COMMUNITY HEALTH CARE ASSOCIATION OF NEW YORK STATE INC: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- COMMUNITY HEALTH CARE ASSOCIATION OF NEW YORK STATE INC (EIN 13-2690296)
- Tax period
- 2015-10-01 to 2016-09-30
- Filed
- 2017-08-10
- IRS object ID
- 201702229349301450
- Schema version
- 2015v3.0
- 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 G
- Schedule I
- Schedule J
- Schedule O
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-08-10T12:48:55-05:00 | ReturnTs |
| Tax Period End | 2016-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 221478099 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COHNREZNICK LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1301 AVENUE OF THE AMERICAS | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10019 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 132690296 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COMMUNITY HEALTH CARE ASSOCIATION | BusinessNameLine1Txt |
| Business Name Line2 | OF NEW YORK STATE INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | COMM | BusinessNameControlTxt |
| Phone | 2122799686 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 broadway No 1402 | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10006 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Rose Duhan | PersonNm |
| Person Title | PRESIDENT and Ceo | PersonTitleTxt |
| Phone | 2122799686 | PhoneNum |
| Signature | 2017-08-09 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MAGDALENA M CZERNIAWSKI CPA | PreparerPersonNm |
| PTIN | P00535099 | PTIN |
| Phone | 2122970400 | PhoneNum |
| Preparation | 2017-08-09 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHCANYS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Rose Duhan | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 broadway No 1402 | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10006 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $8,649,372 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.CHCANYS.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1971 | FormationYr |
| Legal Domicile State | NY | LegalDomicileStateCd |
| Activity Or Mission | THAT ALL NEW YORKERS, INCLUDING THOSE WHO ARE MEDICALLY UNDERSERVED HAVE CONTINUOUS ACCESS TO HIGH QUALITY COMMUNITY-BASED HEALTH CARE SERVICES INCLUDING A PRIMARY CARE HOME. TO DO THIS, CHCANYS SERVES AS THE VOICE OF COMMUNITY HEALTH CENTERS AS LEADING PROVIDERS OF PRIMARY HEALTH CARE IN NEW YORK STATE. AS NEW YORK STATE'S PRIMARY CARE ASSOCIATION, CHCANYS WORKS CLOSELY WITH THE MORE THAN 60 FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS) (SECTION 330 GRANTEES AND LOOK-ALIKES) THAT OPERATE APPROXIMATELY 600 SITES ACROSS THE STATE. FQHCS ARE NOT FOR PROFIT PATIENT CENTERED MEDICAL HOMES LOCATED IN MEDICALLY UNDERSERVED AREAS THAT PROVIDE HIGH QUALITY, COST EFFECTIVE PRIMARY HEALTH CARE TO ANYONE SEEKING CARE, REGARDLESS OF THEIR INSURANCE STATUS OR ABILITY TO PAY. SERVING NEARLY 1.8 MILLION NEW YORKERS, THESE FQHCS ARE CENTRAL TO NEW YORK'S HEALTH CARE SAFETY NET. | ActivityOrMissionDesc |
| Voting Members Governing Body | 29 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 29 | VotingMembersIndependentCnt |
| Total Employee | 69 | TotalEmployeeCnt |
| Total Volunteers | 30 | TotalVolunteersCnt |
| Total Gross UBI | $24,196 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $3,892 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $7,056,130 | PYContributionsGrantsAmt |
| CY Contributions Grants | $7,959,727 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $599,215 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $669,148 | CYProgramServiceRevenueAmt |
| PY Investment Income | $257 | PYInvestmentIncomeAmt |
| CY Investment Income | $97 | CYInvestmentIncomeAmt |
| PY Other Revenue | $3,519 | PYOtherRevenueAmt |
| CY Other Revenue | $2,143 | CYOtherRevenueAmt |
| PY Total Revenue | $7,659,121 | PYTotalRevenueAmt |
| CY Total Revenue | $8,631,115 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $18,970 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $19,037 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $4,106,268 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $4,594,530 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $206,338 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $3,735,431 | PYOtherExpensesAmt |
| CY Other Expenses | $3,909,693 | CYOtherExpensesAmt |
| PY Total Expenses | $7,860,669 | PYTotalExpensesAmt |
