CHINATOWN HEALTH CLINIC FOUNDATION INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
CHINATOWN HEALTH CLINIC FOUNDATION INC (EIN 13-3808933)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-11-14
IRS object ID
201713189349301236
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)
Return2017-11-14T07:49:46-06:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

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 Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN133808933EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CHINATOWN HEALTH CLINIC FOUNDATION INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCHINBusinessNameControlTxt
Phone2123796988PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1268 CANAL StreetAddressLine1Txt
Citynew yorkCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10013ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJANE T EngPersonNm
Person TitleCEOPersonTitleTxt
Phone2123796988PhoneNum
Signature2017-11-03SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTHOMAS LANNINGPreparerPersonNm
PTINP00851654PTIN
Phone2122970400PhoneNum
Preparation2017-10-09PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address209.3.217.20IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-11-03IPDt
IP Tm12:52:48IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device Id60BF0225ED9631091DB686CFA622195BA7284DF5AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerRaymond Fong MDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1268 CANAL StreetAddressLine1Txt
Citynew yorkCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10013ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$3,268,952GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.Chinatownhealth.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1994FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionTO IMPROVE THE HEALTH CONDITIONS OF THE ASIAN AMERICAN COMMUNITY IN THE GREATER NY METROPOLITAN AREA MANNER THAT IS CULTURALLY RELEVANT AND RESPECTFUL OF THE INDIVIDUAL'SDIGNITY, AND TO SUPPORT AND BENEFIT CHARLES B. WANG COMMUNITY HEALTH CENTER, INC., A NEW YORK NOT-FOR-PROFIT CORPORATION, THAT PROVIDES A BROAD RANGE OF HEALTH SERVICES TO A LARGELY MEDICALLY UNDERSERVED POPULATION, BY CONDUCTING ACTIVITIES THAT INCLUDE FUND-RAISING, PUBLICEDUCATION AND RESEARCH, COMMUNITY AWARENESS AND PLANNING, AND POLICY-MAKING RELATED TO HEALTHCARE SERVICES IN THE COMMUNITY.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers9TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$718,938PYContributionsGrantsAmt
CY Contributions Grants$991,021CYContributionsGrantsAmt
PY Program Service Revenue$1,979,354PYProgramServiceRevenueAmt
CY Program Service Revenue$1,994,701CYProgramServiceRevenueAmt
PY Investment Income$97,307PYInvestmentIncomeAmt
CY Investment Income$86,191CYInvestmentIncomeAmt
PY Other Revenue$1,736PYOtherRevenueAmt
CY Other Revenue$5,050CYOtherRevenueAmt
PY Total Revenue$2,797,335PYTotalRevenueAmt
CY Total Revenue$3,076,963CYTotalRevenueAmt
PY Grants And Similar Paid$201,432PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$212,963CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$36,090CYTotalFundraisingExpenseAmt
PY Other Expenses$1,546,760PYOtherExpensesAmt
CY Other Expenses$1,500,845CYOtherExpensesAmt
PY Total Expenses$1,748,192PYTotalExpensesAmt
CY Total Expenses$1,713,808CYTotalExpensesAmt
PY Revenues Less Expenses$1,049,143PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,363,155CYRevenuesLessExpensesAmt
Total Assets BOY$31,392,628TotalAssetsBOYAmt
Total Assets EOY$32,435,079TotalAssetsEOYAmt
Total Liabilities BOY$14,685,066TotalLiabilitiesBOYAmt
Total Liabilities EOY$13,625,930TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$16,707,562NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$18,809,149NetAssetsOrFundBalancesEOYAmt
MissionCHINATOWN HEALTH CLINIC FOUNDATION, INC.'S PURPOSE IS TO IMPROVE THE HEALTH CONDITIONS OF THE ASIAN-AMERICAN COMMUNITY IN THE GREATER NEW YORK METROPOLITAN AREA, TO PROMOTE THE CONCEPT THAT QUALITY HEALTHCARE SHOULD BE A PERSONAL RIGHT OF ALL PEOPLE AND SHOULD BE PROVIDED IN AMissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$1,399,337ExpenseAmt
Grant$212,963GrantAmt
Revenue$1,994,701RevenueAmt
DescChinatown Health Clinic Foundation, Inc.'s purpose is to improve the health conditions of the Asian American community in the Greater New York Metropolitan area.Desc
Total Program Service Expenses$1,399,337TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
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 OrganizationsYes (1)GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
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 Document1IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
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 Members9GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
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 CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldNJStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Lynn SHERMANBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2123796988PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1268 CANAL StreetAddressLine1Txt
Citynew yorkCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10013ZIPCd
FieldValueIRS element (for citing)
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
DONALD ARMSTRONG MD
BOARD MEMBER1.00Yes (X)$0$0$0
Joanne MJ Quan
Board Member1.00Yes (X)$0$0$0
Marie Lam
Board Member1.00Yes (X)$0$0$0
Pak Chung MD
Board Member1.00Yes (X)$0$0$0
Peter Lau
Treasurer1.00Yes (X)$0$0$0Yes (X)
Raymond Fong MD
Chairperson1.00Yes (X)$0$0$0Yes (X)
Robert Chang
Board Member1.00Yes (X)$0$0$0
Samuel Yeh MD
Vice Chairperson1.00Yes (X)$0$0$0Yes (X)
SANDRA LEE-KAWANO
Secretary1.00Yes (X)$0$0$0Yes (X)
Jane T Eng esq
Chief Executive Officer4.00$34,439$0$8,610Yes (X)
LYNN D SHERMAN
Chief Financial Officer5.00$37,815$0$9,454Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$72,254TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$18,064TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other SrcsYes (1)CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Fundraising$548,702FundraisingAmt
All Other Contributions$442,319AllOtherContributionsAmt
Total Contributions$991,021TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
Descrental incomeDesc
Business532000BusinessCd
Total Revenue Column$1,994,701TotalRevenueColumnAmt
Related Or Exempt Func Income$1,994,701RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$1,994,701TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$109,519TotalRevenueColumnAmt
Exclusion$109,519ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$78,865SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$102,193SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$23,328SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$23,328TotalRevenueColumnAmt
Exclusion-$23,328ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$94,846FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$548,702ContriRptFundraisingEventAmt
