2017-11-09T08:51:05-06:00 2016-12-31 271728945 PKF O'CONNOR DAVIES LLP 500 MAMARONECK AVENUE HARRISON NY 105281633 990 2016-01-01 133911827 RYANCHELSEA-CLINTON COMMUNITY HEALTH CENTER INC RYAN 2122654500 645 10TH AVENUE NEW YORK NY 10036 DR ELLEN BIRENBAUM INTERIM EXECUTIVE DIRECTOR 2122654500 2017-11-08 1 GARRETT M HIGGINS P00543209 9143818900 2017-11-08 65.51.112.58 2017-11-08 20:59:15 ES P C63E204139530C7A73D948D9DBE25A8631A7AD1B CA72600D86868BB63E6792AE27374A61CFC4C663 2016 2018-03-14 21:41:22Z DR ELLEN BIRENBAUM 645 10TH AVENUE NEW YORK NY 10036 11055237 0 X WWW.RYANCENTER.ORG X 1996 NY 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. 10 10 101 10 0 0 1991313 2383750 7514340 8363781 2205 1271 191108 306435 9698966 11055237 0 0 0 0 5192464 5573451 0 0 0 4090095 4636640 9282559 10210091 416407 845146 12448167 12334436 13071906 12113029 -623739 221407 X 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. 0 0 7258569 8363781 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. 7258569 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 59 0 101 1 0 0 0 0 0 0 0 0 0 0 X 10 10 0 1 1 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 NY X X JOSE VIRELLA 2123167923 110 WEST 97TH STREET NEW YORK NY 10025 WALTER DELACRUZ ESQ CHAIRPERSON 5.00 1.00 X X 0 0 0 MICHAEL WILLIAMS VICE CHAIR 5.00 X X 0 0 0 SARAH BOUCHER TREASURER 5.00 X X 0 0 0 HOPE L MASON BOARD MEMBER 5.00 X 0 0 0 HARRIET CHAN KING BOARD MEMBER 5.00 X 0 0 0 HECTOR PEREIRA BOARD MEMBER 5.00 X 0 0 0 E RONALD GUY BOARD MEMBER 5.00 1.00 X 0 0 0 HOWARD LONG BOARD MEMBER 5.00 X 0 0 0 MARGARET GRAMINS BOARD MEMBER 5.00 X 0 0 0 CARMELO CRUZ BOARD MEMBER 1.00 X 0 0 0 WILLIAM MURPHY EXECUTIVE DIRECTOR 40.00 X 205177 0 26645 JOSE VIRELLA CFO 1.00 X 0 0 0 YASMIN HASSAN PEDIATRIC PHYSICIAN 40.00 X 203950 0 39947 EDWARD SOLIS ADULT MEDICAL PHYSICIAN 40.00 X 170346 0 16171 ERIC WAHL OB/GYN PHYSICIAN 34.00 X 213255 0 39727 ELLEN BIRENBAUM INTERIM EXEC. DIR./MEDICAL DIR. 40.00 X 196395 0 16959 SACHI BRITTIN FAMILY PRACTITIONER 40.00 X 156646 0 14018 1145769 0 153467 9 0 1 0 WILLIAM F RYAN COMMUNITY 110 WEST 97TH STREET NEW YORK NY 10025 ADMIN AND MANAGEMNT SERVICES 795000 ST LUKE'S ROOSEVELT HOSPITAL 150 EAST 42ND STREET 5TH FLOOR NEW YORK NY 10170 MEDICAL SERVICES 434836 COMMUNITY EYECARE ASSOCIATES 229 EAST 79TH STREET NEW YORK NY 10021 EYE CARE SERVICES 169948 COHN REZNICK LLP 1301 6TH AVE NEW YORK NY 10019 ACCOUNTING SERVICES 153626 STRATEGIC SERVICES GROUP INC 545 5TH AVENUE NEW YORK NY 10017 SECURITY SERVICES 124047 5 588130 1476827 318793 176827 2383750 NEW YORK STATE AND CHILD HEALTH 621990 2960610 2960610 MEDICAID 621990 1114026 1114026 MEDICAID MANAGED CARE 621990 1028861 1028861 MEDICARE 621990 845612 845612 MEDICAID MANAGED CARE INCENTIVES 621990 582632 582632 1832040 1832040 8363781 1271 1271 OTHER INCOME 900099 303909 303909 MEDICAL RECORDS 900099 2526 2526 306435 11055237 