| CY Total Expenses | $8,523,260 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$201,548 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $107,855 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,893,400 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,790,589 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,678,923 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,468,257 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $214,477 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $322,332 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE MISSION OF THE COMMUNITY HEALTH CARE ASSOCIATION OF NEW YORK STATE (CHCANYS) IS TO ENSURE THAT ALL NEW YORKERS, INCLUDING THOSE WHO ARE MEDICALLY UNDERSERVED, HAVE CONTINUOUS ACCESS TO HIGH QUALITY COMMUNITY-BASED HEALTH CARE SERVICES INCLUDING A PRIMARY CARE HOME. TO DO THIS, CHCANYS SERVES AS THE VOICE OF COMMUNITY HEALTH CENTERS AS LEADING PROVIDERS OF PRIMARY HEALTH CARE IN NEW YORK STATE. AS NEW YORK STATE'S PRIMARY CARE ASSOCIATION, CHCANYS WORKS CLOSELY WITH THE MORE THAN 60 FEDERALLY QUALIFIED HEALTH CENTERS (SECTION 330 GRANTEES AND LOOK-ALIKES) THAT OPERATE APPROXIMATELY 600 SITES ACROSS THE STATE. FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS) ARE NOT-FOR-PROFIT, PATIENT-CENTERED MEDICAL HOMES LOCATED IN MEDICALLY UNDERSERVED AREAS THAT PROVIDE HIGH QUALITY, COST-EFFECTIVE PRIMARY HEALTH CARE TO ANYONE SEEKING CARE, REGARDLESS OF THEIR INSURANCE STATUS OR ABILITY TO PAY. SERVING 1.8 MILLION NEW YORKERS, THESE FQHCS ARE CENTRAL TO NEW YORK'S HEALTH CARE SAFETY NET. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $7,219,003 | ExpenseAmt |
| Grant | $19,037 | GrantAmt |
| Revenue | $644,952 | RevenueAmt |
| Desc | CHCANYS WORKS TO INCREASE ACCESS TO HEALTH CARE FOR ALL NEW YORKERS GRASSROOTS ADVOCACY AND SUPPORTS FQHC'S WITH TOOLS AND INFORMATION NECESSARY TO MAINTAIN AND IMPROVE EXISTING PROGRAMS, STRENGTHEN CORE SERVICES AND BUILD NEW PROGRAMS. CHCANYS HAS A PROVEN TRACK RECORD OF ADDRESSING THE NEEDS OF ITS FQHC'S BY SHARING INFORMATION AND DEVELOPING TRAINING MODULES ON A VARIETY OF TOPICS, ENABLING THEM TO MEET CONTRACTUAL REPORTING OBLIGATIONS, ADDRESS REGULATORY CHANGES AND STANDARDIZE AND IMPROVE CARE. CHCANYS' MAIN PROGRAM AREAS ARE: POLICY AND ADVOCACY; QUALITY AND TECHNOLOGY INITIATIVES; PRIMARY CARE WORKFORCE INITIATIVES; HEALTH CENTER SUPPORT; AND EMERGENCY MANAGEMENT | Desc |
| Total Program Service Expenses | $7,219,003 | 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 | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| 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 | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | 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 | 20 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 69 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| 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 | 29 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 29 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (1) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | 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 |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Steven Solinsky VP of Finance & Operations | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2127103819 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 111 Broadway Suite 1402 | AddressLine1Txt |
| City | NEW YORK | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10006 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (37 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| ANNE K NOLON | |||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Arturo Perez | |||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Brian McIndoe | |||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Daniel Dey | |||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| David Kim | |||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| David Shippee | |||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Gabrielle Vonleh | |||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Harvey Lawrence | |||||||
| Treasurer | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| Henry Thompson | |||||||
| trustee | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Jane T Eng | |||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Janice Harbin | |||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Joanne Haefner | |||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| John Rugge MD | |||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Larry McReynolds | |||||||
| TRustee & Immedidate Past Chair | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| LaVonne Ansari | |||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Lazetta Duncan Moore | |||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Linda Muller | |||||||
| TRustee & 2nd Vice President | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| Lindsay Farrell | |||||||
| trustee & Secretary | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| Mali Trilla | |||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Mary Ann Zelazny | |||||||
| trustee & Board Chair | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| Matt Weissman | |||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Michael L Leary | |||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Neil Calman MD | |||||||
| trustee & 1st Vice Chair | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| Paloma Hernanadez | |||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Patricia Fernandez | |||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Paul Kaye MD | |||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Paul Vitale | |||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| randall coppin | |||||||
