE HEALTH CARE TO UNDERSERVED POPULATIONS | PrimaryActivitiesTxt |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | LINE 12A, I | PublicCharityStatusTxt |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Controlled Organization | 0 | 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 | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | 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 | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
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