8363781 0 307706 X 231822 190660 41162 4110503 3364339 746164 209235 178469 30766 668058 569828 98230 353833 301806 52027 795000 795000 41451 12435 29016 55391 55391 11555 11555 1516816 789988 726828 32296 32296 214020 127993 86027 271819 247089 24730 41032 23010 18022 9749 9749 91861 53483 38378 408177 326542 81635 38856 18895 19961 PHARMACEUTICALS AND MED 895683 895683 EQUIP RENTAL AND MAINTE 115599 71803 43796 OTHER DIRECT EXP 49334 17241 32093 BAD DEBT 37560 37560 10441 10441 10210091 7258569 2951522 0 86639 75078 1913723 1781312 59157 4246 857368 1228702 12805 10871 190030 160994 14772939 6591787 8504757 8181152 823688 892081 12448167 12334436 805458 980211 4904725 3999103 880978 833534 6480745 6300181 13071906 12113029 X -623739 221407 -623739 221407 12448167 12334436 845146 0 X X 0 1 X 1 1 1 X 2133043 2531227 1324418 1991313 2383750 10363751 6959788 7262255 7637534 7514340 8363781 37737698 9092831 9793482 8961952 9505653 10747531 48101449 0 0 0 48101449 727 1797 2303 2205 1271 8303 727 1797 2303 2205 1271 8303 10099 15323 25422 27525 121170 102274 191108 306435 748512 9131182 9916449 9081852 9698966 11055237 48883686 0.98400 0.98720 0.00020 0.00060 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 11555 11555 0 PART II-B, LINE 1: ORGANIZATION UTILIZED THE SERVICES OF A LOBBYING FIRM AND ITS SHARE OF LOBBYING EXPENSE WAS $11,555 FOR CALENDAR YEAR 2016. 1964266 1964266 9525463 3572207 5953256 3283210 3019580 263630 8181152 DEBT SERVICE FUND 729755 DEFERRED FINANCING COSTS 143854 OTHER RECEIVABLES 18472 892081 DUE TO WILLIAM F. RYAN COMMUNITY HEALTH CENTER, INC. 4700181 SUBVENTION CERTIFICATE PAYABLE 1600000 6300181 X 11017677 0 11017677 37560 37560 11055237 10172531 0 10172531 37560 37560 10210091 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. X X X X 0 0 0 0 0 0 0 0 0 WILLIAM MURPHY EXECUTIVE DIRECTOR 205177 0 0 0 0 0 4104 0 22541 0 231822 0 0 0 YASMIN HASSAN PEDIATRIC PHYSICIAN 203950 0 0 0 0 0 4079 0 35868 0 243897 0 0 0 EDWARD SOLIS ADULT MEDICAL PHYSICIAN 170346 0 0 0 0 0 3407 0 12764 0 186517 0 0 0 ERIC WAHL OB/GYN PHYSICIAN 213255 0 0 0 0 0 4265 0 35462 0 252982 0 0 0 ELLEN BIRENBAUM INTERIM EXEC. DIR./MEDICAL DIR. 196395 0 0 0 0 0 3928 0 13031 0 213354 0 0 0 SACHI BRITTIN FAMILY PRACTITIONER 156646 0 0 0 0 0 3133 0 10885 0 170664 0 0 0 A DORM AUTH OF STATE OF NY 146000293 649906RT3 2012-02-22 6279835 PRO. FUND TO REFUND PRIOR ISSUE 0 0 0 A 6279835 280144 291233 5697596 1 0 1 1 A 0 0 0 0 0 0 0 A 0 0 0 0 0 0 0 0 1 A 0 X 1 176827 DONOR VALUED 0 1 0 PART I, COLUMN (B): THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTORS. 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. AFIA FOUNDATION INC PARKWEST FIN STATION PO BOX 21074 NEW YORK NY 10025 203957960 TO SUPPORT INITIATIVES THAT PROVIDE HEALTH CARE TO UNDERSERVED POPULATIONS NY 501(C)(3) LINE 12A, I N/A 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0