| trustee | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Verona Greenland | |||||||
| outgoing Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Warria Esmond MD | |||||||
| Trustee | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Elizabeth Swain | |||||||
| Outgoing President and CEO | 35.00 | $261,386 | $0 | $16,115 | Yes (X) | ||
| Lisa Hellerstein | |||||||
| SENIOR VP/ interim CEO and President | 35.00 | $189,681 | $0 | $6,921 | Yes (X) | ||
| Steven Solinsky | |||||||
| VP of Finance & Operations | 35.00 | $145,152 | $0 | $16,219 | Yes (X) | ||
| Amy Grandov | |||||||
| DIR OF HEALTH INFO TECH | 35.00 | $125,518 | $0 | $4,031 | Yes (X) | ||
| Beverly Grossman | |||||||
| POLICY DIRECTOR | 35.00 | $131,122 | $0 | $4,499 | Yes (X) | ||
| Diane Ferran | |||||||
| DIR CLINICAL QUALITY IMPROvement | 28.00 | $175,352 | $0 | $12,633 | Yes (X) | ||
| Suzanne Rossel | |||||||
| DIr OF HEALTH CENTER SUPPORT | 35.00 | $144,284 | $0 | $25,400 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,172,495 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $85,818 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 7 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Dakota Holdings LLC DBA Azara Healthcar | |||||
| 3500 American Blvd Suite 300 | Bloomington | MN | 55431 | Electronic Health Record Contractor | $1,077,510 |
| Brown and Weinraub PLLC | |||||
| 50 State Street 4th floor | Albany | NY | 12207 | Lobbyist | $122,500 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
| Membership Dues | $1,402,116 | MembershipDuesAmt |
| Fundraising | $49,660 | FundraisingAmt |
| Government Grants | $2,872,096 | GovernmentGrantsAmt |
| All Other Contributions | $3,635,855 | AllOtherContributionsAmt |
| Total Contributions | $7,959,727 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| CONFERENCES & MEETINGS | 541700 | $596,768 | $596,768 | |
| FEE REVENUE | 541700 | $72,380 | $48,184 | $24,196 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $669,148 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $97 | TotalRevenueColumnAmt |
| Exclusion | $97 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $20,400 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $49,660 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $18,257 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,143 | TotalRevenueColumnAmt |
| Exclusion | $2,143 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,631,115 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $644,952 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $24,196 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,240 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,037 | TotalAmt |
| Program Services | $19,037 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $606,543 | TotalAmt |
| Program Services | $507,980 | ProgramServicesAmt |
| Management And General | $80,852 | ManagementAndGeneralAmt |
| Fundraising | $17,711 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,324,518 | TotalAmt |
| Program Services | $2,784,284 | ProgramServicesAmt |
| Management And General | $443,159 | ManagementAndGeneralAmt |
| Fundraising | $97,075 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $67,358 | TotalAmt |
| Program Services | $56,412 | ProgramServicesAmt |
| Management And General | $8,979 | ManagementAndGeneralAmt |
| Fundraising | $1,967 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $304,205 | TotalAmt |
| Program Services | $254,772 | ProgramServicesAmt |
| Management And General | $40,550 | ManagementAndGeneralAmt |
| Fundraising | $8,883 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $291,906 | TotalAmt |
| Program Services | $244,471 | ProgramServicesAmt |
| Management And General | $38,911 | ManagementAndGeneralAmt |
| Fundraising | $8,524 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,606 | TotalAmt |
| Management And General | $20,606 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,718 | TotalAmt |
| Management And General | $33,718 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $105,351 | TotalAmt |
| Program Services | $105,351 | ProgramServicesAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,167,649 | TotalAmt |
| Program Services | $1,993,118 | ProgramServicesAmt |
| Management And General | $130,548 | ManagementAndGeneralAmt |
| Fundraising | $43,983 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $187,659 | TotalAmt |
| Program Services | $155,046 | ProgramServicesAmt |
| Management And General | $23,586 | ManagementAndGeneralAmt |
| Fundraising | $9,027 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $81,897 | TotalAmt |
| Program Services | $75,379 | ProgramServicesAmt |
| Management And General | $5,347 | ManagementAndGeneralAmt |
| Fundraising | $1,171 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $380,574 | TotalAmt |
| Program Services | $318,731 | ProgramServicesAmt |
| Management And General | $50,731 | ManagementAndGeneralAmt |
| Fundraising | $11,112 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $165,541 | TotalAmt |
| Program Services | $132,245 | ProgramServicesAmt |
| Management And General | $28,024 | ManagementAndGeneralAmt |