Fundraising Direct Expenses$89,796FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,050TotalRevenueColumnAmt
Exclusion$5,050ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,076,963TotalRevenueColumnAmt
Related Or Exempt Func Income$1,994,701RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$91,241ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$140,631TotalAmt
Program Services$140,631ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$72,332TotalAmt
Program Services$72,332ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$202,979TotalAmt
Management And General$202,979ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$8,197TotalAmt
Management And General$8,197ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$19,650TotalAmt
Management And General$19,650ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$35,141TotalAmt
Program Services$4,969ProgramServicesAmt
Management And General$15,068ManagementAndGeneralAmt
Fundraising$15,104FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$29,211TotalAmt
Management And General$29,211ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$597,226TotalAmt
Program Services$597,226ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$546,270TotalAmt
Program Services$546,270ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$40,160TotalAmt
Program Services$37,364ProgramServicesAmt
Management And General$2,796ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtFundraisingFundraisingAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
INDIRECT EVENT EXPENSES$20,986$20,986
License & fees$1,025$545$480

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,713,808TotalAmt
Program Services$1,399,337ProgramServicesAmt
Management And General$278,381ManagementAndGeneralAmt
Fundraising$36,090FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$265,323BOYAmt
EOY$380,324EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,758,792BOYAmt
EOY$2,213,480EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$6,680BOYAmt
EOY$14,476EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$25,750,793LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$3,208,663LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$23,088,400BOYAmt
EOY$22,542,130EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$5,788,389BOYAmt
EOY$6,791,215EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$485,044BOYAmt
EOY$493,454EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$31,392,628BOYAmt
EOY$32,435,079EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$258BOYAmt
EOY$9,097EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$166,226BOYAmt
EOY$167,530EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$14,117,582BOYAmt
EOY$13,048,303EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$401,000BOYAmt
EOY$401,000EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$14,685,066BOYAmt
EOY$13,625,930EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$15,586,136BOYAmt
EOY$17,564,721EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,121,426BOYAmt
EOY$1,244,428EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$16,707,562BOYAmt
EOY$18,809,149EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$31,392,628BOYAmt
EOY$32,435,079EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$1,363,155ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$738,432NetUnrlzdGainsLossesInvstAmt
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 Required0FederalGrantAuditRequiredInd

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$613,266CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$882,939CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$577,658CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$718,938CurrentTaxYearMinus1YearAmt
Current Tax Year$991,021CurrentTaxYearAmt
Total$3,783,822TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$613,266CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$882,939CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$577,658CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$718,938CurrentTaxYearMinus1YearAmt
Current Tax Year$991,021CurrentTaxYearAmt
Total$3,783,822TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$730,728SubstantialContributorsTotAmt
Public Support Total170$3,053,094PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$132,029CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$149,116CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$142,824CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$97,307CurrentTaxYearMinus1YearAmt
Current Tax Year$109,519CurrentTaxYearAmt
Total$630,795TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$103,796CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$97,304CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$107,339CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$127,332CurrentTaxYearMinus1YearAmt
Current Tax Year$94,846CurrentTaxYearAmt
Total$530,617TotalAmt
FieldValueIRS element (for citing)
Total Support$4,945,234TotalSupportAmt
Gross Receipts Rltd Activities$6,402,214GrossReceiptsRltdActivitiesAmt
Public Support CY1700.61740PublicSupportCY170Pct
Public Support PY1700.68780PublicSupportPY170Pct
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 - 2012 Amount: $ 103,796. 2013 Amount: $ 97,304. 2014 Amount: $ 107,339. 2015 Amount: $ 102,861. 2016 Amount: $ 94,846. Property tax refund - 2015 Amount: $ 24,471.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 D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,900,000OtherCostOrOtherBasisAmt
Book Value$3,900,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$21,850,793OtherCostOrOtherBasisAmt
Depreciation$3,208,663DepreciationAmt
Book Value$18,642,130BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$22,542,130TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescSecurity depositsDesc
Amt$401,000Amt
FieldValueIRS element (for citing)
Total Liability$401,000TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$3,794,409TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$738,432NetUnrealizedGainsInvstAmt
Other Revenue-$20,986OtherRevenueAmt
Revenue Not Reported$717,446RevenueNotReportedAmt
Revenue Subtotal$3,076,963RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$3,076,963TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$1,692,822TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$1,692,822ExpensesSubtotalAmt
Other Expenses Not Included$20,986OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$20,986ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$1,713,808TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part X, Line 2:The Foundation has no unrecognized tax benefits at December 31, 2016. The Foundation's Federal and state tax returns prior to fiscal year 2013 are closed and management continually evaluates expiring statutes of limitations, audits, proposed settlements, changes in tax law and new authoritative rulings. The Foundation recognizes interest and penalties associated with tax matters, if any, as operating expenses and includes accrued interest and penalties with accrued expense in the statement of financial position.