| Fundraising | $5,272 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $426,603 | TotalAmt |
| Program Services | $352,008 | ProgramServicesAmt |
| Management And General | $74,595 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,020 | TotalAmt |
| Management And General | $3,020 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,993 | TotalAmt |
| Program Services | $14,232 | ProgramServicesAmt |
| Management And General | $2,265 | ManagementAndGeneralAmt |
| Fundraising | $496 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,473 | TotalAmt |
| Program Services | $3,208 | ProgramServicesAmt |
| Management And General | $17,265 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Honorarium Stipends | $160,489 | $160,489 | ||
| EQUIP RENTAL & MAINT | $38,278 | $32,057 | $5,104 | $1,117 |
| SuBSCRIPTIONS | $31,452 | $31,452 | ||
| RECRUITMENT & RETENTION | $27,521 | $8,719 | $18,802 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,869 | TotalAmt |
| Program Services | $1,464 | ProgramServicesAmt |
| Management And General | $40,405 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,523,260 | TotalAmt |
| Program Services | $7,219,003 | ProgramServicesAmt |
| Management And General | $1,097,919 | ManagementAndGeneralAmt |
| Fundraising | $206,338 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $345,797 | BOYAmt |
| EOY | $105,705 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $120,323 | BOYAmt |
| EOY | $126,420 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,074,677 | BOYAmt |
| EOY | $1,259,447 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $84,983 | BOYAmt |
| EOY | $25,579 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $77,513 | BOYAmt |
| EOY | $66,909 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $549,659 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $464,515 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $68,722 | BOYAmt |
| EOY | $85,144 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $121,385 | BOYAmt |
| EOY | $121,385 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,893,400 | BOYAmt |
| EOY | $1,790,589 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $889,527 | BOYAmt |
| EOY | $743,944 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $613,528 | BOYAmt |
| EOY | $519,934 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $175,868 | BOYAmt |
| EOY | $204,379 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,678,923 | BOYAmt |
| EOY | $1,468,257 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$199,198 | BOYAmt |
| EOY | -$119,157 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $413,675 | BOYAmt |
| EOY | $441,489 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $214,477 | BOYAmt |
| EOY | $322,332 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,893,400 | BOYAmt |
| EOY | $1,790,589 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $107,855 | 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) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,876,634 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,494,515 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,982,590 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,056,130 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,959,727 | CurrentTaxYearAmt |
| Total | $36,369,596 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,876,634 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $7,494,515 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,982,590 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,056,130 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $7,959,727 | CurrentTaxYearAmt |
| Total | $36,369,596 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $25,424 | SubstantialContributorsTotAmt |
| Public Support Total170 | $36,344,172 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,074 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,510 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $519 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $257 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $97 | CurrentTaxYearAmt |
| Total | $3,457 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,575 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $14,696 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus1 Year | $19,560 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $20,400 | CurrentTaxYearAmt |
| Total | $60,231 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $36,433,284 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $3,003,527 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.99760 | PublicSupportCY170Pct |
| Public Support PY170 | 0.90090 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule A, Part II, Line 10, Explanation of Other Income: | FormAndLineReferenceDesc |
| Explanation | MISCELLANEOUS REVENUE - 2011 Amount: $ 5,575. Fundraising Revenue - 2012 Amount: $ 14,696. 2014 Amount: $ 19,560. 2015 Amount: $ 20,400. | ExplanationTxt |
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
Total Direct Lobbying TotalDirectLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $306,528 | FilingOrganizationsTotalAmt |
Total Lobbying Expend TotalLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $306,528 | FilingOrganizationsTotalAmt |
Other Exempt Purpose Expend OtherExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $6,912,475 | FilingOrganizationsTotalAmt |
Total Exempt Purpose Expend TotalExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $7,219,003 | FilingOrganizationsTotalAmt |
Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $510,950 | FilingOrganizationsTotalAmt |
Grassroots Nontaxable GrassrootsNontaxableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $127,738 | FilingOrganizationsTotalAmt |
Tot Lbbyng Grassroot Mns Non Tx TotLbbyngGrassrootMnsNonTxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $0 | FilingOrganizationsTotalAmt |
Tot Lbby Expend Mns Lbbyng Non Tx TotLbbyExpendMnsLbbyngNonTxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $0 | FilingOrganizationsTotalAmt |
Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $555,926 | CurrentYearMinus3Amt |
| Current Year Minus2 | $517,830 | CurrentYearMinus2Amt |
| Current Year Minus1 | $543,033 | CurrentYearMinus1Amt |
| Current Year | $510,950 | CurrentYearAmt |
| Total | $2,127,739 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Lobbying Ceiling | $3,191,609 | LobbyingCeilingAmt |
Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $282,210 | CurrentYearMinus3Amt |
| Current Year Minus2 | $376,283 | CurrentYearMinus2Amt |
| Current Year Minus1 | $336,087 | CurrentYearMinus1Amt |
| Current Year | $306,528 | CurrentYearAmt |
| Total | $1,301,108 | TotalAmt |
Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $138,982 | CurrentYearMinus3Amt |
| Current Year Minus2 | $129,458 | CurrentYearMinus2Amt |
| Current Year Minus1 | $135,758 | CurrentYearMinus1Amt |
| Current Year | $127,738 | CurrentYearAmt |
| Total | $531,936 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grassroots Ceiling | $797,904 | GrassrootsCeilingAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-A LINE 1B: | FormAndLineReferenceDesc |
| Explanation | Educates legislators and government entities about issues of importance to Federally Qualified Health Centers. Such issues include: - Indigent Care Reimbursement - Medicaid Reimbursement - Health Care Workforce - Migrant Worker Health - Capital Development for Increased Access to Primary Care | ExplanationTxt |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $43,311 | OtherCostOrOtherBasisAmt |
| Depreciation | $13,612 | DepreciationAmt |
| Book Value | $29,699 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $255,272 | OtherCostOrOtherBasisAmt |
| Depreciation | $251,844 | DepreciationAmt |
| Book Value | $3,428 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $251,076 | OtherCostOrOtherBasisAmt |
| Depreciation | $199,059 | DepreciationAmt |
| Book Value | $52,017 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $85,144 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| security deposits | $120,104 |
| Restricted cash | $1,281 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $121,385 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | deferred rent | Desc |
| Amt | $204,379 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $204,379 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $8,649,372 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $8,649,372 | RevenueSubtotalAmt |
| Other Revenues Not Included | -$18,257 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$18,257 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $8,631,115 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $8,541,517 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $18,257 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $18,257 | ExpensesNotReportedAmt |
| Expenses Subtotal | $8,523,260 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $8,523,260 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part X, Line 2: | THE ASSOCIATION HAS NO UNRECOGNIZED TAX BENEFITS AT SEPTEMBER 30, 2016. THE ASSOCIATION'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. |
| Part XI, Line 4b - Other Adjustments: | fundraising expenses -18,257. |
| Part XII, Line 2d - Other Adjustments: | fundraising expenses 18,257. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | Day at the races | Event1Nm |
| Gross Receipts Event1 | $70,060 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $49,660 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $20,400 | GrossRevenueEvent1Amt |
| Rent Facility Costs Event1 | $17,207 | RentFacilityCostsEvent1Amt |
| Other Direct Expenses Event1 | $1,050 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $70,060 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $49,660 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $20,400 | GrossRevenueTotalEventsAmt |
| Rent Fclty Costs Total Events | $17,207 | RentFcltyCostsTotalEventsAmt |
| Oth Direct Expnss Total Events | $1,050 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $18,257 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $2,143 | NetIncomeSummaryAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | 0 | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Primary Care Development Corp | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 45 Broadway | AddressLine1Txt |