Part XI, Line 2d - Other Adjustments:INDIRECT FUNDRAISING EXPENSES -20,986.
Part XII, Line 4b - Other Adjustments:INDIRECT FUNDRAISING EXPENSES 20,986.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1DinnerEvent1Nm
Gross Receipts Event1$492,059GrossReceiptsEvent1Amt
Charitable Contri Event1$441,964CharitableContriEvent1Amt
Gross Revenue Event1$50,095GrossRevenueEvent1Amt
Food And Beverage Event1$43,195FoodAndBeverageEvent1Amt
Entertainment Event1$1,850EntertainmentEvent1Amt
Event2Golf OutingEvent2Nm
Gross Receipts Event2$151,489GrossReceiptsEvent2Amt
Charitable Contri Event2$106,738CharitableContriEvent2Amt
Gross Revenue Event2$44,751GrossRevenueEvent2Amt
Rent Facility Costs Event2$8,068RentFacilityCostsEvent2Amt
Food And Beverage Event2$36,683FoodAndBeverageEvent2Amt
Gross Receipts Total$643,548GrossReceiptsTotalAmt
Charitable Contributions Tot$548,702CharitableContributionsTotAmt
Gross Revenue Total Events$94,846GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$8,068RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$79,878FoodAndBeverageTotalEventsAmt
Entertainment Total Events$1,850EntertainmentTotalEventsAmt
Direct Expense Summary Events$89,796DirectExpenseSummaryEventsAmt
Net Income Summary$5,050NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1Charles B Wang community health center incBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1268 canal streetAddressLine1Txt
CityNew YorkCityNm
State AbbreviationNYStateAbbreviationCd
ZIP10013ZIPCd
FieldValueIRS element (for citing)
Recipient EIN132739694RecipientEIN
IRC Section501(c)(3)IRCSectionDesc
Cash Grant$140,631CashGrantAmt
Purpose Of GrantSocial work and patient navigation, and Medical Home for Children with Special Health Care Needs programs.PurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeScholarshipsGrantTypeTxt
Recipient11RecipientCnt
Cash Grant$72,332CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 2:FormAndLineReferenceDesc
ExplanationTHE FOUNDATION RECEIVES REPORTS FROM ORGANIZATION ON HOW THE FUNDS WERE SPENT. FOR SCHOLARSHIPS TO INDIVIDUALS, they RECEIVE COPIES OF TRANSCRIPTS AND BURSAR BILLS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
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 (2 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
Jane T Eng esq
Chief Executive Officer$34,439$0$0$0$0$0$0$0$8,610$0$43,049$0$0$0
LYNN D SHERMAN
Chief Financial Officer$37,815$0$0$0$0$0$0$0$9,454$0$47,269$0$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 3DURING THE REPORTING YEAR, THE ROLE OF MANAGEMENT AND ACCOUNTING OF THE ORGANIZATION WAS PERFORMED BY THE CHARLES B. WANG COMMUNITY HEALTH CENTER. THEY WERE REIMBURSED $250,573 DURING THE REPORTING YEAR FOR SERVICES RENDERED TO THE ORGANIZATION.
Form 990, Part VI, Section B, line 11bTHE 990 IS REVIEWED BY THE CEO AND CFO. COPIES ARE DISTRIBUTED TO THE BOARD OF DIRECTORS BEFORE IT IS FILED WITH THE IRS.
Form 990, Part VI, Section B, line 12cTHE ORGANIZATION'S DIRECTORS AND OFFICERS SIGN DISCLOSURE STATEMENTS ANNUALLY. THE BOARD DEVELOPMENT COMMITTEE IS RESPONSIBLE FOR MONITORING COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. IN THE EVENT A CONFLICT EXISTS, THE INDIVIDUAL WITH THE CONFLICT MUST RECUSE HIMSELF/HERSELF FROM ANY DELIBERATION AND VOTING REGARDING THE CONFLICT.
Form 990, Part VI, Section C, line 19THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
form 990, part XII, line 2c:THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

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