| City | New York | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 10006 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 133711803 | RecipientEIN |
| IRC Section | 501(c)(3) | IRCSectionDesc |
| Cash Grant | $8,000 | CashGrantAmt |
| Purpose Of Grant | unrestricted PAYMENT TO A NON-PROFIT ORGANIZATION to SUPPORT THEIR FUNDRAISING event. | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 (5 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Elizabeth Swain | ||||||||||||||
| Outgoing President and CEO | $260,601 | $0 | $0 | $0 | $785 | $0 | $5,131 | $0 | $10,984 | $0 | $277,501 | $0 | $0 | $0 |
| Lisa Hellerstein | ||||||||||||||
| SENIOR VP/ interim CEO and President | $188,896 | $0 | $0 | $0 | $785 | $0 | $3,792 | $0 | $3,129 | $0 | $196,602 | $0 | $0 | $0 |
| Steven Solinsky | ||||||||||||||
| VP of Finance & Operations | $144,367 | $0 | $0 | $0 | $785 | $0 | $2,974 | $0 | $13,246 | $0 | $161,372 | $0 | $0 | $0 |
| Diane Ferran | ||||||||||||||
| DIR CLINICAL QUALITY IMPROvement | $174,567 | $0 | $0 | $0 | $785 | $0 | $3,506 | $0 | $9,128 | $0 | $187,986 | $0 | $0 | $0 |
| Suzanne Rossel | ||||||||||||||
| DIr OF HEALTH CENTER SUPPORT | $143,499 | $0 | $0 | $0 | $785 | $0 | $3,126 | $0 | $22,274 | $0 | $169,684 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 4 | The organization has amended its bylaws in March 2016, to increase number of board members to 35. This will take affect March 2017. |
| Form 990, Part VI, Section A, line 6 | There are two (2) classes of membership in the Community Health Care Association of New York State. Organizational Membership in the Association shall be available to any FQHC or FQHC Look-Alike based in New York State. Associate Membership in the Association is available to agencies, organizations, consultants and individuals that are interested in, or have goals related to the Association but do not qualify as Organizational Members, e.g., clinical associations, agencies, suppliers and other for-profit or non-profit organizations. Associate Membership includes all privileges of Organizational Membership except full voting. Associate Membership is designated Associate Individual, Associate Organizational, and Associate Governmental. Associate Members shall have voting privileges only on committees on which they serve. Associate Membership is not available to individuals associated with Organizational Members, including, but not limited to their employees, that provide primary care. Membership in the Associate Membership category will not be available to those who qualify for the Organizational Membership category. |
| Form 990, Part VI, Section A, line 7a | Each year at the annual meeting, the organizational membership shall first elect members to its Board of Directors. Election is by ballot and a majority of the votes cast shall elect. |
| Form 990, Part VI, Section B, line 11 | An independent accounting firm prepares the 990 based on audited financial statements and information provided by management. The return is then reviewed by the Senior Director of Finance and the President and CEO and provided to the Board of Directors prior to its submission to the IRS. |
| Form 990, Part VI, Section B, line 12c | Members of the Board, as well as all Officers and key employees, are required to sign written conflict of interest statements on an annual basis. Copies of the signed forms are maintained. Any conflicts are resolved by the Board. |
| Form 990, Part VI, Section B, line 15a | President/Ceo's compensation is determined via a market analysis and comparison. The Executive committee looks at data from national salary surveys for CEOs of associations of comparable sized organizations/associations. In addition, they look at compensation packages for similarly-sized Primary Care Associations (PCAs). After the compensation is recommended the board will then vote to approve the compensation for the president/CEO. |
| Form 990, Part VI, Section C, line 19 | The documents are available upon request. |
| Form 990, Part IX, line 11g | grant consultants: Program service expenses 89,702. Management and general expenses 0. Fundraising expenses 43,983. Total expenses 133,685. human resources consultants: Program service expenses 0. Management and general expenses 47,200. Fundraising expenses 0. Total expenses 47,200. program consultants and sub-contractors: Program service expenses 1,456,411. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,456,411. Data Processing: Program service expenses 447,005. Management and general expenses 80,488. Fundraising expenses 0. Total expenses 527,493. fiscal consultant: Program service expenses 0. Management and general expenses 2,860. Fundraising expenses 0. Total expenses 2,860. |
| form 990, part XII, line 2c: | THE PROCESS FOR OVERSEEING THE AUDIT OF THE FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT ACCOUNTANT THAT AUDITED THE FINANCIAL STATEMENTS HAS BEEN CONSISTENT WITH PRIOR YEARS. |
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